基于文献数据挖掘针刺治疗神经根型颈椎病选穴规律*

目的分析公开发表的针刺治疗神经根型颈椎病的中文文献,探求其选穴规律,冀为临床针刺治疗神经根型颈椎病提供参考依据和理论指导。方法 检索CNKI、万方、维普3大中文数据库中针刺治疗神经根型颈椎病的近15年文献,合并重复文献,通过统一的纳入标准和排除标准筛选有效文献,对最终纳入文献中腧穴名称出现频次进行排序,分析排序前20位的腧穴并分析其内在规律。结果 共检索出相关文献1 758篇,最终有效文献472篇,涉及腧穴名称144种,腧穴的总使用频次为1 664次。排序前20位的腧穴依次为颈夹脊穴、风池、曲池、合谷、外关、肩井、大椎、手三里、后溪、天宗、阿是穴、天柱、肩髃、肩中俞、大杼、肩外俞、肩贞、风府、列缺、百会。结论 针刺治疗神经根型颈椎病的选穴规律主要以手三阳经、足三阳经、督脉腧穴为主,以手太阴经和阿是穴为辅;选穴部位主要集中于颈肩部和上肢部,其次为背部和颠顶部。

Acupoint Selection Rule of Acupuncture Treatment for Cervical Spondylotic Radiculopathy Based on Literature Data Excavated

Objective To explore the potential acupoint selection rule of acupuncture in the treatment of cervical spondylotic radiculopathy. Methods To search the literature about acupuncture treatment of cervical spondylotic radiculopathy in Wanfang, Weipu and CNKI databases for nearly 15 years, and then combine the duplicate literature. Through the unified literature inclusion and exclusion criteria, the frequency of acupoint names in the final effective literature was ranked, and the internal law of the top 20 acupoints was analyzed. Results A total of 1 758 related literatures were retrieved, 472 of which were finally valid, involving 144 acupoint names, and the total frequency of acupoint use was 1 664. The top 20 acupoints are Jingjiaji, Fengchi, Quchi, Hegu, Waiguan, Jianjing, Dazhui, shousanli, Houxi, Tianzong, Ashi, Tianzhu, Jianfu, jianzhongyu, Dazhu, jianwaiyu, Jianzhen, Fengfu, Lieque and Baihui. Conclusion Based on the literature data mining, acupuncture treatment of nerve root type cervical spondylosis is mainly based on the three yang meridians of hand, the three yang meridians of foot and the Du meridian, supplemented by the Taiyin meridians and Ashi meridians of hand, the points are mainly located in the neck, shoulder and upper extremity, followed by the back and the top of Britain.