[Application of special acupoints for chronic gastritis in ancient literature of acupuncture and moxibustion]

Zhongguo Zhen Jiu. 2020 Sep 12;40(9):1018-23. doi: 10.13703/j.0255-2930.20190813-0001.
[Article in Chinese]

Abstract

The application of special acupoints for different primary symptoms of chronic gastritis in ancient literature of acupuncture and moxibustion was analyzed and summarized. With keywords, electronic and manual retrieval of ancient literature being performed to establish a database, the association rules were performed with SPSS Modeler 18. As a result, ① among all the 2243 items included, 109 items mentioned special acupoints (excluding those only mentioned crossing acupoint). The frequency of special acupoints was 2554 (71.7%), and the special acupoints on the spleen meridian, the stomach meridian, the conception vessel were frequently used. The frequency of five-shu point was highest, followed by front-mu points. ② The special acupoints for four main primary symptoms of chronic gastritis, "stomachache" "vomiting and regurgitation" "belching and acid regurgitation" and "epigastric fullness", included Zusanli (ST 36), Neiguan (PC 6), Zhongwan (CV 12), Gongsun (SP 4), Taibai (SP 3). In addition, the back-shu points were also selected to treat the primary symptoms other than "epigastric fullness". Zhangmen (LR 13) was added to treat "belching and acid regurgitation". The combination of Neiguan (PC 6) and Gongsun (SP 4) showed the strongest correlation; due to different primary symptoms, the combination had different emphasis.

分析针灸古代文献中关于慢性胃炎的不同主症的特定穴运用特点,并探讨总结其规律。确定主题词,通过电子检索及手动检索相关古籍以建立数据库,采用SPSS Modeler 18.0对数据进行关联分析。结果表明: ①纳入条文2243条,含特定穴(除外仅为交会穴者)共109个,特定穴使用频次2554次(占71.7%),以足太阴脾经、足阳明胃经、任脉特定穴最多见,五输穴使用频次最高,其次为募穴。②“胃脘痛”“哕、呕、反胃”“嗳气、吐酸”“痞满”4类主症特定穴均常选取足三里、内关、中脘、公孙、太白,除“痞满”外其他主症还常取背俞穴,“嗳气、吐酸”还常配以章门穴,配伍上诸症均以内关-公孙的关联性最强,主症不同配伍有所侧重。.

Keywords: acupuncture and moxibustion; association rules; chronic gastritis; rules of acupoint selection; special acupoint.

MeSH terms

  • Acupuncture Points
  • Acupuncture Therapy*
  • Gastritis* / therapy
  • Humans
  • Meridians*
  • Moxibustion*