基于数据挖掘探究推拿治疗单纯性肥胖选穴规律
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R259

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黑龙江省自然科学基金资助项目(LH2023H059);深圳市医疗卫生三名工程“长春中医药大学附属医院丛德毓教授推拿团队”项 目(SZZYSM202402015)


Exploration on Acupoint Selection Rules in Tuina Therapy for Simple Obesity Based on Data Mining
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    摘要:

    目的:基于数据挖掘探讨推拿治疗单纯性肥胖的选穴配伍规律。方法:检索中国知网期刊全文数 据库(CNKI)、万方数据平台、中国生物医药文摘系统(CBM)、维普资讯服务平台等数据库中推拿疗法治疗 单纯性肥胖症的临床中文文献,检索时间为2003年1月—2023年12月。构建信息集合,并对推拿处方进行描 述性分析、关联规则分析及聚类分析。结果:共收录文献80篇,处方80首,共涉及穴位135个,总用穴频次 855次,使用频率>10%的经脉有3条,依次为足太阳膀胱经、足阳明胃经、任脉,累计使用频率67.02%,单 穴使用频次≥15的穴位有15个,分别为胃俞、脾俞、肾俞、中脘、下脘等,特定穴以背俞穴、郄穴、募穴、络 穴、五腧穴、八脉交会穴为主。关联规则分析显示关元-中脘、天枢-中脘、气海-中脘是支持度最高的穴对和 穴组。通过对频次≥15的穴位进行聚类分析,可将穴位分为5个有效聚类群。结论:推拿治疗单纯性肥胖以腹 部取穴为主,所选经脉以脾经、胃经、任脉为主,以“中脘-关元”为核心基础穴位组方,治以温肾健脾为主。

    Abstract:

    Abstract: Objective: To investigate the acupoint selection and combination rules in tuina therapy for simple obesity using data mining. Methods:Clinical Chinese literature on tuina therapy for simple obesity published between January 2003 and December 2023 was retrieved from databases including CNKI, Wanfang, CBM, and VIP. An information database was constructed, and descriptive analysis, association rule analysis, and cluster analysis were performed on the tuina prescriptions. Results: A total of 80 articles containing 80 prescriptions were included, involving 135 acupoints with a total frequency of 855 applications. There were three meridians with usage frequencies exceeding 10%, following by the foot-taiyang bladder meridian, the foot-yangming stomach meridian, and the conception vessel,with a cumulative frequency of 67.02%. There were 15 acupoints with a frequency higher than 15, of which Weishu( BL 21),Pishu( BL 20),Shenshu( BL 23),Zhongwan( CV 12),and Xiawan( CV 10),etc. The specific acupoints mainly included back-shu points, cleft points, front-mu points, collaterals-connecting points, five-shu points,and eight confluent points. Association rule analysis revealed that the acupoint pairs and groups with the highest support were Guanyuan (CV4)-Zhongwan (CV12), Tianshu (ST25)-Zhongwan (CV12), and Qihai (CV6)-Zhongwan (CV12). Cluster analysis of acupoints with frequencies higher than 15 identified five effective clusters. Conclusion: Tuina therapy for simple obesity primarily focuses on abdominal acupoints, with the spleen meridian, stomach meridian, and conception vessel being the most frequently selected meridians. The "Zhongwan (CV12)-Guanyuan (CV4)" combination serves as the core prescription, with the main therapeutic principle being to warm the kidney and strengthen the spleen.

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薛政,徐先觉,黄樱,张扬,吴云天,王静滨.基于数据挖掘探究推拿治疗单纯性肥胖选穴规律[J].新中医,2025,57(23):68-74

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  • 在线发布日期: 2025-12-12
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