基于期刊类文献数据挖掘针灸治疗原发性失眠的腧穴优选与配伍规律谱研究

发布时间：2018-07-01 18:40

本文选题：失眠 + 针灸治疗　；参考：《长春中医药大学》2016年硕士论文

【摘要】：目的:检索针灸治疗失眠的期刊类文献,对针灸用穴进行整理和分析,总结腧穴优选、腧穴配伍及辨证选穴规律,为临床治疗提供参考。方法:检索中国知网(CNKI)、万方、维普等中文数据库及Pubmed、Web of Science等外文数据库。根据纳入和排除标准对针灸处方数据进行挖掘,分析针灸技术的应用、选穴、选经、特定穴及辨证配穴等规律。结果:1.治疗方法结果:单纯针刺治疗的支持率最高为35.90%,针刺结合药物治疗的支持率达19.22%,其他治疗方法支持率均较低。2.主穴选用结果:(1)基本情况。共使用腧穴154个,运用5394次;使用频次在5次以下的腧穴共92个,6-10次的腧穴17个,10-30次的腧穴19个。(2)频次分析。使用频次最高的腧穴为神门(667),其次为三阴交(569),再次为百会(520)。3.经脉分析结果:选用腧穴涉及十四条经脉,应用频次较高的经脉为督脉(1026)、手少阴心经(690)、足太阴脾经(614)、足太阳膀胱经(520)、手厥阴心包经(456)、足少阴肾经(349)、足阳明胃经(301)。4.部位分析结果:将腧穴按部位归类。应用频次由高到低排列依次是头部、下肢部、上肢部、腰背部、胸腹部。5.特定穴应用结果:特定穴71个,占全部腧穴的46.75%。共应用2694次。其中五输穴应用最多(1345),其次为原穴(1020)、八脉交会穴(696)。特定穴中应用频次较高的腧穴为神门(手少阴心经输、原穴),内关(手厥阴心包经络穴、八脉交会穴),照海(八脉交会穴),足三里(足阳明胃经合穴、胃下合穴)。6.腧穴配伍分析。应用频次最高的腧穴组合是“三阴交,神门”,其次为“百会,神门”、“内关,神门”。置信度较高的组合为“三阴交,百会-神门”,其次为“安眠,内关,神门-三阴交”、“足三里,内关-三阴交”7.辨证及辨证配穴结果:(1)辨证情况。共405篇文献采用辩证配穴,共有辨证类型26个,出现1752次。应用频次前五位的证型有心脾两虚、肝郁化火、心胆气虚、阴虚火旺、痰热内扰。(2)辨证配穴。上述证型中支持度大于20%的腧穴和置信度大于0.9的腧穴组合依次为脾俞、心俞及脾俞=心俞;太冲及肝俞=太冲;胆俞及胆俞=心俞;太溪及太冲=太溪;丰隆及内庭=丰隆。结论:毫针刺法为针灸治疗失眠的主要治疗方法;以宁心安神、调和阴阳为主要治则;选穴以循经取穴与局部取穴为主;以脏腑辨证为主要辨证方法。
[Abstract]:Objective: to search the periodical literature on acupuncture and moxibustion treatment of insomnia, analyze the acupuncture points, summarize the optimal selection of acupoints, the compatibility of acupoints and the rules of selecting points based on syndrome differentiation, so as to provide reference for clinical treatment. Methods: Chinese databases such as CNKI, Wanfang, Weipu and Pubmedan Web of Science were searched. According to the criteria of inclusion and exclusion, the data of acupuncture prescriptions were excavated, and the application of acupuncture and moxibustion technology, the selection of acupoints, the selection of meridian, the specific points and the differentiation of acupoints were analyzed. The result is 1: 1. Results: the highest support rate of simple acupuncture treatment was 35.90, the support rate of acupuncture combined with drug treatment was 19.22, and the support of other treatment methods was lower. Main points selection results: (1) basic situation. A total of 154 acupoints were used for 5394 times and 92 acupoints of 6-10 times were used for 5394 times. (2) Analysis of frequency. The most frequently used acupoints were Shenmen (667), followed by Sanyinjiao (569) and Baihui (520) .3. The results of meridian analysis showed that the acupoints involved 14 meridians. The frequently used meridians were du vein (1026), hand Shaoyin Heart Meridian (690), foot Taiyin spleen Meridian (614), foot Sun bladder Meridian (520), hand Jueyin pericardium Meridian (456), foot Shaoyin Kidney Meridian (349), foot Yang Ming stomach Meridian (1026). Results of site analysis: the acupoints were classified according to the location. The order of application frequency from high to low is head, lower extremity, upper limb, waist and back, chest and abdomen. Results of application of specific acupoints: 71 specific acupoints, accounting for 46.75% of all acupoints. A total of 2694 times. Five points were used most (1345), followed by original points (1020) and eight veins crossing points (696). The acupoints with higher frequency were Shenmen (hand Shaoyin channel, original acupoint), Neiguan (hand Jueyin pericardial meridian point, eight meridian intersection points), Zhaohai (eight meridian intersection points), Zusanli (foot Yangming stomach economic cooperation point, stomach lower point) .6. Analysis of the compatibility of acupoints. The highest frequency of application of acupoint combination is Sanyinjiao, Shenmen, followed by Baihui, Shenmen, Neiguan, Shenmen. The higher confidence level is "Sanyinjiao, Baihui-Shenmen", followed by "sleep, Neiguan, Shenmen-Sanyinjiao", "Zusanli, Neiguan-Sanyinjiao" 7. The results of syndrome differentiation and syndrome differentiation were as follows: (1) syndrome differentiation. There were 26 syndrome differentiation types and 1752 times. The first five syndrome types of frequency are deficiency of heart and spleen, liver depression and fire, heart and gallbladder qi deficiency, Yin deficiency and fire flourishing, phlegm heat internal disturbance. (2) differentiation of syndrome points. Among the above syndrome types, the combination of acupoints with a support degree of more than 20% and confidence greater than 0.9 were: Pi Yu, Xin Yu and Pi Yu = Xin Yu; Tai Tong Yu and Gan Yu = too Chong; Gan Yu and Gan Yu = Xin Yu; Taixi and Tai Chong = Tai Xi; Fenglong and Inner Room = Fenglong. Conclusion: Milliform acupuncture is the main method of acupuncture and moxibustion to treat insomnia; the main treatment principle is to calm the heart and calm the mind, to regulate the yin and yang, to select the acupoints mainly along the meridian and the local points, and to differentiate the syndromes of the zang-fu organs as the main method of syndrome differentiation.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

【相似文献】