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      标题:基于聚类分析研究林国华教授治疗带状疱疹的选穴规律
      作者:李茜 1,林诗雨 2,陆丽明 3,曾婧纯 2    (1.广州市番禺区中医院皮肤科,广东 广州 511400;2.广州中医药大学第一附属医院针推康复中心,广东 广州 510405;3.广州中医药大学针灸康复临床医学院,广东 广州 510120)
      卷次: 2018年29卷9期
      【摘要】 目的 研究林国华教授治疗带状疱疹的选穴规律。方法 回顾性分析2016年1月至2017年6月广州中医药大学第一附属医院针灸科收治的124例符合带状疱疹诊断的患者病历资料,运用数据挖掘技术进行筛选,观察林国华教授治疗带状疱疹中的穴位使用频数与频率。通过分层样品聚类分析,采用Ward法进行聚类,以平方欧式距离(SED)作为度量,以凝聚过程反应表达聚类分析过程,以系统树图表示分析结果。结果 124例病历资料中针灸处方共620份。其中,使用频数排名前20位的穴位中,足少阳胆经穴位使用频率最高,达到25% (5/20),而最常用的穴位是夹脊穴,达到98.06% (608/620)。以SED为度,聚类分析可分为聚四类(SEP=4)、聚三类(SEP=5)与聚二类(5P<10),以聚三类结果最符合选穴规律情况。结论 林国华教授治疗带状疱疹的用穴规律主要可以聚成三类,主要以“辨病、辨经和辨证”三维取穴为基础。
      【关键词】 聚类分析;选穴规律;带状疱疹;林国华
      【中图分类号】 R752.1+2 【文献标识码】 A 【文章编号】 1003—6350(2018)09—1228—03

Regulation of acupoint of Professional Lin Guo-hua in treating herpes zoster based on hierarchical clusteranalysis.

LI Qian 1, LIN Shi-yu 2, LU Li-ming 3, ZENG Jing-chun 2. 1. Pangyu Hospital of Traditional Chinese medicine(TCM), Guangzhou 511400, Guangdong, CHINA; 2. Acupuncture Rehabilitation Center, First Affiliated Hospital of GuangzhouUniversity of Traditional Chinese Medicine, Guangzhou 510405, Guangdong, CHINA; 3. Clinical Medical College ofAcupuncture and Rehabilitation, Guangdong Provincial Hospital of TCM, Guangzhou 510120, Guangdong, CHINA
【Abstract】 Objective To study the regulation of acupoint of Professional Lin Guo-hua in treating herpes zos-ter. Methods Clinical data of 124 patients with herpes zoster were collected from the Department of Acupuncture ofFirst Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from January 2016 to June 2017. Thefrequency and rate of acupoint used by Professional Lin Guo-hua were observed. Then based on hierarchical cluster anal-ysis, data were analyzed statistically with the Ward's linkage with the measurement of squared Euclidean distance (SED),table of the agglomeration schedule and the dendrogram using to show results. Results Among the 124 cases, 620 acu-puncture and moxibustion prescriptions were collected. Moreover, the Gallbladder meridian was used much more fre-quent than the others, with the frequency of 25% (5/20), and the most frequently used acupoint was Jiaji points with98.06% (607/620). With the measurement of SED, the data could be clustered into 4 (SEP=4), 3 (SEP=5), and 2 (5P<10) categories, with the 3 categories best conforming to the regulation of acupoint. Conclusion The regulation of Pro-fessional Lin Guo-hua in treating the herpes zoster could be clustered to 3 categories, which was based on specific meth-odology related to“distinguish the disease, meridian and syndrome”.
      【Key words】 Cluster analysis; Regulation of acupoint; Herpes zoster; Lin Guo-hua·论 著·doi:10.3969/j.issn.1003-6350.2018.09.014基金项目:国家自然科学基金(编号:81574061)

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