针灸治疗白癜风的选穴规律*

作者：陈浩然1，王 通1，倪乾越1，王远红2

单位：1.黑龙江中医药大学，黑龙江 哈尔滨 150040； 2.黑龙江中医药大学附属第一医院，黑龙江 哈尔滨 150040

引用：引用：陈浩然，王通，倪乾越，王远红.针灸治疗白癜风的选穴规律[J].中医药导报,2026,32(3):173-178.

DOI：10.13862/j.cn43-1446/r.2026.03.027

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摘要：

目的：基于数据挖掘技术分析针灸治疗白癜风的选穴及配伍规律，为临床优化治疗方案提供依据。方法：检索中国知网（CNKI）、万方数据知识服务平台（Wanfang Data）、维普中文期刊服务平台（CSTJ）、Web of Science（WOS）和PubMed数据库中针灸治疗白癜风的相关研究文献，筛选文献后提取针灸处方并建立数据库。运用Microsoft Excel 2021统计频数、归经、分部和特定穴；运用IBM SPSS Modeler 18.0软件的Apriori算法，对高频腧穴进行关联规则分析；运用SPSS Statistics 26.0软件进行聚类分析；运用Cytoscape 3.7.2软件绘制高频证型穴位共现网络图。结果：共纳入252篇文献，提取329份针灸处方，涉及81个腧穴，总频数为823；排名前3位的干预措施分别是3种及以上措施联用、火针+中药、火针+光疗；处方占比在10%以上的腧穴为阿是穴、足三里、曲池和三阴交；腧穴归经以足太阳膀胱经、手阳明大肠经、足太阴脾经、足阳明胃经和督脉为主，主要分布在下肢部和躯干部，特定穴中五输穴的使用频数最高；排名前20位的高频腧穴中，足三里-曲池、三阴交-曲池、足三里-曲池-血海、血海-曲池和血海-三阴交为核心穴组，聚类分析可分为8类；辨证以气血瘀滞、肝肾不足、脾肾不足和肝郁气滞为主。结论：针灸治疗白癜风的选穴重视阿是穴，常配伍五输穴、交会穴和背俞穴等特定穴，以内调脏腑气血之本，外通皮腠玄府之标。临床以针灸疗法联合其他干预手段协同治疗为主。

关键词：白癜风；针灸；数据挖掘；选穴规律

Abstract：

Objective: To analyze the acupoint selection and combination patterns in acupuncture treatment for vitiligo based on data mining technology, so as to provide evidence for clinically optimized treatment regimens. Methods: Methods: Relevant literature on acupuncture for vitiligo was retrieved from China National Knowledge Infrastructure (CNKI), Wanfang Data Knowledge Service Platform (Wanfang Data), VIP Chinese Journal Service platform (CSTJ), Web of Science (WOS), and PubMed databases. After screening, acupuncture prescriptions were extracted and a database was established. Microsoft Excel 2021 was used to analyze the frequency, meridian distribution, body region distribution, and specific points. IBM SPSS Modeler 18.0 with Apriori algorithm was applied for association rule analysis of high-frequency acupoints. Cluster analysis was performed using SPSS Statistics 26.0. Cytoscape 3.7.2 was used to construct a co-occurrence network of acupoints for high-frequency syndromes. Results: A total of 252 articles were included, with 329 acupuncture prescriptions extracted, involving 81 acupoints and a total frequency of 823. The top three interventions were combination of three or more measures, fire acupuncture combined with Chinese medicine, and fire acupuncture combined with phototherapy.  Acupoints present in over 10% of prescriptions included Ashi points, Zusanli (ST36), Quchi (LI11), and Sanyinjiao (SP6). Meridian attribution primarily involved the Bladder Meridian of Foot Taiyang, Large Intestine Meridian of Hand Yangming, Spleen Meridian of Foot Taiyin, Stomach Meridian of Foot Yangming, and the Governor Vessel, with main distribution on the lower limbs and trunk. Among specific acupoints, the Five Shu points had the highest usage frequency. Among the top 20 high-frequency acupoints, Zusanli (ST36)-Quchi (LI11), Sanyinjiao (SP6)-Quchi (LI11), Zusanli(ST36)-Quchi (LI11)-Xuehai (SP10), Xuehai (SP10)-Quchi (LI11), and Xuehai (SP10)-Sanyinjiao (SP6) were core point groups, which could be clustered into 8 categories. The main syndromes were Qi-blood stasis, liver-kidney insufficiency, spleen-kidney insufficiency, and liver constraint and qi stagnation. Conclusion: Acupoint selection in acupuncture treatment for vitiligo emphasizes Ashi points and often combines them with specific points such as the Five Shu points, Intersection points, and Back-Shu points. This approach internally regulates the zang-fu organs and Qi-blood as the root, while externally unblocks the superficial regions of the skin and meridians. Clinically, acupuncture therapy is primarily used in combination with other interventions for synergistic treatment.

Key words：vitiligo; acupuncture; data mining; acupoint selection patterns

发布时间：2026-03-28

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