基于数据挖掘的毫针复式针刺补泻手法临床应用特点研究

目的:探讨毫针复式针刺补泻手法的临床应用规律与特点,更好地指导临床应用。方法:采用现代计算机和数据挖掘技术,建立毫针文献数据库,对60多年来与毫针补泻相关的文献进行收集、整理、筛选、录入、审核、提取数据、统计分析,总结毫针复式针刺补泻手法的效应特异性规律。结果:1从研究的病种看出,毫针复式针刺补泻手法在内科的应用频次最高,其次是外科、妇科、五官科、皮肤科、儿科;相对于其他疾病,腰腿痛出现频次较高。2烧山火手法的临床应用病种最多、频次最高,其次是透天凉、龙虎交战、阳中隐阴、阴中隐阳。3在临床各科疗效中儿科痊愈率最高,其次是内科、外科、五官科、皮肤科、妇科。4烧山火手法应用频次最高的穴位是足三里,其次是三阴交;透天凉手法应用频次最高的穴位是足三里,其次是曲池;龙虎交战手法应用频次最高的穴位是环跳。结论:复式针刺补泻手法在内科中的应用频次较高,腰腿痛是应用最多的病种,对于儿科疾病的治愈率最高。各种复式针刺补泻手法中,烧山火和透天凉手法多用于足三里穴,龙虎交战手法多用于环跳穴。

Basic Regularities and Characteristics of Compound Reinforcing-reducing Manipulation of Acupuncture Revealed by Data Mining

Objective To explore the regularities and features of compound reinforcing-reducing manipulation of acupuncture filiform needles in the treatment of clinical conditions or diseases by using data mining technique,so as to guide clinical practice.Methods At first,the data base about the reinforcing-reducing manipulation(CRRM)of filiform needles for different clinical problems was established by collection,sorting,screening,recording,collation,data extraction of the related original papers published in journals and conferences and related academic dissertations from Jan.1of 1950 to Jan.31 of 2015by using key words of"acupuncture""moxibustion""needling""filiform needle",and according to the included and excluded standards.Results A total of 130 835 papers met the included standards were collected.Outcomes of data mining in the present study showed that 1)the CRRM is most frequently applied in the internal medicine,followed by surgery,gynecology,ophthalmology and otorhinolaryngology,dermatology,and pediatrics,successively,mostly for lumbago and leg pain;2)the heat-producing needling manipulation is the most frequently applied technique,followed by cool-producing needling,dragon-tiger warring,yang occluding in yin,yin occluding in yangtechniques;3)the highest effective rate of CRRM is for problems of the pediatrics,followed by those of the internal medicine,surgery,ophthalmology and otorhinolaryngology,dermatology,and gynecology;4)the most frequently used acupoints are Zusanli(ST 36),then Sanyinjiao(SP 6),stimulated by heat-producing needling,and Zusanli(ST 36),then Quchi(LI 11),stimulated by cool-producing needling,and Huantiao(GB 30),stimulated by dragon-tiger warring needling.Conclusion The compound reinforcing-reducing manipulation of acupuncture is most frequently applied to problems in the internal medicine,predominately for lumbago and leg pain,and the best effectiveness is for pediatric conditions.The heat-producing needling and cool-producing needling are most frequently applied at Zusanli(ST 36)and the dragon-tiger warring manipulation is most frequently applied at Huantiao(GB 30).