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  • Title: [Acupoint selection rules of acupuncture and moxibustion for post-stroke epilepsy based on data mining technology].
    Author: Xu ZJ, Wu LN, Xu F, Li GP, Wang S, Ye YZ.
    Journal: Zhongguo Zhen Jiu; 2023 Jun 12; 43(6):715-20. PubMed ID: 37313568.
    Abstract:
    OBJECTIVE: To analyze the acupoint selection rules of acupuncture and moxibustion for post-stroke epilepsy by data mining technology. METHODS: The literature regarding acupuncture and moxibustion for post-stroke epilepsy included in CNKI, VIP, Wanfang, SinoMed and PubMed databases from the establishment of the database to August 1st 2022 was retrieved. Microsoft Excel 2019 software was used to establish a database to conduct the descriptive analysis of acupoints; SPSS Modeler 18.0 Apriori algorithm was used to conduct association rule analysis; high-frequency acupoint co-occurrence network diagrams were drawn by Cytoscape3.9.0 software; SPSS Statistics 25.0 software was used to perform hierarchical cluster analysis on high-frequency acupoints and a tree diagram was drawn. RESULTS: Totally 39 articles were included, and 63 prescriptions of acupuncture and moxibustion were extracted, involving 56 acupoints, with a total frequency of 516 times; the top three acupoints with the highest frequency of use were Baihui (GV 20), Fenglong (ST 40) and Neiguan (PC 6); the selected meridians were mainly the governor vessel, the hand and foot yangming meridians; the selection of acupoints were mostly in the head, neck and lower limbs; in terms of acupoint compatibility, Hegu (LI 4)-Shuigou (GV 26) and Neiguan (PC 6) had the highest confidence degree; The top 20 high-frequency acupoints could be divided into 4 effective clusters. CONCLUSION: Modern acupuncture and moxibustion treatment for post-stroke epilepsy attaches great importance to the use of yang meridians and meridians with enrich qi and blood; the core prescription is Shuigou (GV 26)-Neiguan (PC 6)-Hegu (LI 4)-Baihui (GV 20). In addition, the combination of distant and near acupoints is highly valued to improve clinical efficacy. 目的：采用数据挖掘技术分析针灸治疗卒中后癫痫的选穴规律。方法：检索中国期刊全文数据库（CNKI）、维普资讯中文期刊服务平台（VIP）、万方数据知识服务平台（Wanfang）、中国生物医学文献数据库（SinoMed）、PubMed自建库至2022年8月1日收录的针灸治疗卒中后癫痫的相关文献。采用Microsoft Excel 2019软件建立数据库并对腧穴进行描述性分析；采用SPSS Modeler 18.0 Apriori算法进行关联规则分析；采用Cytoscape3.9.0软件绘制高频腧穴共现网络图；采用SPSS Statistics 25.0软件对高频腧穴进行层次聚类分析并绘制树状图。结果：共纳入39篇文献，提取针灸处方63条，涉及腧穴56个，总频次516次；腧穴使用频次居前3位的为百会、丰隆、内关；所选经脉主要为督脉、手足阳明经；选穴多分布在头项部及下肢部；在腧穴配伍方面，合谷-水沟与内关的置信度最高；前20位高频腧穴可分为4个有效聚类群。结论：现代针灸治疗卒中后癫痫重视阳经及多气多血之经的使用，核心处方为水沟-内关-合谷-百会，重视远近配穴以提高临床疗效。.
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