摘要
目的:探讨针灸治疗失眠的临床取穴规律,以跨学科的研究思路运用古今医案云平台(V1.4)这一大数据挖掘技术作基础,为临床提供参考。方法:计算机搜索中国知识资源总库(CNKI)、中文科技期刊数据库(重庆维普)、中国学术期刊数据库(万方数据)、中国生物医学文献数据库(CBM)中近30年(1987年1月1日-2017年12月31日)针灸治疗失眠临床研究文献,采用Excel建立数据库并录入古今医案云平台(V1.4),采用系统集成的数据挖掘方法如频次分析、关联规则分析、穴对分析、社团分析、复杂网络分析等对纳入数据从单穴频次、穴对关联、核心处方及结合临床辨证处方等角度进行分析,运用新颖多彩图表对数据进行直观展示。结果:筛选后,纳入文献共191篇,涉及腧穴总数149个,总取穴频次2139次。其中取穴频次前五位的腧穴为三阴交(143次)、神门(139次)、百会(120次)、内关(115次)、太冲(107次)。前五位穴对有神门-三阴交(120次)、内关-三阴交(98次)、内关-神门(96次)、百会-三阴交(96次)、百会-神门(91次)。主要核心处方为三阴交、神门、百会、内关、太冲、心俞、太溪、足三里、四神聪、脾俞、安眠,次要核心处方为丰隆、肾俞、印堂、肝俞、胆俞、风池、中脘、神庭、照海、大陵、行间等。结论:运用古今医案云平台(V1.4)分析数据,以图表展示出针灸治疗失眠的临床研究取穴规律,可指导临床实践应用,但请结合临床具体情况临证加减。
To explore the rule of acupuncture and moxibustion in treating insomnia, and to use the Ancient and ModernMedical Cloud Platform(V1.4), a data mining technology, as a basis for interdisciplinary research ideas to providereference for clinical. Searching for acupuncture therapy insomnia clinical research literature in the past 30 years(January 1, 1987-December 31, 2017 in Chinese Knowledge Resource Base(CNKI), Chinese Science and TechnologyJournal Database(Chongqing Weipu), Chinese Academic Journal Database(Wanfang Data), and China BiomedicalDocumentation Database(CBM) for) by computer, using Excel to establish a database and enter the Ancient and ModernMedical Case Cloud Platform(V1.4), data mining methods such as frequency analysis, association rule analysis, hole pairanalysis, community analysis, and complex network analysis are used to analyze the data from the perspectives of singlehole frequency, cave Association, core prescriptions, and clinical syndrome differentiation prescriptions. The data arevisually displayed using novel and colorful charts to enhance visibility. After screening, a total of 191 articles wereincluded in the literature, involving a total of 149 acupoints and a total of 2139 points. Among them, the top fiveacupoints in the point frequency were Sanyinjiao(143 times), Shenmen(139 times), Baihui(120 times), Neiguan(115 times), and Taichong(107 times). The first five points are Shenmen-Sanyinjiao(120 times), Neiguan-Sanyinjiao(98 times), Neiguan-Shenmen(96 times), Baihuo-Sanyinjiao(96 times), Baihui-Shenmen(91 times) and so on. The maincore prescriptions are Sanyinjiao, Shenmen, Baihui, Neiguan, Taichong, Xinshu, Taixi, Zusanli, Si shencong, Pi shu, andAn mian. The secondary core prescriptions are Fenglong, Shen shu, Yin tang, Gan shu, Dan shu, Fengchi, Zhong wan,Shenting, Zhaohai, Da ling, and others. Using the Ancient and Modern Medical Cloud Platform(V1.4) to analyze thedata, the clinical study of acupuncture and moxibustion for insomnia is illustrated with charts, thus visibility is enhanced,and it is easier to understand. It can guide clinical practice, but remember to consider specific clinical conditions.
作者
张琼琼
刘平
赵金蕾
刘源香
Zhang Qiongqiong;Liu Ping;Zhao Jinlei;Liu Yuanxiang(Shandong University of Traditional Chinese Medicine,Ji'nan,Shandong 250355,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2018年第9期1596-1602,共7页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
山东省科技厅重点研发计划资助项目(2017GSF19116):督脉灸疗法治疗阿尔茨海默病的疗效评价研究
负责人:刘源香
关键词
数据挖掘
针灸
失眠
取穴规律
文献研究
Data mining
acupuncture
insomnia
take the law of points
documentary research
作者简介
通讯作者:刘源香,博士,教授,硕士生导师,主任医师,主要研究方向:中医脑病临床与研究。
