广州中医药大学学报2026，Vol.43Issue(4)：995-1002,8.DOI:10.13359/j.cnki.gzxbtcm.2026.04.025
基于隐结构和频繁项集挖掘腰椎间盘突出症针刺辨证选穴规律
Exploring the Pattern of Syndrome Differentiation and Acupoint Selection in Acupuncture for Lumbar Disc Herniation Based on Latent Structure and Frequent Itemset Mining
摘要
Abstract
Objective To explore the pattern of syndrome differentiation and acupoint selection in acupuncture treatment for lumbar disc herniation(LDH),providing a reference for its clinical management.Methods A computerized search was conducted across databases including the China National Knowledge Infrastructure(CNKI)Journal Full-text Database,Wanfang Academic Journal Full-Text Database,VIP Chinese Science and Technology Journal Database(VIP),and the Chinese Biomedical Literature Database(CBM).The search period spanned from the inception of each database to June 2025,focusing on literature related to acupuncture treatment for LDH based on syndrome differentiation and acupoint selection.Information on symptoms,syndrome patterns,and selected acupoints was extracted to establish a database.Software including Lantern 5.0,Weka 3.9.6,and SPSS Statistics 27.0 were used to analyze the patterns of syndrome differentiation and acupoint selection through latent structure modeling,cluster analysis,association rule analysis,and frequent itemset mining.Results A total of 174 articles were included,involving 7 554 patients and 171 symptoms or signs.Among these,18 were high-frequency symptoms(frequency≥1 000),including limited mobility,petechiae on the tongue,and fixed location of pain.The syndrome distribution comprised 9 TCM syndrome types.There were 15 high-frequency acupoints(frequency≥1 000),including Weizhong(BL40),Shenshu(BL23),Dachangshu(BL25),and Huantiao(GB30).Latent structure analysis identified 11 latent variables,which were clustered into 3 categories through cluster analysis:qi stagnation and blood stasis syndrome,cold-dampness obstructing the collaterals syndrome,and liver-kidney deficiency syndrome.Association rule analysis revealed the strongest associations among acupoints such as Weizhong,Dachangshu,Huantiao,and Shenshu.A total of 2"symptom-acupoint"frequent itemsets and 2"syndrome-symptom-acupoint"frequent itemsets were identified.Conclusion Lumbar disc herniation is commonly characterized by the syndrome patterns of qi stagnation and blood stasis and cold-dampness obstructing the collaterals.In acupuncture treatment,acupoints such as Weizhong(BL40),Shenshu(BL23),Dachangshu(BL25),Huantiao(GB30),and lumbar Jiaji points are frequently selected as the main points,with supplementary points added based on clinical syndrome differentiation.关键词
隐结构模型/频繁项集/腰椎间盘突出症/针刺/辨证选穴规律/气滞血瘀/寒湿阻络/委中/肾俞/大肠俞/环跳分类
医药卫生引用本文复制引用
颜文定,田天照,王金媛,李欢,杜鹏,蔡迎峰..基于隐结构和频繁项集挖掘腰椎间盘突出症针刺辨证选穴规律[J].广州中医药大学学报,2026,43(4):995-1002,8.基金项目
广州市科技计划项目(编号:2023A03J0320) （编号:2023A03J0320）
广东省中医药局蔡迎峰省名中医传承工作室建设项目(编号:440100240000000059076) （编号:440100240000000059076）
