基于古代著作类数据挖掘针灸治疗失眠的腧穴优选与配伍规律谱研究

发布时间：2018-12-23 18:50

【摘要】：目的:以针灸有效病症失眠为切入点,全面地收集和整理古代医家治疗失眠的针灸处方,运用数据挖掘技术从中探求针灸治疗失眠的选穴及配伍规律,并建立优选规律谱。目的在于为腧穴优选及配伍方案的基础理论和临床研究奠定基础,为针灸治疗失眠的规律性研究寻找突破。方法:以《中华医典》(第五版)为基础,运用Excel收集和整理民国前针灸治疗失眠的相关文献,并建立文献基础数据库。借助数据挖掘技术对腧穴的选用频次、归经、属性、分布及配伍等进行统计分析,形成腧穴优选及腧穴配伍优选规律谱。结果:经筛除和整理,共收集到有关失眠的针灸处方文献358条,涉及99个腧穴,总频次为498次,涵盖14条经脉。腧穴频次分析结果:以太渊、隐白、期门、神庭、阴陵泉居多;经脉关联分析结果:以足太阴脾经与足太阳膀胱经为主;部位关联分析结果:以四肢部和胸腹部腧穴居多;特定穴关联分析结果:以五输穴与交会穴为最;配伍关联分析:多穴处方在该时期相关文献中仅占22.07%,配伍的意义不明显。结论:1、古代治疗失眠的针灸处方以单穴处方为主,配伍处方相对较少,配伍的规律及优势在该时期还未得以呈现。2、古代针灸医家主要立足于从肝脾胃论治失眠,注重特定穴的使用。
[Abstract]:Objective: to collect and sort out the prescriptions of acupuncture and moxibustion for treating insomnia with acupuncture and moxibustion effective disease as the breakthrough point, and to explore the point selection and compatibility of acupuncture and moxibustion for insomnia by using data mining technology, and to establish the optimal selection law spectrum. The purpose of this study was to lay a foundation for the basic theory and clinical study of the optimal selection and compatibility of acupoints, and to find a breakthrough in the regular study of acupuncture and moxibustion in treating insomnia. Methods: based on the Chinese Medical Code (Fifth Edition), Excel was used to collect and organize the literature about acupuncture and moxibustion treatment of insomnia before the Republic of China, and to establish the basic database of literature. With the help of data mining technology, the selection frequency, meridian, attribute, distribution and compatibility of acupoints are statistically analyzed to form a spectrum of the optimal selection of acupoints and the optimal selection of acupoints. Results: through screening and sorting, 358 prescriptions of acupuncture and moxibustion were collected, involving 99 acupoints, with a total frequency of 498, covering 14 meridians. The results of frequency analysis of acupoints were as follows: Taiyuan, Yinbai, Shimen, Shenting, Yinlingquan, meridian correlation analysis results: the main results were foot Taiyin spleen Meridian and foot Sun bladder Meridian, the results of site correlation analysis were as follows: the acupoints of limbs and chest and abdomen were the majority; The results of specific acupoint association analysis: Wuyou point and renshen acupoint were the most; compatibility correlation analysis: Multi-point prescription only accounted for 22.07 in the relevant literature in this period, the significance of compatibility was not obvious. Conclusion: 1. The prescription of acupuncture and moxibustion for treating insomnia in ancient times was mainly single point prescription, the prescription of compatibility was relatively few, the law and advantage of compatibility had not been presented in that period. 2. The ancient acupuncture and moxibustion doctor mainly based on treating insomnia from liver, spleen and stomach. Pay attention to the use of specific 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】：R246.6

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