目的:分析、归纳针灸治疗颞下颌关节紊乱病的选穴规律.方法:搜索中国期刊全文数据库 (CNKI) 、万方、维普、Pubmed数据库1998-2018年针灸治疗TMD的相关学术论文.建立数据库, 分别利用Excel2016、SPSS 24、IBM SPSS Modeler 18进行描述性分析、关联规则分析、聚类分析.结果:①描述性分析:根据纳入标准筛选出69组有效处方, 涉及30个穴位;穴位频次排序前3位的为下关 (63) 、合谷 (53) 、颊车 (43);头面部取穴为主 (188), 四肢取穴为辅 (99);阿是穴使用频率最高 (31.9%);择经排序前3位的为足阳明胃经 (67), 手阳明大肠经 (53), 手少阳三焦经 (30);②关联规则分析:二阶、三阶、四阶关联支持度最高的分别为患侧合谷→下关, 颊车→合谷+下关, 听宫→颊车+合谷+下关;③聚类分析:得出4类有效聚类群和5类辨证分析规律.结论:择经取穴具有辨病、辨证相结合的特点和规律.
Objective:To Analysize, conclude the rules of acupoints selection for acupuncture curing TMD based on data mining.Methods:Search relevant academic paper about acupuncture curing TMD in 1998-2018 on CNKI, Wanfang, Vip and Pubmed database;Establish database, respectively use Excel 2016, SPSS24, IBM SPSS Modeler 18 to do descriptive analysis, association rule analysis and clustering analysis.Results:① Descriptive analysis:screen out 69 groups effective prescription according to the inclusion criteria, involving 30 acupoints;The first 3 acupoints frequency ordering are Xiaguan (63), Hegu (53), Jiache (43);Take craniofacial cavitation as principal (188), limbs as complementary (99);Ashi points has the highest frequency of use (31.9%);The first 3 of meridian choosing ordering are Stomach Meridian of Foot-Yangming (67), Hand-Yangming (53), triple energizer meridian (30);② Association rule analysis:the highest degree of correlation support of second order, third order and fourth order are Hoku on the affected side→xiaguan point, jiache→hegu+xiaguan point, tinggong→jiache+hegu+xiaguan;③clustering analysis:Obtain 4 kinds of effectivegroups and 5 kinds of dialectic analysis rules.Conclusion:Choosing acupoints and meridians have the characteristic and rules of of diseases differentiation and syndromes differentiation.