基于数据挖掘技术分析陈雷针刺治疗面瘫选穴规律
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R246.6

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浙江省中医药科技计划项目(2022ZB309)


Analysis of Point Selection Rules of CHEN Lei's Acupuncture in Treating Facial Paralysis Based on Data Mining Technology
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    摘要:

    目的:基于数据挖掘技术分析陈雷针刺治疗面瘫选穴规律。方法:采集2022 年6 月—2023 年 12 月宁波市中医院陈雷教授诊治或指导治疗的周围性面瘫有效处方,将治疗病例录入“中医传承辅助平台 V3.0”中,采用聚类分析、关联规则、网络拓扑等数据挖掘技术进行选穴规律分析。结果:共纳入针刺处方 200条,共使用腧穴108个,共计频次2 359次。以面部(局部) 选穴为主,结合远端配穴,辅以调神穴位。选 穴遍布十四正经和经外奇穴,其中以足阳明胃经、足太阳膀胱经、手阳明大肠经的使用频率较高。急性期以足 太阳膀胱经为主,稳定期、恢复期、后遗症期和近愈期以阳明经为主,且其病程越长所取阳明经穴越远。结 论:陈雷针刺治疗面瘫选穴以局部取穴为主,配合远端取穴,以形神同调、分期辨证选穴为治疗原则。

    Abstract:

    Abstract:Objective:To analyze the point selection rules of CHEN Lei's acupuncture in treating facial paralysis based on data mining technology. Methods:Effective prescriptions for peripheral facial paralysis treated or guided by Professor CHEN Lei at Ningbo Hospital of Traditional Chinese Medicine from June 2022 to December 2023 were collected. The treatment cases were entered into the Traditional Chinese Medicine Inheritance Support Platform V3.0, and data mining techniques such as cluster analysis, association rules analysis, and network topology were used to analyze the point selection rules. Results : A total of 200 acupuncture prescriptions were included , involving 108 acupuncture points with a total frequency of 2 359 times. The selection of points was mainly focused on the face (local areas), combined with distal points, and supplemented with points for regulating the mind. The selected points covered the fourteen main channel and extra points,with the foot yangming stomach channel,the foot taiyang bladder channel,and the hand taiyang large intestine channel being the most frequently used. In the acute phase,the foot taiyang bladder channel was predominantly used, while in the stable, recovery, sequelae, and near-recovery phases,the yangming channel was mainly used. The longer the disease course,the more distal the yangming channel and points selected. Conclusion: CHEN Lei's acupuncture for facial paralysis primarily focuses on local point selection, combined with distal points, following the treatment principle of regulating both the body and mind, and selecting points based on disease stages and syndrome differentiation.

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杨鉴书,朱凌萱,李梅,陶方泽,陈雷.基于数据挖掘技术分析陈雷针刺治疗面瘫选穴规律[J].新中医,2025,57(9):94-100

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  • 在线发布日期: 2025-05-12
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