基于文献数据挖掘艾灸治疗膝骨关节炎的选穴规律

目的 基于文献数据挖掘艾灸治疗膝骨关节炎腧穴选取规律，为临床治疗提供参考依据和理论指导。方法 以统一的检索式检索万方、维普、知网3大中文数据库中艾灸治疗膝骨关节炎近10年文献，再通过纳入标准和排除标准筛选有效文献，统计每篇有效文献中艾灸使用腧穴频次，最后采用分层聚类方法分析排序前20位腧穴。结果 前20位腧穴依次为外膝眼、内膝眼、血海、阳陵泉、梁丘、足三里、委中、阴陵泉、鹤顶、承山、阿是穴、伏兔、三阴交、委阳、风市、膝阳关、承扶、太溪、殷门、环跳。结论 艾灸治疗膝骨关节炎选穴规律以膀胱经、胆经、胃经、脾经、肾经为主；选穴特点以膝关节局部取穴为主，同时重视特定穴选用，特定穴选取以五输穴、下合穴为主，原穴、郄穴、八会穴为辅。

Acupoint Selection Rule of Moxibustion Treatment for Knee Osteoarthritis Based on Literature Data Excavated

Objective To provide reference and theoretical guidance for clinical treatment of knee osteoarthritis by using moxibustion on the basis of literature exploration. Methods Literature on moxibustion treatment of knee osteoarthritis in nearly 10 years was searched in Wanfang, VIP and CNKI database by unified retrieval method, and then effective literature was screened by inclusion criteria and exclusion criteria. The frequency of moxibustion use was counted, and the top 20 acupoints were analyzed and ranked by hierarchical clustering method. Results The first 20 acupoints were waixiyan, neixiyan, xuehai, Yanglingquan, Liangqiu, Zusanli, Weizhong, Yinlingquan, Heding, Chengshan, Ashi point, Futu, Sanyinjiao, Weiyang, Fengshi, xiyangguan, Chengfu, Taixi, Yinmen, Huantiao. Conclusion The main points selection rules of moxibustion in the treatment of knee osteoarthritis are taiyang bladder channel of foot, gall bladder meridian of foot-shaoyang, foot-yangming stomach meridian, spleen meridian of foot-taiyin and kidney meridian of foot-shaoyin. The characteristics of the selected points are mainly selected from the local points of the knee joint, while paying attention to the selection of specific points. The selected points are mainly five transport points and Xiahe points, while the yuan points, xi points and eight influential points are supplemented.