基于数据挖掘探讨针灸治疗网络成瘾的选穴规律*

作者：吴林纳1，梁泽楷2，施明覃1，杨博辉2，李丹杨2，高慧芳2，徐金龙1，王 健1，赵 荣1

单位：1.云南中医药大学第一临床医学院，云南 昆明 650500； 2.云南中医药大学第二临床医学院，云南 昆明 650500

引用：引用：吴林纳，梁泽楷，施明覃，杨博辉，李丹杨，高慧芳,徐金龙,王健,赵荣.基于数据挖掘探讨针灸治疗网络成瘾的选穴规律[J].中医药导报,2025,31(10):159-165.

DOI：10.13862/j.cn43-1446/r.2025.10.027

PDF： 下载PDF

摘要：

目的：采用多种数据分析技术挖掘针灸治疗网络成瘾的选穴规律。方法：检索从建库至2024年11月期间中国知网（CNKI）、维普中文期刊服务平台（CSTJ）、万方数据知识服务平台（Wanfang Data）、中国生物医学文献数据库（CBM）、PubMed中收录的针灸治疗网络成瘾的文献。提取文献中针方腧穴、干预术式和刺激量学等信息，应用Microsoft Excel 2021建立数据库，并描述性分析；穴位关联规则采用SPSS Modeler 18.4.0分析，高频共现网络图由Cytoscape 3.10.2绘制；层次聚类分析和树状图采用OriginPro 2024绘制。结果：纳入33篇文献，采集针方48张，涉及腧穴26个，累计频数286次；三阴交、太冲、内关、合谷、百会为频数排前5的腧穴；督脉、脾经、肝经、心包经为高频经脉；整体上阴阳两经取穴频率相近。多取下肢及头面颈项部位穴位。针灸术式以电针为多。在腧穴配伍方面，二项关联规则6条，三阴交-内关支持度最高；三项关联规则21条，三阴交-内关-太冲支持度最高。在辨证加减方面，聚类分析得到3个穴群。结论：当代针灸治疗网络成瘾偏于使用督脉穴，取穴要义在于阴阳和合，核心腧穴处方为太冲-内关-三阴交-四神聪-百会-合谷；偏于痰浊和瘀血者，不同证型用穴各有侧重，整体重视远近配穴、上下相伍以提高临床疗效。

关键词：网络成瘾；针灸；选穴规律；数据挖掘

Abstract：

Objective: To explore the acupoint selection rules in acupuncture treatment for internet addiction using various data analysis techniques. Methods: Literature on acupuncture treatment for internet addiction was retrieved from CNKI, CSTJ, Wanfang Data, CBM, and PubMed from database inception to November 2024. Information on acupoint prescriptions, intervention techniques, and stimulation parameters was extracted. A database was established using Microsoft Excel 2021 for descriptive analysis. Association rules for acupoints were analyzed using SPSS Modeler 18.4.0. High-frequency co-occurrence network diagrams were generated using Cytoscape 3.10.2. Hierarchical cluster analysis and dendrograms were performed using OriginPro 2024. Results: Thirty-three studies were included, yielding 48 acupuncture prescriptions involving 26 acupoints, with a total frequency of 286. The top five high-frequency acupoints were Sanyinjiao (SP6), Taichong (LR3), Neiguan (PC6), Hegu (LI4), and Baihui (GV20). The most frequently used meridians were the Governor Vessel, Spleen Meridian of Foot-Taiyin, Liver Meridian of Foot-Jueyin, and Pericardium Meridian of Hand-Jueyin. Overall, the selection frequency was nearly balanced between Yin and Yang meridians. Acupoints were predominantly located on the lower limbs and the head, face, and neck regions. Electroacupuncture was a commonly used technique. Regarding acupoint compatibility, six strong binomial association rules were identified, with "Sanyinjiao (SP6)-Neiguan (PC6)" having the highest support. Twenty-one trinomial association rules were found, with "Sanyinjiao (SP6)-Neiguan (PC6)-Taichong (LR3)" having the highest support. Cluster analysis grouped the high-frequency acupoints into three clusters for syndrome differentiation and acupoint modification. Conclusion: Contemporary acupuncture treatment for internet addiction tends to favor the use of acupoints from the Governor Vessel. The essential principle of acupoint selection lies in harmonizing Yin and Yang. The core acupoint prescription is Taichong (LR3)-Neiguan (PC6)-Sanyinjiao (SP6)-Sishencong (EX-HN1)-Baihui (GV20)-Hegu (LI4). For cases characterized by phlegm-turbidity and blood stasis, acupoint selection varies according to the specific syndrome pattern. Overall, importance is placed on combining distal and local points, as well as pairing upper and lower body points, to enhance clinical efficacy.

Key words：internet addiction; acupuncture; acupoint selection rules; data mining

发布时间：2026-01-08

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