| Purpose:With the social and psychological problems have become increasingly serious,the advantages of Traditional Chinese Medicine(TCM)in treating mental diseases gradually acknowledged by the academic circles under the effect of bio-psycho-social medical model.As one of the main inheritors of Jin-three needles,the new academic school of Ling' nan acupuncture,professor Zhuang Lixing inherited and developed the thought of regulating mentality in Jin-three needles therapy during many years of clinical,teaching,research work and thus created an acupuncture therapy which can specially treat mental illness by regulating mentality.This therapy has been proved to be curative effect,widely indication and high clinical utility.In order to complete the preliminary summary of academic thought and experience of professor Zhuang Lixing,literature research and clinical data mining method were adopted in this study to explore the theory,acupoints selection rules and indications.Method:By summarizing the lecture record,academic report,research papers and other related materials of professor Zhuang Lixing and published research papers,the academic experience of Mind-regulating Acupuncture has been researched from the point of academic origin,composition of acupoint and operating practices.Medical records of the patients who have accepted Mind-regulating Acupuncture therapy at the acupuncture clinic of the First Affiliated Hospital of Guangzhou University of TCM during October 2015 to November 2016 were collected in the form of notes and photograhs.At last,378 cases and 1838 person-time of outpatients which met the inclusion criteria were included in the study.After data preparation and normalizing the data of case database which was established by extracting information from the collected cases frequency analysis,cluster analysis,factor analysis and association rules have been used to research Mind-regulating Acupuncture.Result:1.Frequency analysisThe results of frequency analysis shows that 11 high-frequency diagnosis of Western medicine such as dizziness,insomnia,hyperactivity syndrome,headache,muscle fasciitis,cervical spondylosis,fatigue syndrome,Meige syndrome,cerebral infarction sequela,allergic rhinitis,spasmodic torticollis and nervous tinnitus accounted for about 70%of total.12 high-frequency diagnosis of traditional Chinese medicine as dizziness,insomnia,headache,arthralgia syndrome,convulsive disease slow,convulsion,asthenia,stroke,allergic rhinitis,tugging and slackening,trembling,tinnitus accounted for 82%of all cases;37 of the highest cumulative frequency of symptoms accounted for approximately 70%including dizziness,headache,neck pain,sleep disorders,anxiety,restlessness,fatigue,anorexia,tinnitus,sleepy,chest tightness,spasmodic jerk of neck,nasal congestion,torticollis.All those cases involving 65 points in total and 22 points have highest frequency including Hegu,shenting,Taichong,Sanyinjiao,four needle,Fengchi,Baihui,Yintang,Shenmai,Zhaohai,Yuntingqu,Bailao,Jianjing,Houding,Ashi,Zusanli,Waiguan,Benshen,Yinxiang,Lieque,YangBai,Houxi.All those points involving 14 meridians and Du meridian,gallbladder meridian,liver meridian have the highest frequency.The most common tongue pictures are red tongue,pale tongue,red tongue,pale dark tongue,dark red tongue and the most common pulse is wiry pulse and thready pulse.2.Cluster analysisAccording to the result of two step cluster analysis,all acupoints could be divided into three groups as:primary acupoint group of Mind-regulating Acupuncture,acupoint group for treating pain,acupoint group for modification according to symptoms.According to the result of systematic cluster analysis,acupuncture prescription of Mind-regulating Acupuncture could be clustered into 5 categories.By contrasting the acupoints of different categories with the data of cases,the 5 kinds acupuncture prescription could be summarized as follows:category Cl as basic prescription of Mind-regulating Acupuncture has the highest frequency and widest range of use,category C2 is a kind of prescription which is usually used to treat cervical pain and vertigo symptom caused by it,category C3 is often used to treat gastrointestinal dysfunction accompanied with emotional abnormal,category C4 is mainly used to treat twitching of the face and category C5 to treat abnormal auditory.3.Association rules analysisAccording to the result of association rules analysis,some acupoints are highly correlated as:Shen Mai,Zhao Hai;Fengchi,Hegu,Taichong;Fengchi Bailao;Sishen needle,Shenting,Yingtang.The association of acupuncture point and Chinese and Western medicine showed that some diseases related to specific points such as:vertigo and Fengchi,Yuntingqu;convulsive disease and Taichong,Hegu,Yingtang.The relationship between the disease and sex shows that some diseases have significant gender differences such as women is more vulnerable to headache or insomnia and men to ADHD(children)or fatigue syndrome.4.Factor analysisFactor analysis of the high frequency of symptoms analyze 12 factors which has a certain clinical significance and eight of them could be used to explain disease's nature and location:F1 factor indicates deficiency of lung-Yang,F2 factor heart-spleen deficiency,F3 factor Yin deficiency of liver and kidney,F4 factor deficiency of spleen-Yang,F5 factor breakdown of the normal physiological coordination between the heart and the kidney,F6 factor deficiency of heart-yin,F7 factor insufficiency of the liver and kidney,F8 blockage of Du Meridian.Conclusion:1.Combining the results of data mining with the actual clinical experience;the paper reaches a conclusion that Mind-regulating Acupuncture can play a role of regulating mentality through the following three ways:regulating Du Liver meridian and Gallbladder meridian;regulating Zang-Spirit of the five internal organs;stimulating nervous system with acupuncture.2.By comprehensive analyzing the results of frequency analysis,cluster analysis,factor analysis and association rules,the common diseases could be divided into three categories:abnormality of mentality,pain syndrome and nervous system diseases. |
PDF Full Text Request