[关键词]
[摘要]
【目的】运用数据挖掘技术探讨针灸治疗卵巢功能减退类疾病的选穴规律。 【方法】通过计算机检索中国知网期刊全文数据库 (CNKI) 、万方学术期刊全文数据库 (Wanfang) 、维普中文科技期刊数据库 (VIP) 等各大数据库中有关针灸治疗卵巢储备功能减退类疾病 (包括卵巢储备功能下降、早发性卵巢功能不全、卵巢早衰) 的临床研究类文献,利用Excel 2021建立选穴处方数据库,采用SPSS Modeler 18.0、SPSS Stastics 26.0软件对腧穴进行频数、归经、部位、特定穴、关联规则分析、聚类分析等,研究针灸治疗卵巢储备功能减退类疾病的选穴规律。 【结果】共筛选出符合要求的文献215篇,使用穴位共96个,总频次为2 110次,高频腧穴为关元、三阴交、肾俞等,常用经脉为任脉与足太阳膀胱经,腧穴多分布在腹部及下肢部,以五输穴和原募穴居多。分析得出核心穴组及4个有效聚类群。 【结论】针灸治疗卵巢储备功能减退类疾病选穴重在补益气血,培元补肾。多选取与生殖相关的经脉,旨在调精补血,预培其损。注重“近部”与“远部”取穴相配合,重视特定穴的配伍使用,多脏同调。
[Key word]
[Abstract]
Objective To explore the selection rules of acupuncture and moxibustion for treating ovarian dysfunction-related diseases by applying data mining technology. Methods Computer searches were conducted to find clinical research literature on acupuncture and moxibustion for ovarian reserve dysfunction-related diseases (including diminished ovarian reserve, premature ovarian insufficiency, premature ovarian failure) in major databases,such as China National Knowledge Infrustructure (CNKI) ,Wanfang Data Knowledge Service Platform(Wanfang),and China Science and Technology Journal Database(VIP),Excel 2021 was used to establish a prescription database of acupoints selection,and SPSS Modeler 18.0 and SPSS Stastics 26.0 software were used to analyse the frequency,meridian tropism,site,special acupoints,analysis of association rule,and cluster analysis of acupoints to study the rules of acupuncture and moxibustion for treating ovarian reserve dysfunction-related diseases. Results A total of 215 articles were screened to meet the requirements,in which,96 acupoints were used,with a total frequency of 2 110 times. The high-frequency used acupoints were Guanyuan (RN4),Sanyinjiao(SP6),and Shenshu(BL23),etc, . The commonly used meridians were the conception vessel (CV) and bladder meridian of foot-taiyang,and the acupoints were mostly located in the abdomen and lower limbs,with the majority being the five-shu point and the yuan front-mu points. The core acupoints and four effective clusters were analysed. Conclusion The acupoint selection of acupuncture and moxibustion for ovarian reserve dysfunction-related diseases focuses on tonifying qi and blood,cultivating the vital essence and tonifying the kidneys. Most of the meridians related to reproduction were selected in this method,which aiming at regulating menstruation and tonifying blood, and pre-cultivating its loss. This research focuses on the matching of neighboring point and distant point selection,and pays attention to the use of specific acupoints,and treates multiple organs simultaneously.
[中图分类号]
R246.9
[基金项目]
国家中医药管理局中医药循证能力建设资助项目 (编号:2019XZZX-ZJ007);国家重点研发计划中医药现代化研究重点资助专项(编号:2019YFC1709104)