基于关联规则探讨不同朝代中风病腧穴处方规律

陈楚云; 李丽霞; 祝维峰; 林国华; 李伟林; 黄应杰; 王兴

基于关联规则探讨不同朝代中风病腧穴处方规律

1.
广州市中医医院针灸科，广东广州 510130
2.
中山大学新华学院，广东广州 510520
3.
广州中医药大学第一附属医院，广东广州 510405

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出版历程
- 收稿日期: 2016-10-18
- 修回日期: 2016-12-20
- 刊出日期: 2017-07-10

Analysis on Prescription Rules of Stroke Prescriptions in Different Dynasties Based on Data Mining Techniques

1.
Department of Acupuncture and Moxibustion, Guangzhou Chinese Medicine Hospital, Guangzhou, 510130, China
2.
Xinhua College of Sun Yat-sen University, Guangzhou, 510520, China
3.
The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510405, China

摘要

摘要: 目的运用数据挖掘技术对唐以前至清代150本针灸古籍进行挖掘分析，总结不同朝代针灸治疗中风病的处方用穴特点。方法抽取古籍中符合脑卒中中风病病症、腧穴、经络、刺灸法等相关语句，形成病症、腧穴、刺灸法、经络数据，分为中风病处方与含有中风病症的腧穴主治两类，人工审核结果并予以规范，通过统计分析和关联规则以支持度和置信度的方式，实现对不同朝代古籍中风病针灸处方规律的多层分析。结果共得中风病针灸腧穴处方536首；百会穴在各朝代的使用频率最高；百会、曲池配伍在宋、明、清最为频繁，地仓、颊车配伍在元代使用频率最高；经脉的选用除了清代选取手厥阴心包经为阴经外，其他各朝代所取经脉的前5位均为阳经。宋、元选取频率最高的经脉为督脉、足少阳胆经，明、清以手阳明大肠经居首。各朝代中，均以手阳明大肠经与足少阳胆经组合支持度最高；特定穴均以交会穴为首，除清外，均以交会穴与合穴的配伍最为频繁。结论针灸古籍中治疗中风病首取诸阳之会百会穴，重视阳经和特定穴的应用，古代用穴少而精，后世取穴渐多。
- 数据挖掘技术 /
- 针灸古籍 /
- 中风 /
- 处方规律
Abstract: OBJECTIVE To excavate and analyze 150 ancient acupuncture classics from Tang Dynasty to Qing Dynasty by data mining technology， and summarize points selection characteristics of acupuncture prescriptions for stroke in different dynasties. METHODS Standard library and ancient classics library were set up firstly. Then extract the related statements from classics that corresponding with symptoms， points， meridians， needling and moxibustion methods of stoke， and to form the related library about symptoms， points， meridians， needling and moxibustion methods. The prescriptions were divided into two categories including prescriptions for stroke and prescriptions that mainly containing points for stoke， which were reviewed and standardized manually. Multilevel analysis of acupuncture prescription rules for stroke in different dynasties were realized through statistical analysis and support and confidence of association rules. RESULTS A total of 536 acupuncture and moxibustion prescriptions for stroke were obtained. The use frequency of Baihui points (GV20) was the highest in all dynasties. The compatibility of Baihui(GV20) and Quchi(LI11) was used most frequently in Song， Ming and Qing Dynasties. The compatibility of Dicang (ST4) and Jiache (ST6) was used most frequently in Yuan Dynasty. For meridians selections， apart from the hand jueyin pericardium meridian was selected as yin meridian in Qing Dynasty， the first five meridians in all other dynasties were yang meridians. The governor vessel and the foot shaoyang gallbladder meridian were the most frequently selected meridians in Song and Yuan Dynasties. The hand taiyang large intestine meridian was the most frequently selected meridian Ming and Qing Dynasty. In all dynasties， the support of hand taiyang large intestine meridian and the foot shaoyang gallbladder meridian were the highest. The confluence points were the first selection among specific points， except Qing Dynasty， the compatibility of the confluence points and he-sea points was used most frequently. CONCLUSION In acupuncture and moxibustion classics， the yang convergence Baihui point (GV20) is the first selection in the treatment of stroke. The application of yang meridians and specific points are valued. The point application is fewer but better in ancient time， while later generations gradually increase the number of points.
- data mining technique /
- acupuncture classics /
- stroke /
- prescription rules

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参考文献(16)

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