基于数据挖掘的针灸治疗类风湿关节炎取穴规律探析

doi:10.20047/j.issn1673-7210.2022.24.02

Abstract
Figure/Table
References (29)
Related Citation (15)

Download: PDF (1246 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To summarize and analyze the acupoint selection rules of acupuncture and moxibustion in the treatment of rheumatoid arthritis, and to provide reference for clinical and scientific research of acupuncture and moxibustion in the treatment of rheumatoid arthritis. Methods Clinical literatures on acupuncture and moxibustion in the treatment of rheumatoid arthritis were collected from CNKI, Wanfang database, and VIP database from January 1996 to January 2021 by computer retrieval method. Microsoft Excel 2016 was used for frequency analysis, and SPSS Modeler 18.0 and SPSS Statistics 22.0 were used for association rule, complex network, and cluster analysis. Results A total of 1 588 literatures were searched, and 225 literatures were finally included, including 225 acupuncture and moxibustion prescriptions, involving 134 acupoints, with a total frequency of 3 345. The three most frequently used acupoints were zúsānlǐ, yánglíngquán and qūchí. There were 30 high-frequency acupoints with frequency ≥ 40, with a total frequency of 2 332, accounting for 69.7% of the total frequency. The top three acupoint combinations in frequency were yánglíngquán-zúsānlǐ, zúsānlǐ-qūchí and qūchí-yánglíngquán, and 26 acupoint combinations with frequency > 70. The selection of acupoints involved twelve regular channels, conception channel and governor channel, and extra ordinary point, and the acupoints were mostly from yang channel (2 357 times, 72.34%), among which bladder channel was the most selected (575 times, 17.65%), and the types of acupoints applied were the most (27 times, 20.45%), followed by extra ordinary point, the stomach channel, the gallbladder channel and governor channel. The association network diagram of acupoints with frequency ≥ 40 was made and association rules were analyzed. The main acupoint combination of acupuncture and moxibustion for rheumatoid arthritis was “zúsānlǐ-sānyīnjiāo-wàiguān”. Five clusters were obtained by cluster analysis. Conclusion The acupoint selection rules of acupuncture and moxibustion for rheumatoid arthritis are as follows: the bladder channel of foot-taiyang, extra ordinary point, the stomach channel of foot-yangming，the gallbladder channel of foot-shaoyang and governor channel are more used. The main acupoint combination is zúsānlǐ-sānyīnjiāo-wàiguān.

Key words： Acupuncture and moxibustion Rheumatoid arthritis Data mining Clinical research Law of acupoint selection.

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WU Xian ZHANG Hui YANG Fan

Cite this article:

WU Xian ZHANG Hui YANG Fan. Analysis of acupoint selection rules of acupuncture and moxibustion in the treatment of rheumatoid arthritis based on data mining[J]. 中国医药导报, 2022, 19(24): 11-15,35.

URL:

https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.24.02 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I24/11

[1] Dedmon LE. The genetics of rheumatoid arthritis [J]. Rheumatology（Oxford），2020，59（10）：2661-2670.
[2] Radu AF，Bungau SG. Management of Rheumatoid Arthritis：An Overview [J]. Cells，2021，10（11）：2857.
[3] Otón T，Carmona L. The epidemiology of established rheumatoid arthritis[J]. Best Pract Res Clin Rheumatol，2019，33（5）：101477.
[4] 曾小峰，朱松林，谭爱春，等.我国类风湿关节炎疾病负担和生存质量研究的系统评价[J].中国循证医学杂志，2013，13（3）：300-307.
[5] Safiri S，Kolahi AA，Hoy D，et al. Global，regional and national burden of rheumatoid arthritis 1990-2017：a systematic analysis of the Global Burden of Disease study 2017 [J]. Ann Rheum Dis，2019，78（11）：1463-1471.
[6] Kondo N，Kuroda T，Kobayashi D. Cytokine Networks in the Pathogenesis of Rheumatoid Arthritis [J]. Int J Mol Sci，2021，22（20）：10922.
[7] Osipova D，Janssen R，Martens HA. Rheumatoid arthritis： more than a joint disease [J]. Ned Tijdschr Geneeskd，2020， 164：D4166.
[8] 王燕，陈思思，李泽光.浅谈针药结合治疗类风湿性关节炎的临床应用及作用机制[J].针灸临床杂志，2019，35（6）：92-95.
[9] 中华人民共和国国家质量监督检验检疫总局，中国国家标准化管理委员会出版社.GB/T 12346-2006中国标准书号[S].北京：中国标准出版社，2006.
[10] 素问·痹论[M].郑州：河南科学技术出版社，2017：28-29.
[11] 严用和.重辑严氏济生方[M].北京：中国中医药出版社，2007：118.
[12] 王燕，陈思思，李泽光.浅谈针药结合治疗类风湿性关节炎的临床应用及作用机制[J].针灸临床杂志，2019， 35（6）：92-95.
[13] 郭耀光，孙光伟，杨玲，等.基于GC-MS的针刺治疗类风湿性关节炎的代谢组学研究[J].针刺研究，2021，46（2）：145-151.
[14] 周亚婕，姚小强，郑先丽，等.经典针法治疗类风湿关节炎的实验研究进展[J].世界科学技术-中医药现代化，2021，23（11）：4359-4364.
[15] 张一平，徐媛，王慎军，等.手针足三里对佐剂性关节炎急性期大鼠阿片肽的影响[J].辽宁中医药大学学报，2018， 20（12）：65-68.
[16] 郝锋，吴立斌，胡骏，等.艾灸对类风湿性关节炎模型大鼠足跖滑膜组织PI3K/Akt/mTOR信号通路的影响[J].中国针灸，2020，40（11）：1211-1216.
[17] 祝骥，董浙清，吴敏，等.电针对佐剂性关节炎大鼠滑膜蛋白质组的影响[J].中华中医药学刊，2015，33（4）：971-975.
[18] 杨继洲．针灸大成[M].北京：人民卫生出版社，2017．
[19] 窦材.扁鹊心书[M].北京：中国中医药出版社，2015：12-13.
[20] 肖家顺，白丰淇，冯国湘.《针灸大成》中风池穴的临床应用探析[J].实用中医内科杂志，2021，35（12）：31-33.
[21] 贺煜竣，张亚兰，宋伯骐，等.《针灸大成》中风池穴临床应用规律浅析[J].中国中医基础医学杂志，2021，27（4）：631-633.
[22] 赵焕军，贾红玲.风池穴古今临床应用及作用机制探析[J].辽宁中医药大学学报，2021，23（8）：87-91.
[23] 李晓林，万红棉.近10年风池穴临床应用进展[J].辽宁中医药大学学报，2022，24（1）：147-150.
[24] 张伟，陈明人，熊俊.悬灸“大椎”穴对哮喘大鼠血清IL-4、IFN-γ的影响[J].中国中医基础医学杂志，2012， 18（5）：541-542.
[25] 霍新慧，李盼，党欢，等.刺山柑结合艾灸对类风湿性关节炎大鼠血清IFN-γ/IL-4的影响[J].辽宁中医杂志，2020，47（4）：183-186.
[26] 李佳，李柏村，蔡国伟，等.针灸足三里对佐剂性关节炎模型大鼠胃肠动力的调节作用[J].中国组织工程研究，2022，26（26）：4141-4146.
[27] 陈白露，武平，彭麒，等.肾俞、足三里、阳陵泉在类风湿关节炎治疗中的作用探讨[J].辽宁中医杂志，2015，42（6）：1314-1316.
[28] 熊燕，白玉，李媛，等.艾灸对类风湿性关节炎患者血清中VEGF、IL-1β影响的研究[J].中华中医药学刊，2019， 37（1）：142-145.
[29] 白玉，熊燕，王丹，等.针灸治疗类风湿性关节炎的机制及临床疗效[J].西部中医药，2018，31（8）：96-98.