基于数据挖掘探究中医古籍文献中手三里穴的应用规律OA
Exploring the Application Rules of Shousanli Point in Ancient Chinese Medical Literature Based on Data Mining
[目的]基于数据挖掘技术,系统梳理中医古籍中手三里穴的临床应用规律.[方法]以《中华医典》为研究载体,依据既定标准筛选有效处方并构建数据库,采用Excel 2021软件对手三里穴的适应证、配伍规律及操作规范等展开数据统计分析.[结果]共纳入30部古籍,73条有效记载.手三里穴的核心适应证主要分布于内科肢体经络系、脑系,外科疮疡及五官疾患等领域,其单穴应用优势集中于痹证、牙痛、瘰疬、中风等六类病症,配伍应用则以中风、痹证等三大病证为主.配伍体系方面,共涉及71个穴位(含十四经穴与奇穴),其中高频配伍穴位(≥4次)共17个,以曲池穴使用频次最高.从经络分布看,手阳明大肠经穴位占比最高;特定穴应用以五输穴为主,其中合穴使用率居首.治疗方式以针灸结合为主,常规操作多采用针刺深度三分、艾灸三壮的标准,临床实践中泻法针刺与对侧艾灸为常用治疗手段.[结论]中医古籍中手三里穴主治适应证分布契合"经脉所过,主治所及"理论,配伍遵循同经协同与"合治内腑"规律,为现代针灸临床优化配伍方案提供了文献依据,未来可围绕古籍记载的五官科、脏腑相关病症开展临床验证与机制研究,进一步拓展其应用价值.
[Objective]To systematically analyze the clinical application rules of Shousanli point(LI10)in traditional Chinese medical texts through data mining.[Methods]Taking The Great Medical Canon of China as the research subject,the study screened effective prescriptions according to predetermined criteria to build a research database.Excel 2021 software was used for statistical analysis on the indications,compatibility rules and operational standards of Shousanli point.[Results]Among the 30 ancient texts analyzed,there were a total of 73 valid records.The core indications of Shousanli point mainly cover internal medicine,such as limb meridian disorders and neurological conditions,surgical abscesses and diseases of the five senses organs.Its single-point applications were most prominent in six types of conditions,including arthralgia,toothache,scrofula,stroke,etc.,while its combined applications focused primarily on stroke,arthralgia and other major conditions.In terms of compatibility systems,it involved 71 points(including regular and extraordinary points),with 17 high-frequency paired points(≥4 times),particularly the Quchi point had the highest frequency of use.From the perspective of meridian distribution,the proportion of acupoints on Large Intestine Meridian of Hand-Yangming was the highest;specific point applications mainly involved the Five-Shu Points,with the use rate of the He-sea points ranking first.Treatment methods predominantly combine acupuncture and moxibustion,typically involving needle insertion to a depth of three fen and moxibustion with three moxa cones.Common clinical practices included draining needling and contralateral moxibustion.[Conclusion]The distribution of main indications of Shousanli point in ancient Chinese medicine books conform to traditional Chinese medical theory of"where the meridian passes,where the main indications reach",and the compatibility follows the principles of meridian synergy and"treatment of the internal organs together",which provides textual evidence for optimizing compatibility schemes in modern acupuncture clinical practice.In the future,clinical verification and mechanism research can be carried out on ophthalmology and Zang-Fu related diseases recorded in ancient books to further expand its application value.
袁程;韩进
浙江中医药大学 杭州 310053浙江中医药大学 杭州 310053
医药卫生
手三里穴数据挖掘《中华医典》适应证配伍规律应用规律中风痹证
Shousanli pointdata miningThe Great Medical Canon of Chinaindicationscompatibility rulesapplication rulesstrokearthralgia syndrome
《浙江中医药大学学报》 2026 (3)
350-354,5
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