基于数据挖掘技术分析针灸治疗带状疱疹后神经痛选穴规律
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Analysis of Point Selection Rules in Acupuncture and Moxibustion for Postherpetic Neuralgia Based on Data Mining Technology
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    摘要:

    目的:基于数据挖掘技术分析针灸治疗带状疱疹后神经痛(PHN) 的选穴规律。方法:检索中国 知网(CNKI)、中国生物医学数据库(CBM)、万方学术期刊数据库(WanFang)、中文科技期刊数据库(VIP) 中自建库至2025年1月收录的针灸治疗PHN的临床研究文献,建立针灸治疗PHN处方选穴数据库,统计腧穴 使用频次及分布,并进行关联规则分析和聚类分析。结果:共纳入349篇文献,包含356首针灸处方,共涉及 腧穴98个,16个高频腧穴,使用频次最高的腧穴为夹脊穴、阿是穴、足三里等,脾经、大肠经、胆经是最常 用的经脉,腧穴多分布于下肢部、背腰骶部、上肢部。支沟-太冲-阳陵泉、风池-曲池-阳陵泉等19个强关联 规则,聚类分析将高频穴位分为3类,针刺、火针、电针为最常用的治疗方式。结论:针灸通过抑制外周敏化 和中枢敏化治疗PHN,选穴上以夹脊穴、阿是穴、足三里为核心腧穴,核心选穴组为支沟-太冲-阳陵泉;针 灸治疗PHN以近端取穴、以痛为腧为原则,注重辨证选穴、标本兼治。

    Abstract:

    Abstract: Objective: To analyze the point selection rules in acupuncture and moxibustion for postherpetic neuralgia (PHN) based on data mining technology. Methods: Clinical research literature on acupuncture and moxibustion for PHN was retrieved from CNKI,CBM,WanFang,and VIP databases up to January 2025. A database of acupuncture and moxibustion prescriptions for PHN was established to analyze point frequency, distribution, association rules analysis, and clustering analysis. Results: A total of 349 articles containing 356 acupuncture and moxibustion prescriptions were included,involving 98 points and 16 high-frequency points. The most frequently used points were Jiaji (EX-B2) point, Ashi points, and Zusanli (ST36) point. The spleen, large intestine, and gallbladder meridians were the most commonly selected meridians, with points predominantly located in the lower limbs, back/lumbosacral region, and upper limbs. Nineteen strong association rules were identified, e.g., Zhigou (TE6)-Taichong(LR3)-Yanglingquan(GB34), and Fengchi(GB20)-Quchi(LI11)-Yanglingquan(GB34)). Cluster analysis grouped high-frequency points into three categories. Conventional acupuncture, fire needling, and electroacupuncture were the most frequently employed techniques. Conclusion: Acupuncture and moxibustion treats PHN by inhibiting peripheral and central sensitization. Core points include Jiaji(EX-B2)point, Ashi points, and Zusanli (ST36) point, with Zhigou (TE6)- Taichong (LR3)- Yanglingquan (GB34) forming the principal combination. Point selection follows the principles of local / proximal selection and taking pain points as points, emphasizing syndrome differentiation and simultaneous treatment of root and manifestation.

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李晴雯,冉庆森,李瑞瑞,冯大铭,李保林.基于数据挖掘技术分析针灸治疗带状疱疹后神经痛选穴规律[J].新中医,2025,57(19):76-82

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