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基于数据挖掘探讨范永升治疗强直性脊柱炎学术经验及用药规律
FAN Yongsheng’s experience in treating ankylosing spondylitis with the concept of ‘kidney-tonifying and collaterals-unblocking’
投稿时间:2025-10-23  修订日期:2026-01-06
DOI:
中文关键词:  范永升  益肾通络  强直性脊柱炎  数据挖掘  名医经验  
英文关键词:Fan yongsheng  Kidney- tonifying and collaterals-unblocking  Ankylosing spondylitis  Data Mining  Famous doctor’s experience  
基金项目:
作者单位邮编
项盛 杭州市第一人民医院 310000
包洁* 浙江中医药大学 310053
范永升 浙江中医药大学 
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中文摘要:
      目的:运用数据挖掘技术探析范永升教授治疗强直性脊柱炎(Ankylosing spondylitis,AS)的用药规律及学术思想。方法:收集2020年1月至2023年6月期间于范师门诊就诊、符合纳排标准的AS患者病案,并构建数据库。应用SPSS软件对患者性别、年龄、证型,以及中药使用频次、功效分类、聚类、复杂网络等进行数据挖掘。结果:共纳入108例患者,其中男性66例,女性42例,平均年龄(40.5±13.64)岁。共出现144味中药,其中高频药物31味,以补虚药、祛风湿药、利水渗湿药、解表药为主。肾虚督寒、湿热痹阻、肝肾不足证分别治以“益肾通络蠲痹方”合黄芪桂枝五物汤、术附汤加减,合四妙散化裁,合六味地黄丸、芍药甘草汤加减。结论:范师认为,AS发病以肾虚为本,治疗以益肾通络为基本治则,扶正祛邪并用,“益肾通络蠲痹方”为基础方。范师在临证中注重谨守病机,辨证精准,经方时方并举,用药精炼,反映了其辨证施治、灵活变通的中医临床思维。
英文摘要:
      Objective: Applying data mining techniques to analyze Professor Fan Yongsheng's medication patterns and academic philosophy in the treatment of ankylosing spondylitis (AS). Methods: Collect the medical records of AS patients who met the criteria for dispensing in the outpatient department of Fan from January 2020 to June 2023, and a database was established. SPSS software was used to perform data mining on patient gender, age, TCM syndrome types, as well as the frequency of herb use, efficacy-based classification, clustering, and complex network analysis. Results: A total of 108 patients were included, comprising 66 males and 42 females, with a mean age of 40.5 ± 13.64 years. A total of 144 Chinese herbal medicines appeared, including 31 high-frequency medicines, with deficiency-reinforcing medicines, wind dampness-removing medicines, urination-promoting and dampness-draining medicines, and exterior-releasing medicines. Kidney deficiency with du meridian cold, damp heat obstruction, liver-kidney deficiency pattern were treated with " kidney-tonifying, collaterals-unblocking, and impediment-eliminating formula " combined with Astragalus and Cinnamon Twig Five Ingredients Decoction, Modified White Atractylodes and Aconite Decoction, Mysterious Four Powder, Six-Ingredient Rehmannia Pill and Peony and Licorice Decoction respectively. Conclusion: Kidney-tonifying and collaterals-unblocking is the basic treatment principle of AS, and the combination of strengthening and dispelling evil is adopted. "kidney-tonifying, collaterals-unblocking, and impediment-eliminating formula" is the basic prescription. Fan pays attention to observe the pathogenesis of disease in clinical diagnosis, makes precise differentiation of syndrome, combines Classic prescription and Non-classical Prescriptions, and uses refined medicine, which reflects his clinical thinking of TCM in syndrome differentiation and treatment and flexibility.
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