Qiu Rong-Rong, Zhang Hong, Zhao Dong-Feng, Chen Meng-Yang, Li Dan, Tan Jie
College of Acupuncture- Moxibustion and Tuina, Hunan University of CM, Changsha 410208, China.
Zhongguo Zhen Jiu. 2020 Aug 12;40(8):891-6. doi: 10.13703/j.0255-2930.20190708-k0001.
Acupoint selection rules of neurogenic dysphagia treated with acupuncture and moxibustion from pre-Qin to late Qing Dynasty in were analyzed based on data mining. The literature regarding acupuncture and moxibustion for neurogenic dysphagia was searched and screened according to the inclusion and exclusion criteria in (5th Edition), the prescriptions were extracted according to the principle of acupoint extraction.The SPSS 21.0 and Clementine 12.0 were used to perform the cluster analysis and association rule analysis.A total of 191 acupuncture and moxibustion prescriptions were screened and extracted，including 45 acupoints. The top 5 acupoints of acupuncture and moxibustion for neurogenic dysphagia in frequency were Jiache (ST 6), Dicang (ST 4), Lieque (LU 7), Lianquan (CV 23), Shuigou (GV 26). The most involved meridians were the stomach meridian, the governor vessel and the conception vessel. The main acupoints were distributed in the scalp face neck and upper limbs. The most frequently used specific acupoints was crossing points,next was eight confluence points. There were 11 acupoint combinations with strong association according to the association rule analysis, and the top one acupoint combination was Hegu (LI 4)-Jiache (ST 6). There were 9 acupoint cluster groups according to the cluster analysis. Hegu (LI 4), Jiache (ST 6), Dicang (ST 4), Shuigou (GV 26) and Chengjiang (CV 24) were core acupoints for neurogenic dysphagia treated with acupuncture and moxibustion in ancient times, besides，selecting proximal and distal acupoints and selecting acupoints according to symptoms were emphasized.
基于数据挖掘分析了先秦至晚清时期针灸治疗神经性吞咽困难的选穴规律。按照《中医针灸学》（第5版）的纳入与排除标准，检索并筛选关于针灸治疗神经性吞咽困难的文献，依据选穴原则提取方剂。运用SPSS 21.0和Clementine 12.0进行聚类分析和关联规则分析。共筛选提取191首针灸方剂，包含45个穴位。针灸治疗神经性吞咽困难频次排名前5的穴位为颊车（ST 6）、地仓（ST 4）、列缺（LU 7）、廉泉（CV 23）、水沟（GV 26）。涉及最多的经络为胃经、督脉和任脉。主要穴位分布于头面颈部及上肢。最常用的特定穴位是交会穴，其次是八脉交会穴。依据关联规则分析有11组穴位组合关联性较强，其中关联性最强的穴位组合为合谷（LI 4）-颊车（ST 6）。依据聚类分析有9个穴位聚类组。合谷（LI 4）、颊车（ST 6）、地仓（ST 4）、水沟（GV 26）和承浆（CV 24）是古代针灸治疗神经性吞咽困难的核心穴位，此外，强调选取远近配穴及对症选穴。
