發(fā)布時(shí)間：2018-12-08 09:41

【摘要】：目的：運(yùn)用數(shù)據(jù)挖掘技術(shù)分析針灸治療冠心病心絞痛的古今文獻(xiàn),探索針灸治療該病的選穴規(guī)律和配伍特點(diǎn)。 方法：收集針灸治療冠心病心絞痛的古代文獻(xiàn)和現(xiàn)代文獻(xiàn),古代文獻(xiàn)收集首先參照林昭庚主編的《中西醫(yī)病名對(duì)照大辭典》,確定“冠心病心絞痛”對(duì)應(yīng)的古代病名,根據(jù)課題組前期制定的“古代針灸臨床文獻(xiàn)采集書目表”,查找和檢索所需要錄入數(shù)據(jù)的圖書,全面收集相關(guān)文獻(xiàn)條目�，F(xiàn)代文獻(xiàn)收集采用計(jì)算機(jī)檢索與手工檢索結(jié)合的方式,收集以十四經(jīng)腧穴為主要作用點(diǎn),以針刺、灸法、電針、激光針等針灸療法為主治療冠心病心絞痛的臨床報(bào)道文獻(xiàn)。收集的古今文獻(xiàn)經(jīng)嚴(yán)格篩選,將符合要求的文獻(xiàn)錄入針灸處方庫,進(jìn)行數(shù)據(jù)挖掘,分析針灸治療冠心病心絞痛的腧穴、經(jīng)絡(luò)、特定穴運(yùn)用規(guī)律及配伍特點(diǎn)。 結(jié)果：腧穴運(yùn)用結(jié)果：古代針灸治療心絞痛共使用腧穴78個(gè),總運(yùn)用頻次271次。頻次超過10的腧穴有大陵、上脘、內(nèi)關(guān)、足三里、中脘、曲澤。腧穴配伍結(jié)果顯示,排在前列的為大陵與內(nèi)關(guān)、大陵與曲澤、中脘與大陵、足三里與上脘、內(nèi)關(guān)與曲澤；所選穴位以四肢及胸腹部穴位為主,配伍中上肢與胸腹部配伍居首。針灸處方中涉及了除手太陽小腸經(jīng)的13條經(jīng)絡(luò)的腧穴�，F(xiàn)代針灸治心絞痛共使用腧穴71個(gè),總運(yùn)用頻次565次。使用率居前五的腧穴有內(nèi)關(guān)、心俞、膻中、厥陰俞、神門。腧穴配伍規(guī)律的結(jié)果顯示,排在前列的配伍為內(nèi)關(guān)與心俞、內(nèi)關(guān)與膻中、膻中與心俞、厥陰俞與內(nèi)關(guān)、厥陰俞與心俞；選穴主要集中在四肢與胸腹部、背部腧穴,上肢與背部腧穴配伍居首位。所應(yīng)用的腧穴廣泛分布于十四經(jīng)。特定穴運(yùn)用結(jié)果：古代針灸處方78個(gè)經(jīng)穴中共使用特定穴63個(gè),占80.77%,特定穴中使用頻次最高的為五輸穴,其次為交會(huì)穴、原穴、募穴、絡(luò)穴；特定穴配伍關(guān)聯(lián)結(jié)果顯示,五輸穴與原穴、五輸穴與絡(luò)穴、募穴與五輸穴、五輸穴與交會(huì)穴、原穴與絡(luò)穴配伍頻次位居前列。現(xiàn)代針灸處方71個(gè)經(jīng)穴中共使用特定穴61個(gè),占85.92%,特定穴中使用頻次最高的為絡(luò)穴,其次為八脈交會(huì)穴、五輸穴、背俞穴、交會(huì)穴；特定穴配伍關(guān)聯(lián)結(jié)果顯示,交會(huì)穴與背俞穴、絡(luò)穴與背俞穴、絡(luò)穴與交會(huì)穴、絡(luò)穴與五輸穴、募穴與背俞穴配伍頻次位居前列。 結(jié)論：針灸治療心絞痛選穴遵循“循經(jīng)取穴”規(guī)律,并注重鄰近腧穴及具有經(jīng)氣會(huì)聚特點(diǎn)的特定穴的選取。其腧穴配伍方法主要有：本經(jīng)配穴法,陰經(jīng)與陰經(jīng)配穴法,上下配穴法,陰經(jīng)與陽經(jīng)配穴法、前后配穴法、局遠(yuǎn)配穴法、陰經(jīng)與奇經(jīng)配穴法、五輸穴與原穴配穴法、五輸穴與絡(luò)穴配穴法、募穴與五輸穴配穴法、五輸穴與交會(huì)穴配穴法、原絡(luò)配穴法、交會(huì)穴與背俞穴配穴法、絡(luò)穴與背俞穴配穴法、絡(luò)穴與交會(huì)穴配八穴法、絡(luò)穴與五輸穴配穴法、俞募配穴法等。
[Abstract]:Objective: to analyze the ancient and modern literature of acupuncture and moxibustion in treating angina pectoris of coronary heart disease by using data mining technology, and to explore the law of acupoint selection and compatibility characteristics of acupuncture and moxibustion treatment. Methods: the ancient and modern literatures of acupuncture and moxibustion on angina pectoris of coronary heart disease were collected. Firstly, referring to Lin Zhaogeng's Dictionary of TCM and Western Medicine, the corresponding ancient names of angina pectoris of coronary heart disease were determined. According to the "Bibliographic Table of Ancient Acupuncture and moxibustion Clinical Literature Collection" made by the research group in the early stage, the books needed to input data were searched and retrieved, and the related literature items were collected. The modern literature collection adopts the combination of computer retrieval and manual retrieval to collect the clinical reports of acupuncture, moxibustion, electroacupuncture, laser acupuncture and other acupuncture therapy for angina pectoris of coronary heart disease. The collected ancient and modern literature was strictly screened, and the documents according to the requirements were entered into the acupuncture and moxibustion prescription database, and the data mining was carried out. The acupoints, meridians, specific acupoints and compatibility characteristics of acupuncture and moxibustion for angina pectoris of coronary heart disease were analyzed. Results: in ancient times, 78 acupoints were used in the treatment of angina pectoris, and the total frequency was 271 times. More than 10 times of acupoints have Daling, Shangwan, Neiguan, Zusanli, Zhongwan, Quze. The results of acupoint compatibility showed that the leading points were Daling and Neiguan, Daling and Quze, Zhongwan and Daling, Zusanli and Shangwan, Neiguan and Quze; Acupuncture and moxibustion prescription involves 13 acupoints of meridians and meridians except the hand-sun small intestine meridian. In modern acupuncture and moxibustion treatment of angina pectoris, 71 acupoints were used, with a total frequency of 565 times. The top five acupoints are Neiguan, Xin Yu, Tanzhong, Jueyin Yu, Shenmen. The results of the law of acupoint compatibility showed that the top compatibility was Neiguan and Xinshu, Neiguan and Shanzhong, Tanzhong and Xinshu, Jueyin Yu and Neiguan, Jueyin Yu and Xinshu; The selection of acupoints is mainly concentrated in limbs and chest and abdomen, back acupoints, upper limbs and back acupoints in the first place. The applied acupoints are widely distributed in the fourteen meridians. The results of application of specific points were as follows: in ancient times, 63 points were used in 78 acupoints, accounting for 80.77 points. The most frequently used points were Wuyou points, followed by rendezvous points, original acupoints, raising points and collaterals. The results showed that the combination frequency of five points and collaterals, three points of raising points and five points of transportation, five points of transportation and rendezvous points, and the frequency of combination of original points and collaterals were in the forefront. The 71 acupoints of modern acupuncture and moxibustion prescription used 61 specific points, accounting for 85.92 points. The points of collaterals and collaterals were the most frequently used in the specific points, followed by the points of eight meridians crossing, the points of Wuyou, the points of backshu and the points of rendezvous. The results of specific points compatibility showed that the cross point and the back Shu point, the collateral point and the rendezvous point, the collateral point and the Wuyou point, and the frequency of the combination of the Fu point and the back Shu point were in the forefront. Conclusion: acupuncture and moxibustion treatment of angina pectoris follow the rule of "taking points along the meridian", and pay attention to the selection of adjacent acupoints and special points with the characteristics of meridian qi convergence. The methods of combination of acupoints are as follows: the method of combining acupoints with the meridian, the method of combining acupoints with yin meridian and yin meridian, the method of combining points up and down, the method of combining points of yin meridian and yang meridian, the method of combining acupoints before and after, the method of matching acupoints by bureau far, the method of combining acupoints by yin meridian and Qi meridian, the method of combining acupoints with original acupoints by five channels, The method of point matching between five points of transportation and collaterals, the method of matching points with points of raising points and five lines of points, the method of matching points with points of rendezvous points and rendezvous points, the method of matching points with points of rendezvous and Bichu points, the method of matching points of collaterals with points of rendezvous. The points of collaterals and Wulu points are combined with acupoints, and the method of Shu-Fu points is used to match points, and so on.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R246.1

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