【目的】 通过数据挖掘技术探究中医古籍中针灸治疗呃逆的穴位应用规律。【方法】 从第5版《中华医典》针灸推拿部 分收录的53部医书中，筛选出涉及针灸治疗呃逆的相关条目，构建“针灸治疗呃逆古籍数据库”，并运用聚类分析和关联规 则分析等数据挖掘技术，研究古代针灸治疗呃逆的穴位选择特点及规律。【结果】 共收集到 126条处方，涉及 65个穴位，总 使用频次为172次。穴位选择以太渊、少商、石关、温溜、劳宫、足三里等为主，经脉以任脉和手太阴肺经为主，部位以上 肢和胸腹部最为常见，特定穴中以五输穴和交会穴为主。聚类分析得出两个有效聚类群：大陵-郄门-鱼际，期门-承浆- 大敦-关元-巨阙；关联规则分析显示，穴位间相关性最高的是膻中-中脘，其次是膻中-中脘-足三里。【结论】 古代针灸治疗 呃逆时，特别注重太渊-少商、膻中-中脘与其他穴位的灵活搭配，充分体现了“经脉所过，主治所及”及“病位所在，主 治所在”的经络辨证选穴思想，遵循“远近相配”“上下相协”的配穴原则，同时注重特定穴的应用。

Objective To determine the rules of acupoint selection for hiccup based on data mining. Methods From the acupuncture and moxibustion sections of 53 medical books included in the 5th edition of Chinese Medical Classics， entries related to acupuncture treatment for hiccups was screened and constructed a “Classical Chinese Medicine Database for Acupuncture Treatment of Hiccups.” Data mining techniques， including cluster analysis and association rule analysis， were employed to study the characteristics and patterns of acupoint selection for hiccup treatment in ancient medical texts. Results A total of 126 prescriptions were collected， involving 65 acupoints with a total application frequency of 172 times. The most frequently selected acupoints were Taiyuan（LU9）， Shaoshang（LU11）， Shiguan（KI18）， Wenliu（LI7）， Laogong（PC8）， and Zusanli（ST36）. The primary meridians used were the conception vessel（CV1） and the lung meridian of hand-taiyin. The most commonly stimulated body regions were the upper limbs and the chest/abdomen. Among special acupoint categories， the five-shu points and crossing points were predominantly utilized. Cluster analysis identified two significant clusters：Daling（PC7）-Ximen（PC4）-Yuji（LU10）， and Qimen（LR14）-Chengjiang（CV24）-Dadun （LR1）-Guanyuan（CV4）-Juque（CV14）. Association rule analysis revealed the strongest acupoint correlation between Danzhong（CV17） and Zhongwan（CV12）， followed by the combination of Danzhong-ZhongwanZusanli. Conclusion In ancient acupuncture treatment of hiccups， particular emphasis was placed on the flexible combination of Taiyuan-Shaoshang and Danzhong-Zhongwan with other acupoints. This approach fully embodies the meridian syndrome differentiation principle of “where the meridian passes， it can treat” and “where the disease locates， it can treat.” The selection follows the acupoint pairing principles of “combining distal and local points” and “coordinating upper and lower regions”，while also emphasizing the application of specific acupoint categories.

R246.9

广东省中医药局资助项目（编号：20251328）；深圳市宝安区2022年三名工程资助项目