中国中医药信息杂志2024，Vol.31Issue(8)：44-51,8.DOI:10.19879/j.cnki.1005-5304.202309237
基于复杂网络分析针灸治疗带状疱疹后遗神经痛的应用特点
Application Characteristics of Acupuncture and Moxibustion in the Treatment of Postherpetic Neuralgia Based on Complex Network Analysis
摘要
Abstract
Objective To analyze the application characteristics of acupuncture and moxibustion in the treatment of postherpetic neuralgia(PHN)using complex networks;To provide clinical acupuncture and moxibustion treatment with application basis for acupoint selection,acupuncture and moxibustion,and treatment ideas.Methods The clinical research literature on acupuncture and moxibustion treatment for PHN was retrieved from CNKI,Wanfang Data,VIP,PubMed and Web of Science.The literature was screened according to the inclusion and exclusion criteria,and Excel 2019 was used to establish an acupuncture and moxibustion treatment PHN database.SPSS Modeler 18.0 software was used for modeling and association rule analysis,and Gephi 0.10.1 software was used for complex network analysis.Results Totally 237 articles were included,and 262 acupuncture and moxibustion prescriptions data were extracted,involving a total of 115 acupoints,with a total use frequency of 1 432 times.The top 10 most frequently used acupoints were Ashi acupoint(214 times)and Jiaji acupoint(198 times),Zusanli(74 times),Taichong(74 times),Sanyinjiao(66 times),Hegu(65 times),Yanglingquan(62 times),Xuehai(60 times),Zhigou(53 times),and Quchi(52 times).The association rule analysis showed that the acupoint combination with the highest correlation was Ashi acupoint-Jiaji acupoint.K-core hierarchical analysis and community analysis on the complex network of the acupoint prescriptions obtained two core acupoint groups.Therapy analysis showed that filiform needle acupuncture was the most commonly used intervention for acupuncture treatment of PHN;syndrome type-acupoint analysis showed that the syndrome types with the highest frequency of PHN were liver meridian heat stagnation,blood stasis and collaterals obstruction,and spleen meridian damp-heat;tonic and diarrhea-acupoint analysis showed that the main operating techniques were neutral-tonifying and neutral-discharging.Conclusion Acupuncture and moxibustion treatment for PHN mainly selects local acupoints,Ashi acupoint and Jiaji acupoint are often selected,and focusing on the cooperation with distal acupoints.The external and internal meridians are mostly selected according to different syndrome types.The operation is performed using neutral-tonifying and neutral-discharging techniques.Commonly used filiform acupuncture combined with electro-acupuncture,pricking,cupping and other therapies.The application characteristics can provide clinical reference for the treatment of PHN.关键词
带状疱疹后遗神经痛/针灸/数据挖掘/复杂网络Key words
postherpetic neuralgia/acupuncture and moxibustion/data mining/complex network分类
医药卫生引用本文复制引用
郑冰冰,郑雪,魏丹丹,慕文理,海萌萌,王庆波..基于复杂网络分析针灸治疗带状疱疹后遗神经痛的应用特点[J].中国中医药信息杂志,2024,31(8):44-51,8.基金项目
河南省中医药科学研究专项课题(2019JDZX2099) （2019JDZX2099）
河南省中医药传承与创新人才工程(仲景工程)中医药学科拔尖人才项目(2021年) （仲景工程）
