Study on Screening of Main Acupoints and Pattern-Specific Acupoint Combination Rules for Acupuncture in Autism Spectrum Disorder Complicated with Sleep Disorder Based on Data Mining
Download PDF
$currentUrl="http://$_SERVER[HTTP_HOST]$_SERVER[REQUEST_URI]"

Keywords

Autism Spectrum Disorder (ASD)
Sleep disorder
Acupoint selection rule
Data mining

DOI

10.26689/jcnr.v9i8.11862

Submitted : 2025-08-10
Accepted : 2025-08-25
Published : 2025-09-09

Abstract

Objective: To explore the core acupuncture acupoints and pattern-adapted acupoint combination rules for autism spectrum disorder (ASD) complicated with sleep disorder using clinical data mining technology. Methods: A retrospective analysis was conducted on the diagnosis and treatment data of 104 children with ASD complicated with sleep disorder admitted to Xi’an Traditional Chinese Medicine (TCM) Encephalopathy Hospital from January 2022 to December 2024. Cross-pattern main acupoints were screened via frequency statistics, chi-square test, and factor analysis; pattern-specific auxiliary acupoints were extracted by combining multiple correspondence analysis, cluster analysis, and association rule mining. Results: Ten cross-pattern main acupoints (Baihui, Sishenzhen, Language Area 1, Language Area 2, Neiguan, Shenmen, Yongquan, Xuanzhong) were identified, and acupoint combination schemes for four major TCM patterns (Hyperactivity of Liver and Heart Fire, Deficiency of Kidney Essence, Deficiency of Both Heart and Spleen, Hyperactivity of Liver with Spleen Deficiency) were established. Conclusion: Acupuncture treatment should follow the principle of “regulating spirit and calming the brain as the root, and dredging collaterals based on pattern differentiation as the branch”. The synergy between main and auxiliary acupoints can accurately regulate the disease, providing a basis for precise clinical treatment.

References

Kamara D, Beauchaine TP, 2020, A Review of Sleep Disturbances Among Infants and Children With Neurodevelopmental Disorders. Rev J Autism Dev Disord, 7(3): 278–294.

American Psychiatric Association, 2015, Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V), thesis, Beijing: Peking University Press.

Zhao NX, Song HJ, Du XG, et al., 2023, Clinical Practice Guidelines for TCM Pediatrics: Autism Spectrum Disorder. China Journal of Traditional Chinese Medicine and Pharmacy, 38(7): 3231–3236.

Shen BY, Fan PY, Wang XH, et al., 2024, Research Progress of Children’s Sleep Assessment Tools. Proceedings of the 6th Shanghai International Nursing Conference (Part II). Shanghai: Shanghai Children’s Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine; School of Nursing, Shanghai Jiao Tong University: 168–169. DOI: 10.26914/c.cnkihy.2024.057900.

Li SH, Jin XM, Shen XM, et al., 2007, Development and Psychometric Evaluation of the Chinese Version of the Children’s Sleep Habits Questionnaire. Chinese Journal of Pediatrics, 45(3): 176–180.

National Technical Committee for Acupuncture and Moxibustion Standardization (TC 475), 2013, General Terminology of Acupuncture and Moxibustion: GB/T 30232-2013. China Standards Press.

Chen HJ, Huang YY, Zhao ML, et al., 2025, Analysis of Acupoint Selection Rules for Acupuncture Treatment of Pediatric Cerebral Palsy Based on Data Mining Technology. Chinese Journal of Information on Traditional Chinese Medicine, 32(3): 51–57. DOI: 10.19879/j.cnki.1005-5304.202407231.

Wu Y, Zhang X, Deng G, et al., 2024, Acupoint Selection Rules and Application Characteristics of Acupuncture Methods for Spastic Cerebral Palsy Based on Data Mining. World Chinese Medicine, 19(17): 2602–2608.

Zhang P, Zhang XW, 2023, Exploration of Acupoint Selection Rules for Acupuncture Treatment of Knee Osteoarthritis With Different Syndromes Based on Data Mining. Journal of Shanxi University of Chinese Medicine, 24(10): 1066–1074. DOI: 10.19763/j.cnki.2096-7403.2023.10.02.

Expert Consensus on Integrated Traditional Chinese and Western Medicine Intervention for Children With Autism Spectrum Disorder, 2024, Journal of Hunan University of Chinese Medicine, 44(2): 169–175.

Zhang NB, Zhao NX, Guo K, et al., 2021, Clinical Efficacy Observation of Acupuncture Combined With Medication and Behavioral Intervention in Improving Sleep Disorders Comorbid With Autism Spectrum Disorder. China Journal of Traditional Chinese Medicine and Pharmacy, 36(6): 3744–3746.

Deng CY, Tang CZ, 2024, Mechanism of Acupuncture in the Treatment of Autism Spectrum Disorder. China Journal of Traditional Chinese Medicine and Pharmacy, 39(3): 1394–1397.

Hu YJ, Huang RX, Luo XM, et al., 2023, Efficacy Observation of Acupuncture Combined With Auricular Point Sticking in the Treatment of Sleep Disorders in Patients With Autism. Shanghai Journal of Acupuncture and Moxibustion, 42(12): 1277–1281. DOI: 10.13460/j.issn.1005-0957.2023.12.1277.