The Study Of Acupuncture And Moxibustion In The Treatment Of Lumbar Disc Herniation In Guangdong-Shandong-Korea

ObjectiveBased on the literature on treatment of Lumbar disc herniation with acupuncture and moxibustion in Guangdong(China),Shandong(China)and Korea from 2010 to 2020,will study the similarities and differences in the selection,of acupoints in the three regions,and discusses the clinical acupoints selection rules of acupuncture and moxibustion treatment of Lumbar disc herniation,the purpose of this thesis is to promote the development of acupuncture and moxibustion treatment of lumbar disc herniation in Korea.MethodCollected from January 2010 to December 2020 in CNKI,Wanfang Data,VIP,Pub Med,Cochrane libarary,DBpia,RISS and KISS clinical research theses on acupuncture treatment of lumbar disc herniation.According to the inclusion and exclusion criteria screen independently,the database was established by Microsoft Excel 2013 and divided into three regions.Each region includes the number of acupuncture prescriptions,the name of acupoints,meridian tropism and specific acupoints.Use TCM miner’s association mining function(Apriori algorithm)is used to calculate the confidence and support between acupoints;The support degree indicates the probability of A and B acupoints appearing at the same time;the confidence degree indicates the probability of B acupoints appearing when A acupoint appears.The cluster analysis of high-frequency acupoints(≥5 times)was carried out by using SPSS statistical 25.0 cluster module.The cluster method was "intergroup connection",and the measurement interval was "Pearson correlation".The results were displayed in a dendrogram.Finally,the network module of SPSS modeler 14.1 is used to analyze the complex network of high-frequency acupoints.ResultsAccording to the inclusion and exclusion criteria screen independently,Guangdong(China)eventually included 91 articles;Shandong(China)eventually included 62 articles;Korea eventually included 56 articles.1.High-frequency acupoint analysis:63,50 and 39 acupoints were used in Guangdong,Shandong and Korea.There were 33,27 and 21 with frequency ≥5 times.In Guangdong the highest selected acupoints were Weizhong(9.03%),followed by Shenshu,Huantiao,Dachangshu and Yaoyangguan;in Shandong the highest selected acupoints were Weizhong(9.06%),followed by Huantiao,Yanglingquan,Kunlun and Zhibian;in Korea the highest selected acupoints were Dachangshu(10.27%),followed by Shenshu,Huantiao,Weizhong and Kunlun.2.Meridian analysis:the acupoints used in Guangdong,Shandong and Korea involve 10,8 and 9 meridians.In the three regions the most frequently used meridians were urinary Bladder Meridian(50.76% in Guangdong,51.45% in Shandong and 60.76% in South Korea).3.Analysis of specific acupoints:12,12 and 11 specific acupoints were used in Guangdong,Shandong and Korea.In Guangdong the highest selection of specific points was Hexue(18.41%),followed by Beishuxue,Xiahexue and Bahuixue;in Shandong the highest selection of specific points was Hexue(18.29%),followed by Bahuixue,Beishuxue and Xiahexue;in Korea the highest selection of specific points was Beishuxue(22.87%),followed by Hexue,Xiahexue and Bahuixue.4.Association analysis:In Guangdong and Korea,23 and 17 pairs of acupoints were found under the rule of support ≥20% and confidence ≥80%,while in Shandong,25 pairs of acupoints were found under the rule of support≥20% and confidence ≥90%.Shenshu and Weizhong(65.93%)were the most common acupoint pairs in Guangdong;Yanglingquan and Weizhong,Huantiao and Weizhong(66.13%)were the most common acupoint pairs in Shandong;and Dachangshu and Shenshu(67.86%)were the most common acupoint pairs in Korea.5.Cluster analysis of acupoints:With the grouping distance ≥20 as the threshold,the dendrogram of Guangdong shows the three major clusters:(1)C1:Xiajishu,Shiqizhui,Yaoyangguan,Mingmen,S1,S2.(2)C2:Xuehai,Yinlingquan,Geshu,Sanyinjiao,Taixi,Yinmen,Taichong,Zhibian.(3)C3:Chengshan,Kunlun,Xuanzhong,Yanglingquan,Qiuxu,Huantiao,Chengfu.The dendrogram of Shandong shows the three major clusters:(1)C3:Weizhong,Kunlun,Zhibian,Yanglingquan,Yaojiaji.(2)C4:Fengshi,Zulinqi,Huantiao,Chengshan,Chengfu,Yinmen,Xuanzhong,Zusanli.(3)C5:ciliao,Taixi,Shenshu,Yaoshu and Mingmen.The dendrogram of Korea shows the three major clusters:(1)C1:Qihaishu,Yaoyangguan,guanyuanshu,Xiaochangshu,Zhishi,Shenshu and Dachangshu.(2)C3:Yanglingquan,Xuanzhong,Huantiao,Sanyinjiao,Zusanli.(3)C5:Weizhong,Kunlun,Chengshan,Pangguangshu,Chengfu.ConclusionAccording to the analysis results,the selection of acupoints and meridians for acupuncture treatment of Lumbar disc herniation in the three regions are similar.However,the selection of specific points in Guangdong and Shandong of China is Hexue,while the selection of specific points in Korea is Beishu.It can be considered that the clinical acupoint selection rules of acupuncture for the treatment of lumbar disc herniation in the three regions are the same,but according to the local environmental characteristics:climate,personal physique,lifestyle,etc.and the syndrome type of patients,select the addition or subtraction of acupuncture points in order to obtain a good therapeutic effect.