基于数据挖掘技术研究古代文献中关元应用规律
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R245.2

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广东省自筹经费类科技计划项目(2017ZC0135);广东省中医药局科研项目(20241042)


Research on the Application Law of Guanyuan Element in Ancient Literature Based on Data Mining Techniques
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    摘要:

    目的:基于数据挖掘技术研究古代文献中关元的临床主治范围、配伍规律及操作手法。方法:以 第5版《中华医典》为源数据库,以关元、丹田、大中极、三结交、次门、下纪及小肠募为关键词进行搜索, 将所得文献进行收集、整理、分类。结果:共检索得到3 501条文献,涉及112部古代医籍,根据纳入、排除 标准,最终纳入研究363条文献。关于主治病证共纳入349条文献,阐述操作或禁忌的条文共纳入14条;单穴 主治病证频次135次,配伍主治病证频次328次。关元单穴主治病证排前2的有厥证和虚劳。配穴主治病证排 前2位的有厥证和疝气病,配穴多为气海、三阴交、肾俞、石门、中脘、神阙、足三里、天枢、中极和太冲, 配伍的穴位多属于任脉和足太阳膀胱经。关元与气海、三阴交、肾俞、石门、神阙、中脘及足三里有较强的关 联度。将高频腧穴进行聚类分析得出6个有效聚类。关元多用灸法,灸量差异大,多为百壮;孕妇及夏季慎 灸。结论:关元单穴和配伍主治病症排第1为厥证。常见的配伍穴位所属经络为任脉和足太阳膀胱经。关元多 配伍气海、三阴交、肾俞使用。得到6个有效聚类组合。操作方法主要为艾灸。

    Abstract:

    Abstract: Objective: To study the clinical treatment scope, compatibility rule and operation technique of Guanyuan (RN4) based on data mining techniques. Methods:Using the 5th edition of the Chinese Medical Dictionary as the source database,searched with keywords such as Guanyuan( RN4),Dantian,Dazhongji,Sanjiejiao,Cimen, Xiaji , and Xiaochangmu , and collected, organized, and classified the obtained literature. Results : A total of 3 501 articles were retrieved,involving 112 ancient medical books. According to the inclusion and exclusion criteria, 363 articles were finally included. A total of 349 articles were included regarding the treatment of diseases and syndromes, and 14 articles were included explaining procedures or contraindications; the frequency of single point treatment was 135 times, and the frequency of combination treatment was 328 times. The single point treatment and combination treatment of Guanyuan (RN 4) point were multiple and various. The top two diseases that can be treated with single point therapy were syncope and consumptive disease, while the top two diseases that can be treated with combination therapy were syncope and hernia disease. The most common points were Qihai( RN 6),Sanyinjiao( SP 6), Shenshu (BL 23),Shimen (RN 5),Zhongwan (RN 12),Shenque (RN 8),Zusanli (ST 36),Tianshu (ST 25), Zhongji (RN 3),and Taichong (LV 3);The points used for compatibility mostly belong to the conception vessel and the foot taiyang bladder channel. There was a significant correlation between Guanyuan (RN 4) and Qihai (RN 6), Sanyinjiao( SP 6),Shenshu( BL 23),Shimen( RN 5),Shenque( RN 8),Zhongwan( RN 12),and Zusanli( ST 36). Cluster analysis of high-frequency points resulted in six effective clusters. Guanyuan (RN 4) often used moxibustion methods, with varying amounts of moxibustion, mostly with hundred of moxa; pregnant women and summer moxibustion should be cautious. Conclusion:The first indication for the use of single point and combination therapy of Guanyuan (RN 4) point is syncope. The common points for compatibility belong to the conception vessel and the foot taiyang bladder channel. Guanyuan (RN 4) is often used in combination with Qihai (RN 6), Sanyinjiao (SP 6), Shenshu( BL 23). Six effective clustering combinations are obtained;the main operation method is moxibustion.

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梁淑欣,欧静禧,张寒,冯文锋,周达君,杨忠华.基于数据挖掘技术研究古代文献中关元应用规律[J].新中医,2025,57(5):93-99

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  • 在线发布日期: 2025-03-17
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