Discussion on the Acuppoint Selection Rules of Acupuncture in the Treatment of Post-stroke Hemiplegia by Opposing Needling Based on Data Mining Technique
10.13359/j.cnki.gzxbtcm.2024.06.024
- VernacularTitle:基于数据挖掘技术探讨巨刺法治疗卒中后偏瘫的选穴规律
- Author:
Hui LI
1
;
Wei TANG
;
Hui-Min CHANG
;
Ping SHEN
;
Chen-Hui GAO
Author Information
1. 安徽中医药大学针灸推拿学院,安徽合肥 230012
- Keywords:
opposing needling;
cerebral apoplexy;
hemiplegia;
acupoint selection rules;
yang meridian;
harmonizing yin and yang;
near-treatment of acupoints;
data mining
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(6):1530-1536
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the acupoint selection rules of opposing needling in the treatment of post-stroke hemiplegia by using data mining technology.Methods CNKI,VIP,Wanfang,SinoMed,PubMed and Web of Science were searched for relevant literature on the treatment of post-stroke hemiplegia by opposing needling from the establishment of the database to September 2023.Microsoft Excel 2019 was used to establish a database and perform descriptive analysis of acupoints.SPSS Modeler 18.0 was used to analyze the association rules and draw the co-occurrence network diagram of high-frequency acupoints.SPSS Statistics 26.0 was used to perform hierarchical cluster analysis on acupoints and draw a tree diagram.Results ①A total of 104 articles were included,and 136 acupuncture prescriptions were extracted,involving 107 acupoints,with a total frequency of 1 267 times.②The top 10 acupoints were Hegu(LI4),Quchi(LI11),Zusanli(ST36),Jianyu(LI15),Waiguan(SJ5),Yanglingquan(GB34),Sanyinjiao(SP6),Shousanli(LI10),Taichong(LR3),Xuanzhong(GB39).③ The selected meridians were mainly hand,foot yangming meridian and foot shaoyang meridian.④ The acupoints were mostly selected in the upper and lower limbs and head and neck.⑤ In terms of acupoint compatibility,Hegu(LI4)-Quchi(LI11)has the highest support.⑥ The top 25 high-frequency acupoints can be divided into four effective clustering groups.⑦ Opposing needling often combined with scalp acupuncture,rehabilitation training,ordinary acupuncture and other methods to treat hemiplegia after stroke.Conclusion Modern opposing needling attaches importance to the use of yang meridians in the treatment of post-stroke hemiplegia.At the same time,it also selects yin meridians and acupoints to harmonize yin and yang,unblock meridians and collateral,attach importance to the near-treatment effect of acupoints,and follow the holistic view of Chinese medicine treatment.
