摘要
目的:通过数据挖掘技术探讨针刺治疗周围性面瘫各分期、证型及症状的选穴规律。方法:检索2012年1月1日至2021年12月31日中国期刊全文数据库(CNKI)、维普资讯中文期刊服务平台(VIP)、万方数据知识服务平台(Wanfang)、中国生物医学文献数据库(SinoMed)及PubMed数据库收录的针刺治疗周围性面瘫的文献,通过中医传承辅助平台系统(V 3.0)、SPSS Modeler 18.0及Cytoscape软件对分期配穴、腧穴归经、证型配穴、分期证型、症状配穴进行分析,对各分期及主要证型做关联规则分析并通过共现网络图展示。结果:共纳入1695篇文献,涉及124个腧穴,总应用频次为5456次。1080篇根据分期选穴文献中,急性期腧穴使用频次(2224次)及个数(88个)最多,各分期中腧穴使用频次最多的经脉均为足阳明胃经,地仓-阳白、地仓-颊车为各分期高频穴对。腧穴使用频次前4位的证型为风寒证、风热证、气血亏虚证、肝胆湿热证。521篇采用分期与症状或证型与症状相结合选穴文献中,“鼻唇沟变浅或消失”出现频次最多,腧穴使用频次和个数最多的症状分别是“额纹变浅或消失”及“耳后疼痛”。结论:针刺治疗周围性面瘫各分期均以阳经选穴为主,辅以局部取穴并结合病机特点选穴,各证型以辨证论治为先并配合局部取穴,临床可采用分期、证型、症状相结合的方式选穴。
Objective To analyze and explore the acupoint selection rules of different staging,syndrome types,and symptoms of acupuncture for peripheral facial paralysis based on data mining.Methods Literature regarding acupuncture for peripheral facial paralysis was retrieved in CNKI,VIP,Wanfang,SinoMed,and PubMed from January 1,2012,to December 31,2021.The Traditional Chinese Medicine Inheritance Assistant Platform(V 3.0),SPSS Modeler 18.0,and Cytoscape software were used to analyze the selection of acupoints based on staging,meridian distribution of acupoints,the selection of acupoints based on syndrome types,syndrome types based on staging,and symptom-based acupoint selection.Association rule analysis was performed for each stage and major syndrome types,and co-occurrence network diagrams were generated.Results A total of 1695 articles were included,involving 124 acupoints with a total frequency of 5456 times.Among 1080 articles related to staging-based acupoint selection,the acute stage had the highest acupoint use frequency(2224 times)and number(88 acupoints).Among all stages,the acupoints of the stomach meridian of foot-yangming were most frequently used,with Dicang(ST 4)-Yangbai(GB 14)and Dicang(ST 4)-Jiache(ST 6)being the high-frequency acupoint pairs in each stage.The top four syndrome types in terms of acupoint usage frequency were wind-cold syndrome,wind-heat syndrome,qi-blood deficiency syndrome,and liver-gallbladder damp-heat syndrome.Among 521 articles combining staging with symptoms or syndrome types with symptoms for acupoint selection,the symptom"nasolabial groove becoming shallow or disappearing"had the highest frequency of occurrence.The symptoms with the highest acupoint usage frequency and number were"forehead wrinkles becoming shallow or disappearing"and"pain behind the ear"respectively.Conclusion Acupoint selection for peripheral facial paralysis primarily focuses on the yang meridians in each stage,supplemented by local acupoints and based on the pathological characteristics.Syndrome differentiation and treatment should be prioritized,combined with local acupoint selection.Clinical acupoint selection can be based on a combination of staging,syndrome types,and symptoms.
作者
王姝
WANG Shu(Department of Acupuncture and Moxibustion,Shanxi Provincial People's Hospital,Taiyuan 030012,China)
出处
《中国针灸》
CAS
CSCD
北大核心
2023年第12期1457-1464,共8页
Chinese Acupuncture & Moxibustion
基金
山西省应用基础研究项目青年科技研究基金项目:201801D221383。
关键词
周围性面瘫
针刺
分期
证型
症状
选穴规律
文献研究
peripheral facial paralysis
acupuncture
staging
syndrome type
symptom
acupoint selection rule
literature research
作者简介
王姝,副主任医师。E-mail:114433475@qq.com。
