基于数据挖掘分析范永升治疗干燥综合征用药规律
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R593.2

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科技部国家重点研发计划项目子课题(2018YFC1704102);浙江省中青年临床名中医培养项目(浙中医药〔2022〕7号);金华市公益性技术应用研究项目(金市科〔2023〕50号)


Analysis on Medication Rules of FAN Yongsheng in Treating Sjögren Syndrome Based on Data Mining
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    摘要:

    目的:通过数据挖掘分析全国名中医范永升治疗干燥综合征的用药规律及临证经验。方法:收集 2019年1月—2022年2月就诊于范永升全国名中医工作室的干燥综合征病例,经筛选符合纳入标准的处方后, 采用Excel录入相关数据并进行数据整理,建立标准化医案数据库,使用中医传承计算平台V3.5,采用关联规 则、聚类分析等方法,挖掘其用药特点及组方规律。结果:共纳入病例107例,处方272张,共包含中药267味, 药物使用频数≥100次的高频药物共8味,分别为茯苓、甘草、佛手、麦冬、白术、白芍、太子参、蒲公英;中 药四气以平、(甘) 寒、温类药物为主;五味以甘、苦、辛为主;治疗药物主要归肺、肝、胃、脾经;药物功 效以补虚类、清热类、活血化瘀类、利水渗湿类为主;关联规则分析得出4个主要药物组合;聚类分析得出4组 核心药组。结论:范永升教授治疗干燥综合征多以补虚类、清热类、活血化瘀类、利水渗湿类等药物配伍,体 现了治疗干燥综合征围绕“本虚标实、气阴亏虚为本、湿热瘀为标”为病机核心,治法以益气养阴为主,兼以 清热利湿,化瘀通络,标本兼治。

    Abstract:

    Abstract: Objective: To explore the medication rules and clinical experience of national famous Chinese medicine practitioner FAN Yongsheng in treating Sjögren syndrome.Methods:The cases with Sjögren syndrome who were treated at FAN Yongsheng National Famous Chinese Medicine Studio from January 2019 to February 2022 were collected.After screening the prescriptions that met the inclusion criteria,Excel was used to input relevant data for the interpretation of data, and a standardized medical case database was established. Using the Traditional Chinese Medicine Inheritance Computing System V3.5, association rules, cluster analyses and other methods were used to explore the medication characteristics and prescription rules.Results:A total of 107 cases and 272 prescriptions were included,involving 267 Chinese medicinals.Among them,eight high-frequency Chinese medicinals were used more than 100 times,including Poria,Glycyrrhizae Radix et Rhizoma,Citri Sarcodactylis Fructus,Ophiopogonis Radix, Atractylodis Macrocephalae Rhizoma,Paeoniae Radix Alba,Pseudostellariae Radix and Taraxaci Herba;the four qi was mainly neutral,(sweet)cold and warm;the five flavors were mainly sweet,bitter and acrid;the meridian entries were mainly the lung, liver, stomach and spleen; the function was mainly to supplement deficiency, clear heat, invigorate blood and resolve stasis,promote urination and percolate dampness;four main medicinal combinations were obtained by association rule analysis; four core medicinal groups were obtained by cluster analysis. Conclusion: Professor FAN used Chinese medicinals for supplementing deficiency,clearing heat,invigorating blood and resolving stasis, promoting urination and percolating dampness in terms of compatibility in the treatment of Sjögren syndrome, which reflects the core pathogenesis of “deficiency in root and excess in branch;qi-yin depletion and deficiency is the root and damp-heat stasis is the branch”.It should treat both the root and the branch by focusing on qi boosting and yin nourishing,supplemented by heat clearing,dampness draining and meridians dredgeing.

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曹楚楚,范凯杰,沈昕,孙旗策,李正富,指导:范永升.基于数据挖掘分析范永升治疗干燥综合征用药规律[J].新中医,2025,57(18):1-5

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  • 在线发布日期: 2025-09-25
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