Zeng Hai-Qing, Yuan Ze-Dong-Fang, Wu Run-Tian, Tang A-Ling, Huang Zhi-Sheng
Guangzhou University of Chinese Medicine, Guangzhou, China.
Guangzhou Hospital of Integrated Traditional and Western Medicine, Guangzhou, China.
Medicine (Baltimore). 2025 Mar 14;104(11):e41676. doi: 10.1097/MD.0000000000041676.
This study aimed to explore the rule of acupoint selection in the treatment of somnolence by ancient acupuncture and moxibustion. Using "Duomei" and other words as search terms in the Encyclopaedia of Traditional Chinese Medicine, a table containing elements such as literature sources, acupoint names, and frequency of acupoint selection was created. The table data was imported into the Traditional Chinese Medicine Inheritance Calculation Platform Software V3.5 (TCMICS) for statistical analysis to summarize the rules of acupoint selection. In the ancient medical books, the high-frequency acupoints of acupuncture and moxibustion in the treatment of somnolence were KI(Kidney)4(Dazhong)(24times,9.76%),KI3(Taixi)(23times,9.35%),LI(Large Intestine)3Sanjian(23times,9.35%) from high to low, and the high-frequency acupoints used for specific acupoints were Shu, Luo, and Bahui points from high to low. Association rule analysis showed that the core combination of high-frequency related acupoints was 3 groups, namely,"KI3(Taixi)KI6(Zhaohai)"(5times,2.03%),"KI4(Dazhong)HT(Heart)5(Tongli)"(5times,2.03%), and "LI3(Sanjian) ST(Stomach)45(Lidui) SJ(SanJiao)10(Tianjing)"(5times,2.03%). Cluster analysis showed that the effective cluster combination of acupoints was "LI3(Sanjian), LI2(Erjian),KI3(Taixi),ST45(Lidui),SJ10(Tianjing),KI6(Zhaohai),""HT5(Tongli),KI4(Dazhong),""RN(Ren) 12(Zhongwan),BL(Bladder)43(Gaohuang),ST36(Zusanli),RN6(Qihai)." In the ancient medical books, acupuncture and moxibustion was used to treat somnolence with distal point selection, and acupuncture and moxibustion prescriptions often used "KI3(Taixi)KI6(Zhaohai)" and other core acupoint combinations from the perspective of tonifying deficiency, relieving excess and giving consideration to both deficiency and excess, combined with acupoint selection and coordination based on syndrome differentiation and meridian differentiation, and focused on overall adjustment.
本研究旨在探讨古代针灸治疗嗜睡的选穴规律。以《中医大百科全书》等为检索词，创建了包含文献来源、穴位名称、选穴频次等要素的表格。将表格数据导入中医传承计算平台软件V3.5（TCMICS）进行统计分析，以总结选穴规律。古代医籍中，针灸治疗嗜睡的高频穴位由高到低依次为肾经4穴大钟（24次，9.76%）、肾经3穴太溪（23次，9.35%）、大肠经3穴三间（23次，9.35%），特定穴高频使用的穴位由高到低依次为输穴、络穴、八会穴。关联规则分析显示高频相关穴位的核心组合有3组，即“太溪（肾经3穴）照海（肾经6穴）”（5次，2.03%）、“大钟（肾经4穴）通里（心经5穴）”（5次，2.03%）、“三间（大肠经3穴）厉兑（胃经45穴）天井（三焦经10穴）”（5次，2.03%）。聚类分析显示穴位有效聚类组合为“三间（大肠经3穴）、二间（大肠经2穴）、太溪（肾经3穴）、厉兑（胃经45穴）、天井（三焦经10穴）、照海（肾经6穴）”“通里（心经5穴）、大钟（肾经4穴）”“中脘（任脉12穴）、膏肓（膀胱经43穴）、足三里（胃经36穴）、气海（任脉6穴）”。古代医籍中，针灸治疗嗜睡多选用远端穴位，针灸处方常从补虚、泻实、虚实兼顾的角度选用“太溪（肾经3穴）照海（肾经6穴）”等核心穴位组合，并结合辨证、辨经选穴配伍，注重整体调节。
