Zhang Wei, Tan Zhigao, Cao Juanshu, Gong Houwu, Qin Zuoai, Zhong Feng, Cao Yue, Wei Yanrong
Zhongguo Zhen Jiu. 2015 Dec;35(12):1299-303.
Based on ancient literature of acupuncture in Canon of Chinese Medicine (4th edition), the articles regarding acupuncture for urinary incontinence were retrieved and collected to establish a database. By Weka data mining software, the multi-level association rules analysis method was applied to analyze the acupoints selection characteristics and rules of ancient acupuncture for treatment of urinary incontinence. Totally 356 articles of acupuncture for urinary incontinence were collected, involving 41 acupoints with a total frequency of 364. As a result, (1) the acupoints in the yin-meridian of hand and foot were highly valued, as the frequency of acupoints in yin-meridians was 2.6 times than that in yang-meridians, and the frequency of acupoints selected was the most in the liver meridian of foot-jueyin; (2) the acupoints in bladder meridian of foot-taiyang were also highly valued, and among three yang-meridians of foot, the frequency of acupoints in the bladder meridian of foot-taiyang was 54, accounting for 65.85% (54/82); (3) more acupoints selected were located in the lower limbs and abdomen; (4) specific acupoints in above meridians were mostly selected, presenting 73.2% (30/41) to the ratio of number and 79.4% (289/364) to the frequency, respectively; (5) Zhongji (CV 3), the front-mu point of bladder meridian, was seldom selected in the ancient acupuncture literature, which was different from modern literature reports. The results show that urinary incontinence belongs to external genitalia diseases, which should be treated from yin, indicating more yin-meridians be used and special acupoints be focused on. It is essential to focus inheritance and innovation in TCM clinical treatment, and applying data mining technology to ancient literature of acupuncture could provide classic theory basis for TCM clinical treatment.
依据《中医大典》（第4版）中有关针灸的古代文献，检索并收集关于针灸治疗尿失禁的文章以建立数据库。通过Weka数据挖掘软件，应用多层次关联规则分析方法来分析古代针灸治疗尿失禁的选穴特点及规律。共收集到356篇针灸治疗尿失禁的文章，涉及41个穴位，总频次为364次。结果显示：（1）手足阴经穴位备受重视，阴经穴位频次是阳经穴位的2.6倍，其中足厥阴肝经选穴频次最多；（2）足太阳膀胱经穴位也备受重视，在足三阳经中，足太阳膀胱经穴位频次为54次，占65.85%（54/82）；（3）选穴较多的部位集中在下肢和腹部；（4）上述经络特定穴位被选频次较高，穴位数量占比73.2%（30/41），频次占比79.4%（289/364）；（5）膀胱经募穴中极（CV 3）在古代针灸文献中较少被选用，这与现代文献报道不同。结果表明，尿失禁属于前阴疾病，应从阴论治，提示临床多用阴经、注重特定穴位。中医临床治疗应注重传承与创新，将数据挖掘技术应用于古代针灸文献可为中医临床治疗提供经典理论依据。
