基于数据挖掘技术针灸治疗颤症的临床取穴配伍规律研究
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摘要
目的运用数据挖掘技术,分析现代针灸文献治疗颤症的取穴配伍规律。方法对1966-2018年中国知网(CNKI)、万方数据知识服务平台(WF)、维普和Pub Med数据库中针灸临床治疗颤症的相关文献进行检索及梳理,得到相关文献55篇。分析所得文献研究中的选穴及配伍规律。结果分析发现,合谷、太冲、百会、足三里、风池、三阴交和曲池是常用腧穴;腧穴所属经脉主要集中于督脉、手阳明大肠经和足少阳胆经;选取腧穴主要分布在下肢部、头颈部和上肢部;特定穴类别选用主要是交会穴、原穴和下合穴。结论针灸治疗颤症的现代临床选穴规律以循经取穴、分部取穴和特定穴选用为特点,取穴配伍以局部为主。
Objective To analyze the selection rules of acupoints of modern acupuncture literature in the treatment of tremor with data mining technology. Methods 55 relevant literatures on clinical treatment of tremor by acupuncture and moxibustion were obtained in CNKI, WF, Vip and PubMed databases from 1966 to 2018, and the rules of acupoint selection and compatibility were analyzed. Results It is found that Hegu(LI4), Taichong(LR3), Baihui(GV20), Zusanli(ST36), Fengchi(GB20), Sanyinjiao(SP6) and Quchi(LI11) are the most commonly used acupoints;the acupoints mainly in governor channel, Yangming Large Intestine Channel of Hand and Shaoyang Gallbladder Channel of Foot; the acupoints selected are mainly distributed in lower limbs, head, neck and upper limbs; the acupoints selected are mainly crossing point, yuan-primary point and lower-he-sea point. Conclusion Acupuncture and moxibustion treatment of tremor in modern clinical acupoint selection is characterized by meridian-based acupoint selection, sectional acupoint selection and specific acupoint selection; acupoint selection and compatibility has the characteristics of local acupoint selection and compatibility.
Objective To analyze the selection rules of acupoints of modern acupuncture literature in the treatment of tremor with data mining technology. Methods 55 relevant literatures on clinical treatment of tremor by acupuncture and moxibustion were obtained in CNKI, WF, Vip and PubMed databases from 1966 to 2018, and the rules of acupoint selection and compatibility were analyzed. Results It is found that Hegu(LI4), Taichong(LR3), Baihui(GV20), Zusanli(ST36), Fengchi(GB20), Sanyinjiao(SP6) and Quchi(LI11) are the most commonly used acupoints;the acupoints mainly in governor channel, Yangming Large Intestine Channel of Hand and Shaoyang Gallbladder Channel of Foot; the acupoints selected are mainly distributed in lower limbs, head, neck and upper limbs; the acupoints selected are mainly crossing point, yuan-primary point and lower-he-sea point. Conclusion Acupuncture and moxibustion treatment of tremor in modern clinical acupoint selection is characterized by meridian-based acupoint selection, sectional acupoint selection and specific acupoint selection; acupoint selection and compatibility has the characteristics of local acupoint selection and compatibility.
引文
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[31]陈巧玲.身柱穴粗针治疗帕金森病40例[J].上海针灸杂志, 2011, 30(11):770-771.
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[33]詹桂玉.头皮针结合体针治疗帕金森病临床观察[J].实用中医药杂志, 2014, 30(11):1043-1044.
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[39]韩新强,韩艳茹,韩宝茹.眼针配合体针治疗帕金森病85例[J].中医杂志, 2006, 47(8):577.
[40]杨世敏.以颤三针为主治疗帕金森病的临床研究[D].广州:广州中医药大学, 2009.
[41]周蕾,郑水红.针刺结合针刀治疗帕金森病的疗效对照观察[J].针灸临床杂志, 2014, 30(5):14-17.
[42]张小莉,冯为菊,陈义良,等.针药并用治疗帕金森病合并轻度认知损害疗效观察[J].上海针灸杂志, 2013, 32(4):263-265.
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[2]王启才.针灸治疗学[M].北京:中国中医药出版社, 2007.
[3]贺景宏,程新华.颈针治疗脑梗塞震颤麻痹[J].浙江中医杂志, 1998(1):39.
[4]张乃钲,韩旭华.体针加头针治疗震颤麻痹35例临床观察[J].中国针灸, 1996(2):5-6.
[5]王志光,杨白燕.头皮针为主治疗颤症的临床体会[J].四川中医, 2011, 29(11):117.
[6]周文学.头针结合体针治疗震颤麻痹综合征38例[J].针灸临床杂志, 1999, 15(11):41-42.
[7]蒋达树,刘家瑛,杨金洪,等.针药并用治疗震颤麻痹113例疗效观察[J].中医杂志, 1990(12):29-31.
[8]于岩.针药结合治疗腹部颤症1例分析[J].首都食品与医药, 2015, 22(24):96.
[9]李玉生.针药结合治疗震颤麻痹52例[J].中国针灸,1995(3):26.
[10]张乃尔,韩旭华.针药结合治疗震颤麻痹的临床观察[J].中国针灸, 1996(12):11-12.
[11]赵林.针药结合治愈震颤麻痹[J].吉林中医药, 1993,13(2):12.
[12]邱建文,骆仲达.八卦头针为主治疗血管性帕金森氏综合征5例[J].浙江中医杂志, 2000(11):40.
[13]胡玉英,胡跃强,陈薇,等.补肾止颤方联合埋针治疗帕金森病的疗效[J].中国老年学杂志, 2014, 34(12):3249-3251.
[14]赵军伟.颤三针联合普拉克索治疗帕金森病随机平行对照研究[J].实用中医内科杂志, 2017, 31(7):70-73.
[15]庄珣,庄礼兴.颤三针为主治疗帕金森病临床研究[J].中医药临床杂志, 2012, 24(12):1162-1163.
[16]姜海伟,高畅,曹梦莹,等.颤三针为主治疗早期帕金森病的临床研究[J].上海针灸杂志, 2016, 35(3):279-281.
[17]张海峰,周世江,宣丽华,等.粗针身柱穴透刺对帕金森病肌僵直的影响[J].中华中医药学刊, 2013, 31(12):2745-2747.
[18]石月杰,张海峰.粗针透刺身柱穴对帕金森病患者UPDRS评分的影响[J].上海针灸杂志, 2015, 34(9):32-33.
[19]张海峰,宣丽华,徐勇刚,等.粗针治疗帕金森病30例疗效观察[J].中国中医药科技, 2009, 16(4):317-318.
[20]侯宏,张海峰,周世江,等.粗针治疗帕金森病肌僵直31例[J].浙江中医药大学学报, 2013, 37(9):1113-1116.
[21]张海峰,宣丽华,徐勇刚,等.粗针治疗帕金森病临床观察[J].中华中医药学刊, 2008, 26(11):2414-2415.
[22]邓聪,老锦雄,周思远.督脉温针灸配合头皮针治疗帕金森病运动功能障碍15例临床观察[J].云南中医中药杂志,2014, 35(9):60-61.
[23]文幸,李颖文,段权.腹针配合艾灸治疗强直少动型帕金森病30例疗效观察[J].广州医学院学报, 2008, 36(1):59-61.
[24]陈秀华,李漾,奎瑜.腹针配合美多巴治疗帕金森氏病临床观察[J].中国针灸, 2007(8):562-564.
[25]李筱媛,王洪娟,尹爱兵.火针疗法配合普通针刺治疗三例帕金森病伴发疼痛患者的效果研究[J].中国全科医学,2018, 21(12):1-4.
[26]潘晓明,白昱旸,杨小清,等.加味逍遥散联合腹针引气归元治疗帕金森病吞咽障碍[J].广州中医药大学学报,2017, 34(4):538-542.
[27]李作伟,李平,姚璐璐,等.李平教授针药结合治疗帕金森病经验[J].内蒙古中医药, 2013, 32(34):57-58.
[28]何蕊,强宝全.强宝全教授针药并用治疗帕金森病经验[J].中医外治杂志, 2017, 26(3):58-59.
[29]董珺,崔花顺.秦氏“头八针”为主针刺治疗帕金森病[J].中国针灸, 2014, 34(5):491-494.
[30]扈瑜丹,曲艳津.曲艳津教授运用头体针结合治疗帕金森病经验总结[J].亚太传统医药, 2018, 14(10):149-150.
[31]陈巧玲.身柱穴粗针治疗帕金森病40例[J].上海针灸杂志, 2011, 30(11):770-771.
[32]俞竹青.头皮针合四关穴为主治帕金森氏症[J].浙江中医学院学报, 1994(6):45.
[33]詹桂玉.头皮针结合体针治疗帕金森病临床观察[J].实用中医药杂志, 2014, 30(11):1043-1044.
[34]钱伟明.头体针配合治疗帕金森氏症1例[J].上海针灸杂志, 1996(S1):97.
[35]张继海.头针配合督脉穴治疗帕金森病2例[J].针灸临床杂志, 2012, 28(5):28.
[36]冉茂东,郭蕴屏.头针配合体针治疗帕金森氏病36例[J].中国针灸, 2000(9):32.
[37]郭蕴屏,冉茂东,柴雪华.头针为主治疗帕金森氏病42例[J].辽宁中医杂志, 2005, 32(4):355.
[38]施孝文.温针治疗帕金森氏症21例[J].中国针灸, 2004,24(1):25.
[39]韩新强,韩艳茹,韩宝茹.眼针配合体针治疗帕金森病85例[J].中医杂志, 2006, 47(8):577.
[40]杨世敏.以颤三针为主治疗帕金森病的临床研究[D].广州:广州中医药大学, 2009.
[41]周蕾,郑水红.针刺结合针刀治疗帕金森病的疗效对照观察[J].针灸临床杂志, 2014, 30(5):14-17.
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