基于名医传承辅助平台总结范永升治疗结缔组织病相关心系疾病用药规律
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R249;R256.2

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金华市科技计划项目(2023-4-126,2023-4-130)


Summarization of Medication Rules of FAN Yongsheng in Treating Connective Tissue Disease-Related Cardiac Disorders Based on the Traditional Chinese Medicine Inheri⁃ tance Support System
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    摘要:

    目的:基于名医传承辅助平台总结范永升教授治疗结缔组织病相关心系疾病的用药规律。方法:收集范永升教授治疗结缔组织病患者的处方资料,筛选出心系疾病相关病例处方200首。经过数据的标准化处理后,通过名医传承辅助平台建立疾病医案队列,录入四诊信息、处方信息以及中西医诊断等,利用该平台的分析模块构建药物-药物和症状-药物关联网络,分析范教授临床中使用的核心药物,以揭示其用药特点及规律。结果:范教授治疗结缔组织病相关心系疾病中相关症状出现频次≥30次的有不寐、心悸、头晕、胸闷、胸痛。200首处方中共有176味中药,出现频次≥20次的中药有55味,出现频次≥40次的中药有23味,其中出现频次排在前10位的有茯苓、青蒿、炒白芍、炒白术、生甘草、佛手、炙甘草、姜半夏、黄芪、薏苡仁。利用PageRank算法得出结论,核心中药25味。高频中药药性以平、寒、温为主;药味以甘、苦、辛为主;归经以脾、肝、肺、胃、心经为主。常用药物组合包括:薤白-瓜蒌皮,炙甘草-炒白芍、川芎、桂枝,牡丹皮-生地黄,桂枝-川芎等。症状-药物关联:胸痹-姜半夏、薤白,眩晕-白术、天麻,心悸-炙甘草、桂枝,不寐-夜交藤、酸枣仁等。结论:范永升教授治疗结缔组织病相关心系疾病以清热解毒为主,灵活化裁补益、理气、化痰、利水及活血等药物。

    Abstract:

    Abstract: Objective: To summarize the medication rules of Professor FAN Yongsheng in treating connective tissue disease-related cardio disorders based on the Traditional Chinese Medicine Inheritance Support System( TCMISS). Methods: Prescription data of patients with connective tissue diseases treated by Professor FAN Yongsheng were collected, from which 200 prescriptions associated with cardiac disorders were screened. Following standardized data processing, a medical record cohort was established using the TCMISS, where four diagnostic information, prescription data,and traditional Chinese and western medicine diagnostic data were imported. The built-in analytical modules of the platform were utilized to establish herb-herb and symptom-herb association networks. By analyzing the driver herbs frequently prescribed in Professor FAN′s clinical practice, this study aimed to explore his medication characteristics and compatibility rules. Results: In Professor FAN′s treatment of connective tissue disease-related cardiac disorders, symptoms with a frequency of ≥ 30 times included insomnia, palpitations, dizziness, chest tightness,and chest pain. Among the 200 prescriptions,a total of 176 Chinese herbal medicines were used, among which 55 herbs with a frequency of ≥20 times and 23 herbs with a frequency of ≥40 times. The top 10 herbs in terms of frequency were Poria, Artemisiae Annuae Herba, stir-fried Paeoniae Radix Alba, stir-fried Atractylodis Macrocephalae Rhizoma, raw Glycyrrhizae Radix et Rhizoma, Citri Sarcodactylis Fructus, Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, Astragali Radix, and Coicis Semen. Using the PageRank algorithm,25 driver herbs were identified. The four natures of the high-frequency herbs were mainly neutral, cold, and warm; the five flavors were mainly sweet, bitter, and pungent; and the meridian tropisms were mainly the spleen, liver, lung, stomach, and heart meridians. Commonly used herb pairs included: Allii Macrostemonis Bulbus-Trichosanthis Pericarpium; Glycyrrhizae Radix et Rhizoma Praeparata cum Melle-stir-fried Paeoniae Radix Alba,Chuanxiong Rhizoma,and Cinnamomi Ramulus;Moutan Cortex-Rehmanniae Radix; and Cinnamomi Ramulus-Chuanxiong Rhizoma, among others. Symptom-herb associations included: qi obstruction of chest-Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine and Allii Macrostemonis Bulbus; vertigo-Atractylodis Macrocephalae Rhizoma and Gastrodiae Rhizoma; palpitations-Glycyrrhizae Radix et Rhizoma Praeparata cum Melle and Cinnamomi Ramulus; insomnia-Caulis Polygoni Multiflori and Ziziphi Spinosae Semen, among others. Conclusion: Professor FAN Yongsheng′s treatment of connective tissue disease-related cardiac disorders is primarily based on clearing heat and eliminating toxicity, with flexible modifications incorporating herbs that tonify deficiency,regulate qi,resolve phlegm,promote diuresis,and invigorate blood circulation.

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沈昕,冯炯,杜晓马,王未寒,张薇,吴冠仪,贾素庆,李正富,范永升.基于名医传承辅助平台总结范永升治疗结缔组织病相关心系疾病用药规律[J].新中医,2026,58(18):223-229

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