针灸治疗强直性脊柱炎处方用穴规律研究
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摘要
目的:运用中医医案知识服务与共享系统(V1.2.8),挖掘并分析针灸治疗强直性脊柱炎(AS)的取穴规律。方法:计算机检索自1990年1月1日至2018年1月1日中国知识资源总库(CNKI)、中文科技期刊数据库(重庆维普)、中国学术期刊数据库(万方数据)系统中搜索的核心期刊中有关针灸治疗AS的文献,选用Excel 2007建立数据库,并录入"中医医案知识服务与共享系统"(V1.2.8),采用系统中的频次分析、穴对分析、关联分析、核心处方分析等方法进行数据挖掘。结果:共收集针灸处方104首,涉及腧穴113个,取穴总频次926次。取穴频次最高的腧穴为夹脊(67次,65.05%)。高频穴对有肾俞-夹脊、大椎-夹脊、大椎-腰阳关、腰阳关-夹脊、足三里-夹脊等。并组合有主要核心处方和次要核心处方。结论:根据中医医案知识服务与共享系统(V1.2.8)分析总结的针灸治疗AS取穴规律可用于指导临床治疗,取穴以督脉穴位为主,仍需结合临床实践,随病情加减。
Objective:T o explore and analyze the acupoint selection rules of acupuncture and moxibustion treatment of ankylosing spondylitis(AS) by using traditional Chinese medicine(TCM) case knowledge service and sharing system(V1.2.8). Method:Literatures about acupuncture and moxibustion treatment of AS spondylitis in Chinese knowledge resources database(CNKI),Chinese scientific journal database(Chongqing Weipu),China Science Periodical Database(Wanfang Data System) from January 1,1990 to January 1,2018 were reviewed by using computer retrieval. Excel 2007 was applied to establish database,and the literature was put in "TCM case knowledge service and sharing system"(V1.2.8),and data mining was conducted by means of frequency analysis,acupoint pair analysis,association analysis,core prescription analysis and other methods in the system. Results:A total of 104 acupuncture and moxibustion prescriptions were collected,involving 113 acupoints and 926 times in the total frequency of acupoints. The acupoints with the highest frequency was Jiaji(EX-B2,67 times,65.05%).The high frequency acupointpair were Shenshu(BL23)-Jiaji(EX-B2),Dazhui(GV14)-Jiaji(BL23),Dazhui(GV14)-Yaoyangguan(GV3),Yaoyangguan(GV3)-Jiaji(EX-B2),Zusanli(ST36)-Jiaji(EX-B2) etc.,which were combined with the main core prescription and the secondary core prescription. Conclusion:The acupoint selection rules in acupuncture and moxibustion treatment of ankylosing spondylitis analysed by TCM case knowledge service and sharing system(V1.2.8) can be used to guide clinical treatment. The Acupoints are mainly located on Du meridian points. But the acupoints selection still needs to be combined with practice and the condition of the disease.
Objective:T o explore and analyze the acupoint selection rules of acupuncture and moxibustion treatment of ankylosing spondylitis(AS) by using traditional Chinese medicine(TCM) case knowledge service and sharing system(V1.2.8). Method:Literatures about acupuncture and moxibustion treatment of AS spondylitis in Chinese knowledge resources database(CNKI),Chinese scientific journal database(Chongqing Weipu),China Science Periodical Database(Wanfang Data System) from January 1,1990 to January 1,2018 were reviewed by using computer retrieval. Excel 2007 was applied to establish database,and the literature was put in "TCM case knowledge service and sharing system"(V1.2.8),and data mining was conducted by means of frequency analysis,acupoint pair analysis,association analysis,core prescription analysis and other methods in the system. Results:A total of 104 acupuncture and moxibustion prescriptions were collected,involving 113 acupoints and 926 times in the total frequency of acupoints. The acupoints with the highest frequency was Jiaji(EX-B2,67 times,65.05%).The high frequency acupointpair were Shenshu(BL23)-Jiaji(EX-B2),Dazhui(GV14)-Jiaji(BL23),Dazhui(GV14)-Yaoyangguan(GV3),Yaoyangguan(GV3)-Jiaji(EX-B2),Zusanli(ST36)-Jiaji(EX-B2) etc.,which were combined with the main core prescription and the secondary core prescription. Conclusion:The acupoint selection rules in acupuncture and moxibustion treatment of ankylosing spondylitis analysed by TCM case knowledge service and sharing system(V1.2.8) can be used to guide clinical treatment. The Acupoints are mainly located on Du meridian points. But the acupoints selection still needs to be combined with practice and the condition of the disease.
引文
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[3]古丽娜尔·哈衣努拉. 146例强直性脊柱炎患者采用中医针灸综合疗法的临床疗效分析[J].世界最新医学信息文摘,2015,15(90):56-57.
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[14]姚怡.刺络拔罐并温针治疗强直性脊柱炎临床疗效观察[J].陕西中医,2011,32(6):735-737.
[15]陈如宽,杨继国.督灸配合广播体操治疗强直性脊柱炎35例临床观察[J].湖南中医杂志,2016,32(3):100-101.
[16]董甜甜,庞亚铮,孙春全,等.督灸配合点刺放血法治疗强直性脊柱炎38例临床观察[J].辽宁中医杂志,2016,43(11):2377-2378.
[17]衣华强.针灸治疗强直性脊柱炎研究进展[J].山东中医杂志,2014,33(2):157-159.
[18]齐昌菊.温针灸治疗强直性脊柱炎临床观察[J].上海针灸杂志,2009,28(9):541-542.
[19]余青,钟兰,王钰珏.针灸治疗强直性脊柱炎取穴规律现代文献研究[J].江苏中医药,2013,45(7):61-62.
[20]曹成军.腰痛经络辨治的文献研究[D].北京:北京中医药大学:2009:13.
[21]裴蕾,戴晓矞.风池穴临床应用综述[J].新疆中医药,2014,32(2):84-88.
[22]陈胜燕,任昌菊.排刺温针配合超短波治疗强直性脊柱炎疗效观察[J].辽宁中医药大学学报,2014,12(16):187-189.
[23]陈小丽,岳增辉,刘丽,等.足三里的古今应用与研究[J].针灸临床杂志,2016,32(7):80-83.
[24]赵鹏飞.委中穴的临床应用举隅[J].中医临床研究,2015,7(4):136-139.
[25]涂新生.中医针灸综合治疗强直性脊柱炎的临床研究[J].中国实用医药,2015,17(6):209-210.
[26]梁栋荣.中医针灸综合疗法强直性脊柱炎的效果分析[J].河南中医,2015,35(2):388-390.
[27]刘晓亚,刘维,杨晓砚,等.中医辨证配合针灸治疗活动期强直性脊柱炎40例[J].中国中医急症,2014,23(7):1366-1368.
[28]李巧如.特定性合用治疗强直性脊柱炎[J].中医临床研究,2014,6(11):46-47.
[29]郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:120.
[30]张英泽.从循经辨证谈强直性脊柱炎的分型论治[J].北京中医药大学学报,2005,6(28):86-88.
[2]杨继国,林国钦.督灸配合针刺对强直性脊柱炎止痛作用的临床观察[J].山东中医杂志,2012,31(2):119-120.
[3]古丽娜尔·哈衣努拉. 146例强直性脊柱炎患者采用中医针灸综合疗法的临床疗效分析[J].世界最新医学信息文摘,2015,15(90):56-57.
[4]祝远远,刘更生.基于古代医案的中医临证思维训练系统的设计与实现[J].世界中西医结合杂志,2016,11(8):1162-1165.
[5]于琦,王映辉,李敬华.中医名医医案分析系统研究[J].中国数字医学,2015,10(3):51-53.
[6]于琦,李敬华,李宗友,等.基于本体的中医医案知识服务与共享系统构建研究[J].中国数字医学,2017,12(3):103-105.
[7]曹存根.面向专家的知识获取[M].北京:科学出版社,1998:13.
[8]衷敬柏.研究医案是学习医家经验的途径[J].北京中医药大学学报,2013,20(5):12-13.
[9]孙春全,李金玲,庞亚铮,等.强直性脊柱炎名医医案用药规律研究[J].国际中医中药杂志,2017,39(9):807-810.
[10]东贵荣,马铁明.刺法灸法学[M].北京:中国中医药出版社,2012:14.
[11]许能贵,胡玲.经络腧穴学[M].北京:人民卫生出版社,2016:134.
[12]刘源香,孙春全,杨继国.针灸治疗阿尔茨海默病取穴规律研究[J].中国中医药信息杂志,2017,24(10):90-93.
[13]高雅贤,刘学霞,靳建宁,等.补肾强督通痹汤配合针灸治疗强直性脊柱炎41例[J].陕西中医,2008,29(12):1628-1629.
[14]姚怡.刺络拔罐并温针治疗强直性脊柱炎临床疗效观察[J].陕西中医,2011,32(6):735-737.
[15]陈如宽,杨继国.督灸配合广播体操治疗强直性脊柱炎35例临床观察[J].湖南中医杂志,2016,32(3):100-101.
[16]董甜甜,庞亚铮,孙春全,等.督灸配合点刺放血法治疗强直性脊柱炎38例临床观察[J].辽宁中医杂志,2016,43(11):2377-2378.
[17]衣华强.针灸治疗强直性脊柱炎研究进展[J].山东中医杂志,2014,33(2):157-159.
[18]齐昌菊.温针灸治疗强直性脊柱炎临床观察[J].上海针灸杂志,2009,28(9):541-542.
[19]余青,钟兰,王钰珏.针灸治疗强直性脊柱炎取穴规律现代文献研究[J].江苏中医药,2013,45(7):61-62.
[20]曹成军.腰痛经络辨治的文献研究[D].北京:北京中医药大学:2009:13.
[21]裴蕾,戴晓矞.风池穴临床应用综述[J].新疆中医药,2014,32(2):84-88.
[22]陈胜燕,任昌菊.排刺温针配合超短波治疗强直性脊柱炎疗效观察[J].辽宁中医药大学学报,2014,12(16):187-189.
[23]陈小丽,岳增辉,刘丽,等.足三里的古今应用与研究[J].针灸临床杂志,2016,32(7):80-83.
[24]赵鹏飞.委中穴的临床应用举隅[J].中医临床研究,2015,7(4):136-139.
[25]涂新生.中医针灸综合治疗强直性脊柱炎的临床研究[J].中国实用医药,2015,17(6):209-210.
[26]梁栋荣.中医针灸综合疗法强直性脊柱炎的效果分析[J].河南中医,2015,35(2):388-390.
[27]刘晓亚,刘维,杨晓砚,等.中医辨证配合针灸治疗活动期强直性脊柱炎40例[J].中国中医急症,2014,23(7):1366-1368.
[28]李巧如.特定性合用治疗强直性脊柱炎[J].中医临床研究,2014,6(11):46-47.
[29]郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:120.
[30]张英泽.从循经辨证谈强直性脊柱炎的分型论治[J].北京中医药大学学报,2005,6(28):86-88.
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