摘要
提取《中国针灸治疗学》《实用针灸学》中病案的腧穴名称、主治病症,对穴位与主治病症进行降维表示,建立“穴-症”联系,采用复杂网络检测结果(节点度值)评估穴位的特异性,利用穴-症网络的“小世界”特性分析针灸处方选穴的一致性和避免冗余穴位的策略。结果显示,两本著作形成的“穴-症”网络均存在近似“长尾”的度分布,大量节点度值集中在0~4000,少量节点的度值高达10000以上。对于度值>10000的节点出现了明显的个数与分布差异,《中国针灸治疗学》中包括11个具有多连边数的穴位,遍布全身,《实用针灸学》中仅有2个多连边数的穴位,位于下肢。临床中存在个别穴位具有广泛的治疗效应,出现在大量处方中,通过节点度值的穴位划分能够粗粒度地评估穴位调控作用的躯体区域特异性;《中国针灸治疗学》穴-症网络连边数高于《实用针灸学》穴-症网络,与2本著作不同的时代背景有关,今后可利用具有时代传承特征的诊疗规律优化针灸处方。
By extracting the acupoint names and their main indications from cases in Chinese Acupuncture and Moxibustion Therapy and Practical Acupuncture and Moxibustion,the acupoints and their main indications are represented in a reduced dimension,establishing an"acupoint-indication"linkage.Using complex network detection results(node degree values),the specificity of acupoints was assessed.The small-world characteristics of the"acupoint-indication"network are utilized to analyze the consistency of acupoint selection in acupuncture prescriptions and strategies to avoid redundant acupoints.The results show that the"acupoint-indication"network formed by both texts exhibited an approximate"long-tail"distribution,with a large number of node degree values concentrated between 0 and 4000,while a few nodes have degree values exceeding 10000.There are significant differences in the number and distribution of nodes with degree values>10000 between the two texts.Chinese Acupuncture and Moxibustion Therapy includes 11 acupoints with multiple edges across the body,whereas Practical Acupuncture and Moxibustion contains only 2 such acupoints,located in the lower limbs.Clinically,some acupoints have a broad therapeutic effect and appear in numerous prescriptions.The division of acupoints based on node degree values can coarsely evaluate the body region specificity of acupoints'regulatory effects.The"acupoint-indication"network of Chinese Acupuncture and Moxibustion Therapy has a higher number of edges than that of Practical Acupuncture and Moxibustion,which might be related to the different historical contexts of the two texts.In the future,diagnostic and therapeutic patterns with historical continuity can be utilized to optimize acupuncture prescriptions.
作者
黄玥滢
方艺
徐天成
夏有兵
HUANG Yueying;FANG Yi;XU Tiancheng;XIA Youbing(Key Laboratory of Acupuncture and Medicine Research of Ministry of Education,Nanjing University of Chinese Medicine,Nanjing 210023,Jiangsu Province,China;School of Medical Information and Engineering,Xuzhou Medical University,Xuzhou 221004,Jiangsu Province)
出处
《中国针灸》
CAS
CSCD
北大核心
2024年第6期723-729,共7页
Chinese Acupuncture & Moxibustion
基金
2021年度江苏省中医药科技发展计划专题研究项目:ZT202120
2022年江苏省科技计划专项资金(重点研发计划社会发展)项目:BE2022712
江苏省研究生科研创新计划项目:KYZX232153。
关键词
穴位效应
广谱效应
特异效应
复杂网络
针灸
acupoint effect
broad-spectrum effect
specific effect
complex network
acupuncture and moxibustion
