Li Meng-Ling, Zhang Zhen-Ling, Jia Hong-Ling, Zhang Yong-Chen
College of Acupuncture-moxibustion and Tuina, Shandong University of Traditional Chinese Medicine, Jinan 250014, China.
School of Computer Science, Liaocheng University, Liaocheng 252059, Shandong Province.
Zhen Ci Yan Jiu. 2022 Feb 25;47(2):177-84. doi: 10.13702/j.1000-0607.20210096.
To explore the dominant indications and laws of acupoint compatibility of Yinbai (SP1) by using modern statistics and data mining techniques.
Literature about indications and acupoint prescriptions of SP1 published before October of 1949 were retrieved from books (5 edition) and , and those published from October 1 of 1949 to January of 2021 retrieved from databa-ses of CNKI, Wanfang, VIP, CBM, Web of Science and Pubmed by using key words of Yinbai (SP1),"Guilei"(),"Guiyan"() and Jing (Well)-point of Spleen Meridian, followed by screening the data and establishing a SQL Server database after standardized processing. Then, the descriptive analysis, clustering analysis and association rule analysis were conducted by using Gephi visualization software, SPSS Statistics 25.0 and SPSS Modeler, separately.
Before October of 1949, the single SP1 acupoint was usually used to treat 12 types of diseases (mainly the internal diseases as asthma, abdominal distension, vomiting, etc.), and the compound prescriptions of SP1 were usually used to treat 20 types of diseases (mainly the internal diseases as insomnia and dreamful sleep, blood syndrome, etc.), and its adjunct acupoints belong to the first three meridians: the Foot Yangming Stomach Meridian, Foot Taiyang Bladder Meridian and Foot Taiyin Spleen Meridian. After October of 1949, the single SP1 was used to dominantly treat 2 types of diseases (mainly the gynecological diseases as metrorrhagia and metrostaxis, and hypermenorrhea, etc.), and the compound prescriptions of SP1 were frequently used to treat 10 diseases (metrorrhagia and metrostaxis, sequela of apoplexy, mental disorders, insomnia and dreamful sleep, etc.), and the adjunct acupoints of compound prescriptions belong to the first three meridians, namely the Foot Taiyin Spleen Meridian, Concept Vessel and Foot Yangming Stomach Meridian. Before and after October of 1949, the adjunct acupoints with the highest degree of correlation were Lidui (ST45), Shaoshang(LU11), Zusanli(ST36), Sanyinjiao (SP9), and Guanyuan (CV4). Cluster analysis showed that 9 effective clusters obtained may be used as potential prescriptions of SP1, and association rule analysis displayed that the first three strongly connected acupoint matching groups were: SP1-ST45, SP1-LU11, and SP1-ST36 frequently used before October of 1949, and SP1-SP9, SP1-ST36 and SP1-CV4 employed after October of 1949.
Data mining technology reveals that acupoint SP1 alone is mainly used to treat internal diseases before 1949, and gynecological diseases after 1949; and compound acupoint recipes of SP1 are mainly to treat the internal diseases before 1949, and the gynecological diseases and mental disorders after 1949 in China. The frequently employed adjunct acupoints of SP1 are ST45, LU11, ST36, SP9 and CV4 both before and after 1949.
运用现代统计学及数据挖掘技术,探讨隐白穴(SP1)的主治病症及穴位配伍规律。
从1949年10月以前出版的书籍(第5版)中检索有关SP1主治病症及穴位处方的文献,并通过使用关键词“隐白(SP1)”“归类”“归验”以及脾经井穴,从中国知网、万方、维普、中国生物医学文献数据库、Web of Science和Pubmed数据库中检索1949年10月1日至2021年1月发表的相关文献,对数据进行筛选并标准化处理后建立SQL Server数据库。然后,分别使用Gephi可视化软件、SPSS Statistics 25.0和SPSS Modeler进行描述性分析、聚类分析和关联规则分析。
1949年10月以前,单穴SP1通常用于治疗12种疾病(主要为内科疾病,如哮喘、腹胀、呕吐等),SP1的复方通常用于治疗20种疾病(主要为内科疾病,如失眠多梦、血症等),其配穴所属前三经脉为足阳明胃经、足太阳膀胱经和足太阴脾经。1949年10月以后,单穴SP1主要用于治疗2种疾病(主要为妇科疾病,如崩漏、月经过多等),SP1的复方常用于治疗10种疾病(崩漏、中风后遗症、精神障碍、失眠多梦等),复方的配穴所属前三经脉为足太阴脾经、任脉和足阳明胃经。1949年10月前后,相关性最高的配穴为厉兑(ST45)、少商(LU11)、足三里(ST36)、三阴交(SP9)和关元(CV4)。聚类分析显示,得到的9个有效聚类可作为SP1的潜在处方,关联规则分析表明,1949年10月以前常用的前三强关联穴位配伍组为:SP1-ST45、SP1-LU11、SP1-ST36,1949年10月以后常用的为SP1-SP9、SP1-ST36和SP1-CV4。
数据挖掘技术显示,中国1949年以前单穴SP1主要用于治疗内科疾病,1949年以后主要用于治疗妇科疾病;1949年以前SP1的复方穴位配方主要治疗内科疾病,1949年以后主要治疗妇科疾病和精神障碍。1949年前后,SP1常用的配穴均为ST45、LU11、ST36、SP9和CV4。