Objective Based on the method of complex network and data mining,this study searched clinical research literature related to electric acupuncture treatment of peripheral facial paralysis through multi-resource approach.To investigate the rule of acupuncture point application of electric acupuncture in the treatment of peripheral facial paralysis.In order to provide some reference and evidence-based medical basis for the selection of acupoints for electric acupuncture in the treatment of peripheral facial paralysis.Methods Clinical research literatures on electric acupuncture of traditional Chinese medicine in the treatment of peripheral facial paralysis were searched from 5 databases including CNKI,Wan Fang,VIP,CBM and Pub Med.The data were normalized and processed by Microsoft Excle 2020,Matlab 2018 B,Gephi 0.9.2 and IBM SPSS Statistics 25.0.Including the application frequency of acupoints,traditional Chinese medicine meridian system,division,application of specific acupoints and adhibition of adjuvant treatments,were statistically analyzed by the statistical software.Results 1.284 articles met the inclusion criteria,and a total of 284 acupoint prescriptions for electric acupuncture treatment of peripheral facial paralysis were obtained.2.Descriptive analysis results(1)There are 18 literatures on peripheral facial paralysis for the selection of acupoints based on syndrome differentiation,the commonly used acupoints are as follows: Yi Feng(TE17),Feng Chi(GB20)on the syndrome of wind cold attacking collaterals;Wind heat attack syndrome: Quchi(LI11),Dazhui(DU14),Shuigou(DU26);Sputum evidence: Feng Long(ST40);Deficiency of Liver and kidney Yin: Taixi(KI3),Kunlun,(BL60),Jinjin Yuye(EX-HN12);Qi and blood deficiency syndrome: Zusanli(ST36),Sanyinjiao(SP6),Qi Hai(CV6);Qi stagnation and blood stasis syndrome:Xuehai(SP10).201 literatures mentioned staging treatment of peripheral facial paralysis,and if the disease stages were not distinctly mentioned in the literatures,it was defined to be mixed type.The frequency of definite disease stages ranked as acute phase,convalescence phase and sequelae phase.(2)A total of 66 acupoints were applied,and the total frequency of acupoints was 2210 times.The top 10 acupoints were selected with the highest frequency,and the acute period was Dicang(ST4),Jiache(ST6),Yangbai(GB14),Yingxiang(LI20),Yifeng(TE17),Cuanzhu(LI4),Hegu(LI4),Sibai(ST2),Taiyang(EX-HN5),Quanliao(SI18);Convalescen ce and sequelae stage: Dicang(ST4),Yangbai(GB14),Jiache(ST6),Taiyang(EX-HN5),Sibai(ST2),Yingxiang(LI20,Yifeng(TE17),Cuanzhu(BL2),Qianzheng(EX-HN16),Hegu(LI4);Mixed type:Dicang(ST4),Yangbai(GB14),Jiache(ST6),Sibai(ST2),Yingxiang(LI20),Taiyang(EX-HN5),Hegu(LI4),Yifeng(TE17),Cuanzhu(LI4),Quan liao(SI18).The specific acupoints are mainly rendezvous points,Yuan points and Five acupoints,and the acupoints belong to the meridians of Foot-Yangming stomach meridian,meridian outside qi point,Foot-Shaoyang gallbladder meridian,hand-Yangming large intestine meridian,hand-Shaoyang Sanjiao meridian,foot-sun bladder meridian and other meridians,whose branches are mainly located in the head and face.(3)Adjuvant therapy mainly includes special acupuncture,moxibustion,Traditional Chinese medicine and TDP.Among them,the top 5 applications of special needling and penetrating method are Digang(ST4)penetrating Jiachun(ST6),Yangbai(GB14)penetrating Yuyao(EX-HN3),Sibai(ST2)penetrating Yingxiang(LI20),Cuanzhu(BL2)penetrating Yuyao(EX-HN3)and Dicang(ST4)penetrating Chengjiang(CV24).3.The results of complex network visualization showed that the selected core acupoints were disang(ST4),Yangbai(GB14),Sibai(ST2),Jianchi(ST6),Cuanzhu(BL2),Yifeng(BL2),Taiyang(EX-HN5),Yingxiang(LI20),Shuigou(DU26),Hegu(LI4),Quanliao(SI18)and Xiaguan(ST7)and other acupoints.4.Association rule analysis showed that Jiachi(ST6)-Dicang(ST4)was the most supported acupoint combination;Yangbai(GB14)-Dicang(ST4);Yangbai(GB14)-Jiache(ST6);Jiache(ST6)-Yangbai(GB14);Dican g(ST4),Yangbai(GB14)-Jiache(ST6).5.Cluster analysis showed that four effective clusters were obtained from the cluster analysis of the top 25 acupoints in nodal degree: first,Shuigou(DU26),Chengjiang(CV24)and Cuanzhu(BL2);The second category: Yingxiang(LI20),Yifeng(TE17),Hegu(LI4),Fengchi(GB20);The third category is Jiache(ST6),Yuyao(EX-HN3),Sibai(ST2)and Dicang(ST4);The fourth category,Zusanli(ST36),Taichong(LR3).Conclusion In this study,frequency statistics,complex network analysis,association rule analysis,systematic cluster analysis and other research methods were used to summarize and conclude the objective efficacy of electric acupuncture in the treatment of peripheral facial paralysis.The selection of acupoints and principles,and coordination therapy have certain characteristics of traditional Chinese medicine.The first is to distinguish the TCM syndrome type and disease stage of peripheral facial paralysis,and the earlier the clinical intervention,the more satisfactory the treatment effect;Moreover,the selection of acupoints should be based on Yang meridians,head and face acupoints,such as Sibai(ST2),Jiache(ST6)and Zanzhu(BL2),pay attention to the use of specific acupoints,rendezvous points and experiential acupoints,such as Dicang(ST4)and Yangbai(GB14),supplemented by distal acupoints,such as Hegu(LI4);The core acupoints were Dicang(ST4),Yangbai(GB14),Sibai(ST2),Jiache(ST6),Cuanzhu(BL2),Yifeng(TE17)and Taiyang(EX-HN5).The highest correlation degree is Dicang(ST4)-Jiache(ST6),Yangbai(GB14)-Dicang(ST4),Yangbai(GB14)-Jiache(ST6),three acupoints combination for Dicang(ST4)-Jiache(ST6)-Yangbai(GB14),The combination of four acupoints is Sibai(ST2)-Yangbai(GB14)-Dicang(ST4)-Jiache(ST6).Finally,according to clinical syndrome differentiation,reasonable use of auxiliary therapies such as penetration therapy,Traditional Chinese medicine treatment,moxibustion and TDP.It is hoped that this study can provide some reference for clinical electric acupuncture treatment of peripheral facial paralysis,and the conclusion of this study can provide some reference for clinical treatment of peripheral facial paralysis and scientific research. |