数据挖掘针灸治疗紧张性头痛选穴规律分析

Analysis of Acupoint Selection Rules of Acupuncture Treatment for Tension Headache Based on Data Mining

目的:探索针灸治疗紧张性头痛的临床选穴特点和规律。方法:采用文献检索方式,从CNKI、CBM、万方数据、维普数据库中检索自建库至2022年12月1日收录的针灸治疗紧张性头痛的临床文献,创建针灸处方数据库,进行关联规则分析和聚类分析。结果:共纳入文献105篇,提取针灸处方212条,共涉及腧穴91个,累计频次1472次。分析得出治疗紧张性头痛最常用的腧穴是风池穴;足少阳胆经、督脉等经脉的腧穴使用频率高,此外经外奇穴的应用频率高居前三位;治疗本病的穴位大多在头面部、下肢部;多选用交会穴、原穴、输穴等特定穴。关联规则分析共得到关联规则84条,列出强关联20条,其中风池–太阳的支持度最高,对使用频次 ≥ 20次的腧穴进行聚类分析,共得到5个聚类群。结论:针灸治疗紧张性头痛遵循一定的选穴规律,主要是选择局部穴位,上下远近配穴,主要选择足少阳胆经、督脉、经外奇穴,并注重交会穴、原穴等特殊穴的应用治疗本病的核心处方可能为:风池–百会–太阳–太冲–头维,可为临床治疗提供参考。

Objective: This paper aims to explore the clinical characteristics and rules of acupuncture and moxibustion in the treatment of tension headache. Methods: The clinical literatures on acupuncture and moxibustion treatment of tension headache were retrieved from CNKI, CBM, Wanfang Data and VIP database from the self-established database to December 1, 2022, and the acupuncture and moxibustion prescription database was established for association rule analysis and cluster analy-sis. Results: A total of 105 literatures were included, 212 acupuncture prescriptions were extracted, 91 acupoints were involved, and the accumulative frequency was 1472 times. It was concluded that Fengchi point was the most commonly used acupoint in the treatment of tension headache. The ap-plication frequency of acupoints on meridians such as foot Shaoyang gallbladder meridian and Du meridian was high, and the application frequency of acupoints on meridian Wai was the top three. The acupoints for treating this disease are mostly in the head and face and lower limbs;most of them select more specific points such as intersection points, original points and transfusion points. A total of 84 association rules were obtained from the analysis of association rules, and 20 strong associations were listed, among which Fengchi and sun had the highest degree of support. The clus-ter analysis of acupoints used more than 20 times was carried out, and a total of 5 cluster groups were obtained. Conclusion: Acupuncture and moxibustion treatment of tension headache follows a certain rule of point selection, mainly selecting local points, the collocation of points near and far, the main selection of foot Shaoyang bile channel, Du vein, Weiqi points, and paying attention to the application of special points such as intersection points and original points. The core prescription of treatment of this disease may be Fengchi-Baihui- Taiyang-Taichong-Touwei, which can provide ref-erence for clinical treatment.