Zheng Ling, Liu Xin-Yi, Lin Lei, Zhou Deng-Fang, Hu Yan-Qun
Department of Acupuncture and Massage of Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine of Chinese Academy of Medical Sciences, Beijing 100730, China.
The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029.
Zhen Ci Yan Jiu. 2023 Mar 25;48(3):305-10. doi: 10.13702/j.1000-0607.20211295.
To analyze the regularity of acupoint selection, and compatibility of acupuncture in the treatment of postpartum depression.
Articles both in English and Chinese published in databases of CNKI, Wanfang, VIP, Chinese biomedical literature database (SinoMed), PubMed, Embase, Cochrane Library from the inception to February of 2021 were retrieved by using key words "acupuncture" or "moxibustion" or "electroacupuncture" or "acupoint application" or " acupoint burying" or "acupoint injection" or "fire needling" and "postpartum depression" or "puerperal depression". The frequencies of selected acupoints and meridians were counted by using data mining technology, and the points with high frequency were analyzed by cluster analysis.
A total of 42 articles were included, containing 65 prescriptions and 80 points. The highest frequency of acupoints were Baihui (GV20), Sanyinjiao (SP6), Taichong (LR3), Neiguan (PC6), Zusanli (ST36) and Shenmen (HT7). The most frequently selected channels were Bladder Meridian, Governor Meridian and Liver Meridian. Among the specific points, intersection points, five- points, yuan-source points and back- points were widely used. Through cluster analysis, four effective cluster groups ［GV20-SP6, LR3-PC6, Xinshu (BL15)-Ganshu (BL18)-Pishu (BL20)-Guanyuan (CV4), Hegu (LI4)-Qihai(CV6)-Qimen (LR14)］ were obtained, as well as a group of main points (GV20-SP6-LR3-PC6-ST36-HT7) and two groups of matching points ［LI4-CV6-LR14 and BL15-BL18-BL20-CV4-Sishencong (EX-HN1)］.
Through data mining technology, this paper summarized the acupoint selection and compatibility law of acupuncture in the treatment of postpartum depression, focusing on regulating Qi, blood and spirit, so as to provide reference for guiding the clinical acupuncture treatment and scientific research of postpartum depression.
分析针刺治疗产后抑郁症的选穴规律及配伍情况。
通过检索中国知网（CNKI）、万方、维普、中国生物医学文献数据库（SinoMed）、PubMed、Embase、Cochrane图书馆中自建库至2021年2月发表的中英文文献，检索词为“针刺”“艾灸”“电针”“穴位贴敷”“穴位埋线”“穴位注射”“火针”及“产后抑郁症”“产褥期抑郁症”。采用数据挖掘技术统计所选穴位及经络的频次，并对高频穴位进行聚类分析。
共纳入42篇文献，包含65个处方、80个穴位。穴位频次最高的为百会（GV20）、三阴交（SP6）、太冲（LR3）、内关（PC6）、足三里（ST36）、神门（HT7）。最常选用的经络为膀胱经、督脉和肝经。在特定穴中，交会穴、五输穴、原穴、背俞穴被广泛应用。通过聚类分析，得到4个有效聚类组［百会（GV20）-三阴交（SP6）、太冲（LR3）-内关（PC6）、心俞（BL15）-肝俞（BL18）-脾俞（BL20）-关元（CV4）组、合谷（LI4）-气海（CV6）-期门（LR14）组］，以及一组主穴（百会（GV20）-三阴交（SP6）-太冲（LR3）-内关（PC6）-足三里（ST36）-神门（HT7））和两组配穴组［合谷（LI4）-气海（CV6）-期门（LR14）组和心俞（BL15）-肝俞（BL18）-脾俞（BL20）-关元（CV4）-四神聪（EX-HN1）组］。
本文通过数据挖掘技术总结了针刺治疗产后抑郁症的选穴及配伍规律，注重调气、血、神，为指导产后抑郁症的临床针刺治疗及科研提供参考。
