Analysis Of Professor Zhuang Lixing’s Application Regularity Of Acupoints And Chinese Medicine In The Treatment Of Insomnia

ObjectiveIn this study,in a retrospective way,data mining technology was used to sort out the clinical cases of insomnia treated by Professor Zhuang Lixing,a famous traditional Chinese Practitioner in Guangdong Province.The experience of his prescription medication for the treatment of insomnia and the selection of acupoints for the treatment of insomnia with acupuncture and moxibustion were summarized respectively to guide the clinical practition.MethodsIt is mainly divided into two parts:first,by collecting the traditional Chinese medicine prescriptions of traditional Chinese medicine collected by Professor Zhuang Lixing in the acupuncture clinic of the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine in the past 10 years;second,collecting the acupuncture prescription information of Professor Zhuang Lixing’s treatment of insomnia from September 2018 to December 2019 by means of notes and case photos.The databases of traditional Chinese medicine prescription and acupuncture prescription were established by using Excel table,and the data were prepared before standardized processing and analysis.IBM SPSS Statistics 23.0 and SPSS modeler 18.0 software were used to systematically analyze drug use frequency,drug use association rules,drug use system clustering,acupoint used frequency,acupoint association rules,acupoint selection system clustering and so on,and the analysis results were further discussed.This paper summarizes Professor Zhuang Lixing’s prescription for the treatment of insomnia and the law of acupoint selection for acupuncture in the treatment of insomnia.ResultsA total of 126 cases were included in the use of traditional Chinese medicine prescriptions,215 traditional Chinese medicine prescriptions,involving 161 traditional Chinese medicines,an average of 10.5 traditional Chinese medicines per prescription.A total of 32 cases were included in acupuncture prescriptions,including 48 acupuncture prescriptions,involving 16 acupoints and 12 auricular points(including 1 meridian Waiqi acupoint,1 specific acupoint combination,2 eight-pulse intersection acupoints,1 Jin three-needle experience acupoint group,2 scalp acupoint lines),covering 10 meridians.The percentage of men and women with insomnia was 32.5%and 67.5%in traditional Chinese medicine prescription cases,and 28.1%and 71.9%in acupuncture prescription cases.The results of acupoint analysis:1 the total frequency of use was 927 times,and the first 8 acupoints were Shenmai(89 times),Shenting(89 times),Sishen needle(89 times),Zhaohai(89 times),Yintang(88 times),Sanyinjiao(83 times),Siguan(64 times)and Shenmen(18 times).From the frequency of acupoint use and acupoint association rules,it is shown that the first five acupoints are Sishen needle,Shenting,Yintang,Zhaohai,Shenmai,and the frequency is basically 100%acupuncture prescription for the treatment of insomnia.(3)the main uses of auricular point pressing seed acupoints were sympathetic(48 times),ear Shenmen(42 times),heart(39 times),margin(35 times),liver(30 times)and kidney(28 times).The results of meridian frequency analysis showed that the frequency of meridian use was as follows:governor meridian 179 times,foot sun bladder meridian 178 times,foot Shaoyin kidney meridian 91 times,foot Taiyin spleen meridian 83 times,hand Yangming large intestine meridian 66 times,foot Jueyin liver meridian 64 times,hand Shaoyin heart meridian 18 times,foot Yangming stomach meridian 15 times,foot Shaoyang gallbladder meridian and hand Jueyin pericardium meridian were used twice.The analysis results of traditional Chinese medicine were as follows:1 the total frequency of use of traditional Chinese medicine was 2253 times,the first 12 medicines were fried wild jujube kernel(145times),roasted licorice(137times),Poria cocos(126times),white peony(125times),albizzia bark(95 times),Pinellia ternata(87 times),Bupleurum(81 times),tangerine peel(80 times),vegetarian flowers(80 times),bamboo rushes(68 times),Polygonum multiflorum(67 times),licorice(66 times).2 the results of association rule analysis of the first 12 drugs:classified into three categories,the first category:Pinellia ternata,tangerine peel,bamboo ru,licorice and Polygonum multiflorum Teng,which are drugs for dryness and dampness,clearing heat and removing annoyance,soothing the liver and regulating qi.The second category:grilled licorice,fried wild jujube kernel and Pori a cocos,which are drugs for tonifying spleen and resolving dampness and calming the mind.The third category:Bupleurum,Suxin flower,albizzia bark and white peony,which are drugs for soothing the liver and relieving depression,nourishing yin and calming the mind,calming the heart and blood.The percentage of meridians of the three first 12 drugs are:both of heart meridian and lung meridian 20.6%,both of liver meridian and spleen 17.6%,stomach meridian 11.8%,gallbladder meridian 8.8%,kidney meridian 2.9%.ConclusionThe results of the study show that Professor Zhuang Lixing accounts for about 70%of the outpatients with insomnia,with an average age of 44-45.In acupuncture prescriptions,acupoints are simplified,mind-regulating acupuncture is the main treatment direction,and governor vessels are mainly used to regulate the mind.The Sishen acupuncture,Shenting(DU24),Shenmai(BL62),Zhaohai(KI06)and Yintang(EX-HN3)are necessary for the treatment of insomnia.The Du Meridian and the Bladder Meridian of Foot-Taiyang are the most frequently used,followed by the Kidney Meridian of Foot-Shaoyin,the Spleen Meridian of Foot-Taiyin,the Large intestine Meridian of Hand-Yangming,and the Liver Meridian of Foot-Jueying;while the Stomach Meridian of Foot-Yangming and the Heart Meridian of Hand-Shaoyin are seldom used;among the acupuncture prescriptions,the addition of auricular points pressing seeds accounts for 52%.In the selection of traditional Chinese medicine,mainly to calm the mind,promoting blood circulation and removing blood stasis,expectorant,regulating qi,nourishing the liver and softening the liver.The most commonly used medicines are fried wild jujube kernel and albizzia peel,fried sour jujube kernel and vegetarian flower,Pinellia ternata and tangerine peel,white peony and Poria cocos.From the analysis of the frequency of meridian tropism,Professor Zhuang Lixing’s treatment of insomnia is based on the treatment of heart,liver and spleen.