|
|
The Rules of Acupoint Selection in the Treatment of Knee Osteoarthritis with Acupuncture and Moxibustion:Based on Data Mining Technology |
Li Lingling, Huang Hailiang |
College of Rehabilitation Medicine,Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250355,China |
|
|
Abstract Many studies have shown that acupuncture and moxibustion has a significant effect on the treatment of knee osteoarthritis and its side effects are small.So,there is an urgent need to find a core prescription for acupuncture and moxibustion for knee osteoarthritis. Objective To discusses the rules of acupoint selection in the treatment of knee osteoarthritis by acupuncture and moxibustion in China,based on data mining technology and to provide some reference for clinical treatment. Methods Randomized controlled trials about acupuncture and moxibustion in the treatment of knee osteoarthritis were retrieved from databases of CNKI,Wanfang Data,VIP and so on,from inception to January 2022.Establish a database of acupuncture prescriptions using Microsoft Excel 2019 for descriptive analysis,and the clustering analysis and association rule analysis are carried out by IBM SPSS Statistics 26.0 and IBM SPSS Modeler 18.0 software. Restults Ultimately,122 studies involving 122 prescriptions,45 acupoints,total frequency 895 times were included.High frequency acupoints(frequency>10)are Dubi,Neixiyan,Xuehai,Yanglingquan,Zusanli and Liangqiu;High frequency meridians are the stomach channel of foot-yangming and the spleen channel of foot-taiyin;Specific points are mainly Wushuxue、Bahuixue and Xixue;5 clusters including Dubi-Neixiyan,Zusanli-Weizhong,Yanglingquan-Yinlingquan-Xuehai-Liangqiu-Heding,Sanyinjiao-Taixi and Guanyuan-Sshenshu-Xiyangguan were gotten by cluster analysis.The combination of acupoints with strongest support are Dubi-Neixiyan,Dubi-Liangqiu-Neixiyan,Dubi-Zusanli-Neixiyan,Dubi-Xuehai-Neixiyan,Dubi-Yanglingquan-Neixiyan and so on by relevance principle analysis. Conclusion The rules of acupoint selection in the treatment of knee osteoarthritis with acupuncture and moxibustion showed that main points focus on local points and the lower limbs meridian syndrome differentiation points,and pay attention to local acupoint selection,differentiation of acupoints along meridian and application of special acupoints such as Wushuxue,Bahuixue,Xixue.But in the clinical,doctor should also be combined with the specific syndromes of patients and syndrome differentiation.
|
Received: 19 May 2022
|
|
|
|
|
[1] GIWNEWER U,RUBIN G,ORBACH H,et al.Treatment for osteoarthritis of the knee[J].Harefuah,2016,155(7):403-406. [2] 曹彭凯,王晓猛,白伟侠,等.2018年版《骨关节炎诊疗指南》解读[J].河北医科大学学报,2018,39(11):1241-1243. [3] KOLASINSKI SL,NEOGI T,HOCHBERG MC,et al.2019 American college of rheumatology/arthritis foundation guideline for the management of osteoarthritis of the hand,hip,and knee[J].Arthritis Care Res(Hoboken),2020 72(2):149-162. [4] XU T,WANG SF,ZHAN SY,et al.The prevalence of symptomatic knee osteoarthritis in China:results from the China health and retirement longitudinal study[J].Arthritis Rheumatol,2016,68(3):648-653. [5] LEE BJ,YANG S,KWON S,et al.Association between metabolic syndrome and knee osteoarthritis:a cross-sectional nationwide survey study[J].J Rehabil Med,2019,51(6):464-470. [6] 童培建. 膝骨关节炎中西医结合诊疗指南[J].中华医学杂志,2018,98(45):3653-3658. [7] 周帅琪,梁龙,于杰,等.最新膝骨关节炎循证国际指南纵览[J].海南医学院学报,2020,26(05):388-391. [8] 王尚全,朱立国,展嘉文,等.中医康复临床实践指南·膝骨关节炎[J].康复学报,2020,30(03):177-182. [9] 屠建锋,王丽琼,石广霞,等.针刺对膝骨关节炎患者膝关节损伤与骨关节炎评分的影响[J].中国针灸,2021,41(01):27-30. [10] 陈瑜,贾叶娟,吕九亨,等.不同刺灸法治疗膝骨关节炎的临床疗效观察[J].针刺研究,2020,45(07):569-573. [11] LI J,LI YX,LUO LJ,et al.The effectiveness and safety of acupuncture for knee osteoarthritis:an overview of systematic reviews[J].Medicine(Baltimore),2019,98(28):e16301. [12] 中国国家标准化管理委员会.中国国际标准化管理委员会.中华人民共和国国家标准《腧穴名称与定位》(GB/T12346-2006)[S].北京:中国标准出版社,2006. [13] 霍乐乐,陈磊,高文香.中医药治疗膝骨关节炎的现状[J].风湿病与关节炎,2016,5(06):77-80. [14] 魏国俊,汤昊,王志勇,等.膝骨性关节炎早、中期的中医辨证论治研究[J].西部中医药,2021,34(01):137-140. [15] 李平华. 病因病机[M].增生性膝关节炎的非手术疗法,北京:中国医药科技出版社,2018:30-31. [16] 吴丛姿,金红婷,童培建.从髓论治膝骨关节炎[J].中医正骨,2021,33(01):52-55. [17] 霍易飞,吴彬,杨宇峰,等.论明清时期对痹证病因病机认识[J].辽宁中医药大学学报,2019,21(08):79-81. [18] 曹丽君,王瑞,刘永惠.刘永惠教授临床辨治痹证经验[J].河北中医,2018,40(04):485-488. [19] DELL'LSOLA A,ALLAN R,SMITH SL,et al.Identification of clinical phenotypes in knee osteoarthritis:a systematic review of the literature[J].BMC Musculoskelet Disord.2016,17(1):425. [20] ROOS EM,ARDEN NK.Strategies for the prevention of knee osteoarthritis[J].Nat Rev Rheumatol,2016,12(2):92-101. [21] 陈春华,孙欣峰.苍龟探穴针法联合艾灸治疗膝关节骨性关节炎临床研究[J].辽宁中医杂志,2018,45(11):2397-2400. [22] 万超,朱小虎,程宇核,等.内热针疗法对膝骨关节炎大鼠软骨细胞凋亡及Caspase-3和Caspase-9表达的影响[J].中国针灸,2019,39(04):409-416. [23] 李媛,吴凡,程珂,等.针刺对炎性疼痛的镇痛机制[J].针刺研究,2018,43(08):467-475. [24] 寇龙威,郭珈宜,李峰,等.针灸治疗膝骨关节炎作用机制研究[J].辽宁中医药大学学报,2021,23(01):196-199. [25] 郭倩,杜朝晖,郭伟.经外奇穴温针灸治疗膝骨关节炎79例[J].中国中医骨伤科杂志,2019,27(04):64-66. [26] 伏开全,董伟,董自安.穴对临床运用医案5则[J].新中医,2019,51(06):260-262. [27] 高雅静,李静坤,费璇,等.《神应经》膝痛七穴温针灸治疗膝骨关节炎临床观察[J].上海针灸杂志,2020,39(10):1314-1318. [28] 向珊,张继荣.温针灸阳陵泉联合等速肌力训练治疗膝关节骨性关节炎的疗效观察[J].中国中西医结合杂志,2018,38(06):655-657. [29] 陈小华,刘智斌.帕金森胃肠功能障碍应用足三里理论探讨[J].中医学报,2020,35(09):1849-1852. [30] 李津,彭秀娟,张平,等.近5年膝骨性关节炎的针灸选穴分析[J].湖北中医杂志,2020,42(10):60-62. [31] 王莹. 针刺治疗膝骨关节炎单穴与腧穴配伍的临床疗效观察[D].长春中医药大学,2019. [32] 杜鑫. “宁失其穴,勿失其经”在委中穴临床针刺中的应用[J].天津中医药,2016,33(07):406-408. [33] 赵丹,方思瞳,王仕林,等.循经远取动法治疗痛证[J].中医学报,2019,34(11):2268-2272. [34] 李鸣,陈三三,刘然,等.基于《针灸大成》的曲池穴穴位本意及临床应用探微[J].浙江中医药大学学报,2019,43(01):83-86. [35] 焦琳,陈日新.《黄帝内经》“九针之异,各司其属”对针灸临床经络诊疗思路的启迪[J].中华中医药杂志,2017,32(05):2146-2149. [36] 焦琳,陈日新.腧穴者-其态各异,动、敏为本[J].时珍国医国药,2018,29(01):143-145. [37] 孙丽英,董清华,郭春乐,等.大杼穴的临床研究进展[J].针灸临床杂志,2016,32(10):96-98. [38] 高强,吴超,席明健,等.雷火温针灸治疗风寒入络型膝骨关节炎临床研究[J].上海中医药杂志,2016,50(02):49-51. [39] 张媛媛,李西海,吴明霞.电针调节Wnt/β-catenin信号通路抑制大鼠膝骨关节炎软骨退变的研究[J].中国针灸,2019,39(10):1081-1086. [40] 李飞,姜天鑫,蔡圣朝.蔡圣朝治疗痹病经验简析[J].辽宁中医杂志,2020,47(12):39-41. |
[1] |
Xie Zhu, Lin Kailiang, Lin Qiuxuan, Cen Meiyuan. Clinical Study on Treating Insomnia with Precise Activating Blood Circulation and Removing Stasis Combined with Acupuncture Therapy[J]. journal1, 2022, 42(6): 125-126. |
[2] |
. [J]. journal1, 2022, 42(6): 133-134. |
[3] |
. [J]. journal1, 2022, 42(5): 60-61. |
[4] |
. [J]. journal1, 2022, 42(5): 131-132. |
[5] |
Sun Yuting. Clinical Effect of Self-Made Huotan Kaiqiao Prescription Combined With Acupuncture in the Treatment of Cerebral Infarction[J]. journal1, 2022, 42(1): 115-117. |
[6] |
. [J]. journal1, 2022, 42(1): 134-136. |
|
|
|
|