基于数据挖掘技术分析针灸治疗突发性耳聋耳鸣选穴规律*

目的分析古今临床文献中针灸治疗突发性耳聋耳鸣的选穴规律。方法 全面检索并筛选中国期刊全文数据库（CNKI）、万方期刊数据库（WF）、维普等数据库系统中的针灸临床文献，建立以腧穴为主的数据库，运用数据挖掘技术对所选腧穴、穴位归经及特定穴进行描述性分析，并对高频腧穴进行二阶、三阶关联规则分析，制作相关的网络图。结果 针灸治疗突发性耳聋耳鸣主要选穴特点是远近配合、循经取穴。其中使用频次最多的腧穴是翳风、听宫，本次研究所选腧穴遍布十四经脉，其中使用频次最多的是手少阳三焦经，特定穴中则常选用五腧穴。结论 针灸治疗耳鸣耳聋多依证型不同而辨证选穴取经，以局部选穴和远端配穴相结合，临床上选用翳风、耳门、听宫、听会等穴交替使用，可改善局部耳内循环, 恢复听力；选用太溪、太冲、中渚、三阴交、丰隆等穴可起到补肾益精，疏肝泄火，健脾化痰等作用。

Research on the Law of Acupuncture and Moxibustion for Deafness and Tinnitus Based on Data Mining Technology

Objective To explore the rule of acupoint selection in the treatment of deafness and tinnitus by acupuncture in ancient and modern clinical literature. Methods Acupuncture and moxibustion clinical literature in CNKI, WF and Weipu database systems were searched and screened comprehensively. Acupoint-based databases were established. Data mining technology was used to describe the selected acupoints, meridian tropism and specific acupoints. Secondary and third-order association rules of high-frequency acupoints were analyzed and phase was made. Closed network diagram. Results Acupuncture and moxibustion treatment of deafness and tinnitus is characterized by distant and near cooperation and acupoint selection along meridians. Among them, the most frequently used acupoints are Yingfeng and Hearing Palace. The acupoints selected by this research are all over 14 meridians, of which the most frequently used are the Sanjiao Meridian of Hand Shaoyang, and the five acupoints are often used in specific acupoints. Conclusion Acupuncture and moxibustion treatment of tinnitus and deafness is based on syndrome differentiation and meridian selection, combined with local acupoint selection and distal acupoint allocation. Clinical alternation of Yinfeng, ear gate, auditory palace and auditory meeting can improve local inner ear circulation and restore hearing; Taixi, Taichong, Zhongzhu, Sanyinjiao, Fenglong and other acupoints can play the role of tonifying kidney, soothing liver and relieving fire, strengthening spleen and resolving phlegm wind.