崔晓婕 许寒冰 于微微 相静

摘要 目的：基于形式概念分析方法挖掘针灸治疗肩痹的选穴规律。方法：以《430种疾病针灸表解》为数据源，从证型、腧穴两方面收集肩痹数据，建立肩痹处方数据库，运用形式概念分析法，采用Lattice Miner软件进行数据挖掘和规则提取。结果：针灸治疗肩痹的核心腧穴为肩髃、肩髎、合谷、肩井、臑会、秉风;应用频次最高经络为手阳明大肠经、手少阳三焦经、手太阳小肠经;在所提取规则中，肩髎-合谷、肩髃-合谷支持度最高，其次是肩髃-肩髎、肩髃、肩髎-合谷。结论：通过数据挖掘发现针灸治疗肩痹以手三阳经为主，选穴原则以近部取穴为主，搭配远部取穴，重视“近部取穴-远部取穴-辨证取穴”相结合。本研究将形式概念分析应用于中医数据挖掘，可有效发现中医诊疗数据中所隐含的潜在知识，为中医临床治疗选穴规律发现提供理论支持与科学依据。

关键词 形式概念分析;中医;针灸;证型;腧穴;肩痹;选穴规律;数据挖掘

Abstract Objective：To explore the acupoint-selecting regularity of acupuncture and moxibustion in the treatment of shoulder arthealgia by using formal concept analysis.Methods：Data source was from the text of Acupuncture and Moxibustion Explanatory Notes of 430 Diseases.We established a database of prescriptions of the acupoint.Use formal concept analysis and Lattice Miner software was used for data mining and rule extraction.Results：The core points for acupuncture treatment of shoulder arthralgia were Jianyu，Jianliao，Hegu，Jianjing，Ruhui，Bingfeng.The most frequently used meridians were the Shouyangming Dachang Meridian，Shoushaoyang Sanjiao Meridian，Shoushaoyang Xiaochang Meridian; In the extraction rules，Jianliao-Hegu，Jianyu-Hegu had the highest support，followed by Jianliu-Jianliao，Jianyu，Jianliao-Hegu.Conclusion：Through data mining，it is found that acupuncture and moxibustion in the treatment of arthralgia is mainly based on the Shou sanyang meridian.The principle of acupuncture selection is based on proximal acupoint selection，combined with distal acupoint selection，and we emphasis on the combination of “proximal acupoint selection-distal acupoint selection-syndrome differentiation”.This study applies formal concept analysis to traditional Chinese medicine（TCM） data，which can effectively discover the potential knowledge implicit in TCM diagnosis and treatment data，and provide theoretical support and scientific basis for the discovery of the law of selection of acupoints in clinical treatment of TCM.

Keywords Formal concept analysis; Traditional Chinese medicine; Acupuncture; Syndromes; Acupuncture point; Shoulder arthralgia; Acupoint selection; Data mining

中圖分类号：R195文献标识码：Adoi：10.3969/j.issn.1673-7202.2021.19.024

肩痹，属于中医“痹证”的范畴，是指肌体因受风、寒、湿等邪气的侵袭而引起的筋骨退变、劳损、外伤的一类病证，临床表现为肩臂僵痛、屈伸受限、功能受限等症状，是临床最常见的慢性疾病之一[1]。随着人们生活方式的改变，肩痹的发生率逐渐升高，且发病年轻化。目前，西医主要以服用非甾体抗炎药予以治疗，长期服用则损害胃肠道，出现胃溃疡、胃肠道出血等不良反应[2]。传统针灸疗法疗效显著、经济、安全，相比西医单一治疗方法比较，具有显著优势。……