基于R语言数据挖掘技术探析王乐亭教授治疗中风的临床用穴特点

doi:10.20047/j.issn1673-7210.2023.02.02

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Abstract Objective To explore the clinical acupoint characteristics, acupoint selection rule, and prescription characteristics of Professor Wang Leting in treating apoplexy. Methods From November 2018 to February 2020, Professor Wang Leting’s medical record study was carried out. A total of 54 acupuncture and moxibustion prescriptions were collected and recorded in the medical records of Beijing Hospital of Traditional Chinese Medicine from January 1961 to November 1963. The frequency analysis, association rule analysis, and cluster analysis were carried out by the reusable data mining tools developed by our research office. Results Professor Wang Leting used 45 acupoints in the treatment of stroke, with a total frequency of 490 times. The most used acupoints were Hégǔ (48 times), Bǎihuì (44 times), Yánglíngquán (41 times), Qūchí (40 times), and Zúsānlǐ (34 times). The most frequently used meridians are Yangming large Intestine Channel of hand, Shaoyang Gallbladder channel of foot and governor channel. The number of specific acupoints was 32, accounting for 71.1% of the total number of meridian points, and the total frequency of use was 578 times. The number and frequency of acupoints used at the intersection point was the highest (177 times), followed by the five-shu point (152 times), the yuan-primary point (57 times), the eight influential point (52 times), and the Luo -Connecting point (50 times). The results of association rules showed that in the treatment of stroke, the highest degree of acupoint correlation was Sǎnyīnjiǎo→Zúsǎnlǐ, Baǐhuì→Fēngfǔ. The clustering results showed that there were three kinds of acupoint combinations. Conclusion Based on real medical records, this study analyzed the acupoint characteristics and prescription characteristics of Professor Wang Leting in the treatment of stroke through data mining technology, and found that the rule of acupoint selection was in line with the prescription of “twelve needles on hands and feet”, paid attention to the adjustment of the overall function of patients, and at the same time with the “opening the body and awakening the spirit”, to improve the symptoms of dizziness. Professor Wang Leting, as the founding figure of modern acupuncture prescriptions, can express and inherit his academic thoughts through acupuncture prescriptions.

Key words： Stroke Wang leting Acupuncture Data mining R language

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	GUAN Zijin1 FAN Xueming2 WANG Linpeng1 ZHAO Yin1 DU Kun1 WANG Peng1

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GUAN Zijin1 FAN Xueming2 WANG Linpeng1 ZHAO Yin1 DU Kun1 WANG Peng1. Analysis of clinical acupoint characteristics by Professor Wang Leting in stroke treatment based on R language data mining technology [J]. 中国医药导报, 2023, 20(2): 11-15,25.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.02.02 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I2/11

[1] Campbell B，Khatri P. Stroke [J]. Lancet，2020，396（10244）：129-142.
[2] Campbell B，De Silva DA，Macleod MR，et al. Ischaemic stroke [J]. Nat Rev Dis Primers，2019，5（1）：70.
[3] Esenwa C，Gutierrez J. Secondary stroke prevention：challenges and solutions [J]. Vasc Health Risk Manag，2015，11：437-450.
[4] Yonemoto N. Global burden of 369 diseases and injuries in 204 countries and territories，1990-2019：a systematic analysis for the Global Burden of Disease Study 2019 [J]. Lancet，2020，396（10258）：1204-1222.
[5] 北京中医医院编.金针王乐亭[M].北京：北京出版社，1984.
[6] 刘华.中医综合治疗缺血性脑卒中疗效的Meta分析[J].中西医结合心脑血管病杂志，2019，17（24）：3898-3904.
[7] 刘家庆，刘桐言，向云，等.针刺对中风急性期疗效的Meta分析[J].康复学报，2018，28（3）：62-67.
[8] 谢雨龙，付思思，余兆安，等.针刀治疗中风后痉挛性偏瘫的Meta分析[J].中医药临床杂志，2020，32（7）：1274- 1278.
[9] 杜凯，努娜，沈燕，等.金针王乐亭治疗中风病学术思想探寻[J].中国针灸，2018，38（6）：637-640.
[10] 石学敏.针灸学[M].北京：中国中医药出版社，2007.
[11] 管子金，樊雪鸣，王鹏，等.基于R语言的王乐亭教授针灸治疗肝区痛特点探析[J].世界中医药，2020，15（10）：1418-1422，1428.
[12] 王琼，杨明杰，闫润珍.大规模数据库中关联规则的发现与研究[J].科技经济导刊，2020，28（34）：41-42.
[13] 郑一，郭鹤，张欢，等.基于聚类分析和关联规则探讨于睿教授治疗高脂血症的用药规律[J].中华中医药学刊，2021，39（3）：129-134.
[14] 张惜燕，邢玉瑞.论中风病因病机理论及其层级划分[J].山东中医杂志，2019，38（5）：418-421.
[15] 代玉，张曦旭，范冬梅.补阳还五汤辅助针灸治疗中风对患者神经功能及运动功能的影响[J].当代医学，2021， 27（1）：38-40.
[16] 周仲瑛.中医内科学新世纪[M].北京：中国中医药出版社，2007.
[17] 卢梦叶，徐天成，顾一煌.原穴应用于脏腑诊断的理论探寻[J].中华中医药杂志，2020，35（7）：3575-3577.
[18] 景苗苗，曾芳.心包代心受邪浅析[J].山东中医杂志，2015，34（9）：720-721.
[19] 王桂玲，程金莲，孙敬青.金针王乐亭治疗中风病经验[J].北京中医药，2012，31（1）：23-25.
[20] 王新伟，张虎，丁潇，等.“手足十二针”对脑梗死恢复期气虚血瘀证偏瘫患者生活质量的影响[J].世界中西医结合杂志，2020，15（9）：1684-1687.
[21] 王雅惠，王丽平，陆梦馨，等.基于“形神同调”理论浅析手足十二针在中风病治疗中的临床应用[J].中医杂志，2022，63（4）：327-331.
[22] 郭鹏.“手足十二针”配合常规取穴治疗失眠的临床疗效观察[D].北京：北京中医药大学，2018.
[23] 黄建梅，程金莲，武春华，等.手足十二针疗法改善中风患者神经功能及日常生活能力的效果[J].内蒙古中医药，2021，40（10）：92-94.
[24] 旷徐，范文娟，陈晓伟，等.《针灸大成》中合谷穴的主治、配穴规律研究[J].中国医药导报，2020，17（29）：147-150.
[25] 崔红生，毕伟博. 论少阳主枢及其临床意义[J].中华中医药杂志，2016，31（9）：3433-3438.