基于关联规则探讨不同朝代中风病腧穴处方规律

发布时间：2018-08-23 12:47

【摘要】：目的运用数据挖掘技术对唐以前至清代150本针灸古籍进行挖掘分析,总结不同朝代针灸治疗中风病的处方用穴特点。方法抽取古籍中符合脑卒中中风病病症、腧穴、经络、刺灸法等相关语句,形成病症、腧穴、刺灸法、经络数据,分为中风病处方与含有中风病症的腧穴主治两类,人工审核结果并予以规范,通过统计分析和关联规则以支持度和置信度的方式,实现对不同朝代古籍中风病针灸处方规律的多层分析。结果共得中风病针灸腧穴处方536首;百会穴在各朝代的使用频率最高;百会、曲池配伍在宋、明、清最为频繁,地仓、颊车配伍在元代使用频率最高;经脉的选用除了清代选取手厥阴心包经为阴经外,其他各朝代所取经脉的前5位均为阳经。宋、元选取频率最高的经脉为督脉、足少阳胆经,明、清以手阳明大肠经居首。各朝代中,均以手阳明大肠经与足少阳胆经组合支持度最高;特定穴均以交会穴为首,除清外,均以交会穴与合穴的配伍最为频繁。结论针灸古籍中治疗中风病首取诸阳之会百会穴,重视阳经和特定穴的应用,古代用穴少而精,后世取穴渐多。
[Abstract]:Objective to analyze 150 ancient books of acupuncture and moxibustion from Tang Dynasty to Qing Dynasty by using data mining technology, and to summarize the characteristics of acupuncture and moxibustion prescription for apoplexy in different dynasties. Methods the ancient books were collected according to the symptoms of stroke, acupoints, meridians, acupuncture and moxibustion and other related statements, forming symptoms, acupoints, acupuncture and moxibustion, and meridian data, which were divided into two categories: apoplexy prescription and acupoint main treatment containing apoplexy. Through statistical analysis and association rules in the way of support and confidence, the multilayer analysis of acupuncture and moxibustion prescription law of ancient books in different dynasties was realized. Results A total of 536 acupuncture and moxibustion acupoints for apoplexy were obtained, Baihui acupoint was the most frequently used in each dynasty, Baihui, qu Chi were most frequently used in Song, Ming and Qing dynasties, and Ducang and buccal vehicle compatibility were the highest in Yuan Dynasty. The first five meridians of the other dynasties were all yang meridians except that the pericardial meridian of hand Jueyin was selected as Yin meridian in Qing Dynasty. Song, Yuan selected the highest frequency of the meridian for the du pulse, foot Shaoyang gallbladder, Ming, Qing hand Yangming large intestine Meridian is the first. In each dynasty, the combination of hand Yangming large intestine meridian and foot Shaoyang gallbladder meridian had the highest degree of support, and the specific acupoints were all led by rendezvous points, except Qing, the compatibility of rendezvous acupoints and joint acupoints was the most frequent. Conclusion in the ancient books of acupuncture and moxibustion, the Baihui point of Zhuyang was first used in the treatment of apoplexy, and the application of Yang Meridian and specific points was emphasized. In ancient times, the points used were few but fine, and the points taken from later generations were more and more.
【作者单位】：广州市中医医院针灸科;广州中医药大学第一附属医院;中山大学新华学院;
【基金】：广州市科技计划(201508020002) 广东省科技计划(2012B060500015) 广东省自然科学基金(2014A030309013) 广东省第二批名中医师承项目(CS2015030)
【分类号】：R246.6

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