基于数据挖掘探析《中华医典》中针灸治疗不孕症的选穴特点
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(1. 楚雄彝族自治州中医医院针灸科,云南 楚雄 675099;2. 云南中医药大学第二临床医学院,云南 昆明 650500;3. 云南中医药大学第一临床医学院,云南 昆明 650500)

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尹国臣(1998-),男,住院医师,E-mail: 2227467942@qq.com

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基金项目: 国家自然科学基金项目(82060895,81760896);云南省科学技术厅应用基础研究联合重点项目(2019FF002-004);兴滇人才计划支持项目云南省“万人计划”名医专项(YNWR-MY-2018-052);云南省科学技术厅-云南中医药大学应用基础研究联合专项(202401AZ070001-108);云南省教育厅科学研究基金项目(2024Y407,2024J0517)


Exploration and Analysis of the Characteristics of Acupoint Selection in Acupuncture for Infertility in the Chinese medical code Based on Data Mining
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(1. Department of Acupuncture and Moxibustion, Chuxiong Traditional Chinese Medicine Hospital, Chuxiong 675099, China; 2. The Second Clinical Medical College of Yunnan University of Chinese Medicine, Kunming 650500, China; 3. The First Clinical Medical College of Yunnan University of Chinese Medicine, Kunming 650500, China )

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    摘要:

    目的 运用数据挖掘技术梳理中医古籍中针灸治疗不孕症的选穴规律,为临床针灸治疗不孕症提供参考。方法 检索《中华医典》(第5版)中针灸治疗不孕症的相关条文,筛选和提取病名、条文原文、腧穴名称、腧穴归经、腧穴分布部位、腧穴特性等信息,运用Microsoft Excel 2019对腧穴频次、归经、分布情况及特性进行统计分析;借助SPSS 23.0、SPSS Modeler 18.0对复方进行聚类分析及关联规则分析,并绘制网络图。结果 共纳入符合要求的针灸处方121条,其中单穴处方94条,复方27条;涉及腧穴36个,腧穴总使用频次为182次。应用频次前4位的腧穴为关元(21次,11.48%)、中极(17次,9.34%)、然谷(12次,6.59%)、阴交(12次,6.59%);选穴主要集中于任脉(66次,36.26%)、足少阴肾经(45次,24.73%)和足太阳膀胱经(19次,10.44%);且所在部位以胸腹部、下肢部及腰背部为主;特定穴使用频次最高为交会穴(84次,46.15%),其次为募穴(59次,32.42%);复方关联规则分析得出5个有效聚类群;网络图显示针灸治疗不孕症的核心腧穴组合为关元-石门,石关-阴交。结论 针灸治疗不孕症具有规律性,以关元、中极、然谷、阴交使用频次最高,关元、石门、石关、阴交为配伍核心腧穴,强调远近配穴及随症取穴,本研究结果可为针灸临床提供经典理论依据。

    Abstract:

    Objective To use data mining technology to sort out the acupuncture treatment of infertility in ancient books of traditional Chinese medicine, and provide references for clinical acupuncture treatment on infertility. Methods The relevant provisions of acupuncture and moxibustion in the treatment of infertility in the Chinese Medical Code (5th Edition) were searched, and the information of disease name, original provisions, names of acupoints, normalization of acupoints, distribution of acupoints and characteristics of acupoints were selected and extracted. The frequency, normalization of acupoints, distribution and characteristics of acupoints were statistically analyzed by using Microsoft Excel 2019,SPSS 23.0 and SPSS Modeler 18.0 were used for cluster analysis and association rule analysis, and the network diagram was drawn. Results A total of 121 acupuncture prescriptions were included, of which 94 were single-point pres-criptions and 27 were compound prescriptions. 36 acupoints were involved, and the total frequency of acupoints was 182 times. The top 4 acupoints were Guanyuan (CV4) (21 times, 11.48%), Zhongji (CV3) (17 times, 9.34%), Rangu (KI3) (12 times, 6.59%) and Yinjiao(CV7) (12 times, 6.59%). The main points were on Ren Meridian (66 times, 36.26%), Foot-Shaoyin Kidney Meridian (45 times, 24.73%) and Foot-Taiyang Bladder Meridian(19 times, 10.44%). The main parts were chest and abdomen, lower limbs and waist and back. The most frequent use of specific points was the intersection point(84 times, 46.15%), followed by the fundraising point(59 times, 32.42%). Five effective clusters were obtained by the analysis of compound association rules. The network diagram shows that the core acupoint combination of acupuncture treatment for infertility is Guanyuan (CV4)-Shimen (CV5), shiguan(KI18)-Yinjiao (CV7). Conclusion Acupuncture and moxibustion has regularity in treating infertility. Guanyuan, Zhongji, Rangu and Yinjiao are used most frequently. Guanyuan (CV4), Shimen (CV5), Shiguan (KI18) and Yinjiao (CV7) are the compatible core points, emphasizing the matching of points near and far and selecting points according to the disease.

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  • 收稿日期:2025-03-18
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  • 在线发布日期: 2026-03-04
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