目的探寻古人治疗胃脘痛的针灸方法,摸索古人以针灸治疗本病症的取穴规律,为指导现代临床治疗工作提供参考和依据。方法确立胃脘痛相关检索词,构建数据库,运用频数分析和数据挖掘技术的关联规则,考察古代针灸治疗胃脘痛不同腧穴和经脉的使用频次、腧穴间配伍使用的规律。结果古代针灸治疗胃脘痛使用频次和支持度居前的腧穴有中脘、足三里、内关、上脘、膈俞、公孙、建里等,以经穴为主;多选取走行穿经上腹的经脉上的腧穴;腧穴间配伍以辨证选穴与对症选穴配合为主。
Objective To seek the ancients' method for acupuncture treatment of epigastric pain and explore the ancients' regularities in point selection for acupuncture treatment of this disease to provide a reference and basis for guidance of modern clinical treatment.Method Search words related to epigastric pain were established.A database was set up.Frequency analysis and data mining technique-associated rules were used to investigate the use frequencies of different acupoints and meridians,and regularities in acupoint combination in ancient acupuncture treatment of epigastric pain.Result In ancient acupuncture treatment of epigastric pain,the points more frequently used and more accepted were Zhongwan(CV12),Zusanli(ST36),Neiguan(PC6),Shangwan(CV13),Geshu(BL17),Gongsun(SP4)and Jianli(CV11).Meridian points were the main ones.The points of meridians going through the epigastrium were often selected.Acupoint combination was mainly based on syndrome differentiation-based point selection plus symptomatic point selection.