基于数据挖掘探讨小儿推拿治疗抽动障碍选穴规律
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R244.1

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全国名老中医药专家学术经验传承工作室建设项目(国中医药人数函2018134号);广州中医药大学第一附属医院全国名老中医药专家传承工作室再建设项目(中医一院〔2024〕87号)


Exploration on the Acupoint Selection Patterns in Pediatric Tuina for Tic Disorders Based on Data Mining
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    摘要:

    目的:运用数据挖掘技术系统性整理小儿推拿治疗抽动障碍的选穴规律。方法:检索中国知网(CNKI)、万方数据知识服务平台(万方数据)、维普期刊数据库(VIP)、中国生物医学文献数据库(CBM)中关于小儿推拿治疗抽动障碍的相关文献,时间设置为建库至2025年12月1日。将腧穴、部位等原始资料录入WPS 软件,使用SPSS Modeler 18.0 软件进行关联规则分析、SPSS Statistics 27.0 软件进行系统聚类分析。结果:最终纳入文献44篇、腧穴处方44个、腧穴99个。小儿推拿治疗抽动障碍高频腧穴为脾经、脊柱、风池、肝经、太阳、坎宫、百会、天门、脾俞、肝俞、小天心,多分布于上肢、头面及腰背;共提取关联规则941条,筛选支持度>45%的核心配穴组合19组,核心配伍由肝经、脾经、天门、坎宫、太阳、脊柱组成,其中脾经-肝经、太阳-肝经配对支持度最高(54.5%)。结论:小儿推拿治疗抽动障碍具有一定的规律性,以调和肝脾、通督调神为治则,兼祛风散邪、醒脑开窍,核心腧穴为肝经、脾经、脊柱、天门、坎宫、太阳。

    Abstract:

    Abstract:Objective:To systematically analyze the acupoint selection patterns in pediatric tuina for tic disorders using data mining techniques. Methods: Literature on pediatric tuina for tic disorders was retrieved from China National Knowledge Infrastructure (CNKI), Wanfang Data Knowledge Service Platform (WanFang), China Science and Technology Journal Database( VIP),and China Biomedical Medicine disc( CBM) databases from their inception to December 1,2025. Raw data including acupoints and body regions were recorded using WPS software. Association rule analysis was performed using SPSS Modeler 18.0,and hierarchical cluster analysis was conducted using SPSS Statistics 27.0. Results:A total of 44 articles,44 acupoint prescriptions,and 99 acupoints were included. The high-frequency acupoints in pediatric tuina for tic disorders were the Spleen Meridian (pediatric tuina point), Spinal Column, Fengchi (GB20), Liver Meridian (pediatric tuina point), Taiyang (EX-HN5), Kangong (pediatric tuina point), Baihui( GV20),Tianmen( pediatric tuina point),Pishu( BL20),Ganshu( BL18),and Xiaotianxin( pediatric tuina point). These acupoints were predominantly distributed on the upper limbs,head and face,and lower back. A total of 941 association rules were extracted, and 19 core acupoint combinations with a support level greater than 45% were identified. The core acupoint combinations were composed of the Liver Meridian,Spleen Meridian,Tianmen,Kangong, Taiyang,and Spinal Column. Among these,the pairs of Spleen Meridian-Liver Meridian and Taiyang-Liver Meridian had the highest support level (54.5%). Conclusion: Pediatric tuina for tic disorders exhibits certain regularities in acupoint selection,characterized by the therapeutic principles of harmonizing the liver and spleen,and regulating the governing vessel to calm the spirit,while also dispelling wind pathogens and refreshing the mind. The core acupoints are the Liver Meridian,Spleen Meridian,Spinal Column,Tianmen,Kangong,and Taiyang.

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黄陈瑾,赖靖怡,赖东兰.基于数据挖掘探讨小儿推拿治疗抽动障碍选穴规律[J].新中医,2026,58(19):66-71

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  • 在线发布日期: 2026-10-16
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