摘要
目的通过数据挖掘方法,研究庄礼兴教授治疗颈椎病的取穴规律。方法收集庄教授2018年11月5日至2019年11月29日在广州中医药大学第一附属医院针灸治疗颈椎病的处方病例,运用SPSS Statistics 21.0、SPSS modeler 14.1、gephi 0.9.2软件,采用频数、聚类、关联规则及复杂网络分析方法进行总结。结果共收集处方134条,腧穴46个,使用频数居前三的腧穴为风池、颈肩穴、颈百劳,常用取穴组合有“颈百劳-颈肩穴”和“风池-颈百劳”,得出混合型、交感型、颈型、神经根型、椎动脉型颈椎病与腧穴关联规则共20条,颈肩部疼痛、头晕、双或单上肢麻木、头痛、寐差症状与腧穴关联规则共22条,并总结出4个聚类组合,形成2个核心网络。结论庄教授在治疗颈椎病时注重调神与辨症分型配穴相结合,在临床常能获得满意疗效。
Objective To summarize the regularities of acupoint selection of professor Zhuang Lixing in treating cervical spondylosis by using data mining technology.Methods The prescriptions of cervical spondylosis treated by Zhuang Lixing in The First Affiliated Hospital of Guangzhou University of Chinese Medicine from November 5,2018 to November 29,2019 were collected,and the frequency analysis,cluster analysis,correlation analysis and complex network were carried out to analyze the regularities of acupoint selection based on SPSS Statistics 21.0,SPSS modeler 14.1 and Gephi 0.9.2 software.Results There were a total of 134 prescriptions,involving 46 acupoints,with“Fengchi”(GB20),“Jingjianxue”(empirical acupoint)and“Jingbailao”(EX-HN14)being the most frequently used.The acupoints pairs with common combination were“Jingbailao”(EX-HN14)-“Jingjianxue”(empirical acupoint),“Fengchi”(GB20)-“Jingbailao”(EX-HN14)and“Jingjianxue”(empirical acupoint)-“Jingbailao”(EX-HN14).There were 20 rules between acupoints and mixed cervical spondylosis,cervical sympathetic,cervical spondylopathy,spondylotic radiculopathy and vertebral artery cervical spondylosis,22 rules between acupoints and the syndrome of neck shoulder pain,dizziness,double or single upper limb numbness,headache,sleep badly.There were 4 clusters and 2 core networks.Conclusion Professor Zhuang pays attention to regulating mind and select acupoints according symptoms,and satisfactory results can often be obtained in clinic.
作者
黄慧仪
谭嘉伟
刘健辉
徐小雯
庄礼兴
HUANG Huiyi;TAN Jiawei;LIU Jianhui;XU Xiaowen;ZHUANG Lixing(Clinical Medical College of Acupuncture&Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510405,China;Acupuncture Rehabilitation Center,The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510405,China)
出处
《湖南中医药大学学报》
CAS
2021年第10期1587-1593,共7页
Journal of Hunan University of Chinese Medicine
基金
国家中医药管理局政府购买服务“靳三针”疗法治疗中风病的规范化应用及临床评价研究项目(GZY-KJS-2020-072)
广东省中医药局庄礼兴广东省名中医传承工作室建设项目(粤中医办函2018:5号)。
关键词
颈椎病
庄礼兴
取穴规律
数据挖掘
调神针法
cervical spondylosis
Zhuang Lixing
regularities of acupoint selection
data mining
acupuncture of regulating mind
作者简介
黄慧仪,女,硕士,研究方向:针灸治疗脑病;通信作者:庄礼兴,男,主任医师,教授,E-mail:zhuanglixing@163.com。
