基于数据挖掘的中医针灸治疗崩漏穴位经络应用规律研究

目的：对近30 余年针灸治疗崩漏的文献进行研究，以探究其穴位经络应用规律，为临床针灸治疗崩漏提供参考。方法：以检索到的针灸为主要手段治疗崩漏的临床研究文献为考察对象，采用频数统计及聚类分析等数据挖掘方法，对针灸治疗崩漏常用的针灸方法、所选经络腧穴及取穴规律进行研究。结果：共有65 篇文献纳入研究，常用针灸方法以针刺、艾灸、耳穴为最多，常用经络有足太阴脾经、任脉、足太阳膀胱经、耳穴等。所选穴位多与肝脾肾有关且多为交会穴，耳穴选穴多辨病辩证相结合。常用穴位聚类分析后聚为四类。结论：本研究通过对针灸治疗崩漏的研究文献进行分析发现，现代临床针灸治疗崩漏以针刺为主，重视肝脾肾，配穴往往健脾，补肾、补气血、疏肝为治疗大法。这些选穴、配穴规律对指导临床有一定意义。

Cluster Analysis on Acupoint Selection Law for Treating Metrorrhagia and Metrostaxis Using Different Acupuncture and Moxibustion Methods

This study was aimed to review literatures on the treatment of metrorrhagia and metrostaxis using acupuncture and moxibustion in recent 30 years. Database retrieval on literatures using acupuncture and moxibustion for treating metrorrhagia and metrostaxis was carried out. Statistical methods, such as frequency distribution and cluster analysis were employed in terms of frequently used medians, acupoints and methods. The results showed that there were a total of 65 articles included in this study. The frequently used methods were acupuncture, moxibustion and auricular acupuncture. The frequently used meridians were the Spleen Meridian of Foot-Taiyin, the Ren meridian, the Bladder Meridians of Foot- Taiyang, and the auricular acupoints. The frequently used acupoints were related with the liver, spleen and kidney. Most acupoints were the meeting acupoints. Selections of auricular acupoints were related to the combination of disease differentiation and syndrome differentiation. The frequently used acupoints were clustered into four groups. Different group reflected different acupoint selection laws. Group 1, such as SP-6 (Sanyinjiao) and SP1 (Yinbai), circling along the Spleen Meridian, had effect on tonifying the spleen and kidney, nourishing blood, preventing bleeding and regulating menstruation. Group 2, such as RN-4 (Guanyuan) and ST-36 (Zusanli), in the upper and lower positions, were used for nourishing qi and blood. Group 3 and group 4 were mostly auricular acupoints, acupuncture and moxibustion in combination with syndrome differentiation. Group 3 had the effect on notifying kidney yin, reinforcing the spleen, regulating Chong and Ren meridian. Group 4 played a role in tonifying the kidney, activating blood, and soothing liver qi. It was concluded that the study on quantitative analysis of literatures on the treatment of metrorrhagia and metrostaxis using statistical method had inspirational effect on clinical treatment in terms of acupoint selection and combination.