中医罐疗治疗项痹辨证选穴规律分析
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R246.9

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深圳市自然科学基金计划项目(JCYJ20250604190224031)


Analysis on Syndrome Differentiation and Acupoint Selection Rules of Cupping Therapy for Painful Bi of the Neck in Traditional Chinese Medicine
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    摘要:

    目的:基于数据挖掘分析中医罐疗治疗项痹辨证选穴规律。方法:检索中国知网(CNKI)、万 方(Wanfang)、维普(VIP)、中国生物医学文献数据库(CBM) 及Pubmed、Web of science、Cochrane Library、 Embase数据库中关于中医罐疗治疗项痹的相关文献,检索时间为自建库到2025年4月1日,建立中医罐疗穴 位处方信息数据库,使用R4.4.0对数据进行描述性分析、关联规则分析及聚类分析。结果:共收集101篇 文献,提取115个处方,其中使用频次超过30次的高频腧穴依次为大椎、肩井、风池、颈夹脊、阿是、天宗, 经脉使用频次以足少阳胆经、足太阳膀胱经、督脉、手太阳小肠经为主,特定穴使用频次最高的为八会穴;关 联规则分析显示大椎-天柱、阿是-天宗、阿是-肩井-天宗、大椎-风池-天宗为核心腧穴组合;聚类分析得 到5组有效聚类群。结论:中医罐疗治疗项痹以大椎、肩井等穴为核心,总体腧穴选取以阳经经脉为主,特定 穴以八会穴为主,核心选穴组为大椎-天柱,治以调补肝肾、疏通经络、祛风散寒除湿为主。

    Abstract:

    Abstract:Objective:To analyze the syndrome differentiation and acupoint selection rules of traditional Chinese medicine (TCM) cupping therapy for painful bi of the neck using data mining techniques. Methods:Literature related to cupping therapy for painful bi of the neck was retrieved from databases including China National Knowledge Infrastructure( CNKI),Wanfang Data Knowledge Service Platform( Wanfang),China Science and Technology Journal Database (VIP), China Biology Medicine disc (CBM), PubMed, Web of Science, Cochrane Library, and The Excerpta Medica Database (Embase) from their inception until April 1, 2025. A database of TCM cupping acupoint prescriptions was established,and descriptive analysis,association rule analysis,and cluster analysis were performed using R 4.4.0. Results: A total of 101 articles were collected, yielding 115 prescriptions. High-frequency acupoints (used over 30 times) were Dazhui (GV14),Jianjing (GB21),Fengchi (GB20),cervical Jiaji (EX-B2), Ashi points,and Tianzong (SI11). The most frequently used meridians were the foot-shaoyang gallbladder meridian, foot-taiyang bladder meridian,governor vessel,and hand-taiyang small intestine meridian. Among specific acupoint categories,the eight influential points were the most frequently used. Association rule analysis revealed core acupoint combinations:Dazhui (GV14) - Tianzhu (BL10),Ashi points - Tianzong (SI11),Ashi points - Jianjing (GB21) - Tianzong (SI11),and Dazhui (GV14) - Fengchi (GB20) - Tianzong (SI11). Cluster analysis identified five effective clusters. Conclusion:In the treatment of painful bi of the neck with TCM cupping therapy,the selection of acupoints is centered on Dazhui (GV14) and Jianjing (GB21). The overall acupoint selection primarily follows the yangming meridians, with a particular focus on the eight influential points as the main category of specific acupoints. The core acupoint combination is Dazhui (GV14) - Tianzhu (BL10). The treatment principle is mainly to regulate and tonify the liver and kidney,unblock the meridians and collaterals,and dispel wind,disperse cold,and eliminate dampness.

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赖清华,袁竺方,刘垅贤,吴蒙.中医罐疗治疗项痹辨证选穴规律分析[J].新中医,2026,58(3):69-74

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  • 在线发布日期: 2026-02-08
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