基于知识可视化数据挖掘的火针治疗类风湿关节炎的取穴规律分析*

作者：刘 伟，冯 祥，吴 婧，刘雨宜，刘骐志，陈安妮，胡 婧

单位：湖南中医药大学，湖南 长沙 410208

引用：引用：刘伟，冯祥，吴婧，刘雨宜，刘骐志，陈安妮，胡婧.基于知识可视化数据挖掘的火针治疗类风湿关节炎的取穴规律分析[J].中医药导报,2026,32(5):169-173,187.

DOI：10.13862/j.cn43-1446/r.2026.05.027

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摘要：目的：分析火针治疗类风湿关节炎的取穴规律及穴位配伍意义。方法：整理近30年火针治疗类风湿关节炎文献中的火针处方，经筛选后利用Microsoft Access 2017建立“火针处方数据库”，运用SPSS 22.0、Clementine 12.0等软件对火针治疗类风湿关节炎的主要腧穴、经络等进行描述性分析、关联规则分析及基于复杂熵聚类分析。结果：获得火针治疗类风湿关节炎处方456份，涉及腧穴138个，总频数为5 325，足太阳膀胱经中腧穴的频数最高；频数较高腧穴为足三里、阳陵泉、曲池、合谷、昆仑、肾俞、太溪、解溪、外关、腰阳关等，火针治疗类风湿关节炎尤其注重特定穴的选用。关联规则分析支持度最高的组合为足三里→命门；基于复杂熵聚类分析得出12个核心穴位组合。结论：火针治疗类风湿关节炎强调先后天之本的补益，常选用四肢部位经穴，并注重阳经经穴及特定穴的应用。

关键词：类风湿关节炎；火针；数据挖掘；取穴规律

Abstract：

Objective: To analyze the acupoint selection rules and the significance of acupoint compatibility in fire needle therapy for rheumatoid arthritis (RA). Methods: Fire needle prescriptions from literature on fire needle therapy for RA in the past 30 years were collected. After screening, Microsoft Access 2017 was used to establish a "fire needle prescription database". Software such as SPSS 22.0 and Clementine 12.0 was applied to conduct descriptive analysis, association rule analysis and complex entropy clustering analysis on the main acupoints and meridians used in fire needle therapy for RA. Results: A total of 456 fire needle prescriptions for RA were obtained, involving 138 acupoints with a total frequency of 5325. The frequency of acupoints in the Bladder Meridian of Foot-Taiyang was the highest. Acupoints with high frequency included Zusanli (ST 36), Yanglingquan (GB 34), Quchi (LI 11), Hegu (LI 4), Kunlun (BL 60), Shenshu (BL 23), Taixi (KI 3), Jiexi (ST 41), Waiguan (TE 5), Yaoyangguan (GV 3), etc. Particular attention was paid to the selection of specific acupoints in fire needle therapy for RA. The combination with the highest support degree in association rule analysis was Zusanli (ST 36)→Mingmen (GV 4). Conclusion: Fire needle therapy for RA emphasizes the tonification of congenital and acquired fundamentals, often selects acupoints located in the limbs, and focuses on the application of acupoints in Yang meridians and specific acupoints.

Key words：rheumatoid arthritis; fire needle; data mining; acupoint selection rules

发布时间：2026-05-24

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