Abstract:
Objective To analyze the acupoint selection rules of acupuncture and moxibustion for post-stroke urinary retention (PSUR) based on data mining technology.
Methods Databases including China National Knowledge Infrastructure (CNKI), Wanfang Academic Journal Full-text Database, VIP Chinese Science and Technology Journal Database, Chinese Biomedical Database (SinoMed), and English databases PubMed and Web of Science were searched for literatures on acupuncture for PSUR from database establishment to June 20, 2023. According to inclusion and exclusion criteria, effective information was extracted to establish a database. Descriptive analysis was conducted on the selected acupoints, meridian affiliations, and specific points; SPSS Modeler 18.0 software was used for association rule analysis of acupoints; Cytoscape 3.9.1 software was used to draw complex network diagrams; SPSS Statistics 26.0 software was used for cluster analysis and dendrogram drawing of high-frequency acupoints.
Results A total of 79 articles were included, involving 88 acupuncture and moxibustion prescriptions and 113 acupoints with a total frequency of 563. The top 5 acupoints in terms of usage frequency were Guanyuan(CV 4), Zhongji(CV 3), Qihai(CV 6), Sanyinjiao(SP 6) and Baihui(GV 20) . Most selected acupoints belonged to the Ren meridian(Cnception Vessel) and Bladder Meridian of Foot-Taiyang. Among specific acupoints, Front-Mu points, Five-Shu points, and Back-shu points were used more frequently. Association rules showed that Guanyuan (CV 4)-Zhongji (CV 3)-Qihai (CV 6)-Sanyinjiao (SP 6)-Baihui (GV 20) was the core acupoint group. Cluster analysis of the top 15 high-frequency acupoints divided them into 3 categories: Category 1 included Shangliao (BL 31), Xialiao (BL 34), Zhongliao (BL 33), Ciliao (BL 32), Shenshu (BL 23), and Pangguangshu (BL 28); Category 2 included Sanyinjiao (SP 6), Yinlingquan (SP 9), Guanyuan (CV 4), Zhongji (CV 3), Qihai (CV 6), Baihui (GV 20), and Shuidao (ST 28); Category 3 included Shenque (CV 8) and Shimen (CV 5).
Conclusion The core acupoints of acupuncture for PSUR and Guanyuan (CV 4), Zhongji (CV 3), Qihai (CV 6), Sanyinjiao (SP 6), and Baihui (GV 20). The therapeutic principles are strengthening the root and replenishing primordial qi, regulating spirit and qi simultaneously, and dredging and benefiting the lower jiao. Acupoints can be selected based on syndrome differentiation in clinical practice.
Key words:
Stroke,
Urinary retention,
Acupuncture and moxibustion,
Acupoint selection rules,
Data mining
Nan Hao, Ruohan Tang, Yongyin Luo, Jinsheng Zhang, Tong Zheng, Lan Zhao. Analysis on point selection rules of acupuncture for post-stroke urinary retention based on data mining technology[J]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2025, 14(04): 167-172.