| 摘要: |
| [目的] 基于数据研究刺血疗法治疗痛风性关节炎的选穴及操作规律。[方法] 收集数据库中刺血疗法治疗痛风的选穴及操作方法等，录入中医传承辅助平台（V2.5）中，采用频次分析、关联规则、复杂系统熵聚类等数据挖掘方法，分析刺血疗法治疗痛风性关节炎的规律。[结果] 共检索到文献1219篇，制定纳入、排除标准，对文献进行筛选处理，最终筛选出326首处方，涉及穴位112个，其中使用频率最高的穴位依次是：阿是穴、太冲穴、局部充盈青紫怒张的络脉、行间穴、内庭穴等。得到常用穴位组合14组，挖掘新方7首，并对其操作方法进行总结。[结论] 采用刺血疗法治疗痛风多为近部选穴与井穴，以肝、脾、胃经为主。器具多选用三棱针，并与拔罐相结合，放血量在1~5 mL居多，治疗频率多为2天1次，疗程7~14天。治疗多以健脾益肾、行气活血、利湿通滞、化瘀止痛为原则。 |
| 关键词: 痛风 刺络放血疗法 中医传承辅助平台 选穴规律 操作方法 |
| DOI：10.11656/j.issn.1673-9043.2024.02.15 |
| 分类号:R589.7 |
| 基金项目:中医药传承与创新“百千万”人才工程（岐黄工程）（中医药人民教育函[2018]12号）-刘维岐黄学者工作室建设项目。 |
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| Based on data to study acupoint and operation rules of pricking bloodletting in treating acute gouty arthritis |
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YUE Qingyun1,2,3, LIU Wei1,2,3, FAN Yihua4
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1.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China;2.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion;3.Tianjin 300193, China;4.Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China
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| Abstract: |
| [Objective] To study acupoint and operation rules of pricking bloodletting therapy for gout arthritis based on data. [Methods] Collected acupoint and operation methods of bloodletting therapy for gout from databases,enter them to TCMISS(V2.5),and adopt data mining methods such as frequency analysis,association rules and complex system entropy clustering,to analyze the rule of pricking bloodletting therapy for gout arthritis. [Results] We retrieved 1 219 pieces of articles totally,after establishing inclusion/exclusion criteria and screening,we finally filtered out 326 pieces of prescriptions. There involved 112 acupuncture points. The most frequently used acupoints are:ashi point,taichong point,local collaterals,xingjian point,neiting point. Finally received 14 groups of general acupoints and 7 groups of new recipes,and summarized the operation methods. [Conclusion] Many of them chose points in nearby location and jing points,mainly with acupoints of the liver,spleen and stomach lines. Three-edged needles are used for appliances,usually combined with cupping therapy. The amount of bleeding was in the range of 1~5 mL. The treatment frequency is usually once two days,with the course of treatment between seven to fourteen days. The treatment is based on invigorating spleen and kidney,activating blood circulation,dissipating dampness and removing stasis to relief pain. |
| Key words: gout pricking bloodletting therapy TCMISS rules of acupoints selection operational approach |
