基于数据挖掘针刺治疗顽固性呃逆选穴规律探析

Title:

Discussion on Law of Acupoint Selection in Acupuncture Treatment of Intractable Hiccups Based on Data Mining

文章编号:

2095-5707(2018)05-0023-07

作者:

李玥鑫; 王正飞^*

广州中医药大学医学信息工程学院，广东 广州 510006

Author(s):

LI Yue-xin;  WANG Zheng-fei^*

College of Medical Information Engineering, Guangzhou University of Chinese Medicine, Guangzhou 510006, China

关键词:

顽固性呃逆; 针刺疗法; 数据挖掘; 选穴规律

Keywords:

intractable hiccups;  acupuncture;  data mining;  law of acupoint selection

分类号:

R2-05；R256.31

DOI:

10.3969/j.issn.2095-5707.2018.05.006

文献标志码:

A

摘要:

目的 运用数据挖掘技术分析现代文献中针刺治疗顽固性呃逆的选穴规律，为针灸临床提供数据理论参考。方法 检索中国期刊全文数据库（CNKI）、中国生物医学文献数据库（CBM）、万方期刊数据库（WF）、中文科技期刊全文数据库（维普），从1966年1月－2018年1月公开发表的有关针刺治疗顽固性呃逆的文献，根据纳入标准与排除标准严格筛选后，提取纳入文献中的针刺处方，建立数据库。采用Python 3.6、Gephi 0.8.2对数据进行描述分析和关联规则建模分析以及词云图与网络关联图分析。结果 针刺治疗顽固性呃逆选取腧穴主要为足三里、中脘、内关、膈俞、膻中、攒竹、天突；选取腧穴所属经络主要为任脉、足阳明胃经、足太阳膀胱经和手厥阴心包经；选取特定穴类别主要为五输穴和交会穴；通过关联规则分析，得出21条穴对及穴组关联规则和20条经络关联规则。结论 针刺治疗顽固性呃逆取穴方法有规律可循，数据挖掘中医针刺取穴具有可行性，本研究可为临床针刺治疗顽固性呃逆取穴、配伍规律提供一定的数据支持和新的启示。

Abstract:

Objective To analyze law of acupoint selection in acupuncture treatment of intractable hiccups based on data mining in modern literature; To provide data theoretical references for acupuncture in clinic. Methods Literature about acupuncture treatment of intractable hiccups in CNKI, CBM, WF and VIP from January 1966 to January 2018 was retrieved. After strict screening according to inclusion criteria and exclusion criteria, acupuncture prescriptions included in the literature were extracted and a database was established. Python 3.6 and Gephi 0.8.2 were used to perform descriptive analysis, association rule modeling analysis, analysis of word cloud map and network association graph. Results The most commonly used acupoints in acupuncture treatment of intractable hiccups were Zusanli (ST36), Zhongwan (CV12), Neiguan (PC6), Geshu (BL17), Danzhong (CV17), Cuanzhu (BL2) and Tiantu (CV22). The acupoints mainly belonged to Ren Meridian, Stomach Meridian of Foot-Yangming, Bladder Meridian of Foot-Taiyang and Pericardium Meridian of Hand-Jueyin; Selected acupoints belonged to Wushu Acupoints and Jiaohui Acupoints. Association rule analysis showed 21 acupoint pairs and related association rules and 20 associated rules about meridians. Conclusion There are laws in acupuncture treatment of intractable hiccups. It is feasible for acupoint selection in TCM acupuncture based on data mining. This study can provide data support and new enlightenment for acupoint selection in acupuncture treatment of intractable hiccups and compatibility rules in clinic.