基于数据挖掘分析针灸治疗早搏选穴规律*
作者：沈 萍，高鹤仁
单位：安徽中医药大学针灸推拿学院，安徽 合肥 230012
引用：引用：沈萍，高鹤仁.基于数据挖掘分析针灸治疗早搏选穴规律[J].中医药导报,2025,31(7):144-149.
DOI：10.13862/j.cn43-1446/r.20250526.001
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摘要：目的：基于数据挖掘技术分析针灸治疗早搏（期前收缩）的选穴规律，并总结其中蕴含的治则治法、处方规律。方法：检索中国知网期刊全文数据库（CNKI）、万方学术期刊全文数据库（Wanfang Data）、维普中文科技期刊数据库（VIP）、美国生物医学信息检索系统（PubMed）等数据库，得到符合标准的文献，再将文献中符合条件的腧穴录入Excel表格，建立包括腧穴、归经、特定穴等信息的数据库，应用R-4.4.4、RStudio、SPSS Modeler 18.0、Originpro 2024等软件对数据库信息进行数据清洗、关联规则分析、聚类分析，并绘制聚类图、高频腧穴与核心处方网络图等。结果：共统计处方119份，涉及腧穴106个，总腧穴频数为696次，使用频数在10次以上的腧穴有19个，其中使用频数排名前五的腧穴为：内关、神门、心俞、足三里、三阴交；归经分析排名前三的经脉为足太阳膀胱经、手厥阴心包经、任脉；特定穴分析以背俞穴、络穴、八脉交会穴为主；关联规则分析的组穴以内关-神门、内关-心俞、内关-足三里、内关-三阴交、心俞-厥阴俞多见；聚类分析结果可得出6个有效聚类群；复杂网络分析显示针灸治疗早搏的核心处方组成为内关、神门、心俞、足三里、三阴交。结论：针灸治疗早搏以宁心安神、益气养血、宽胸定悸为治疗原则，符合近治原则的同时注重整体施治，又标本兼顾，治疗方式多样，为临床治疗早搏带来启发。
关键词：早搏；期前收缩；针灸；数据挖掘；选穴规律
Abstract：Objective: To analyze the acupoint selection rules for
the treatment of premature beats in acupuncture based on data mining
technology, and summarize the underlying treatment principles and prescription
rules. Methods: Databases such as China National Knowledge Infrastructure
(CNKI), Wanfang Data, VIP Chinese Science and Technology Journal Database
(VIP), and United States Biomedical Information Retrieval System (PubMed) were
searched to obtain literature that met the criteria. Then, the acupoints that
met the conditions in the literature were entered into an Excel spreadsheet to
establish a database including information such as acupoints, meridian
attribution, and specific acupoints. Software such as R-4.4.4, RStudio, SPSS
Modeler18.0, and Originpro2024 were used to perform data cleaning, association
rule analysis, cluster analysis, and to draw cluster diagrams, high-frequency
acupoint and core prescription network diagrams, etc. Results: A total of 119
prescriptions were counted, involving 106 acupoints with a total frequency of
696. 19 acupoints were used more than 10 times. The top five acupoints in terms
of frequency of use were Neiguan (PC6), Shenmen (HT7), Xinshu (BL15), Zusanli
(ST36), and Sanyinjiao (SP6). The top three meridians ranked by meridian
analysis were the Bladder Meridian of Foot-Taiyang, the Pericardium Meridian of
Hand-Jueyin, and the Conception Vessel. The analysis of specific acupoints was mainly
focused on Back-Shu points, Luo points, and Eight Confluence points. The
association rule analysis showed that combinations of acupoints such as Neiguan
(PC6)-Shenmen (HT7), Neiguan (PC6)-Xinshu (BL15), Neiguan (PC6)-Zusanli (ST36),
Neiguan (PC6)-Sanyinjiao (SP6), and Xinshu (BL15)-Jueyinshu (BL14) were common.
The results of cluster analysis yielded 6 effective clusters. Complex network
analysis indicated that the core prescription composition for acupuncture
treatment of premature beats included Neiguan (PC6), Shenmen (HT7), Xinshu
(BL15), Zusanli (ST36), and Sanyinjiao (SP6). Conclusion: Acupuncture treatment
for premature beats is based on the therapeutic principles of calming the mind
and tranquilizing the spirit, benefiting Qi and nourishing blood, and soothing
the chest and calming palpitations. It not only conforms to the principle of
proximity treatment but also emphasizes holistic treatment, addressing both
symptoms and root causes. The variety of treatment methods provides inspiration
for clinical treatment of premature beats.
Key words：premature beats; proiosystole; acupuncture; data mining; acupoint selection rules
发布时间：2026-01-06
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