基于文献数据挖掘针刺治疗神经根型颈椎病选穴规律*
作者:
作者单位:

(1. 杭州市萧山区中医院,浙江 萧山 311201;2. 云南中医药大学,云南 昆明 650500;3. 云南省中医医院,云南 昆明 650021)

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R246.9

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收稿日期: 2019 - 10- 03
* 基金项目: 国家自然科学基金项目(81860862);云南省医疗卫生单位内设研究机构科研项目(2017NS161、2018NS037); 云南省中青年学术和技术带头人后备人才项目(云科人发〔2019〕7号)
第一作者简介: 高焕焕(1988-),男,硕士,住院医师,研究方向:中医药防治骨与关节退变性疾病的基础及临床。
△通信作者: 李具宝,E-mail:lijubao2008@sohu.com


Acupoint Selection Rule of Acupuncture Treatment for Cervical Spondylotic Radiculopathy Based on Literature Data Excavated
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(1. Xiaoshan Hospital of Traditional Chinese Medicine, Hangzhou 311201, China;2. Yunnan University of Chinese Medicine, Kunming 650500, China; 3. Yunnan Province Hospital of Traditional Chinese Medicine, Kunming 650021, China)

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    摘要:

    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。

    Abstract:

    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.

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