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Data mining-based acupuncture point selection pattern study for postherpetic neuralgia |
GUO Chenqi1 ZHANG Jianfeng1 ZHANG Yu2#br# |
1.Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;
2.Department of Dermatology, Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine Tianjin Dermatology Institute of Integrated Chinese and Western Medicine, Tianjin 300120, China |
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Abstract Objective To analyze the rules of acupuncture point selection patterns for postherpetic neuralgia (PHN) using data mining techniques. Methods The clinical literature on the treatment of PHN with acupuncture therapy was searched from China Knowledge Network, VIP, Wanfang, and China Biomedical Literature Database from its establishment to December 2021 to establish a database of selected acupuncture point prescriptions, and data mining was performed using SPSS statistical software to analyze the patterns of acupuncture point dispensing. Results A total of 276 acupuncture prescriptions involving 91 acupoints were included, and the most frequently used acupoints were āshì and jiájǐ; the meridians with the most selection were the gallbladder, spleen, and stomach meridians; the combination of acupoints with the highest correlation corresponded to the frequency of selection; through cluster analysis, five clusters could be obtained. Conclusion Acupuncture treatment for PHN is based on āshì acupuncture point and jiájǐ acupuncture point, and acupuncture points are taken according to the site of skin lesion following the meridian, focusing on the combination of local and distal acupuncture points, together with dialectical evidence, in order to achieve the effect of clearing liver and fire, strengthening spleen and dispelling dampness, clearing heat and detoxifying.
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[1] Zhou Q,Wei S,Zhu H,et al. Acupuncture and moxibustion combined with cupping for the treatment of post-herpetic neuralgia:A meta-analysis [J]. Medicine (Baltimore),2021, 100(31):e26785.
[2] Gruver C,Guthmiller KB. Postherpetic Neuralgia [J]. In:StatPearls. Treasure Island (FL):StatPearls Publishing,June 29,2021.
[3] Zhao Y,Ling DY,Zhang J,et al. Effectiveness of acupuncture therapy for postherpetic neuralgia:an umbrella review protocol [J]. BMJ Open,2021,11(5):e043064.
[4] Wang Y,Li W,Peng W,et al. Acupuncture for postherpetic neuralgia:Systematic review and meta-analysis [J]. Medicine (Baltimore),2018,97(34):e11986.
[5] Forbes HJ,Bhaskaran K,Thomas SL,et al. Quantification of risk factors for postherpetic neuralgia in herpes zoster patients:a cohort study [J]. Neurology,2016,87(1):94-102.
[6] Matthews I,Duong M,Parsons VL,et al. Burden of disease from shingles and post-herpetic neuralgia in the over 80 years old in the UK [J]. PLoS One,2020,15(2):e0229224.
[7] Weinke T,Glogger A,Bertrand I,et al. The societal impact of herpes zoster and postherpetic neuralgia on patients,life partners,and children of patients in Germany [J]. Scientific World Journal,2014,2014:749698.
[8] Koshy E,Mengting L,Kumar H,et al. Epidemiology,treatment and prevention of herpes zoster:A comprehensive review [J]. Indian J Dermatol Venereol Leprol,2018,84(3):251-262.
[9] Zou J,Dong X,Wang K,et al. Electroacupuncture Inhibits Autophagy of Neuron Cells in Postherpetic Neuralgia by Increasing the Expression of miR-223-3p [J]. Biomed Res Int,2021,2021:6637693.
[10] 于生元,万有,万琪,等.带状疱疹后神经痛诊疗中国专家共识[J].中国疼痛医学杂志,2016,22(3):161-167.
[11] 沈学勇.经络腧穴学[M].北京:中国中医药出版社,2016.
[12] Yu J,Tu M,Shi Y,et al. Acupuncture therapy for treating postherpetic neuralgia:A protocol for an overview of systematic reviews and meta-analysis [J]. Medicine (Baltimore),2020,99(47):e23283.
[13] 代景娜,王琳琳,付利然.针灸疗法对带状疱疹后遗神经痛患者血清细胞因子和疼痛因子水平的影响[J].广州中医药大学学报,2020,37(7):1292-1297.
[14] 许云祥,郭菡,陈贵珍.阿是穴形成及其镇痛机制探讨[J].辽宁中医药大学学报,2014,16(6):80-82.
[15] 胡明岸,刘迈兰,黄河,等.从阿是穴与穴位敏化的关系探讨针灸治病选穴原则[J].中华中医药杂志,2020,35(11):5477-5479.
[16] Scheyer M,Antonietti E,Rollinger G,et al. Hemorrhoidal artery ligation (HAL) and rectoanal repair (RAR): retrospective analysis of 408 patients in a single center [J]. Tech Coloproctol,2015,19(1):5-9.
[17] 张艳芳,郭义,陈波,等.针灸治疗带状疱疹腧穴配伍规律复杂网络分析[J].辽宁中医杂志,2020,47(2):14-17.
[18] 仉会玉,秦晓光,雒明栋.华佗夹脊穴临床应用研究进展[J].中医药学报,2020,48(1):67-71.
[19] 唐毅,郑全成,黄建福,等.针刺联合自制穴位贴对带状疱疹后遗神经痛血脉瘀阻证患者疗效与安全性的影响[J].湖南中医药大学报,2022,42(2):265-270.
[20] 黎宗武,敖秋艳,黄小莲,等.中医多模式镇痛治疗带状疱疹后遗神经痛的疗效及对预后的影响[J].世界中西医结合杂志,2021,16(10):1778-1782.
[21] 刘美君,赖劲东,张伟.早期应用夹脊穴穴位注射治疗胸腰部带状疱疹神经痛的有效性和安全性研究[J].中华中医药杂志,2021,36(7):4402-4404.
[22] 田代华.灵枢经[M].北京:人民卫生出版社,2005:11-40.
[23] 韩宪伟,李然,王雪峰.基于叶天士经络理论探讨带状疱疹各阶段病机特点[J].中国中医基础医学杂志,2019, 25(11):1502-1503,1551. |
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