Acupuncture And Moxibustion Treatment Of Lumbar Disc Herniation Based On The Principle Of Attribute Partial Order Knowledge Discovery And Clinical Research

ObjectiveAcupuncture and moxibustion has a significant effect on the treatment of lumbar disc herniation.In recent years,there are numerous related literatures on the use of acupuncture and moxibustion to treat lumbar disc herniation.At present,many scholars use different meridian acupoints,special specific acupoints,intervention measures and other combination therapies to treat lumbar disc herniation.The treatment information,the rules and characteristics of the use of acupoints are intertwined.At present,some scholars have studied the rules of using acupoints for lumbar disc herniation.However,due to the wide variety of research documents,the differences in statistical methods and time spans,in order to further expand and discover the correlation and clustering rules at different levels,this article From the perspective of attribute partial order structure theory,the research granulates,analyzes and mines literature knowledge,visualizes the knowledge,forms a knowledge spectrum,and uses the results for clinical experiment observation.Use the attribute partial order theory to discover the knowledge spectrum of acupuncture and moxibustion treatment of lumbar disc herniation,such as the use of acupoints,specific acupoints,the association and clustering between acupoints and acupoints,treatment intervention plans,etc.,and explore the related knowledge between levels and branches,and use In clinical practice,analyze and summarize the treatment process.It is to provide more data and clinical evidence for the treatment of lumbar intervertebral disc herniation with acupuncture,and to provide further ideas and reference for the treatment of lumbar intervertebral disc herniation in the future.MethodsThe research is divided into two parts.The first part is a comprehensive search for documents from the Chinese Biomedical Literature Database,CNKI,Weipu Chinese Science and Technology Journal Full-text Database,and Wanfang Medical Journal Database.Using the advanced search function in the database,the search literature includes the publications of major academic journals and master and doctoral dissertations of major universities.Using the same search combination with advanced search function,the key words are "acupuncture" and or plus"acupuncture.and or plus"electroacupuncture" and or plus "warming acupuncture",the attribute selection is accurate,and the subject vocabulary is"lumbar disc herniation".According to the set inclusion and exclusion conditions,each literature data was excluded and entered one by one.After establishing and standardizing the data,analyze the attribute partial order structure and frequency statistics to generate a Multi-level tree diagram and frequency analysis diagram.The second part is to use the acupoint prescriptions obtained from the analysis of the attribute partial order structure to observe the clinical cases.Collect 60 patients who meet the criteria in the Health Center,Malaysia,and use the random number table method to randomly divide the patients into 2 groups,30 Patients in the treatment group were treated with warm acupuncture(Shenshu Moxibustion,Weizhong,Huantiao,Yanglingquan,corresponding to Yaojiaji points,Zhibian,and Zusanli points),and 30 patients in the control group were treated with oral diclofenac sodium enteric-coated tablets treatment.The treatment group was treated once a day for a total of 6 days a week,and rested on Sunday.One week was a course of treatment,and the curative effect was judged after the end of the two courses.The control group was given 1 tablet each time,2 times a day,and the efficacy was judged after 14 days of continuous administration.The main outcome indicators of JO A and VAS.The secondary outcome indicators were the modified ODI,IL-6? and TNF-?,Analyzed by SPSS20.0.ResultsPart 1:Collect 1008 literatures on the treatment of lumbar disc herniation by acupuncture and moxibustion,and generate the attribute partial sequence diagram of"Disease and Treatment plan",the attribute partial sequence diagram of "meridian and disease",the attribute partial sequence diagram of "acupoints and disease",and the original point The attribute partial order structure diagram of "Bahui points and disease",the attribute partial order structure diagram of "Xiahe points and disease",the attribute partial order structure diagram of "Luo acupoints and disease",the "Eight Meridians" The attribute partial order structure diagram and frequency diagram of disease and treatment plan of "Jiahui points and disease",meridian and disease frequency diagram,original acupoints and disease frequency diagram,Bahui acupoints and disease frequency diagram,Xiahe acupoints and disease frequency diagram,Luo acupoints and disease frequency diagram Illness frequency chart,Bamaijiaohui acupoints and disease frequency chart,frequency chart of the acupoints of the foot sun bladder meridian,frequency chart of the acupoints of the foot-shaoyang gall bladder meridian,frequency chart of the acupoints of the foot-yangming stomach meridian,frequency chart of the acupoints of the foot Sanyin meridian,Ren Du Meridian and the frequency of acupoints outside the meridian,frequency of acupoints of the Sanyang meridian of the hand,frequency of acupoints of the Sanyin meridian of the hand,diagram of the relationship between location selection and lumbar disc herniation,frequency of five acupoints,Backshu acupoint The frequency chart of the acupuncture points,the frequency chart of Qi points,the frequency chart of Mo points,the year and disease frequency chart,the dissertation and disease frequency chart.In the partial order of "treatment plan and disease",it is found that acupuncture is the first core treatment for lumbar disc herniation,followed by warm acupuncture,massage and electroacupuncture.In the analysis of partial order and frequency of"meridian and disease",it is found that the bladder meridian of foot Taiyang is the first core choice meridian,followed by the gallbladder meridian of foot Shaoyang,extra acupoints of meridian,governor vessel,stomach meridian of Foot Yangming.In the partial order of "acupoints and diseases",the first core acupoint is Weizhong,followed by Huantiao,Shenshu,Yanglingquan and corresponding yaojiaji;The core group was Weizhong+Huantiao+Shenshu+Yanglingquan+corresponding yaojiaji+Dachangshu+ Zhibian+Kunlun+Chengshan+Ashi+Xuanzhong+ Yaoyangguan;In terms of acupoints,it was found that"Weizhong+ Huantiao" was the most common.Among the 14 meridians,the bladder meridian of foot Taiyang is the most frequently used,followed by the gallbladder meridian of foot Shaoyang and stomach meridian of Foot Yangming.In the frequency of using points,it was found that Weizhong,Huantiao,Shenshu,Yanglingquan,corresponding yaojiaji,Dachangshu,Zhibian,Kunlun,Chengshan,Ashi,Xuanzhong and Yaoyangguan were more than 250,which were commonly used in the treatment of lumbar disc herniation.In the analysis of the partial order and frequency of the attribute of "original acupoint and disease",it is found that Taixi is the core acupoint;The combination of "Taixi+Taichong+Hegu" is common.As for the relationship between acupoint selection and lumbar disc herniation,it was found that acupoints were most frequently selected in the lower limbs,followed by those in the back,upper limbs,abdomen and head.In the partial order of "Bahui point and disease",the first core point is Yanglingquan,followed by Xuanzhong,Geshu and Dazhu;Yanglingquan+Xuanzhong+Geshu is the most common acupoint.In the analysis of the attribute partial order and frequency of "Xiahe point and disease",it is found that the first core point is Weizhong point,the second is Yanglingquan point and so on;The most common matching point is "Weizhong+Yanglingquan+Zusanli".In the partial order and frequency analysis of "collateral points and disease",the first core acupoint is Feiyang,followed by Fenglong and Neiguan;The most common acupoint combinations were "Feiyang+Guangming" and "Fenglong+Dazhong".In the analysis of attribute partial order and frequency of "eight vessel intersection points and disease",it is found that the first core point is Houxi point and the second foot Linqi point;The most common combination of acupoints is "Houxi acupoint+zulinqi acupoint".According to the frequency of five acupoints,the most frequently used acupoints are Hexue,which are Weizhong,Yanglingquan and Zusanli;The second is meridian point,Kunlun point is the first;Shu acupoint is the most common acupoint,represented by Taixi and Taichong.Other frequency analysis found that "Shenshu Point"of Beishu point had the highest frequency;The utilization rate of Ying acupoint was low;The frequency of Mu acupoint is Guanyuan acupoint,but it is found that Ying acupoint and Mu acupoint are less used in the treatment of lumbar disc herniation.Part 2:In the baseline demographic analysis,the differences in gender and age between the two groups were not statistically significant and comparable,P>0.05.Before treatment,the comparison data of VAS,JOA,ODI,IL-6?and TNF-? between the two groups of patients showed a normal distribution,and the indicators were consistent with baseline at the time of enrollment(P>0.05),and there was no statistical difference and comparable Good sex.In the judgment of curative effect,in terms of relieving low back pain,the warm acupuncture moxibustion treatment group improved the VAS score better than the control group,with a statistical difference,P<0.01;in terms of improving the quality of life,the warm acupuncture moxibustion treatment group improved the JOA score better than the control group,P<0.001,there is a statistical difference;in terms of improving waist dysfunction,the warm acupuncture moxibustion treatment group improved the ODI score better than the control group,P<0.01,there was a statistical difference;in terms of serum indicators,the two groups of inflammatory indicators were compared before and after treatment,There is a statistical difference,P<0.01.Conclusion1.The literature of clinical research on acupuncture intervention in the treatment of lumbar disc herniation is increasing year by year.2.Acupuncture is the first core treatment for lumbar disc herniation,and acupuncture plus warm acupuncture is the most common method.3.The bladder meridian of foot Taiyang is the first core for the treatment of lumbar disc herniation,followed by the gallbladder meridian of foot Shaoyang,extra acupoints,Du meridian,stomach meridian of Foot Yangming.4.Weizhong point is the first core point,followed by Huantiao point,Shenshu Point,Yanglingquan point and corresponding yaojiaji point;Weizhong +Huantiao+Shenshu+Yanglingquan+corresponding yaojiaji is the most common.5.In the treatment of lumbar disc herniation,the selection of original point,Bahui point,Xiahe point,Luoxue point,Wushu point,bamaihui point and Beishu point has its own advantages and characteristics;But Ying and Mu points are less used.6.In clinical observation,it was found that warm acupuncture therapy could improve the objective and subjective indexes of patients,which were better than those of the control group.7.Warm acupuncture can effectively relieve low back pain,improve the quality of life of patients,improve lumbar dysfunction and serum indicators,the results are better than the control group,with statistical significance.