黄慧仪 谭嘉伟 刘健辉 徐小雯 庄礼兴

〔摘要〕 目的 通过数据挖掘方法，研究庄礼兴教授治疗颈椎病的取穴规律。方法 收集庄教授2018年11月5日至2019年11月29日在广州中医药大学第一附属医院针灸治疗颈椎病的处方病例，运用SPSS Statistics 21.0、SPSS modeler 14.1、gephi 0.9.2软件，采用频数、聚类、关联规则及复杂网络分析方法进行总结。结果 共收集处方134条，腧穴46个，使用频数居前三的腧穴为风池、颈肩穴、颈百劳，常用取穴组合有“颈百劳-颈肩穴”和“风池-颈百劳”，得出混合型、交感型、颈型、神经根型、椎动脈型颈椎病与腧穴关联规则共20条，颈肩部疼痛、头晕、双或单上肢麻木、头痛、寐差症状与腧穴关联规则共22条，并总结出4个聚类组合，形成2个核心网络。结论 庄教授在治疗颈椎病时注重调神与辨症分型配穴相结合，在临床常能获得满意疗效。

〔关键词〕 颈椎病;庄礼兴;取穴规律;数据挖掘;调神针法

〔中图分类号〕R246.9       〔文献标志码〕A       〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.10.020

Acupoint Selection Rules of Professor Zhuang Lixings Treatment on Cervical Spondylosis by Acupuncture Based on Data Mining

HUANG Huiyi1， TAN Jiawei1， LIU Jianhui1， XU Xiaowen1， ZHUANG Lixing2*

（1. Clinical Medical College of Acupuncture & Moxibustion and Rehabilitation， Guangzhou University of Chinese Medicine， Guangzhou， Guangdong 510405， China; 2. Acupuncture Rehabilitation Center， The First Affiliated Hospital of Guangzhou University of Chinese Medicine， Guangzhou， Guangdong 510405， China）

〔Abstract〕 Objective To summarize the regularities of acupoint selection of professor Zhuang Lixing in treating cervical spondylosis by using data mining technology. Methods The prescriptions of cervical spondylosis treated by Zhuang Lixing in The First Affiliated Hospital of Guangzhou University of Chinese Medicine from November 5， 2018 to November 29， 2019 were collected， and the frequency analysis， cluster analysis， correlation analysis and complex network were carried out to analyze the regularities of acupoint selection based on SPSS Statistics 21.0， SPSS modeler 14.1 and Gephi 0.9.2 software. Results There were a total of 134 prescriptions， involving 46 acupoints， with “Fengchi” （GB20）， “Jingjianxue” （empirical acupoint） and “Jingbailao” （EX-HN14） being the most frequently used. The acupoints pairs with common combination were “Jingbailao” （EX-HN14）-“Jingjianxue” （empirical acupoint）， “Fengchi” （GB20）-“Jingbailao” （EX-HN14） and “Jingjianxue” （empirical acupoint）-“Jingbailao” （EX-HN14）. There were 20 rules between acupoints and mixed cervical spondylosis， cervical sympathetic， cervical spondylopathy， spondylotic radiculopathy and vertebral artery cervical spondylosis， 22 rules between acupoints and the syndrome of neck shoulder pain， dizziness， double or single upper limb numbness， headache， sleep badly. There were 4 clusters and 2 core networks. Conclusion Professor Zhuang pays attention to regulating mind and select acupoints according symptoms， and satisfactory results can often be obtained in clinic.

〔Keywords〕 cervical spondylosis; Zhuang Lixing; regularities of acupoint selection; data mining; acupuncture of regulating mind

颈椎病是因颈椎间盘退行性变、颈椎骨质增生或外伤等，刺激或压迫颈部脊髓、神经、血管而产生一系列症状和体征的综合征。国内外关于普通人群颈椎病患病率报道大约在3.8%～17.6%[1]，近年来颈椎病的发病年龄有年轻化趋势[2]，临床研究表明頸椎病患者以非手术方式治疗为主，尤其是针灸治疗具有疗效确切且副作用少的优势[3-5]，已得到临床的广泛认可。

庄礼兴教授为广东省名中医，师从针灸名家司徒铃教授、靳瑞教授，是岭南“靳三针”流派主要传承人之一，在30余载的中医针灸临床、教学及科研工作中继承并发展靳三针疗法，总结出一套以治疗躯体神志病为主的调神针法，特别擅长治疗中风后遗症、运动障碍性疾病等神经系统疾病及颈椎病、腰痛病等痛证，具有丰富的临床经验。……