摘要
目的 应用古今医案云平台探讨针刺治疗急性期周围性面瘫(PFP)选穴处方特点规律。方法 通过检索中国期刊全文数据库(CNKI)、万方数据库(Wanfang)、维普数据库(VIP)、中国生物医学文献服务系统(SinoMed)4个数据库自建库以来针刺治疗急性期PFP的随机对照研究文献,提取数据后建立腧穴处方数据库,采用古今医案云平台(V.2.3.7)进行数据分析。结果 纳入文献245篇,统计分析腧穴总个数143个,总频次2 775次,针刺治疗急性期PFP应用频次前5位的腧穴为:地仓、合谷、阳白、颊车、翳风;腧穴归经前5位的为:足阳明胃经、足太阳膀胱经、非十四经脉(经外奇穴)、手少阳三焦经、足少阳胆经;应用频次前5位的穴对为:地仓-阳白、合谷-地仓、颊车-地仓、合谷-阳白、颊车-合谷;相互关系最强的穴位组合为:地仓-阳白、地仓-合谷、地仓-颊车、阳白-合谷、阳白-颊车。结论针刺治疗急性期PFP的腧穴归经以阳经为主,多应用头面部腧穴,临证可以地仓、合谷、阳白、颊车、翳风为主穴,随症加减,以上规律可进一步指导临床用于治疗急性期PFP取穴。
Objective To explore the characteristics of the acupoint selection rule of acupuncture treatment for acute peripheral facial paralysis(PFP)by using the cloud platform of ancient and modern medical records.Methods The randomized controlled literature on acupuncture treatment of acute PFP were retrieved from four databases, namely China National Knowledge Infrastructure(CNKI), Wanfang Database (Wanfang), VIP database, and China Biomedical Database (SinoMed). Theprescription database of acupoints was established after extracting the data, and the ancient andmodern medical records cloud platform (V.2.3.7) was used for data analysis. Results A total of 245articles were included. 143 acupoints were analyzed, and the total frequency was 2 775 times. Thetop five frequently used acupoints during acupuncture treatment of acute PFP were Dicang, Hegu,Yangbai, Jiache, and Yifeng. The top five frequently used meridians were the stomach meridian offoot-Yangming, bladder meridian of foot-Taiyang, non-fourteen meridians (special points outsidemeridians), hand-Shaoyang Sanjiao meridian, and foot-Shaoyang gallbladder meridian. The top fivefrequently used acupoint pairs were Dicang-Yangbai, Hegu-Dicang, Jiache-Dicang, Hegu-Yangbai, andJiache-Hegu. The acupoint combinations with the strongest correlation were Dicang-Yangbai, Dicang-Hegu, Dicang-Jiache, Yangbai-Hegu, and Yangbai-Jiache. Conclusion Yangjing is the main acupointduring acupuncture treatment of acute PFP, and the head and face acupoints are mainly applied. Theclinical diagnosis can rely on Dicang, Hegu, Yangbai, Jiache, and Yifeng as the main acupoint and canbe modified according to the symptom. The above rules can further guide the clinical treatment ofacute PFP by acupoint selection.
作者
陈学思
白杨
CHEN Xuesi;Bai Yang(College of Acupuncture and Massage,Gansu University of TCM,Lanzhou 730000,China;Qingyang Hospital of TCM,Qingyang 745000,China)
出处
《基层中医药》
2024年第9期95-103,共9页
Basic Traditional Chinese Medicine
基金
2023年度陇原青年创新创业人才(团队)项目(甘组通字﹝2023﹞20号)。
关键词
周围性面瘫
针刺时间
选穴规律
数据挖掘
peripheral facial paralysis
acupuncture duration
pattern of acupoint selection
data mining
