Mechanism of Scalp Acupuncture Combined with Distal Acupoint Selection in the Treatment of Vascular Headache Caused by Hyperactivity of Liver-Yang

The clinical effect of acupuncture on vascular headache caused by hyperactivity of liver-yang has been shown, but the specific mechanism is not yet clear. This paper is intended to discuss the etiology and pathogenesis of vascular headache caused by hyperactivity of liver-yang and the mechanism of acupuncture, so as to provide a certain reference for clinical diagnosis and treatment of scalp acupuncture treatment of vascular headache caused by hyperactivity of liver-yang.

Research on law of acupoints selection for acupuncture treatment of postpartum depression based on data mining method

Objective:To obtain the rules of acupoint use and compatibility methods from RCT literature of acupunctureand moxibustion in the treatment of postpartum depression through data mining,so as to provide effective acupoints for clinical reference.Methods:a total of 557 clinical literatures on acupuncture and moxibustion in the treatment of postpartum depression were retrieved through China knowledge Network Database,Wanfang Database and Chongqing VIP Database,and 44 articles were obtained through inclusion and exclusion criteria.Statistical analysis was carried out with the help of SPSS20.0 and SPSS Modeler18.1.Results:the most commonly used acupuncture points for postpartum depression are Baihui,Taichong,Sanyinjiao,Zusanli,Neiguan,Governor Meridian,foot Jueyin liver Meridian and foot Sun bladder Meridian,which are closely related to the treatment of postpartum depression.most doctors'clinical acupuncture treatment sites are head,limbs and back.The correlation analysis results obtained by SPSS Modeler software are Taichong-Neiguan-Zusanli,Taichong-Neiguan and Neiguan-Zusanli.Finally,the high-frequency acupoints are clustered and classified into four clusters,namely Taichong,Neiguan,Sanyinjiao and Zusanli.Hegu,Sishencong;Baihui,Shenmen;Pishu and Guanyuan.Conclusion:the rule of acupoint use of acupuncture and moxibustion in the treatment of postpartum depression through data mining can provide some reference for the clinical treatment of postpartum depression in the future.

Activation of various brain areas during acupuncture at Taixi (KI 3) and Qiuxu (GB 40) acupoints

A number of previous studies of acupuncture acupoint specificity have used sham acupoints, sham acupuncture or meridian acupoints at a great distance from each other as controls in functional MRI （fMRI） experiments. However, few studies have compared different meridian acupoints within the same segment, which are associated with similarly intense needle sensations. We performed fMRI on 12 healthy young volunteers and observed differences in brain activation elicited by acupuncture of the Taixi （KI 3） and Qiuxu （GB 40） acupoints. Acupuncture was applied at the Taixi and Qiuxu acupoints, using a multiple-block fMRI design with three blocks, involving three altemations of resting and task phases. After scanning, needle sensation was assessed. The behavioral results revealed that the subjective needle sensation was similar between the Taixiand Qiuxu acupoints. The fMRI results revealed that acupuncture at the right Taixi acupoint activated the right superior temporal gyrus （BA 22）, left middle frontal gyrus （BA 46） and inferior frontal gyrus （BA 45）, bilateral parietal lobe postcentral gyrus （BA 2）, right parietal lobe （BA 3）, and left parietal lobe （BA 40）. Acupuncture at the right Qiuxu acupoint activated the left superior temporal gyrus （BA 42）, right parietal lobe postcentral gyrus （BA 40, BA 43）, right inferior frontal gyrus （BA 47）, bilateral superior temporal gyrus （BA 22）, and right insula BA13. These results suggest that the right Taixiand Qiuxu acupoints activated different brain areas.

THEORY OF OPPOSITE ACUPOINTS AND ITS CLINICAL APPLICATION

In the light of the position character, acupoints situating on the corresponding medial and lateral sides of the limbs or in the front and back parts of the body trunk are called as “opposite acupoints”. In the present paper, the author expounds its theoretical basis from yin-yang theory, investigates its origin from the location of acupoints and ancient clinical application, and introduces its current application in clinical practice. In addition, the author lists 4 typical cases about treatment of hysteric convulsion, pregnant hypertension, child bed-wetting and leucorrhagia with opposite acupoints. Clinical practice demonstrates that opposite acupoints therapy is fewer in taking acupoints for one session of treatment, simple in operation, and good in the therapeutic effect for treatment of various diseases of different systems in the human body.

Acupoint Selection Standards of Auricular Therapy in the Treatment of Maintenance Hemodialysis Insomnia Based on Data Mining

Background:Insomnia is a high-incidence complication in patients undergoing maintenance hemodialysis(MHD).Auricular therapy can effectively improve sleep with few adverse effects.Acupoint selection affects the impact of auricular therapy.However,there is currently a lack of analysis on the standards of acupoint selection.Our study used data mining technology to investigate the acupoint selection principles and characteristics of auricular therapy for the treatment of MHD-related insomnia.Objective:The objective of the study is to explore the standards of acupoint selection in auricular therapy for the treatment of MHD-related insomnia through data mining technology.Materials and Methods:We searched three English(PubMed,WOS,and Embase)and four Chinese(CNKI,VIP,Wangfang,and CBM)databases for studies on auricular therapy for MHD-related insomnia from self-establishment to November 14,2022.Results:Eighty-one publications were involved,which included 33 acupoints.The most common auricular points in patients with MHD-related insomnia were the Shenmen,heart,and kidney points.More applications involved the visceral,nervous system,and specific acupoints.Five effective clusters and two clusters were obtained through cluster analysis,including specific auricular points for insomnia,such as the multi-dream area,neurasthenia area,deep sleep point,and anterior ear lobe.Complex network analysis showed that the core auricular acupoint combinations for the intervention of MHD-related insomnia were Shenmen with kidney,Shenmen with heart,heart with kidney,heart with Shenmen,and heart and Shenmen with subcortex.Conclusions:The selection of auricular points for the treatment of MHD-related insomnia was guided by the heart theory of traditional Chinese medicine.Clinical treatment attaches importance to the use of the multi-dream area,neurasthenia area,and other acupoints.

CONSTIPATION TREATED BY AURICULAR ACUPOINT PRESSING COMBINED WITH ACUPUNCTURE AT ZUSANLI POINT

This paper reports that 65 cases with functional constipation were treated by putting one Wang Bu Liu Xing (semen vaccariae) seed on each acupoint, Intestinum crassum, Intestinum tenue,Sympathicum, Lung, Spleen, Subcortex, of auricula and pressing, associated with acupuncture at Zusanli point on both sides. The patients were instructed to press the stuck seed twice a day for 3 to 5 minutes each time. Auricular acupoints of both sides were used alternately every 2 days. The electric acupuncture was applied at Zusanli points about 30 minutes each time every other day. Ten times (i. e. 20 days) make one course of treatment and the routine treatment consists of 1 to 2 courses. The results showed that all the patients were cured, patients with Shi Mi (the constipation of excess type) were cured after one course of treatrnent while Xu Mi (the constipation of deficiency type) were cured after two courses. The study suggests that this kind of treatment is an ideal therapy for functional constipation. The pathogenesis and mechanism of treatment of auricular acupuncture pressing associated with acupuncture at Zusanli point for constipation are discussed.

The review of clinical application of X-shaped balance acupuncture therapy for joint pain and activity disorder

Musculoskeletal diseases such as neck, shoulder, back and leg pain are ext remely common in clinic. Diseases of the joints of the ext remi ti es, especially sputum, wr ist spr ains, and periarthritis of the shoulders, and even lumbar disc herniation, use X-shaped balance acupuncture therapy to relieve pain and improve motor function. The method of obtaining acupoints is simple and easy to operate. Many of clinical comparison shows that this therapy is simple to conventional acupuncture and moxibustion in the treatment of local pain and joint diseases. This review concluded the advantaged about the X-shaped balance acupuncture therapy and it worth to clinical promotion.

COMMENTS ON THE STUDY OF ACUPOINT COMBINATION AND REMEDIES FOR TREATMENT OF DIABETES MELLITUS WITH ACUPUNCTURE AND MOXIBUSTION

In the present pater ,the author reviews the progresses in the study on acumoxi(acupuncture-moxi-bustion)treatment of diabets mellitus(DM) from Chinese ancient classical works.Chinese and foreign journals.The therapeutic results reveal that acupuncture treatment of DM is effective in improving DM patients' symptoms via vagal-nerve reflex,regulation of neuroendocrine and immune functions,The author holds that （1） correct selection of acupoints in accordance with syndrome differentiation and the related meridians and combined application of acupuncture and Chinese herbal medicaines (for oral administration)are the key points for raising the therapeutic effect;and (2) acupoint combinaton and curative methods need to be researched further.

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE PLUS ACUPOINT-INJECTION FOR RHINALLERGOSIS

Aims: To observe the clinical effect of acupuncture plus acupoint injection of Acidi Nucleici et Caseini Hydrolysatis Composita in the treatment of allergic rhinitis. Methods: Ninety five cases of allergic rhinitis patients were randomized into acupuncture plus acupoint injection group (treatment group, n=40), acupuncture group (control group A, n=30) and muscular injection group (control group B, n=25). Yingxiang (LI 20), Yintang (EX HN 3), Baihui (GV 20), Fengchi (GB 20), Fengmen (BL 12), Feishu (BL 13), etc. were used. Results: Following 20 days’ treatment, of the 40, 30 and 25 cases of allergic rhinitis in treatment, control A and B groups, 16 (40.0%), 8 (26.7%) and 0 were cured, 22 (55.0%), 14 (46.7%) and 4 (16.0%) experienced improvement in their symptoms and signs, and 2 (5.0%), 8 (26.7%) and 21 (84.0%) failed in the treatment, with the effective rates being 95.0%, 73.3% and 16.0% separately. The therapeutic effect of treatment group was significantly superior to those of two control groups (P<0.05, 0.01). Conclusion: The therapeutic effect of acupuncture plus acupoint injection of Injecto Acidi Nucleici et Caseini Hydrolysatis Composita is definite.

耳穴贴压联合针灸对高血压病患者血压血脂的影响

目的 探析高血压病患者采用耳穴贴压联合针灸治疗对血压与血脂的影响。方法 选择枣庄市立医院2021年3月—2022年3月接诊的90例高血压病患者,按照随机数字表法分为2组,每组45例。对照组口服药物治疗,观察组耳穴贴压联合针灸治疗。比较2组患者血压、血脂、中医证候积分和治疗总有效率。结果 治疗后,观察组舒张压、收缩压均低于对照组,差异有统计学意义(P<0.05);观察组总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)低于对照组,高密度脂蛋白胆固醇(HDL-C)高于对照组,差异均有统计学意义(P<0.05);观察组主症(头痛、眩晕)与次症(心悸、胸闷、畏寒肢冷)中医证候积分均低于对照组,差异有统计学意义(P<0.05)。观察组的治疗总有效率为97.78%(44/45),高于对照组的80.00%(36/45),差异有统计学意义(P<0.05)。结论 高血压病患者采用耳穴贴压联合针灸治疗可以更好地改善血压与血脂,值得推广。

补肾壮骨温经汤配合针刺循经取穴治疗类风湿性膝关节炎的疗效研究

目的观察补肾壮骨温经汤配合针刺循经取穴治疗类风湿性膝关节炎(RG)的疗效。方法选取2020年6月至2022年6月宝鸡市中医医院收治的102例RG患者作为研究对象,按随机数表法分为联合组、对照1组与对照2组各34例。对照1组患者给予常规西药治疗,对照2组患者给予常规西药联合针刺循经取穴治疗,联合组患者则在对照2组基础上予以补肾壮骨温经汤联合治疗。治疗3个月后,比较三组患者的临床疗效及治疗前后的临床证候评分、骨关节炎指数(WOMAC)评分以及血清学指标[类风湿因子(RF)、红细胞沉降率(ESR)、抗环状瓜氨酸抗体(CCP)]水平;同时比较三组患者治疗期间的不良反应的发生情况。结果联合组患者的临床治疗总有效率为91.18%,明显高于对照1组的64.71%和对照2组的70.59%,差异均具有统计学意义(P<0.05),但对照1组与对照2组患者的治疗总有效率比较差异均无统计学意义(P>0.05);治疗3个月后,联合组患者的关节冷痛、屈伸不利、肿胀、头晕耳鸣以及肢体沉重各临床证候评分明显低于对照1组与对照2组,差异均具有统计学意义(P<0.05),但对照1组与对照2组患者的临床证候评分比较差异均无统计学意义(P>0.05);联合组患者的WOMAC评分为(38.45±11.48)分,明显低于对照1组的(45.58±12.71)分和对照2组的(44.34±12.06)分,且联合组患者的RF、ESR及CCP水平分别为(86.37±14.74)IU/mL、(32.27±3.38)mm/h、(187.34±19.08)IU/mL,明显低于对照1组的(103.22±16.75)IU/mL、(43.16±5.25)mm/h、(219.58±21.77)IU/mL和对照2组的(98.41±15.28)IU/mL、(41.83±5.19)mm/h、(210.66±19.48)IU/mL,差异均有统计学意义(P<0.05),但对照1组与对照2组患者的WOMAC评分、RF、ESR及CCP水平比较差异均无统计学意义(P>0.05);治疗期间三组患者的不良反应总发生率比较差异无统计学意义(P>0.05)。结论补肾壮骨温经汤配合针刺循经取穴治疗RG可有效缓解患者的相关临床症状,改善膝关节功能及血清学指标水平,临床疗效确切,具有临床应用价值。

基于数据挖掘技术探讨针刺治疗脑卒中肩手综合征的取穴规律

目的 基于数据挖掘技术探讨针刺治疗卒中后肩手综合征(SHS)的取穴规律。方法 搜索中国知网、万方数据知识服务平台和维普数据库,筛选有关针刺治疗SHS的文献,建立处方数据库。用Excel建立矩阵数据进行腧穴规范化处理、频次统计和穴位归经,对特定穴位使用情况进行频次分析,建立矩阵数据库,再将矩阵转化为数据透视表后导入SPSS Modeler 18.0统计学软件进行腧穴复杂网络可视化展示,并运用Apriori算法进行高频腧穴间的关联规则分析;运用Origin 2021软件中的层次聚类分析方法对高频腧穴进行聚类分析。结果 纳入101篇文献,共提取出处方101条,涉及腧穴67个,所有腧穴累计出现总频次为815次。应用频次排名前5的腧穴依次为肩髃(86次)、合谷(70次)、曲池(69次)、外关(69次)、手三里(49次)。关联规则分析结果显示,曲池-合谷、外关-合谷、肩髃-合谷支持度最高;通过聚类分析得到4个有效聚类组,分别为肩髃-肩髎-合谷-外关-曲池-手三里-臂臑、肩贞-八邪-天宗-肩井、后溪-中渚、内关-尺泽-极泉-肩前-阿是穴。结论 针刺治疗中风后SHS取穴以局部取穴和手三阳经穴为主,这些穴位的使用和组合规律可能是治疗SHS最简便有效的针刺方案。

针刺治疗银屑病的选穴规律分析

目的:运用数据挖掘技术分析针刺治疗银屑病的选穴规律。方法:采用计算机检索维普数据库、万方数据知识服务平台和Embase数据库自建库至2021年10月30日收录的针刺治疗银屑病的相关文献,利用Microsoft Excel 2019建立数据库,运用数据挖掘技术对穴位进行描述性分析、相关性分析以及年代分析。结果:本研究共纳入文献45篇,共计56个穴位,总频次477次。使用频次前5位的穴位是曲池(46次)、三阴交(37次)、血海(36次)、肺俞(34次)、膈俞(32次);归经多属足太阳膀胱经、足太阴脾经、手阳明大肠经、督脉以及足阳明胃经等,使用频次最多的经脉是足太阳膀胱经;与其他穴位共现频次前5位的穴位为曲池(310次)、三阴交(274次)、血海(255次)、肺俞(225次)、足三里(221次);曲池、血海、三阴交等穴位在纳入文献所在年份中出现次数较多,选择率较高。结论:针刺治疗银屑病对于穴位的选择有一定规律性,可考虑以“曲池、三阴交、血海、肺俞、膈俞、足三里”为主穴制定治疗方案。

通络祛痛膏循经取穴贴敷对腰间盘突出患者止痛效果的随机对照研究

目的通过随机对照研究通络祛痛膏循经取穴贴敷对腰间盘突出患者止痛效果。方法110例腰间盘突出患者,采用随机数字表法分为观察组和对照组,每组55例。观察组采用循经取穴贴敷通络祛痛膏,对照组采用常规阿是穴贴敷通络祛痛膏。比较两组患者治疗前后及随访期间视觉模拟评分法(VAS)评分、伴随症状缓解效果、安全性。结果治疗前,观察组患者VAS评分(5.98±1.84)分与对照组的(6.10±2.20)分比较,无明显差异(P>0.05)。治疗后,两组患者VAS评分均低于治疗前,且观察组患者VAS评分(2.93±1.30)分低于对照组的(3.97±2.29)分(P<0.05)。观察组治疗后2周、1个月、3个月随访VAS评分分别为(2.79±1.68)、(2.67±1.38)、(2.37±1.95)分,均低于治疗前(P<0.05),略低于治疗后,但无明显差异(P>0.05)。对照组患者治疗后2周、1个月、3个月随访VAS评分分别为(3.67±2.54)、(4.67±2.63)、(4.59±2.98)分,治疗后2周随访VAS评分略低于治疗后,治疗后1、3个月随访VAS评分均高于治疗后,但均无明显差异(P>0.05)。观察组治疗后2周、1个月、3个月随访VAS评分均低于对照组(P<0.05)。观察组患者伴随症状缓解显效率94.6%高于对照组的76.4%(P<0.05)。观察组与对照组患者伴随症状缓解总有效率均为98.2%,无明显差异(P>0.05)。治疗过程中两组各发生轻度皮肤瘙痒3例,局部涂抹药膏后缓解,局部皮肤后期有轻微结痂,无感染及瘢痕产生。两组均未发生严重安全性问题,两组安全性比较无明显差异(P>0.05)。结论通络祛痛膏循经取穴贴敷疗法对腰间盘突出患者止痛效果及远期疗效优于常规阿是穴贴敷,且在改善伴随症状上循经取穴贴敷显效率高于阿是穴贴敷。

基于数据挖掘技术探讨温针灸治疗腰椎间盘突出症选穴规律与作用机制研究

目的:探讨温针灸治疗腰椎间盘突出症的选穴规律。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)及中文科技期刊数据库(CCD)中自建库至2022年4月1日收录的温针灸治疗腰椎间盘突出症相关文献,并运用Excel 2019整理数据并建立数据库,使用IBM SPSS MODELER 18.0进行关联规则分析,运用R语言构建高频腧穴的共现矩阵,使用Origin 2021制作弦图以对高频腧穴进行可视化分析,采用SPSS 26.0进行聚类分析。结果:共获得针灸处方304条,腧穴75个,23个高频腧穴,依次为委中、肾俞、夹脊、环跳等,足少阳、太阳经是最常用经脉,特定穴使用最多的是五输穴和背俞穴,多选取腰背部及下肢部穴位。委中-环跳,委中-夹脊-环跳,环跳-阳陵泉等16个强关联规则,聚类分析将高频穴位分为4类。结论:温针灸治疗腰椎间盘突出症选穴以肾为本,多为足太阳、少阳经穴,结合局部取穴,标本同治,为针灸临床治疗该病提供了选穴依据,并总结温针灸治疗本病通过消除炎症反应、改善局部微循环、抑制痛觉神经,提高痛阈等方面发挥作用。

基于隐结构模型和频繁项集的针刺治疗慢性前列腺炎辨证取穴规律

目的:探讨针刺治疗慢性前列腺炎的辨证取穴规律,为临床治疗慢性前列腺炎提供帮助。方法:检索国家知识基础设施数据库(CNKI)、中文科技期刊数据库(CCD)等数据库中关于针刺辨证论治慢性前列腺炎的文献,构建包含症状、证型、穴位处方的慢性前列腺炎病历数据库,运用隐结构模型分析、频繁项集等方法,分析针刺治疗慢性前列腺炎的辨证取穴规律。结果:共纳入文献64篇,涉及穴位91个,症状248项。高频穴位如三阴交、中极等;高频症状包括舌体瘀点瘀斑、苔黄腻、滴白、尿急等;构建隐结构模型,得出慢性前列腺炎主要证型有湿热下注、肾阳不足等;挖掘出症状-穴位频繁项集、症状-证型-穴位频繁项集各4项。症状-穴位频繁项集如“尿急+滴白+阳痿+早泄+肾俞+足三里”,症状-证型-穴位频繁项集如“尿频+尿急+苔黄腻+滴白+舌体瘀点瘀斑+湿热瘀阻+三阴交+会阴”,提示治疗时可根据相应症状判定证型及选择对应穴位。结论:针刺治疗慢性前列腺炎多以三阴交、中极、关元等为主要穴位,穴位配伍依据临床情况辨证选穴,此可为临床治疗慢性前列腺炎提供参考。

穴位刺激治疗癌因性疲乏选穴规律数据挖掘

目的采用数据挖掘技术探究穴位刺激治疗癌因性疲乏的选穴配穴规律。方法检索中国知识资源总库(CNKI)、万方数据知识服务平台(Wanfang Data)、中文科技期刊数据库(VIP)、中国生物医学文献服务系统(SinoMed)、PubMed、Web of Science、Embase建库至2023年10月13日收录的穴位刺激治疗癌因性疲乏的临床随机对照试验文献,采用Excel2021和R4.3.1对处方腧穴进行频次分析、关联规则分析和聚类分析。结果共纳入文献187篇,包含214条腧穴处方,涉及102个腧穴,使用总频次为1044。使用频次前3位腧穴为足三里、气海、关元,前3位经络为任脉、足阳明胃经和足太阴脾经;腧穴多分布在下肢部和胸腹部,交会穴为使用频次最高的特定穴,艾灸是最常用的干预措施。关联规则分析显示,足三里-气海-关元-三阴交为核心腧穴组合。对肺癌、乳腺癌、结直肠癌、妇科肿瘤和胃癌选穴分析显示,补虚要穴最常选用。聚类分析得到5组腧穴有效聚类群。结论穴位刺激治疗癌因性疲乏选穴以益气养血、扶正祛邪为主要原则,重视特定穴的使用,并根据脏腑经络辨证运用多种配穴方法以提高临床疗效。

基于复杂网络分析针刺治疗痉挛性斜颈的选穴规律

[目的]运用复杂网络技术分析针刺治疗痉挛性斜颈的选穴规律。[方法]检索1990年1月1日—2022年10月31日中国期刊全文数据库(CNKI)、万方数据库(WANGFANG DATA)、维普中文科技期刊数据库(VIP)、中国生物医学文献数据库(CBM)、PubMed、EMbase及Web of Science收录的针刺治疗痉挛性斜颈相关文献。采用Excel 2019建立数据库,统计腧穴频次及频率、腧穴归经、腧穴分布部位情况,选用SPSS Modeler18.0软件建模进行关联规则分析;选用Gephi 0.9.2软件进行复杂网络分析。[结果]共纳入100篇文献,包含123条针灸处方,涉及163个腧穴,腧穴总频数为1291次。十四经穴使用最多,其次为经验效穴;风池、百会、合谷为针刺治疗痉挛性斜颈使用频数前3位的腧穴;督脉、足少阳胆经和足太阳膀胱经为使用频数前3位的经脉;所用腧穴多分布于头面颈项部。风池-阳陵泉、涌泉-劳宫、百会-印堂和水沟-劳宫-涌泉为针刺治疗痉挛性斜颈的高频穴对。[结论]临床针刺治疗痉挛性斜颈疗法较为多样化,但多以局部取穴及医家经验为主,规范化操作及临床研究有待推广深入。

基于数据挖掘探讨针刺治疗儿童抽动障碍的选穴规律

目的:基于数据挖掘探讨针刺治疗儿童抽动障碍的选穴规律。方法:检索中国知网、万方医学网、维普数据库、PubMed、EMbase有关针刺治疗儿童抽动障碍的相关文献,检索时限为2002年2月—2022年2月,统计分析针刺治疗儿童抽动障碍的主配穴使用频次、中医证候分布及穴位归经等。结果:最终纳入文献71篇,涉及穴位处方95个,其中主穴94个,配穴99个,主穴总取穴频次为438次,使用频次前10位的依次为百会、太冲、合谷、三阴交、四神聪、风池、印堂、神门、内关、神庭;配穴总取穴频次为427次,使用频次前10位的依次为地仓、迎香、廉泉、太阳、颊车、足三里、丝竹空、攒竹、丰隆、肩井。儿童抽动障碍的中医证型分布频次前5位的依次为肝亢风动证、脾虚肝亢证、阴虚风动证、脾虚痰聚证、风痰扰动证。腧穴归经频次前5位的依次为足阳明胃经、督脉、经外奇穴、足太阳膀胱经、手阳明大肠经。对12个高频主配穴进行聚类分析,共得到6个新组合:百会、风池;太冲、合谷;三阴交、足三里;肝俞;神门、内关;四神聪、神庭、印堂。结论:针刺治疗儿童抽动障碍的选穴规律以调神为主,祛风扶正为辅。

基于数据挖掘技术探析针刺治疗围绝经期综合征选穴规律

目的探讨针刺治疗围绝经期综合征的临床选穴规律。方法检索中国知识资源总库(CNKI)、万方数据知识服务平台(万方数据)、维普资讯中文期刊服务平台(维普网)、中国生物医学文献数据库(CBM)、Embase、PubMed、Cochrane Library、ScienceDirect建库至2023年8月16日收录的针刺治疗围绝经期综合征的临床研究文献,利用Excel2021建立针刺治疗围绝经期综合征处方数据库,对腧穴进行频次统计和分类。运用SPSSModeler18.0和SPSSStatistics26.0软件对核心腧穴进行关联规则分析、聚类分析和决策树分析,探究选穴特点及配伍规律。结果共纳入114篇文献,提取腧穴处方115条,共108个腧穴,腧穴总频次为787。高频腧穴为三阴交、关元、肾俞等,常用经脉为足太阳膀胱经、任脉,特定穴中交会穴、五输穴、背俞穴等使用较多,腧穴多位于下肢部、腹部、背部。针刺手法多为平补平泻法,最常用的电针波形为疏密波,留针时间10~30min。决策树分析以关元为因变量筛选出3条精简选穴路径。分析核心穴组得到14组关联规则和7个有效聚类群。结论针刺治疗围绝经期综合征选穴遵循补肾、调节阴阳的治疗原则,数据挖掘得到的腧穴配伍及核心穴组可为临床和科研提供参考。