西部中医药2025，Vol.38Issue(11)：41-46,6.DOI:10.12174/j.issn.2096-9600.2025.11.08
古代针灸治疗膝骨关节炎取穴规律分析
Analysis of Acupoint Selection Rules of Ancient Acupuncture in the Treatment of Knee Osteoarthritis
摘要
Abstract
Objective:To provide theoretical reference for clinical study by systematically analyzing acupoint selection rules for ancient acupuncture in the treatment of knee osteoarthritis(KOA)using data mining technology.Methods:Using"knee arthralgia""knee pain"and others as the terms,we retrieved the section of"acupuncture,massage and moxibustion"from the 5th edition of Chinese Medical Canon,so as to extract the relevant prescriptions and articles for acupuncture treatment of KOA.Excel 2021 was used to collect and analyze the dynasties,the title of the work,the frequency of acupoints,meridian tropism,specific points,the distribution,acupoint selection and acupoint matching of the articles,SPSS Modeler 18.3 was adopted to analyze the association rules of the acupoint and matching acupoints.Results:The study involved 34 ancient books on acupuncture,1004 prescriptions of acupuncture containing 839 single-acupoint ones,and 165 multiple acupoints prescriptions,108 acupoints and total frequency reached 1356 times.There were many studies in the Song and Ming dynasties,among which Puji Fang·acupuncture and experience on acupuncture and moxibustion therapy were representative works;the acupoints were frequently chosen from gallbladder meridian of Foot-Shaoyang,stomach meridian of Foot-Yangming and bladder meridian of Foot-Taiyang;importance should be attached to the combined application of Five Shu points;and the acupoints were mostly distributed in the calf,ankle and knee;Yanglingquan(GB34),Zusanli(ST36),Weizhong(BL40),Dubi(ST35)and Huantiao(GB30)were used more frequently;Neixiyan(EX-LE4)-Dubi were with the strongest support;acupoint combination method from three-section-exterior-interior point combination presented the highest support.Conclusion:Acupuncture prescription for KOA in ancient times mainly focuses on the selection of adjacent points,paying attention to exterior-interior point combination and point combination of the same meridian.关键词
骨关节炎,膝/针灸/古代文献/选穴规律/配穴规律Key words
osteoarthritis,knee/acupuncture/ancient literature/acupoint selection rules/acupoint matching rules分类
医药卫生引用本文复制引用
丁小姣,刘明,宁容容,夏高艳,齐雨欣,肖培根,叶险峰..古代针灸治疗膝骨关节炎取穴规律分析[J].西部中医药,2025,38(11):41-46,6.基金项目
河南省中医药科学研究专项课题(2022ZY1105). （2022ZY1105）
