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基于复杂网络技术的穴位埋线治疗单纯性肥胖选穴规律研究

[Regularity of Acupoint Selection for Simple Obesity Treated by Acupoint Catgut Embedding Based on Complex Network Technology].

作者信息

Chen Xia, Huang Wei, Hu Feng, Jin Yi-Ting, Hong Zhe-Hao, Zhou Zhong-Yu

机构信息

Department of Acupuncture and Moxibustion, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan 430061, China; Hubei Academy of Traditional Chinese Medicine, Wuhan 430074.

College of Acupuncture-moxibustion and Orthopedics, Hubei University of Traditional Chinese Medicine, Wuhan 430061.

出版信息

Zhen Ci Yan Jiu. 2018 Sep 25;43(9):585-90. doi: 10.13702/j.1000-0607.170448.

DOI:10.13702/j.1000-0607.170448
PMID:30232869
Abstract

OBJECTIVE

To analyze the core acupoints and acupoint combinations of catgut embedding for simple obesity based on the complex network technology.

METHODS

Articles about acupoint catgut embedding for simple obesity were collec-ted from databases of PubMed, CNKI, Wanfang and VIP from 1980 to 2016 by using keywords "simple obesity" "obesity" "acupoint embedding" "acupuncture" and "traditional Chinese medicine", followed by constructing a database of acupoint prescription. Acupoint node (one node means an acupoint) weighted complex network was constructed by using complex network technique, followed by conducting centrality analysis and clustering analysis about the nodes using Matlab 2014, a software for revealing the core acupoint node and compatibility relations. At last, theresults (complex network diagram) were displayed using software Gephi 0.9.1.

RESULTS

A total of 238 articles (all in Chinese) including 278 acupoints (of which 115 are meridian acupoints) were collected. The top 15 core acupoints are Tianshu (ST 25), Zusanli (ST 36), Zhongwan (CV 12), Fenglong (ST 40), San-yinjiao (SP 6), Quchi (LI 11), Yinlingquan (SP 9), Guanyuan (CV 4), Pishu (BL 20), Qihai (CV 6), Shenshu (BL 23), Shangjuxu (ST 37), Daheng (SP 15), Shuifen (CV 9), and Ganshu (BL 18), mainly distributing in the abdomen, lower limbs and back. Those acupoints with the highest core degree are attributed to the Stomach Meridian, Conception Vessel, Bladder Meri-dian, Spleen Meridian and Large Intestine Meridian. Regarding the compatibility of these acupoints, ST 25 and CV 12 have the highe-st correlation frequency, followed by ST 25 and ST 36, and ST 40 and ST 25, indicating the principle of different combinations being regional acupoints and meridian acupoints.

CONCLUSION

In the treatment of simple obesity with catgut embedding, top 15 core acupoints as ST 25, ST 36, CV 12, ST 40, etc, and acupoint recipes as ST 25 and CV 12, ST 25 and ST 36, ST 40 and ST 25 are most frequently used in clinical practice.

摘要

目的

基于复杂网络技术分析穴位埋线治疗单纯性肥胖症的核心穴位及穴位配伍。

方法

通过使用关键词“单纯性肥胖症”“肥胖症”“穴位埋线”“针灸”及“中医”,从1980年至2016年的PubMed、中国知网、万方和维普数据库中收集关于穴位埋线治疗单纯性肥胖症的文章,随后构建穴位处方数据库。运用复杂网络技术构建穴位节点(一个节点代表一个穴位)加权复杂网络,接着使用Matlab 2014软件对节点进行中心性分析和聚类分析,以揭示核心穴位节点及配伍关系。最后,使用Gephi 0.9.1软件展示结果(复杂网络图)。

结果

共收集到238篇文章(均为中文),包含278个穴位(其中115个为经络穴位)。前15个核心穴位为天枢(ST25)、足三里(ST36)、中脘(CV12)、丰隆(ST40)、三阴交(SP6)、曲池(LI11)、阴陵泉(SP9)、关元(CV4)、脾俞(BL20)、气海(CV6)、肾俞(BL23)、上巨虚(ST37)、大横(SP15)、水分(CV9)、肝俞(BL18),主要分布在腹部、下肢和背部。核心度最高的那些穴位归属于胃经、任脉、膀胱经、脾经和大肠经。关于这些穴位的配伍,ST25与CV12的关联频率最高,其次是ST25与ST36,以及ST40与ST25,表明不同组合的原则是局部穴位和经络穴位。

结论

在穴位埋线治疗单纯性肥胖症中,ST25、ST36、CV12、ST40等前15个核心穴位以及ST25与CV12、ST25与ST36、ST40与ST25等穴位配伍在临床实践中最为常用。

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引用本文的文献

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The Effect of Catgut Embedding at Acupoints Versus Nonacupoints in Abdominal Obesity: Protocol for a Multicenter, Double-Blind, 16-Week Randomized Controlled Trial.穴位埋线与非穴位埋线治疗腹部肥胖的效果:一项多中心、双盲、16周随机对照试验方案
JMIR Res Protoc. 2023 Jul 10;12:e46863. doi: 10.2196/46863.
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Effect of Acupoint Catgut Embedding for Middle-Aged Obesity: A Multicentre, Randomised, Sham-Controlled Trial.穴位埋线治疗中年肥胖症的效果:一项多中心、随机、假手术对照试验
Evid Based Complement Alternat Med. 2022 Feb 27;2022:4780019. doi: 10.1155/2022/4780019. eCollection 2022.
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A Key Node Mining Method Based on Acupoint-Disease Network (ADN): A New Perspective for Exploring Acupoint Specificity.
基于穴位-疾病网络(ADN)的关键节点挖掘方法:探索穴位特异性的新视角。
Evid Based Complement Alternat Med. 2020 Jul 12;2020:6031601. doi: 10.1155/2020/6031601. eCollection 2020.
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A prioritization regimen of the acupuncture treatment for simple obesity: Protocol for systematic review and network meta-analysis.单纯性肥胖症针灸治疗的优先排序方案:系统评价与网状Meta分析方案
Medicine (Baltimore). 2019 Oct;98(43):e17353. doi: 10.1097/MD.0000000000017353.