《中华医典》中针灸治疗脱肛的选穴规律分析

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摘要目的对古籍中针灸治疗脱肛的选穴规律进行分析总结。方法检索范围设置为“正文”，著作设置为“针灸推拿类”，以“脱肛”为检索词在《中华医典》中检索，收集相关腧穴条目，并对其频次、归经以及所在部位进行梳理，分析选穴规律。结果共获得针灸治疗脱肛的相关条目195条，涉及中医古籍30部，腧穴28个。其中《普济方·针灸》和《针灸大成》中相关条目最多，对针灸治疗脱肛的指导意义最大；高频应用腧穴百会、长强、神阙、内关、脊中和命门是针灸治疗脱肛的常用腧穴。应用较多腧穴的归经以督脉和任脉为主，且所在部位以头部和腰骶部为主；特定穴应用频次最多的是长强、内关和公孙；在选穴共现分析中，“百会-长强”是针灸治疗脱肛的常用组合，临床应用时无须辨证，“大肠俞-肩井-合谷-气冲”多用于虚寒泄泻脱肛者，“命门-承山”多用于虚中夹实脱肛者，“支沟-照海”多用于实热便秘脱肛者。结论本研究利用现代的大数据挖掘技术对古籍中针灸治疗脱肛的相关条目进行梳理分析，分析其选穴配伍规律，对现代临床应用具有一定的指导意义。

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	周娇娇李华山▲

关键词 ：针灸, 脱肛, 数据挖掘, 腧穴配伍, 规律

Abstract：Objective To analyze and summarize the rules of acupoint selection in the treatment of anal prolapse in ancient books. Methods The search scope was set as “text”, the works were set as “acupuncture and massage”. With “anal prolapse” as the key word in Chinese Medical Canon, the relevant acupoint items were collected, and their frequency, meridian tropism and location were sorted out, and the rules of acupoint selection were analyzed. Results A total of 195 items related to the treatment of anal prolapse were obtained, involving 30 ancient Chinese medicine books and 28 acupoints. Among the ancient Chinese medicine books, Puji Fang·Acupuncture and Zhenjiu Dacheng had the most relevant items, which had the greatest guiding significance for acupuncture treatment of anal prolapse. High frequency acupoints included bǎihuì, chángqiáng, shénquē, nèiguān, jǐzhōng and mìngmén, which were commonly used in acupuncture treatment of anal prolapse. Most of the acupoints used were Du and Ren meridians, and the head and lumbosacral part were the main parts. The most frequently used specific acupoints were chángqiáng, nèiguān and gōngsūn. In the co-occurrence analysis of selected points, “bǎihuì- chángqiáng” was a common combination of acupuncture and moxibustion in the treatment of anal prolapse without dialectics, “dàchángshù- jiānjǐng-hégǔ-qìchōng” could be used for anal prolapse caused by cold diarrhea, “mìngmén-chéngshān” was often used for anal prolapse with syndrome of deficiency complicated with excess, and “zhīgōu-zhàohǎi” could be used for anal prolapse caused by heat constipation. Conclusion Modern big data mining technology is used to sort out and analyze the related items of acupuncture and moxibustion treatment of anal prolapse in the ancient Chinese medicine books in this study, and the acupoint selection compatibility rules are analyzed, which have certain guiding significance for modern clinical application.

Key words： Acupuncture and moxibustion Anal prolapse Data mining Acupoint compatibility Regularity

基金资助:国家自然科学基金资助项目（81673988、816739 80）。

通讯作者: ▲通讯作者

引用本文:

周娇娇李华山▲. 《中华医典》中针灸治疗脱肛的选穴规律分析[J]. 中国医药导报, 2020, 17(24): 134-137,149.
ZHOU Jiaojiao LI Huashan▲. Analysis of acupoint selection rules in acupuncture treatment of anal prolapse in Chinese Medical Canon. 中国医药导报, 2020, 17(24): 134-137,149.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2020/V17/I24/134

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