Study On The Prescription Rule Of Acupuncture Treatment Of Cervical Spondylotic Radiculopathy

Objective: To use data mining methods to summarize the prescription rules and acupuncture compatibility rules of modern acupuncture for cervical spondylotic radiculopathy,and provide reference for clinicians.Materials and Methods: Search for the following five years with keywords such as“cervical spondylosis”,“neural root type”,“acupuncture” and “acupuncture”(January1,2014-December 31,2016)Related literature,including China Knowledge Network Database(CNKI),Wanfang Database,Chinese Biomedical Journal Literature Database,PubMed Database and Chongqing Weipu Full-text Database(VIP),the results obtained 833 articles,according to the literature inclusion and exclusion criteria of this study,Finally,229 related articles of this subject were finalized,and the information such as acupuncture method and acupoint prescription included in the literature were summarized and summarized,and a database was formed.Perform frequency analysis,cluster analysis,correlation analysis and principal component analysisse on the data in the database.Results:1.In the selection of acupoints,65.9% of the literatures used the Jingjiaji as the choice,a total of 151 times,followed by Fengchi,a total of 94 times;in terms of acupoints,the frequency of use of yang is as high as 87.6%,among which the use of the large intestine meridian of hand-yangming was the highest,with a total of 257 times of 14 points,followed by the small intestine meridian of hand-taiyang,a total of 247 times of 16 points.In terms of the location of the acupoints,the highest frequency of acupuncture points was selected,with a total of 711 times of 52 points,followed by the neck part,with a total of 416 times of 15 points.In terms of specific acupoints,the frequency of use of the five infusion points was the highest,with a total of 285 times of 29 points,followed by eight veins of the meeting points,a total of 192 times.2.Cluster analysis of high frequency acupoints shows that there are four groups,Category 1:Shenshu,Ganshu,Zusanli,Fenglong,Taixi,Taichong,Baihui,Geyu,Fengmen,Fengfu,Dawei,Neck Bailao,Tianzhu and Lieque.Category 2: Houxi,Dazhui,Fengchi,Yanglao,Tianzong,Jianzhen,Jianyu,Jianliao,Zhongzhu,Shousanli,Hegu,Waiguan,Quchi,Jianjing,Jingjiaji.Category 3: Jianzhongyu and Jianwaishu.Category 4: Ashi.3.Association analysis is sorted according to the degree of support from high to low is:Houxi-Fengchi,Hegu-Quchi,Hegu-Houxi,Hegu-Waiguan and Hegu-Fengchi.4.Principal component analysis shows that there are five possible principles of meridian division and acupoint selection.Conclusion:In the clinical selection of acupuncture treatment of cervical spondylotic radiculopathy,Jingjiaji,FengChi,Quchi,Houxi and Hegu are most frequently used.Meridian use of the middle of the large intestine meridian of hand-yangming,the small intestine meridian of hand-taiyang and gallbladder meridian of foot-shaoyang is the most frequently used.The selection of the body surface is dominated by the upper limb and the neck.The frequency of the five infusion points in the specific points is higher,followed by the eight veins and the points.According to the results of data mining,clustering has the functions of nourishing liver and kidney,replenishing qi and activating blood circulation,and relieving pain from the collaterals;clustering has more effects on hurricane solution,yang qi,and stagnation and collaterals;clustering three to alleviate Pain in the local scapular region is dominant;clustering 4 is used in combination with topical treatment or symptomatic treatment.Correlation analysis shows that the common acupoint combinations are: Houxi-Fengchi,Hegu-Quchi,Hegu-Houxi,Hegu-Waiguan and Hegu-Fengchi.Principal component analysis summed up the five prescriptions for acupuncture treatment of cervical spondylotic radiculopathy,namely: liver and kidney deficiency type,wind chills resistance type,heart dystrophic type,qi and blood deficiency type,yang qi type.