摘要
目的:分析近20年来针灸治疗中风后痉挛性瘫痪的临床文献,以探讨针灸治疗该病的取穴规律。方法:检索中国知网数据库、万方数据库、维普数据库、中国生物医学文献数据库、PubMed及Embase数据库,选取2000-2020年以针灸为主要手段治疗中风后痉挛性瘫痪的研究文献,应用SPSS Statistic及SPSS Modeler软件构建针灸处方数据库,运用数据挖掘技术探讨针灸治疗该病的取穴规律。结果:本研究共纳入相关临床研究文献122篇,其中涉及治疗该病的腧穴总数有137个,取穴总频次为1231次。分析得出使用频次较高(≥20次)的腧穴为曲池穴(71次)、合谷穴(69次)、三阴交穴(57次)、外关穴(55次)、肩髃穴(51次)、足三里穴(48次)、阳陵泉穴(47次)、手三里穴(45次)、尺泽穴(38次)、内关穴(36次)、血海穴(36次)、阴陵泉穴(31次)、极泉穴(27次)、悬钟穴(25次)、解溪穴(22次)、太冲穴(22次)、臂臑穴(21次)、委中穴(21次)、环跳穴(20次)。所涉及的穴位以三阳经为主,占腧穴总数的56.20%(77/137)。在特定穴中,以五腧穴的使用频次最高(441次),占腧穴总使用频次的35.82%(441/1231);使用频次由高到低分别为:合穴(308次)、输穴(74次)、经穴(48次)、井穴(6次)、荥穴(5次)。结论:通过数据挖掘及数据分析,提示取穴方面以患肢局部为主;治则治法多遵循“治痿独取阳明”“调补肝肾,阴阳并取”的选穴原则。这为今后进一步完善针灸治疗中风后痉挛性瘫痪的取穴方案提供了循证基础。
Objective:To analyze the clinical literature on the treatment of spastic paralysis after apoplexy by acupuncture and moxibustion in the past 20 years,in order to explore the acupoint selection rules of traditional acupuncture and moxibustion in the treatment of spastic paralysis after apoplexy.Methods:In CNKI,Wanfang Database,VIP Database,CBM,PubMed and Embase databases,acupuncture and moxibustion were selected as the main method for the treatment of stroke during 2000 to 2020.For the research literature on post-spastic paralysis,SPSS Statistic and SPSS Modeler software were used to construct acupuncture prescription database,and data mining technology was used to explore the rules of acupoint selection for acupuncture treatment of the disease.Results:A total of 122 relevant clinical studies were included in this study,including 137 acupoints related to the total number of acupoints for the treatment of the disease,and the total frequency of acupoints selection was 1231.The analysis shows that the acupoints with higher frequency of use(≥20 times)are Quchi acupoint(LI11)(71 times),Hegu acupoint(LI4)(69 times),Sanyinjiao acupoint(SP6)(57 times),Waiguan acupoint(SJ5)(55 times),Jianyu acupoint(LI15)(51 times),Zusanli acupoint(ST36)(48 times),Yanglingquan acupoint(GB34)(47 times),Shousanli acupoint(LI10)(45 times),Chize acupoint(LU5)(38 times),Neiguan acupoint(PC6)(36 times),Xuehai acupoint(SP10)(36 times),Yinlingquan acupoint(SP9)(31 times),Jiquan acupoint(HT1)(27 times),Xuanzhong acupoint(GB39)(25 times),Jiexi acupoint(ST41)(22 times),Taichong acupoint(LR3)(22 times),Binao acupoint(L114)(21 times),Weizhong acupoint(BL40)(21 times),Huantiao acupoint(GB30)(20 times),the main acupoints involved are Sanyang(三阳)meridian,accounting for 56.20%(77/137)of the total number of acupoints.Among the specific acupoints,the use frequency of the five-shu(五腧)acupoints was the highest(441 times),the frequency of use from high to low is He-sea acupoint(合穴)(308 times),Shu-stream acupoint(输穴)(74 times),Jing-river acupoint(经穴)(48 times),Jing-well acupoint(井穴)(6 times),Ying-spring acupoint(荥穴)(5 times),accounting for 35.82%(441/1231)of the total use frequency of acupoints.Conclusion:Through data mining and data analysis,it is suggested that the acupoint selection is mainly based on the local part of the affected limb.The acupoint selection principles of“treatment of impotence alone take Yangming(阳明)”,“tonifying the liver and kidney,taking both Yin(阴)and Yang(阳)”are followed.This provides an evidence-based basis for further improving the acupoint selection scheme of acupuncture and moxibustion in the treatment of post-stroke spastic paralysis.
出处
《中医临床研究》
2022年第17期10-14,共5页
Clinical Journal Of Chinese Medicine
基金
国家自然科学基金(81760888)
江西省自然科学基金(2020BABL206136)
江西省中医药管理局科技计划课题(SZYYB20204727)。
关键词
中风病
痉挛
针刺
艾灸
数据挖掘
Stroke
Spasm
Acupuncture
Moxibustion
Data mining
作者简介
曹放(1996-),研究方向为针灸推拿学;通讯作者:何兴伟(1964-),教授,硕士生导师,主任医师,研究方向为神机理论治疗脊髓疾病。
