基于数据挖掘国内推拿疗法治疗单纯性抑郁症的手法及选穴规律分析

The Analysis of Manipulation and Acupoint Selection Law of Domestic Tuina Therapy for the Treatment of Simple Depression Based on Data Mining Technology

摘要: 目的：运用数据挖掘技术分析推拿治疗抑郁症的手法、部位、经络及穴位倾向，以期对临床与科研起到一定指导及启示作用。方法：通过计算机在CNKI、万方数据、VIP检索于2013年2月~2023年2月之间发表的推拿治疗抑郁症的相关文献，筛选后建立数据库，运用Excel 2021、IBM SPSS Modeler及IBM SPSS Statistics对推拿处方进行描述性分析、手法关联规律分析及手法聚类分析。结果：纳入文献共15篇，涉及手法15种，经脉10条，腧穴38个(背俞穴计1)。其中常用手法有按、揉、推、拿四种；涉及经脉主要为膀胱经、督脉、胆经，其次为肝经；操作部位主要为背部，其次为头与腹部；穴位选择上以背俞穴为主，其次为百会，其中背俞穴使用最多的为心俞、肾俞及肝俞；手法关联网络提示，按法、揉法、推法及拿法关联性强；聚类分析显示手法可分为两大类。结论：推拿疗法治疗抑郁症，以“按揉”为核心操作，佐以叩击及振动类手法，与经络、腧穴功效协同，起到“行气活血，舒经通络，宁心安神”的作用。

Abstract: Objective: To use data mining technology to analyze the manipulation, parts, meridians and acu-puncture points of Tuina in the treatment of depression, in order to play a certain enlightenment role in clinical and scientific research. Methods: The relevant literature on Tuina for depression published between 2013.2~2023.2 was searched by computer on CNKI, Wanfang Data and VIP, and a database was established after screening, and Excel 2021, IBM SPSS Modeler and IBM SPSS Statis-tics were used to descriptively analyze, manipulation association law analysis and manipulation cluster analysis of Tuina prescription. Results: A total of 15 articles were included, involving 15 techniques, 10 meridians and 38 acupoints (The total number of back Shu points is counted as one acupoint). Among them, there are four common techniques: pressing, kneading, pushing and grasping; The meridians involved are mainly bladder meridian, supervision meridian, bile meridi-an, followed by liver meridian; The Tuina manipulation site is mainly the back, followed by the head and abdomen; In the selection of acupoints, Beishu point is the main point, followed by Baihui, among which the most used Beishu points are Xinshu, Shenshu and Ganshu; Manipulative correla-tion network prompt, pressing, kneading, pushing and grasping are closely related; Cluster analysis shows that Tuina techniques can be divided into two main categories. Conclusion: Tuina therapy for the treatment of depression, with “Pressing and Kneading” as the core manipulate, coupled with tapping and vibration techniques, synergistic with the effects of meridians and acupoints, plays the role of “promoting qi and blood circulation, soothing meridians and unblocking collaterals, calming the heart and calming the mind”.