摘要
目的:本研究基于复杂网络分析针刺治疗呃逆不同处方中的腧穴配伍规律。方法:检索中国知网、万方数据知识服务平台、维普期刊资源整合服务平台、PubMed数据库,根据纳入标准与排除标准选择合格文献,提取相关数据建立针刺治疗呃逆处方数据库,利用复杂网络分析研究针刺治疗呃逆的核心腧穴及配伍规律。结果:共纳入606篇文献,提取出634个针刺治疗呃逆的处方,单穴处方有133条(20.98%),明显低于多穴处方(501条,79.02%)。多穴处方中均存在主要配穴法,以远近配穴为主(326条);存在次要配穴法的处方有447条,以上下配穴为主(370条)。共涉及163个腧穴,总使用频次为2 969次,其中,内关穴使用频次最高(400次,13.47%),其次为足三里、中脘、太冲、膻中等穴。从腧穴归经来看,任脉腧穴应用频次最高(666次,22.43%),其次为胃经、心包经、膀胱经以及肝经。特定穴共计67个,使用频次为2 555次,占总频次的86.05%,其中以五输穴使用频次最高(875次,29.47%),其次为络穴与八脉交会穴。复杂网络分析核心节点腧穴为足三里、内关、中脘、膻中、太冲。结论:针刺治疗呃逆的临床常用核心腧穴为足三里、内关、中脘、膻中太冲,常用四肢部与胸腹部的远近配穴法、上下配穴法,符合临床实际。
Objective To explore the rule of acupoint combination in acupuncture treatment of hiccups.Methods Original research articles on acupuncture treatment of hiccup were collected from databases of CNKI,Wanfang,VIP,and Pubmed by using key words of"hiccup","acupuncture""diaphragmatic spasm""body acupuncture""filiform needle"and"electroacupuncture".According to our inclusive and exclusive criteria,the collected data were extracted to establish an acupuncture prescription database for hiccup.Then,the regularities of acupoint combinations for hiccup were analyzed by using Gephi complex network analysis software.Results A total of 606 articles containing 634 acupoint prescriptions for acupuncture treatment of hiccups were brought into analysis.There were 133 single-acupoint prescriptions(20.98%),which was significantly lower than the multi-acupoint prescription(501,accounting for 79.02%).There were mainly acupoints in multi-acupoint prescriptions,and distal-proximal acupoint combination method were often used as the basis of acupoint selection(326,accounting for 65.07%).A total of 163 acupoints were involved,with a total frequency of 2 969.Among them,Neiguan(PC6)was used most frequently(400 times,accounting for 13.47%),followed by Zusanli(ST36),Zhongwan(CV12),Danzhong(CV17),and Taichong(LR3).The acupoints of the Conceptional Vessel(666 times,accounting for 22.43%),and Stomach Meridian,Pericardium Meridian and Liver Meridian were chiefly used.There were 67 specific acupoints,the frequency of use was 2 555 times(accounting for 86.05%of the total frequency),among which the frequency of the five Shu-points was the highest(875 times,accounting for 29.47%of the total frequency),and followed by eight confluence points.Conclusion The core acupoints are PC6,ST36,CV12,etc.and the distal-proximal acupoint combination method found in this study are often used as the basis of acupoint selection and acupoint prescription for acupuncture treatment of hiccup.
作者
刘江
韩玉静
赵天易
李宛蓉
陈波
郭义
陈泽林
LIU Jiang;HAN Yu-jing;ZHAO Tian-yi;LI Wan-rong;CHEN Bo;GUO Yi;CHEN Ze-lin(Research Center of Experimental Acupuncture Science,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;College of Acupuncture-moxibustion and Massage,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;College of Traditional Chinese Medicine,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
出处
《针刺研究》
CAS
CSCD
北大核心
2019年第10期766-771,共6页
Acupuncture Research
基金
国家自然科学基金项目(No.81603679、81573882)
国家重点基础研究发展计划(No.2014CB543201)
天津市自然科学基金(No.18JCQNJC82400)
关键词
呃逆
针刺
腧穴配伍
复杂网络
Hiccup
Acupuncture
Acupoint combination
Complex network
