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| Analysis of acupoint selection rules in acupuncture treatment of anal prolapse in Chinese Medical Canon |
| ZHOU Jiaojiao LI Huashan▲ |
| Department of Anorectal, Guang′anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China |
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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.
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