中医药学报
中醫藥學報
중의약학보
ACTA CHINESE MEDICINE AND PHARMACOLOGY
2015年
4期
22-27
,共6页
闫朝升%李丹%隋思逸%孙忠人
閆朝升%李丹%隋思逸%孫忠人
염조승%리단%수사일%손충인
针灸处方%中风%半身不遂%多维数据分析%频数分析
針灸處方%中風%半身不遂%多維數據分析%頻數分析
침구처방%중풍%반신불수%다유수거분석%빈수분석
Acupuncture prescription%Stroke%Hemiplegia%Multidimensional data analysis%Frequency analysis
运用多维数据分析技术探讨古代针灸治疗中风半身不遂症的用穴规律。从先秦至清末涉及针灸治疗中风经络半身不遂症的相关文献中收集处方数据,录入古代针灸处方分析系统;利用多维数据分析技术,从经络、经络分部和特定穴三个维度、多个层次,获取腧穴使用频数分布情况,归纳并分析用穴规律。腧穴选用以曲池、肩髃、足三里、阳陵泉和合谷为主。经络选用以阳经为主;其中,足少阳胆经和手阳明大肠经最为常用,注重选用足少阳胆经和足厥阴肝经、手阳明大肠经和手太阴肺经两对表里经。正经选穴主要分布于上、下肢外侧部,督脉选穴主要分布于头部。古人注重选用特定穴,以五输穴为主,交会穴和下合穴次之;其中,五输穴以合穴为主。通过多维数据分析发现,古代选穴采用循经取穴和分部取穴原则,重视特定穴的使用。
運用多維數據分析技術探討古代針灸治療中風半身不遂癥的用穴規律。從先秦至清末涉及針灸治療中風經絡半身不遂癥的相關文獻中收集處方數據,錄入古代針灸處方分析繫統;利用多維數據分析技術,從經絡、經絡分部和特定穴三箇維度、多箇層次,穫取腧穴使用頻數分佈情況,歸納併分析用穴規律。腧穴選用以麯池、肩髃、足三裏、暘陵泉和閤穀為主。經絡選用以暘經為主;其中,足少暘膽經和手暘明大腸經最為常用,註重選用足少暘膽經和足厥陰肝經、手暘明大腸經和手太陰肺經兩對錶裏經。正經選穴主要分佈于上、下肢外側部,督脈選穴主要分佈于頭部。古人註重選用特定穴,以五輸穴為主,交會穴和下閤穴次之;其中,五輸穴以閤穴為主。通過多維數據分析髮現,古代選穴採用循經取穴和分部取穴原則,重視特定穴的使用。
운용다유수거분석기술탐토고대침구치료중풍반신불수증적용혈규률。종선진지청말섭급침구치료중풍경락반신불수증적상관문헌중수집처방수거,록입고대침구처방분석계통;이용다유수거분석기술,종경락、경락분부화특정혈삼개유도、다개층차,획취수혈사용빈수분포정황,귀납병분석용혈규률。수혈선용이곡지、견우、족삼리、양릉천화합곡위주。경락선용이양경위주;기중,족소양담경화수양명대장경최위상용,주중선용족소양담경화족궐음간경、수양명대장경화수태음폐경량대표리경。정경선혈주요분포우상、하지외측부,독맥선혈주요분포우두부。고인주중선용특정혈,이오수혈위주,교회혈화하합혈차지;기중,오수혈이합혈위주。통과다유수거분석발현,고대선혈채용순경취혈화분부취혈원칙,중시특정혈적사용。
The multidimensional data analysis technology was used to explore selection rules of acupoints for facial paraly-sis in ancient acupuncture treatment.After collecting acupuncture prescriptions of facial paralysis from the ancient litera-tures within a period of the pre-Qin to the late Qing dynasty, the prescriptions were input to an ancient prescription a-nalysis system.By use of the multidimensional data analysis technology, frequency analysis of acupoint selection was completed from three dimensions and several levels of meridians, parts and specific acupoints.The selection rules of acupoints were summarized and analyzed.Acupoints with the highest frequency were Quchi(LI 11), Jianyu(LI 15), Zusanli(ST 36), Yanglingquan(GB 34) and Hegu(LI 4).The selected meridians were given priority to Yang meridi-ans.Among them, the Gall Bladder meridian of Foot -Shaoyang ( GB ) and the Large Intestine meridian of Hand -Yangming( LI) were the most commonly selected.Two pairs of meridians were paid attention to,which had an exterior-interior relationship.The above meridians included the Gall Bladder meridian of Foot-Shaoyang(GB) and the Liver meridian of Foot-Jueyin( LR) , the Large Intestine meridian of Hand-Yangming( LI) and the Lung meridian of Hand-Taiyin( LU) .The selected acupoints of twelve meridians mainly distributed at the outer edge of the upper limbs and the lower limbs.The selected acupoints of the Governor vessel( GV) mainly distributed at the head.The selection of specific acupoints was paid attention to.Furthermore,Wushu points were the most commonly selected, and Jiaohui point and Xiahe point respectively were the second and the third.Among Wushu points,He point was most frequently select-ed.Through the multidimensional data analysis, it was obtained that the selection of acupoints followed the rules of divi-sion and following meridians in the ancient, and gave priority to the specific acupoints.