Objective:To explore the clinical application rules of Láogōng(劳宫PC8)by analyzing the comparison and contrast of the practice with this acupoint in ancient times and in present.Methods:Relevant literature before October 1,1949 was selected from Chinese Medical Code(Fifth Edition)and Compilation of Moden Chinese Medicine Journals and literature published after October 1,1949 was screened from China National knowledge Infrastructure(CNIK),Wanfang Data Knowledge Service Platform(Wanfang),VIP Chinese Journal Service Platform(VIP),Chinese BioMedine Database(CBM),Pubmed Database,and Web of Science.After screening,SQL Server database was established.The complex network analysis was conducted by using Gephi and the cluster analysis was performed by SPSS Statistics.Results:Before October 1,1949,Lráogōng(劳宫PC8),on a single use or with a match of Dàlíng(大陵PC7),Guānyuán(关元CV4),and Zúsānlǐ(足三里ST36),was mainly used for treating ozostomia and edema due to pregnancy.However,Láogōng(劳宫PC8),on a single use or with a match of Yǒngquán(涌泉KI1),Hégǔ(合谷L14)and Nèiguān(内关PC6)was commonly for the treatment of toothache and the sequelae after wind stroke after October 1 st,1949.Conclusion:Láogōng(劳宫PC8)is mainly used to treat local disorders or diseases pertaining to the pericardium meridian.The single-point therapy was commonly applied before October 1 st,1949,while a combination of other points is more common afterwards and the scope of indication expands,with its application for psychiatry disorders,pain diseases and emergent diseases.Acupoints on the same meridian of Láogōng(劳宫PC8),ying-spring points,the back-shu points and combination between and the upper and the lower are dominated in the selection of supplementary points.The supplementary acupoints with the highest frequency of use were specific acupoints,including five-shu points,yuan-source points,front-mu points,etc。
目的:运用现代统计学和数据挖掘技术,探析大敦穴主治优势病症和配伍规律。方法:以中华人民共和国成立(1949年10月1日)为时间节点,1949年10月以前以《中华医典》第5版及《中国近代中医药期刊汇编》为检索源;1949年10月以后以中国知网、万方数据平台、维普期刊资源、中国医学文献数据库、Web of Science、Pubmed等数据库为检索源,筛选文献,建立SQL Server数据库,运用SPSS Modeler对数据进行描述性分析及关联规则分析。结果:1949年10月以前,纳入医籍122部,条文共计460条,单穴、配伍优势病症为14种、10种,配伍腧穴147穴。1949年10月以后,共纳入文献42篇,单穴、配伍优势病症4种、7种,配伍腧穴43穴。结论:大敦穴主治病症以内科、妇科、外科为主,最优主治病症疝气,最优配穴三阴交;配伍规律以本经配穴、表里经配穴、交接经配穴、同名经配穴、上下配穴及大接经法为主。
