基于数据挖掘的针灸治疗慢性疲劳综合征腧穴运用规律

摘要

目的:分析针灸治疗慢性疲劳综合征(CFS)的腧穴运用规律.方法:系统检索和严格筛选后,建立针灸处方数据库,运用“针灸数据挖掘系统V1.0进行挖掘.结果:共纳入文献196篇,单腧穴使用频次和支持度前五位分别是足三里、肾俞、脾俞、肝俞、三阴交;“足三里+三阴交”“三阴交+内关”分别在两穴配伍项集中支持度、置信度最高,“足三里+三阴交+百会”在三穴配伍项集中支持度和置信度均最高,“足三里+关元+肾俞+脾俞”在四穴配伍项集中支持度和置信度均最高.结论:针灸治疗CFS以辨病取穴为主,多选用足阳明、足太阳和足太阴腧穴,重视补益穴和背俞穴的使用,在配伍上多采用表里经配穴、交会经配穴和三部配穴,体现了重视先、后天调理的学术思想.%Objective:To analyze the acupoint selection rules of acupuncture for chronic fatigue syndorme (CFS) by using data mining technology.Methods:Combining subject headings and text words,retrieve Embase,Pubmed,Cochrane Library,CBM,CNKI,VIP,WanFang.Conducting strict screening according to inclusive/ exclusive criteria.Setting up the database of acupuncture prescription,input data.Using "acupuncture data mining system Ⅳ1.0 (2009SR014647)" to analyze the acupoint regulation rules.Results:196 articles,218 acupuncture prescriptions were included.43 acupoints were used for 1377 times in total.The top 5 frequently-used acupoints were ST36 (136/62.4％),BL23 (92/42.2％),BL20 (86/39.4％),BL18 (84/38.5％),SP6 (78/35.8％).The most frequently-used 2 acupoints-combination was ST36→SP6 (29.4％),3 acupoints-combination was ST36 + SP6→DU20 (18.3％),and 4 acupoints-combination was ST36 + RN4 + BL23→ BL20 (12.8％).Conclusion:Acupoint selection of CFS is given priority to disease differentiation.Points of Foot-Yangming Meridian,Foot-Taiyang Meridian and Foot-Taiyin Meridian are most frequently used.The use of tonifying points and Back-shu points is emphasized."ST36 combines with acupoints on above meridian"is the fundamental acupoints combination.Cooperation of superficial-internal meridians,crossed meridians and localnearby-distal acupoints show that we should tonify the root of body:spleen and kidney to treat CFS.