运用数据挖掘技术探究中医古籍中针灸治疗呃逆的腧穴应用规律

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关键词：针灸；呃逆；中医古籍；腧穴；应用规律；数据挖掘；太渊-少商；膻中-中皖中图分类号：R246.9 文献标志码：A 文章编号：1007-3213（2025）08－1991-07DOI：10.13359/j.cnki.gzxbtcm.2025.08.024

Abstract：Objective Todetermine the rules of acupoint selection for hiccup based on data mining.Methods From theacupuncture and moxibustionsections of 53 medical books included in the 5th edition of Chinese Medical Classics，entries related to acupuncture treatment for hiccups was screened and constructed a“Classical Chinese Medicine Database for Acupuncture Treatment of Hiccups.”Data mining techniques，including cluster analysis and association rule analysis，were employed to study the characteristics and paterns of acupoint selection for hiccup treatment in ancient medical texts.Results A total of126 prescriptions were collcted， involvig 65 acupoints with atotalapplication frequency of 172 times.The most frequentlyselected acupoints were Taiyuan（LU9）， Shaoshang（LU11）， Shiguan（KI18）， Wenliu（LI7）， Laogong（PC8），and Zusanli（ST36）. The primary meridians used were the conception vesel（（CV1）and the lung meridian of hand-taiyin.The most commonly stimulated body regions were the upper limbs and the chest/abdomen.Among special acupoint categories，the five-shu pointsand crossing points were predominantly utilized.Cluster analysis identified two significant clusters：Daling（PC7）-Ximen（PC4）-Yuji（LU10），and Qimen（LR14）-Chengjiang（CV24）-Dadun （LR1）-Guanyuan （CV4）-Juque （CV14）.Assciation rule analysis revealed the strongest acupoint correlation between Danzhong（CV17）and Zhongwan（CV12）， followed by the combination of Danzhong-ZhongwanZusanli.Conclusion In ancient acupuncture treatment of hiccups，particular emphasis was placed on the flexible combination of Taiyuan-Shaoshang and Danzhong-Zhongwan with other acupoints.This approach fully embodies the meridian syndrome diferentiation principleof“where the meridian passes，it can treat”and“where the disease locates，itcan treat.”The selection follows the acupoint pairing principles of“combining distal and local points”and“coordinating upper and lower regions”，while also emphasizing the application of specific acupoint categories.

Keywords：acupuncture;hiccup; classical Chinese medical texts；acupoints；application patterns；data mining; Taiyuan-Shaoshang； Danzhong-Zhongwan

呃逆通俗地被称为“打隔”，是一种主要表现为喉咙里发出连续的呃呃声，声音短而频繁，使人无法自我控制的疾病1-2]。（剩余7686字）