针灸治疗缺血性中风后抑郁的可视化分析及选穴规律OA

Objective:To investigate the research hotspots and emerging trends in acupuncture treatment for post-stroke depression(PSD)from 2002 to 2025 through visual analysis,and to summarize the patterns of acupoint selection.Methods:Relevant literature was retrieved from CNKI,Wanfang Data,VIP Database,and the SinoMed database.CiteSpace(Version 6.4.R1)was used to perform visual analyses of authors,institutions,and keywords.The TCM Inheritance Support System(TCMISS,Version 3.5)was employed to analyze acupoint combinations extracted from manually screened randomized controlled trials(RCTs).Microsoft Excel was used to calculate the frequencies of acupoint locations,meridian affiliations,and specific acupoint categories.Results:A total of 184 publications were included in the analysis.Over the past two decades,the annual number of publications showed an overall increasing trend.WAN Haopeng,CUI Qianqian,and CHEN Xiuhui were the three most productive authors,while Guangzhou University of Chinese Medicine was the institution with the highest publication output.However,collaboration among core research teams and researchers remained limited.The most frequently occurring keywords included acupuncture,depression,cerebral infarction,stroke,clinical efficacy,Baihui(DU20),electro-acupuncture,acupuncture combined with medication,clinical research,fluoxetine,and neurological function.Nine keyword clusters and five burst keywords were identified.Analysis of the keyword timeline and time-zone views revealed the research hotspots across different periods from 2002 to 2025.A total of 128 acupuncture prescriptions involving 107 acupoints were extracted from the included studies,with a cumulative frequency of 764 applications.The five most frequently used acupoints were DU20,Taichong(LR3),Neiguan(PC6),Hegu(LI4),and Shenmen(HT7).Du meridian was the most frequently utilized meridian.Among the specific acupoint categories,crossing points(meeting points)were used most frequently,and the head,face,and neck region represented the most common distribution of acupoints.Conclusion:Collaboration among core research institutions and authors in the field of acupuncture treatment for post-stroke depression should be strengthened.Current research hotspots and emerging trends mainly focus on acupoint selection,the combination of acupuncture and medication,and the underlying therapeutic mechanisms.Among the acupoints used for treating post-stroke depression,DU20 was the most frequently selected.Acupoints located on Du meridian and in head,face,and neck region were predominantly used.Among the specific acupoint categories,crossing points were the most widely applied,and considerable emphasis was placed on the combined use of upper and lower body acupoints.