Han Peng, Wen Jing, Wu Hui-Hui, Wang Rui-Qing, Shi Jing, Xing Hai-Jiao, Zhang Xiao-Qi, Jia Chun-Sheng, Li Xiao-Feng
College of Acupuncture-moxibustion and Tuina, Hebei University of Chinese Medicine, Shijiazhuang 050200, China.
Basic Medical College, Hebei University of Chinese Medicine, Shijiazhuang 050200, China.
Zhen Ci Yan Jiu. 2022 Feb 25;47(2):171-6. doi: 10.13702/j.1000-0607.20210074.
To analyze the compatible rules of acupoints in the treatment of migraine with acupuncture and moxibustion based on complex network technique so as to provide a reference for composing best acupoint recipes.
Clinical papers about acupuncture treatment of migraine published from January of 2010 to October of 2020 were searched from Chinese and English databases including CNKI, Wanfang, VIP and Pubmed by using keywords of acupuncture, moxibustion and migraine. According to our inclusive and exclusive criteria, the collected papers were screened out to set up a database. The SPSS Modeler 18.0 software was used to analyze the association rules of acupoints, and the Gephi 0.9.2 software was used to conduct a complex network analysis about the compatibility rules of acupoints and their application characteristics of moxibustion and needling methods in the treatment of migraine.
In the end, 572 articles meeting the conclusive criteria were selected, and a total of 1 091 acupoint prescriptions for the treatment of migraine were extracted, including 230 acupoints with a total appea-rance frequency of 7 902. Those acupoints most frequently used were mainly attributed to the Gallbladder Meridian, with Fengchi (GB20) being the highest in the cumulative frequency. The association rule analysis showed that the highest supporting degree acupoints was GB20-Taiyang(EX-HN5). The highest levels of confidence were EX-HN5-Touwei(ST8), GB20-Baihui(GV20), and GB20-ST8. The analysis of complex network topology showed that a total of 17 acupoints including GB20, EX-HN5, Shuaigu(GB8), Taichong(LR3), GV20, Ashi point, etc. were the core node acupoints for acupuncture treatment of migraine.
In the treatment of migraine, the acupoints selected are mainly distributed in the head region. When the specific acupoints chosen, the five Shu acupoints, Yuan (source) acupoints and the confluent acupoints of eight meridians are frequently used. In terms of composing acupoint recipes, the acupoints in the local and distant part of the body are often used in combination. These outcomes may have a certain guiding significance for clinical treatment of migraine.
基于复杂网络技术分析针灸治疗偏头痛的穴位配伍规律，为优化针灸最佳穴位配方提供参考。
通过检索中国知网（CNKI）、万方、维普（VIP）以及PubMed等中英文数据库，以“针灸”“艾灸”“偏头痛”为关键词，检索2010年1月至2020年10月发表的关于针灸治疗偏头痛的临床文献。根据纳入与排除标准，对收集到的文献进行筛选，建立数据库。运用SPSS Modeler 18.0软件分析穴位关联规则，运用Gephi 0.9.2软件对针灸治疗偏头痛的穴位配伍规律及其艾灸、针刺方法应用特点进行复杂网络分析。
最终纳入符合纳入标准的文献572篇，共提取治疗偏头痛的穴位处方1091个，涉及穴位230个，总出现频次为7902次。高频穴位主要归属于足少阳胆经，其中风池（GB20）累计频次最高。关联规则分析显示，支持度最高的穴位组合为GB20-太阳（EX-HN5）。置信度最高的组合为EX-HN5-头维（ST8）、GB20-百会（GV20）、GB20-ST8。复杂网络拓扑分析显示，包括GB20、EX-HN5、率谷（GB8）、太冲（LR3）、GV20、阿是穴等在内的17个穴位是针灸治疗偏头痛的核心节点穴位。
针灸治疗偏头痛时，选穴主要分布于头部。具体选穴时，常选用五输穴、原穴以及八脉交会穴。在组方选穴方面，常采用远近配穴法。这些结果对偏头痛的临床治疗具有一定的指导意义。
