基于德尔菲法以胃痛为例的针灸古籍腧穴优选研究
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R245;R256.33

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Study on Optimal Acupoints Selection in Acupuncture and Moxibustion Ancient Books for Stomachache Based on Delphi Method
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    摘要:

    目的:以胃痛为例,创新性地运用德尔菲法对古籍文献的年代、出处进行评分,通过计算权重以 量化古籍文献的价值,建立一套衡量针灸古籍可信度的指标体系,采用加权的穴位比重来代表该穴位在治疗胃 痛中的重要程度,从而实现针灸治疗胃痛的优化选穴分析。方法:在《中华医典》“针灸推拿部”节点中进行 胃痛相关古籍文献检索,对条文进行筛选和信息采集,将所涉及的主要症状进行提取、分类和同义合并,构建 出标准化的胃痛文献数据库;通过微信平台发放专家问卷的方式,获得专家信息及其对古籍文献年代、出处的 评分,统计得到加权的依据;进一步计算得到每个穴位的比重,并进行排序。结果:从1 448条古籍原文中共 筛选得到186条与胃痛相关的包含穴位的有效数据,共涉及4个主要症状和75个穴位。收集得到40份专家问 卷,基于德尔菲法对古籍条文的权重评分平均值为6.60,排名前3的依次为:《黄帝内经》(8.49)、《伤寒杂病 论》(8.13) 和《备急千金要方》(8.11)。计算得到的穴位比重前4位的依次为:鱼际(29.29)、商丘(27.56)、 肺俞(26.82) 和胃俞(26.60)。结论:古籍中针灸治疗胃痛主要选取鱼际、商丘、肺俞、胃俞等穴。

    Abstract:

    Abstract:Objective:Taking stomachache as an example,Delphi method was innovatively used to score the age and origin of ancient books. An index system to measure the credibility of acupuncture and moxibustion ancient books was established by calculating the weight to quantify the value of ancient books. The weighted proportion of acupoints was used to represent their importance in the treatment of stomachache, therefore realizing the optimal acupoint selection analysis on acupuncture and moxibustion for stomachache. Methods:The ancient literature related to stomachache was searched under the nodes of “Acupuncture, Moxibustion and Tuina Volume” of Chinese Medical Classics and the clauses were screened and collected. The main symptoms involved were extracted, classified and synonymously combined to construct a standardized stomachache literature database;the information of experts and their scores on the age and origin of ancient books are obtained by issuing online expert questionnaires,and the basis of weight function is obtained by statistics;the proportion of each acupoint was further calculated and sorted. Results:A total of 186 pieces of effective data covering acupoints related to stomachache were screened from 1 448 clauses in ancient books,involving 4 main symptoms and 75 acupoints. A total of 40 expert questionnaires were collected. Based on the Delphi method,the average score of the weight of ancient books was 6.60,and the top three were Huang Di Nei Jing( The Yellow Emperor's Inner Classic) (8.49),Shang Han Za Bing Lun (Treatise on Cold Damage and Miscellaneous Diseases) (8.13) and Bei Ji Qian Jin Yao Fang( Prepared for Thousand Golden Prescriptions)( 8.11). The top four acupoints were as follows: Yuji (LU 10) point (29.29), Shangqiu (SP 5) point (27.56), Feishu (BL 13) point (26.82) and Weishu (BL 21) point (26.60). Conclusion: In ancient books, acupoints such as Yuji (LU 10) point, Shangqiu (SP 5) point, Feishu (BL 13) point and Weishu (BL 21) point are mainly selected in treatment of stomachache with acupuncture and moxibustion.

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章思佳,梁霞欢,吴靖雅,林栋.基于德尔菲法以胃痛为例的针灸古籍腧穴优选研究[J].新中医,2025,57(8):104-108

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  • 在线发布日期: 2025-04-27
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