基于R语言研究耳穴刺激疗法辅助治疗高血压相关疾病的选穴规律*

作者：覃薇霖1，朱文雄1，甘 敏1，彭亚军1，艾 旗2，柴晓利2，陈其华1

单位：1.湖南中医药大学第一附属医院，湖南 长沙 410007； 2.湖南省第二人民医院，湖南 长沙 410021

引用：引用：覃薇霖，朱文雄，甘敏，彭亚军，艾旗，柴晓利，陈其华.基于R语言研究耳穴刺激疗法辅助治疗高血压相关疾病的选穴规律[J].中医药导报,2025,31(12):216-221,228.

DOI：10.13862/j.cn43-1446/r.2025.12.035

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摘要：目的：基于R语言研究耳穴刺激疗法辅助治疗高血压相关疾病的选穴规律。方法：检索中国知网、万方数据知识服务平台、维普中文期刊服务平台、超星期刊全文、中华医学期刊全文、中国生物医学文献服务系统、国家科技图书文献中心、Web of Science、美国化学文摘、Base-search、PubMed、SpiScholar、MedlineComplete、worldlib excel数据库建库至2025年1月17日收录的耳穴刺激疗法辅助治疗高血压相关疾病的临床研究文献，采用Microsoft Excel建立数据库，运用R语言分析其选穴规律。结果：共检索出文献6 296篇，去重后余3 053篇，筛选后共纳入文献795篇，涉及主穴55个，涉及配穴45个。按照使用频数对主穴进行排序、关联、聚类等分析，发掘了最佳两穴组合、三穴组合、四穴组合和五穴组合，最终得出最佳主穴组合为耳背沟、神门、心、肝、肾。常用耳穴刺激方法有王不留行籽耳穴压豆、磁珠耳穴压豆、耳尖针刺放血等。结论：耳背沟、神门、心、肝、肾是耳穴刺激疗法辅助治疗高血压相关疾病的最佳主穴组合，结合患者具体证候灵活加减配穴，选择合适的方法刺激耳穴可以有效干预高血压相关疾病。

关键词：高血压相关疾病；R语言；耳穴刺激疗法；选穴规律

Abstract：

Objective: To explore the the selection pattern of acupoints for the auxiliary treatment of hypertension-related diseases with auricular point stimulation therapy based on R language. Methods: Clinical research literatures on auricular point stimulation therapy for hypertension-related diseases were retrieved from databases including China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, China Science and Technology Journal Database, Chaoxing Journal Full-text Database, Chinese Medical Journal Full-text Database, China Biomedical Literature Service System, National Science and Technology Library, Web of Science, SciFinder, Base-search, PubMed, SpiScholar, MedlineComplete and worldlib excel from the establishment of the databases to January 17, 2025. A database was established using Microsoft Excel, and R language was applied to analyze the acupoint selection rules. Results: A total of 6,296 literatures were retrieved, 3,053 remained after deduplication, and 795 literatures were included after screening, involving 55 main acupoints and 45 auxiliary acupoints. Through sorting, association and cluster analysis of main acupoints according to usage frequency, the optimal combinations of two, three, four and five acupoints were explored, and the final optimal main acupoint combination was determined as ear back groove, Shenmen (HT7), heart, liver and kidney. Common auricular point stimulation methods included Wangbuliuxing (Vaccariae Semen) auricular pressing, magnetic bead auricular pressing, and auricular apex acupuncture bloodletting. Conclusion: The optimal main acupoint combination for auricular point stimulation therapy as an adjuvant treatment for hypertension-related diseases is the ear back groove, Shenmen (HT7), heart, liver and kidney. By flexibly adjusting and modifying acupoints based on the specific symptoms of the patient, appropriate methods can be selected to stimulate the ear points, which can effectively intervene in hypertension-related diseases.

Key words：hypertension-related diseases; R language; auricular point stimulation therapy; acupoint selection rules

发布时间：2025-12-31

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