基于R语言探讨谷世喆教授针灸治疗抑郁症的特点

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Abstract Objective To disscuss Professor Gu Shizhe’ s acupoint selection and compatibility experience in treating depression by acupuncture and moxibustion based on R language. Methods The medical data of patients with depression admitted to Professor Gu Shizhe’s Outpatient Department of Guoyitang of Beijing University of Chinese Medicine from January 2015 to November 2020, the monograph Knowledge of Needles and Knowledge of Medicine which summarized Professor Gu Shizhe’s experience, and related medical records in Professor Gu Shizhe’s papers published on CNKI were selected. Microsoft Office Excel 2019 was used to construct data database of acupuncture prescription of Professor Gu Shzhe, and R software was used to conduct descriptive analysis, Apriori association rule analysis and hierarchical cluster analysis. Results Professor Gu Shizhe used 86 acupoints for the treatment of depression, with a total of 1601 times. The top seven acupoints in the list of times of use were dànzhōng, sìshéncōng, bǎihuì, nèiguān, shénmén, yìntáng, and tiānshū. The meridians with the highest frequency of use were conception channel, and the selected points were mostly in the four roots and three knots of the meridians. When compatibility pay attention to root knot phase, manifestation and root cause corresponding. The differentiation of zang-fu viscera mainly focused on clearing the heart and calming the mind, and attaches importance to the regulation of liver, gallbladder, spleen and stomach. Association analysis showed that the common acupoint combinations were nèiguān-tiānshū-dànzhōng, xíngjiān-xiáxī-dànzhōng, jiànlǐ-zhōngwǎn-tiānshū, and jiànlǐ-dànzhōng-zhōngwǎn. The results of cluster analysis showed that Professor Gu Shizhe’s thinking on the treatment of depression based on syndrome differentiation was benefiting qi and nourishing yin, invigorating the spleen and calming the heart, clearing the mind and calming the mind, and dispersing stagnated liver qi for promoting bile flow. Conclusion Professor Gu Shizhe use dànzhōng as the main acupuncture point in the treatment of depression. According to syndrome differentiation, the main ideas are benefiting qi and nourishing yin, invigorating the spleen and calming the heart, clearing the mind and calming the mind, and dispersing stagnated liver qi for promoting bile flow.

Key words： Depression R language Data mining Association rules Cluster analysis Regularity of acupoints selection

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	ZHAO Peihan1 LUO Changyong2 WANG Zhaoyang1 CHEN Dan1 CAO Feng1 LI Siting1 GU Shizhe1 YU He2

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ZHAO Peihan1 LUO Changyong2 WANG Zhaoyang1 CHEN Dan1 CAO Feng1 LI Siting1 GU Shizhe1 YU He2. Discussion of the characteristics of Professor Gu Shizhe treating depression by acupuncture and moxibustion based on R language[J]. 中国医药导报, 2021, 18(25): 4-8.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I25/4

[1] Deussing JM，Arzt E. P2X7 receptor：a potential therapeutic target for depression [J]. Trends Mol Med，2018，24：736-747.
[2] 郑雅峰，魏超，王健，等.针灸治疗抑郁症研究进展[J].中医学报，2019，34（4）：732-736.
[3] 梁婷婷，尹平，徐世芬.针灸治疗抑郁症躯体化症状的临床研究概况[J].辽宁中医杂志，2020，47（1）：203-206.
[4] 董莎，姜会梨，王瑜，等.针刺对慢性束缚应激抑郁大鼠海马及前额叶皮层胶质纤维酸性蛋白和血清白介素-10表达的影响[J].针刺研究，2018，43（4）：209-214.
[5] 王浩，谷世喆.运用“七神针”治疗抑郁症临床观察[J].上海针灸杂志，2014，33（6）：501-502.
[6] 谷世喆，徐立鹏，林文建，等.针刺治疗精神神志疾病四法[J].北京中医药大学学报，2000（3）：72-73.
[7] 方旖旎，王琦，李竹青，等.名老中医学术思想传承研究的现状综述[J].环球中医药，2020，13（10）：1818-1822.
[8] 王朝阳，侯中伟，冯永伟.知针知药[M].北京：中国中医药出版社，2015：107-341.
[9] 赵吉平，李瑛.针灸学[M].北京：人民卫生出版社，2016：37-154.
[10] 江开达.精神病学[M].北京：人民卫生出版社，2005：123-124.
[11] 王勇.“脑神”与“心神”辨析[J].山东中医药大学学报，2002，26（5）：333-335.
[12] 延梦圆，冯蓓蕾，陆逸莹，等.曲丽芳心神见解的学术思想述要[J].中华中医药杂志，2019，34（7）：3101-3103.
[13] 黄帝内经灵枢[M].北京：人民卫生出版社，2018：21-22.
[14] 杨明珠.探讨失眠伴抑郁焦虑的证素分布[D].北京：北京中医药大学，2019.
[15] 薛亚静.基于贝叶斯网络技术对焦虑抑郁共病中医证候学规律研究[D].北京：北京中医药大学，2018.
[16] 杨丹，翟双庆.从针灸治疗抑郁症考察经脉与神志关系[J].中国针灸，2013，33（4）：317-320.
[17] 臧颖颖.圣彼得堡中医院抑郁症病例的回顾性研究及针药结合治疗抑郁症临床文献的Meta分析[D].北京：北京中医药大学，2019.
[18] 郑祖艳，杨雪莹，张特.头穴丛刺配合针刺任脉穴治疗广泛性焦虑障碍疗效观察[J].上海针灸杂志，2017，36（10）：1207-1210.
[19] 张辉.从任脉论治失眠[J].河南中医，2012，32（4）：405-406.
[20] 赵京生，张民庆，史欣德.论足六经的特殊意义[J].上海中医药杂志，2000，34（12）：36-37.
[21] 左海燕，吴生兵，吴欣，等.标本、根结、气街理论在经脉脏腑相关中的认识[J].中国针灸，2020，40（12）：1357-1360.
[22] 曹云松，韩振蕴，王育纯，等.心肝同调治疗焦虑与抑郁障碍的探析和经验浅谈[J].环球中医药，2020，13（7）：1221-1224.
[23] 闵敏，柏久莲，马天牧，等.符为民教授从肝论治抑郁障碍相关性失眠临床经验[J].浙江中医药大学学报，2018， 42（12）：1002-1005.
[24] 黄帝内经素问[M].北京：人民卫生出版社，2018：151-152.
[25] 刘枫凤，李瑞.论“独闭户塞牖而处”与抑郁症[J].中国针灸，2018，38（3）：315-318.
[26] 谷世喆.论根结标本气街理论是经络学说的重要内容[J].中国针灸，1996，16（9）：45-49.