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基于关联规则和熵聚类的癌痛选穴规律研究

[Rule of acupoint selection for cancer pain based on association rule and entropy clustering].

作者信息

Tang Cui-Juan, Rong Zhen, Yang Meng-Na, Hong Xiao-Hua, Wang Tong-Biao

机构信息

Graduate School of Guangxi University of CM, Nanning 530200, China.

First Affiliated Hospital of Guangxi University of CM, Nanning 530000.

出版信息

Zhongguo Zhen Jiu. 2020 Mar 12;40(3):331-6. doi: 10.13703/j.0255-2930.20190311-0001.

Abstract

OBJECTIVE

To analyze the rule of acupoint selection for cancer pain based on data mining.

METHODS

The published literature regarding acupuncture for cancer pain in the recent 10 years was searched in PubMed, CNKI, VIP and Wanfang database. The acupoint selection was summarized and analyzed by TCMISS V2.5.

RESULTS

Totally 68 literature was collected and 73 acupoint prescriptions were included, involving 117 acupoints. These acupoints were mainly in bladder meridian, stomach meridian, liver meridian and spleen meridian. Among them, 40 acupoints used more than 4 times were identified, and the top three acupoints were Zusanli (ST 36, 65 times), Neiguan (PC 6, 55 times) and Taichong (LR 3, 50 times). A total of 68 acupoint combinations used more than 19 times were identified, and the top three acupoint combinations were Zusanli (ST 36)-Neiguan (PC 6), Taichong (LR 3)-Zusanli (ST 36) and Zusanli (ST 36)-Sanyinjiao (SP 6). There were 103 acupoint combinations with strong association; based on the entropy clustering algorithm, 20 new acupoint combinations and 10 new acupoint prescriptions were obtained.

CONCLUSION

The main meridians for cancer pain are bladder meridian, stomach meridian, liver meridian and spleen meridian, with Zusanli (ST 36), Neiguan (PC 6), Taichong (LR 3), Hegu (LI 4), Sanyinjiao (SP 6) and points as core acupoints, and regulating spleen-stomach and treating -blood are the main principles.

摘要

目的

基于数据挖掘分析癌症疼痛的选穴规律。

方法

检索PubMed、中国知网(CNKI)、维普资讯(VIP)和万方数据库中近10年发表的关于针刺治疗癌症疼痛的文献。采用中医传承辅助平台V2.5对选穴进行总结分析。

结果

共收集文献68篇,纳入穴位处方73首,涉及穴位117个。这些穴位主要分布在膀胱经、胃经、肝经和脾经。其中,筛选出使用频次超过4次的穴位40个,使用频次排名前三的穴位为足三里(ST36,65次)、内关(PC6,55次)和太冲(LR3,50次)。共筛选出使用频次超过19次的穴位组合68个,使用频次排名前三的穴位组合为足三里(ST36)-内关(PC6)、太冲(LR3)-足三里(ST36)和足三里(ST36)-三阴交(SP6)。存在强关联的穴位组合103个;基于熵聚类算法,得到20个新的穴位组合和10个新的穴位处方。

结论

癌症疼痛的主要经络为膀胱经、胃经、肝经和脾经,以足三里(ST36)、内关(PC6)、太冲(LR3)、合谷(LI4)、三阴交(SP6)等穴位为核心穴位,调脾胃、治气血为主要原则。

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