五运六气禀赋与原发性高血压易患性的相关性--北京地区48666例病例调查  

Correlation Between Five-Yun Six-Qi Endowments and Essential Hypertension Susceptibility: An Investigation of 48,666 Cases in Beijing

作　　者：张洪钧[1] 董霞[1] 刘伟[1] 张旭[1] 周冬卉 孙宁[1] 于树森[1] 张琪琛[1] 

机构地区：[1]北京中医药大学东直门医院、北京市东城区海运仓5号,100700

出　　处：《中医杂志》2014年第17期1475-1480,共6页Journal of Traditional Chinese Medicine

摘　　要：目的探讨五运六气禀赋差异对原发性高血压发病的影响。方法以北京市常住人口为对照,对48 666例原发性高血压患者按出生时段进行人群归类,分析原发性高血压易患人群和阻患人群胚胎期五运六气禀赋特点,确定运气禀赋与疾病发生间的关系。结果男女易患人群(男9种、女11种)出生时段多在春夏,而不易患(阻患)人群之出生时段多在冬天。故其主运主气禀赋在易患人群为秋冬之气多而春夏之气少,阳为阴抑;而阻患人群则为四季阴阳之气平均且顺四时生长之序。易患人群之岁运禀赋多为两个运,男性多五行逆生("太金-少水/土胜"最多)、女性多五行相克("少土/木胜-太金"最多);易患人群客气禀赋男性以金木同盛(厥阴在泉+阳明司天)者最多、女性则水火同盛("少阴在泉+太阳司天"或"太阳在泉+少阳司天")者最多。阻患人群岁运禀赋多为一个运,客气禀赋阴阳平均,男多"少阴司天阳明在泉"、女多"太阳司天太阴在泉"。男女各易患人群的共同特点为同时禀赋五行相克之运气,或金木、或水火、或土木,或土金过胜而木来复。结论源于运气禀赋的阴抑阳争木郁,即金木相争、水火相争、土郁木争,是原发性高血压的病因;由此导致清阳不升、肝脉拘挛而发病;故原发性高血压应属于厥阴病,升降逆乱、寒热虚实错杂,总体属阴证,与脑中风继发之阳证高血压不同。Objective To study the effect of Five-Yun Six-Qi endowments on the incidence of hypertension. Methods The Five-Yun Six-Qi endowments in 48, 666 cases of essential hypertension were extracted by taking Beijing resident population as control. The birth times and Five-Yun Six-Qi endowments in populations susceptible and non-susceptible to hypertension were analyzed. The internal relation was discovered. Results The populations susceptible to hypertension （9 kinds in male and 11 in female） were mainly born in spring or summer. The popula- tions non-susceptible to hypertension were mainly born in autumn or winter. The host Five-Yun Six-Qi endowments in populations susceptible to hypertension had more autumn and winter qi and less spring and summer qi. The host Five- Yun Six-Qi endowments in populations non-susceptible to hypertension had average season yin and yang qi. The popu- lations susceptible to hypertension often had two phases and the populations non-susceptible to hypertension often had one phase. The common characteristics in male and female populations susceptible to hypertension were endowments of restraining among the five phases at the same time. Year-qi endowment in most male patients were dominated by a coexistence of metal and wood, while female were dominated by a coexistence of water and fire. There were situations of coexistence of dominant water and fire, metal and wood, earth and wood, or excessive earth and metal followed with the avenged wood and fire both in males and females. On the other hand, the Year-Qi of most people not liable to hypertension was yin-yang balanced. Conclusion The Five-Yun Six-Qi endowments are related to the occurrence of essential hypertension. Essential hypertension belongs to Jueyin disease and yin syndrome. This study provides a new method for exploring the internal cause of disease from Five-Yun Six-Qi endowments.

关 键 词：原发性高血压 易患性 五运六气禀赋 

分 类 号：R259[医药卫生—中西医结合]