College of Acupuncture-moxibustion and Tuina, Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi Province, China.
Key Laboratory of Acupuncture and Medicine in Shaanxi Province, Xianyang 712046, Shaanxi Province.
Zhen Ci Yan Jiu. 2024 Mar 25;49(3):315-323. doi: 10.13702/j.1000-0607.20221382.
OBJECTIVES: To analyze the rules of acupoint selection and compatibility of acupuncture and moxibustion in treatment of inflammatory bowel disease (IBD) based on complex network technology and provide the reliable evidences for acupoint selection in treatment of this disease with acupuncture and moxibustion. METHODS: The clinical studies on acupuncture-moxibustion treatment of IBD were searched from the databases including CNKI, Wanfang, VIP, PubMed and Embase. The studies were screened and the acupoint prescriptions were extracted to set up the database of acupuncture-moxibustion treatment for IBD. Using Microsoft Excel 2021 software, the use times of acupoint, the use frequency (%) of acupoint, meridian tropism and the use of special point were imported. With SPSS Modeler 18.0 software adopted, the association rules were analyzed on the acupoint prescriptions. The acupoint co-occurrence network diagram, k-core network diagram, and community analysis diagram were drawn by Gephi 0.9.5 software. RESULTS: A total of 156 studies were included, composed of 175 acupoint prescriptions, 75 acupoints, with 1 378 use times in total and around 8 acupoints in one prescription. Regarding the top use frequency, Tianshu (ST25), Zusanli (ST36), Guanyuan (CV4), Zhongwan (CV12) and Pishu (BL20) were listed. The top meridians involved were the foot- stomach meridian, the foot- bladder meridian and the Conception Vessel. The front- point had been used with the highest frequency among the special points. ST36 and ST25 were a pair of points with the highest frequency in treatment. The k-core hierarchical analysis was adopted to optimize acupoint prescriptions, and 22 core acupoints were obtained, i.e. ST25, ST36, CV4, CV12, BL20, Dachangshu (BL25), Shangjuxu (ST37), Shenshu (BL23), Qihai (CV6), Sanyinjiao (SP6), Mingmen (GV4), Xingjian (LR2), Yinlingquan (SP9), Neiting (ST44), Taichong (LR3), Xiajuxu (ST39), Shuifen (CV9), Shenque (CV8), Ganshu (BL18), Weishu (BL21), Hegu (LI4) and Quchi(LI11), which were classified into three core acupoint groups by community analysis. CONCLUSIONS: Through complex network analysis, it is found that the local acupoints on the chest and abdomen are generally selected in treatment with acupuncture-moxibustion for IBD, the combination of the nearby and distal points is considered simulta-neously, and the acupoint prescription is modified according to syndrome/pattern differentiation;and among special points, the front- point is widely used in treatment. All of these rules provide the ideas for the acupoint selection of acupuncture-moxibustion in treatment of IBD.
目的:运用复杂网络技术分析针灸治疗炎症性肠病的选穴规律和腧穴配伍,为针灸治疗本病提供选穴依据。
方法:检索中国知网、万方、维普、PubMed 和 Embase 数据库中针灸治疗炎症性肠病的临床研究,筛选文献并提取腧穴处方,建立针灸治疗炎症性肠病的腧穴处方数据库。采用 Microsoft Excel 2021 软件,录入腧穴使用频次、腧穴使用频次百分比、经络分布和特定穴使用情况,采用 SPSS Modeler 18.0 软件进行关联规则分析,采用 Gephi 0.9.5 软件绘制腧穴关联网络图、k-核网络图和社团分析图。
结果:共纳入 156 篇文献,包含 175 首处方,75 个腧穴,共使用 1378 次,每个处方约 8 个腧穴。使用频次较高的腧穴依次为天枢、足三里、关元、中脘、脾俞;涉及的主要经络为足阳明胃经、足太阳膀胱经和任脉;特定穴中前穴使用频次最高。足三里和天枢为使用频次最高的配穴组合。采用 k-核层次分析优化处方,得到 22 个核心腧穴,即天枢、足三里、关元、中脘、脾俞、大肠俞、上巨虚、肾俞、气海、三阴交、命门、悬钟、阴陵泉、内庭、太冲、下巨虚、水分、神阙、肝俞、胃俞、合谷、列缺。通过社团分析将其分为 3 个核心腧穴组。
结论:运用复杂网络分析发现,针灸治疗炎症性肠病以胸腹部局部选穴为主,注重近部和远道配穴相结合,基于辨证选穴进行处方修改;特定穴中前穴应用广泛。这些规律为针灸治疗炎症性肠病的选穴提供了思路。
Zhongguo Zhen Jiu. 2023-4-12