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Analysis of clinical literature on acupuncture-moxibustion for dyspepsia based on data mining

基于数据挖掘的针灸治疗功能性消化不良临床文献分析

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Abstract

Objective

To summarize the point selection pattern and treatment method in acupuncture-moxibustion for dyspepsia through data mining of the related clinical literatures in recent two decades, and to provide reference for clinical application.

Methods

With data mining technology, clinical literatures related to acupuncture-moxibustion for dyspepsia published between January 1997 and July 2018 were collected from major Chinese databases, and the treatment methods, point and meridian frequencies were summarized and analyzed.

Results

A total of 106 studies were included. For meridians, the top 5 meridians used were the Stomach Meridian, Conception Vessel, Spleen Meridian, Liver Meridian and Pericardium Meridian. For point selection, the leading 5 points were Zusanli (ST 36), Zhongwan (CV 12), Shangwan (CV 13), Xiawan (CV 10) and Sanyinjiao (SP 6). For major and adjunct points, the 5 most significant major points were Zusanli (ST 36), Zhongwan (CV 12), Neiguan (PC 6), Sanyinjiao (SP 6) and Shangwan (CV 13); the 5 most significant adjunct points were Neiting (ST 44), Qihai (CV 6), Fenglong (ST 40), Yinlingquan (SP 9) and Tianshu (ST 25). For treatment method, the top 3 methods used were moxibustion alone, acupuncture alone and acupuncture combined with medicinal herbs.

Conclusion

The main meridian chosen in acupuncture-moxibustion for dyspepsia was the Stomach Meridian, and the points were mainly selected from the Stomach Meridian; treatment method was moxibustion alone, which may provide reference for clinical treatment of this disease.

摘要

目的

对近二十年针灸治疗功能性消化不良的临床文献进行数据分析, 总结针灸治疗功能性消化不良选穴规律和治疗方法, 为针灸治疗功能性消化不良的临床应用提供参考依据。

方法

运用数据挖掘的方法, 检索1997年1月至2018年7月间国内各大中文数据库中针灸治疗功能性消化不良的临床研究文献, 并进行筛选和整理, 对所纳入文献中的治疗方法、 腧穴和经络的使用频率进行归纳总结与分析。

结果

共纳入符合标准的文献106篇。 经络使用频率前5位的依次为胃经、 任脉、 脾经、 肝经和心包经。 腧穴使用频率前5位的依次为足三里、 中脘、 上脘、 下脘和三阴交。 从腧穴配伍角度分析, 主穴使用频率前5位的依次为足三里、 中脘、 内关、 三阴交和上脘; 配穴使用频率前5位的依次为内庭、 气海、 丰隆、 阴陵泉和天枢。 治疗方法使用前三位的依次是单纯灸法、 单纯针刺和针刺加药物。

结论

针灸治疗功能性消化不良主要以胃经为主, 选穴亦以胃经穴位为主, 治疗方法主要以单纯灸法为主, 可为临床治疗本病提供参考依据。

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Acknowledgments

This work was supported by Fund Project of Hunan Province Education Office (湖南省教育厅科学基金项目, No.l8C0409); Cultivating Plan (Beanstalk Plan) Fund for Outstanding Teachers of Hunan University of Chinese Medicine [湖南中医药大学优秀教师培养计划(青苗计划) 经费]; Scientific Research Fund of Hunan University of Chinese Medicine (湖南中医药大学校级科研基金, No. 2018XJJJ25); Opening Fund Project of Domestic First-class Discipline Construction of Traditional Chinese Medicine of Hunan University of Chinese Medicine (湖南 中医药大学中医学国内一流学科建设开放基金项目, No. 2018ZYX34); Research-based Learning and Innovative Experimental Planning Project for Undergraduates of Hunan University of Chinese Medicine (湖南中医药大学 大学生研究性学习和创新性实验计划项目.

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  1. Hunan University of Chinese Medicine, Changsha, 410208, China

    Yue-bing Li  (李跃兵)

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Li, Yb. Analysis of clinical literature on acupuncture-moxibustion for dyspepsia based on data mining. J. Acupunct. Tuina. Sci. 17, 264–269 (2019). https://doi.org/10.1007/s11726-019-1116-9

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