基于数据挖掘分析沈景允推拿手法治疗颈源性头痛选穴规律
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R245.9

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浙江省自然科学基金项目(LQ22H270007);浙江省中医药科技计划项目(2022ZB121)


Analysis on Acupoint Selection Rules of SHEN Jingyun in Treating Cervicogenic Headache with Tuina Manipulation Based on Data Mining
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    摘要:

    目的:基于数据挖掘分析全国名老中医沈景允教授运用推拿手法治疗颈源性头痛的选穴规律。方 法:收集沈景允教授从1963年留存至今的门诊病历以及公开出版的书籍、文献中的医案,提取其中关于治疗 颈源性头痛的选穴。采用Microsoft Excel 2021建立数据库,统计腧穴使用频次、归经以及部位分部,运用统计 学软件SPSS22及Clementine 12对高频数据进行关联规则分析以及聚类分析。结果:共有220份手稿符合纳入 标准,包含腧穴43个,使用频次3 531次。风池、风府、天柱等10个腧穴使用频次超过138次,使用频次最多 的经脉为手太阳小肠经,腧穴的分布多位于颈项部,其中颈-肩-前胸的腧穴频率使用为73%。沈景允教授治 疗颈源性头痛的核心处方为中府-天宗-天柱-完骨-肩中俞-肩外俞-风府-风池。聚类分析后可以将10大高频 腧穴分为风池-风府-天柱-完骨、肩中俞-肩外俞-天宗-天髎、云门-中府3大类。结论:沈景允教授运用推拿 手法治疗颈源性头痛取穴以远近同治、阴阳同调为规律。

    Abstract:

    Abstract:Objective:To analyze the acupoint selection rules of national famous Chinese medicine physician and Professor SHEN Jingyun in treating cervicogenic headache(CEH) with Tuina manipulation based on data mining. Methods: The medical cases were collected from the medical records of Professor Shen Jingyun´s outpatient department kept from 1963 to the present, and his publicly published books and literatures were collected, and the acupoints selected for CEH were extracted. Microsoft Excel 2021 was used to establish a database, and the use frequency of acupoints, meridian entries and position distribution were counted. Statistical software SPSS22 and Clementine 12 were used to conduct the association rules analysis and clustering analysis on high frequency data. Results: A total of 220 manuscripts met the inclusion criteria,including 43 acupoints,with a frequency of 3 531 times. The use frequency of 10 acupoints such as Fengchi (GB20) point,Fengfu (DU16) point and Tianzhu (BL10) point was more than 138 times. The most frequently used meridian was the hand Taiyang small intestine meridian. The distribution of acupoints was mostly located in the neck and nape,and the frequency of acupoints at the neck-shoulder-front chest was 73%. The core prescription of Professor SHEN Jingyun in treating CEH is Zhongfu( LU1) point-Tianzong( SI11) point- Tianzhu (BL10) point-Wangu (GB12) point-Jianzhongshu (SI15) point-Jianwaishu (SI14) point-Fengfu (DU16) point-Fengchi (GB20) point. After clustering analysis, the 10 high-frequency acupoints can be divided into three categories: Fengchi (GB20) point-Fengfu (DU16) point-Tianzhu (BL10) point-Wangu (GB12) point, Jianzhongshu (SI15) point-Jianwaishu (SI14) point-Tianzong (SI11) point-Tianliao (TE15) point, and Yunmen( LU2) point-Zhongfu( LU1) point. Conclusion:Professor SHEN Jingyun applies Tuina manipulation to treat CEH and the acupoint selection rule is to treat local and distal areas and harmonize yin and yang.

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董君翔,樊兵剑,金昕,杜红根.基于数据挖掘分析沈景允推拿手法治疗颈源性头痛选穴规律[J].新中医,2025,57(10):109-114

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  • 在线发布日期: 2025-05-27
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