山西中医药大学学报2025，Vol.26Issue(12)：1299-1306,8.DOI:10.19763/j.cnki.2096-7403.2025.12.01
探析针灸治疗难治性周围性面瘫选穴及配伍规律
Analysis of acupoint selection and combination patterns in acupuncture treatment for refractory peripheral facial palsy
摘要
Abstract
Objective:To explore the acupoint selection and combination patterns in acupuncture treatment for refrac-tory peripheral facial palsy in clinical practice in China using data mining techniques.Methods:Clinical randomized con-trolled trials on acupuncture treatment for refractory peripheral facial palsy published between January 1,2000,and Decem-ber 31,2024,were retrieved from four Chinese databases:China National Knowledge Infrastructure(CNKI),Wanfang Data Knowledge Service Platform,VIP Chinese Journal Database,and China Biological Medicine Database(SinoMed).An acu-puncture prescription database for refractory peripheral facial palsy was established.Descriptive analysis and high-frequency acupoint cluster analysis were performed using SPSS Statistics 17.0.Association rule analysis was conducted using the Apriori algorithm in SPSS Modeler 18.0,and a complex network diagram was visualized with Cytoscape 3.9.1 to summarize acupoint usage patterns.Results:After screening,205 articles were included,yielding 263 acupuncture prescriptions involv-ing 90 distinct acupoints,with a total of 3,071 acupoint usages.The most frequently used acupoints were Dicang,Jiache,and Yangbai.The majority of selected acupoints were located on the head,face,and neck.These acupoints belonged to 14 regular meridians,including the Ren and Du meridians,with stomach meridian of foot yang brightness being the most frequently uti-lized.Among specific acupoints,crossing points,source points,and five transport points were most commonly used.Associa-tion rule analysis revealed that the strongest correlation existed between Dicang-Jiache.Cluster analysis of the 18 high-frequency acupoints(used more than 50 times)grouped them into two categories:(1)core acupoints—including Dicang,Ji-ache,Chengjiang,Fengchi,Qianzheng,Hegu,and Zusanli;and(2)syndrome-differentiation-based adjunctive acupoints—including Shuigou,Yuyao,Taiyang,Yangbai,Sibai,Zanzhu,Quanliao,Yifeng,Xiaguan,and Yingxiang.Common needling techniques included transverse needling,retention needling,and superficial needling.Frequently used adjunctive therapies included moxibustion,fire cupping,pricking,and acupoint injection.Conclusion:Acupuncture treatment for refractory pe-ripheral facial palsy follows identifiable acupoint selection and combination patterns,providing a valuable reference for mod-ern clinical research and practice.关键词
难治性周围性面瘫/针灸/选穴规律/数据挖掘/方法Key words
refractory peripheral facial palsy/acupuncture/acupoint selection pattern/data mining/methodology分类
医药卫生引用本文复制引用
解鸿宇,袁爱红,高志群,夏玉,叶敏,张乐乐,李群威,查必祥..探析针灸治疗难治性周围性面瘫选穴及配伍规律[J].山西中医药大学学报,2025,26(12):1299-1306,8.基金项目
第五批全国中医临床优秀人才研修项目[国中医药人教函(2022)1号] （2022）
安徽省临床重点专科建设项目[皖卫医秘(2022)105号] （2022）
安徽省名中医工作室和传承工作室项目[皖中医药发展秘(2023)23号] （2023）
第九批省"特支计划"卫生创新人才项目[皖组办字(2023)35号] （2023）
安徽省第一届卫生健康杰出人才项目[皖卫函(2022)392号] （2022）
安徽省针灸临床中心开放课题(0517-K6) （0517-K6）
安徽省中医药传承创新科研项目(2024CCCX092) （2024CCCX092）
