针刺研究

2021, v.46(01) 76-83

[打印本页] [关闭]
本期目录(Current Issue) | 过刊浏览(Past Issue) | 高级检索(Advanced Search)

基于复杂网络分析针灸治疗乳腺增生症的腧穴配伍规律及核心腧穴刺灸法应用特点
Regularities of acupoint combinations and characteristics of core acupoint application for acupuncture-moxibustion treatment of mammary gland hyperplasia based on complex network analysis

温静;王锐卿;刘敬萱;张子迪;吴慧慧;韩鹏;张莘;高飞;贾春生;邢海娇;
WEN Jing;WANG Rui-qing;LIU Jing-xuan;ZHANG Zi-di;WU Hui-hui;HAN Peng;ZHANG Xin;GAO Fei;JIA Chun-sheng;XING Hai-jiao;Institute of Acupuncture-moxibustion and Massage, Hebei University of Traditional Chinese Medicine;

摘要(Abstract):

目的:利用复杂网络技术分析针灸治疗乳腺增生症的腧穴配伍规律及核心腧穴刺灸法应用特点,为临床针灸治疗乳腺增生症提供选穴依据和治疗思路。方法:检索中国知网(CNKI)、万方数据知识服务平台、维普资讯中文期刊服务平台、Pubmed、Embase、Cochrane Library、Web of Science、Ovid数据库中针灸治疗乳腺增生症的临床研究文献。根据纳入、排除标准筛选文献,建立"针灸治疗乳腺增生症的腧穴配伍规律"数据库。运用SPSS Modeler 18.0建模,进行关联规则分析,利用Gephi 0.9.2软件进行复杂网络分析。结果:共纳入312篇文献,提取出343条针灸治疗乳腺增生症的处方,共涉及113个腧穴,总使用频次为1 998次。处方配穴原则以左右配穴为主,其次为上下配穴、前后配穴、同名经配穴、表里经配穴和本经配穴。关联规则分析显示,腧穴间相关性最高的是膻中-足三里。复杂网络k-core层次分析发现膻中、期门、三阴交、太冲、足三里、肩井、乳根、屋翳、内关、阿是穴、丰隆、关元、太溪、天宗、肝俞、合谷为针灸治疗乳腺增生症的核心腧穴。结论:针灸治疗乳腺增生症处方选穴配伍多以特定穴为主,其中交会穴使用最多,所选腧穴主要分布于胸部、背部和下肢部,遵循局部配穴、上下配穴、前后配穴和脏腑辨证原则,临证中注重刺灸法效应特异性,针刺方向多朝向病灶。
Objective To analyze the acupoint combination regularities and application characteristics of core acupoints in acupuncture-moxibustion treatment of mammary gland hyperplasia(MGH) by using complex network technology, so as to provide reliable evidence for clinical selection of acupoints and treatment ideas. Methods The articles related to acupuncture treatment of MGH published from January of 1981 to May of 2020 were collected from databases as China National Knowledge Infrastructure(CNKI), Wanfang Data Knowledge Service Platform(Wanfang), Chinese Journal of Science and Technology of VIP(VIP), PubMed, the Excerpta Medica Database(EMBASE), Cochrane Library, and Web of Science and Ovid database(OVID) according to the set inclusion and exclusion criteria of the present paper and by using keywords of "mammary gland hyperplasia", "mastalgia" or "fibrocystic breast change", "breast cystic hyperplasia ", etc. plus "acupuncture", "moxibustion", etc. Then, a correlative database model was established by using SPSS Modeler 18.0 to analyze their association regularities, followed by conducting a complex network analysis with Gephi 0.9.2 software. Results A total of 312 eligible articles containing 343 acupoint prescriptions and 113 acupoints were collected. The total frequency of use of the 113 acupoints was 1 998. The association regularity analysis showed a top relativity between Danzhong(CV17) and Zusanli(ST36). The analysis of the complex network topology revealed that CV17, Qimen(LR14), Sanyinjiao(SP6), Taichong(LR3), ST36, Jianjing(GB21), Rugen(ST18), Wuyi(ST15), Neiguan(PC6), Ashi-points, Fenglong(SP40), Guanyuan(CV4), Taixi(KI3), Tianzong(SI11), Ganshu(BL18), and Hegu(LI14) are the core acupoints for treatment of MGH. The principle for composing acupoint prescriptions is mainly the combination of acupoints on the left and right sides, the upper and lower parts, front and back parts of the body, respectively, and those of the outer and inner meridians, and those of the same name meridians and Zangfu-organ syndrome differentiation. The needle-insertion direction is mostly toward the focus. Conclusion The composition of acupoint prescriptions for treating MGH with acupuncture and moxibustion is mainly based on the combination of specific acupoints among which the confluent acupoints are most frequently used, followed by the combination of acupoints distributing at the chest, back, upper and lower limbs, and the local acupoints.

关键词(KeyWords): 针灸;乳腺增生症;腧穴配伍;复杂网络
Acupuncture and moxibustion;Mammary gland hyperplasia;Acupoint combinations;Complex network technology

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金项目(No.81072883、81173342、81473773);; 河北中医学院研究生创新项目(No.XCXZZSS2021024)

作者(Author): 温静;王锐卿;刘敬萱;张子迪;吴慧慧;韩鹏;张莘;高飞;贾春生;邢海娇;
WEN Jing;WANG Rui-qing;LIU Jing-xuan;ZHANG Zi-di;WU Hui-hui;HAN Peng;ZHANG Xin;GAO Fei;JIA Chun-sheng;XING Hai-jiao;Institute of Acupuncture-moxibustion and Massage, Hebei University of Traditional Chinese Medicine;

Email:

DOI: 10.13702/j.1000-0607.200696

参考文献(References):

扩展功能
本文信息
服务与反馈
本文关键词相关文章
本文作者相关文章
中国知网
分享