基于著作类数据挖掘针灸治疗胃脘痛腧穴优选与配伍规律谱的研究

发布时间：2018-08-30 08:36

【摘要】：目的:以针灸有效病症胃脘痛为切入点,全面收集和整理针灸治疗胃脘痛的古代文献、医案、医话和现代针灸医学著作等针灸处方,利用数据挖掘技术分析腧穴优选和配伍优选的规律,明确单穴与腧穴配伍,不同腧穴配伍之间的联系,揭示腧穴配伍效应规律,进而探讨取穴的分布特点,分析胃脘痛的针灸处方,建立腧穴优选及配伍优选规律谱,从而为临床穴位优选及配伍优选提供有效依据。方法:研究采集的古代著作类以《中华医典》(第五版)为基础,收录了民国以前中国医家(朝鲜和日本医家所著的书不在收集范围之内)所著的针灸专著、综合性医籍、医经、方书和临床各科著作类,现代著作类通过校图书馆以及网络收集1949-2013年国内公开发行的中医针灸著作类。将检索到有关胃脘痛针灸著作类作为研究对象,将各条针灸处方数据输入access数据库,然后对这些数据进行预处理,运用数据挖掘技术中的关联规则和中医传承辅助平台软件分析针灸处方的腧穴运用频次、归经、属性、分布以及主要配伍方法来挖掘出针灸治疗胃脘痛的腧穴优选及配伍优选规律。结果:1.腧穴频次运用结果:在针灸治疗胃脘痛的992条针灸处方中,应用腧穴为121个,总运用的频次为4206次。其中以足三里、中脘、内关、胃俞、脾俞、公孙、太冲、三阴交、天枢、内庭居多,经脉关联分析结果:以足阳明胃经和任脉为主;部位关联分析结果:选穴主要集中在四肢、胸腹和背部,以四肢部居多。特定穴运用结果:特定穴使用频次中,五输穴居于首位,其中五腧穴中合穴频次最多,其次为交会穴,再次为募穴。2.腧穴配伍频次运用结果:2对腧穴组合频次最高为(中脘,足三里),3对腧穴组合频次最高为(中脘,内关,足三里),4对腧穴组合频次最高为(胃俞,内关,中脘,足三里)。腧穴配伍关联规则运用结果:中脘分别在公孙、(足三里,公孙)、(内关,足三里,公孙)出现的时候概率最高,足三里分别在太冲、(胃俞,中脘)、(脾俞,内关,中脘)出现的时候概率最高,内关分别在公孙、(中脘,公孙)、(中脘,足三里,公孙)出现的时候概率最高。结论:1.循经取穴:胃脘痛多取足阳明胃经的腧穴,其次为任脉、手厥阴心包经、足太阳膀胱经、足太阴脾经等。主要以局部选穴和循经远端选穴为主。2.选穴部位:多选用四肢部位,其次为胸腹部,头颈部不常用。四肢部多选用五输穴,五输穴中合穴应用最多,其次为经脉间的交会穴。特定穴在针灸治疗胃脘痛的处方中有着大的比重。3.配伍方法:针灸治疗胃脘痛大多数采用俞募配伍法和合募配伍法,并且八脉交会穴配伍应用的也相当广泛,其次有阴经与阴经配穴法、阴经与阳经配穴法、局远配穴法、上下配穴法、前后配穴法、络穴与下合穴配伍法、络穴与募穴配伍法、背俞穴与下合穴配伍法、原穴与下合穴配伍法、络穴与原穴配伍法等。
[Abstract]:Objective: to collect and sort out the ancient literature, medical records, medical words and modern acupuncture and moxibustion prescriptions for the treatment of epigastric pain with effective acupuncture and moxibustion as a starting point. Using data mining technology to analyze the law of optimal selection and compatibility of acupoints, to make clear the relationship between single point and acupoint compatibility, to reveal the law of acupoint compatibility effect, and to discuss the distribution characteristics of acupoints. The acupuncture and moxibustion prescription of epigastric pain was analyzed, and the regular spectrum of acupoint selection and compatibility selection was established, which provided an effective basis for clinical acupoint selection and compatibility selection. Methods: the ancient works were collected on the basis of the Chinese Medical Code (Fifth Edition), which included acupuncture monographs, comprehensive medical books, and medical classics by Chinese physicians before the Republic of China (the books by Korean and Japanese physicians were not included in the collection). Fangshu and clinical works, modern works through the school library and network collection of Chinese medicine published from 1949 to 2013, acupuncture and moxibustion works. The data of acupuncture and moxibustion related to epigastric pain were retrieved, and the data of acupuncture and moxibustion prescription were entered into access database, and the data were preprocessed. Using the association rules in data mining technology and the software of Chinese medicine inheritance support platform to analyze the frequency of acupoint application, the return to the meridian, and the attributes of acupuncture prescriptions. The distribution and main compatibility methods were used to find out the optimal selection of acupoints and compatibility of acupuncture and moxibustion in the treatment of epigastric pain. The result is 1: 1. Results: among the 992 acupuncture and moxibustion prescriptions for the treatment of epigastric pain 121 acupoints were used and the total frequency was 4206. Among them, Zusanli, Zhongwan, Neiguan, Weishu, Peshu, Gongsun, Taichong, Sanyinjiao, Tianshu, Inner atrium, the results of correlation analysis of meridians: the main results were as follows: the results of part correlation analysis: the acupoints were mainly concentrated on the limbs, Chest, abdomen and back, most of the limbs. The result of specific acupoint application: among the specific acupoints, Wuyou acupoint was the first one, among which the most frequent was the joint acupoint, the second was rendezvous point, and the second was the common acupoint. The results showed that the highest frequency of combination of acupoints (Zhongwan, Zusanli) and 3 pairs of acupoints (Zhongwan, Neiguan, Zusanli) was the highest frequency of combination of acupoints (Weishu, Neiguan, Zhongwan, Zusanli) of 4 pairs of acupoints (Weishu, Neiguan, Zhongwan, Zusanli). The results of application of association rules of acupoints compatibility: Zhongwan appeared in Gongsun, (Zusanli, Gongsun), (, Zusanli, Gongsun), and Zusanli was in Taichong, (Weishu, Zhongwan), (Peshu, Neiguan). The probability of appearing in Zhongwan is the highest, and that in Gongsun (Zhongwan,), (, Zusanli, Gongsun) is the highest. Conclusion 1. Acupoints along meridian: epigastric pain takes acupoints of foot Yangming stomach Meridian, followed by Ren pulse, hand Jueyin pericardial Meridian, foot Sun bladder Meridian, foot Taiyin spleen Meridian and so on. The main points were local selection and distal acupoint selection along meridian. Selection of points: more parts of the limbs, followed by the chest and abdomen, head and neck is not commonly used. In extremities, five points were selected, and the points of meridian intersection were used most frequently. Specific points have a large proportion in the prescription of acupuncture and moxibustion for epigastric pain. Methods of compatibility: most of acupuncture and moxibustion treatment of epigastric pain were done by combination of Yu and Hu, and the compatibility of the eight meridians was also widely used, followed by the combination of yin meridian and yin meridian, yin meridian and yang meridian, bureau far point matching method, and the method of combining acupoints with yin meridian and yin meridian. Methods of combination of points from the upper and lower, from the front and back, from the collaterals to the lower points, from the back to the lower points, from the original points to the lower points, from the collaterals to the original points, and from the collaterals to the original points.
【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】：R246.1

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