哮病发作期中医证型与发病运气关系探讨  

Correlation of Traditional Chinese Medical Syndrome Patterns of Asthma Patients at Period of Onset with Five-element Motions and Six Climatic Factors

作　　者：杨丹 蔡俊翔[2] 刘建博[2] 

机构地区：[1]广州市荔湾区白鹤洞街社区卫生服务中心,广东广州510380 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《广州中医药大学学报》2015年第1期40-43,47,共5页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】采用回顾性研究方法,分析哮病发作期患者的中医证型及发病运气,运用五运六气理论探讨两者之间的关系。【方法】选择广州中医药大学第一附属医院哮喘急性发作住院患者308例,发病日期为2011年1月20日至2014年1月19日(辛卯年、壬辰年及癸巳年),对其进行辨证分型,将发病时间分析得出发病运气,并将两者进行统计分析,总结中医证型与发病运气之间的关系。【结果】308份住院病历中,辛卯年(2011年)寒哮证、热哮证、浊哮证、风哮证病例数分别为31例、48例、6例、5例;壬辰年(2012年)分别为37例、58例、13例、7例;癸巳年(2013年)分别为32例、47例、14例、10例。哮病发作期在辛卯年、壬辰年及癸巳年的证型分布无明显差异(P>0.05),在此3年,热哮证占了最大比例,寒哮证次之,浊哮证及风哮证病例数均较少。辛卯年哮病证型分布符合全年运气规律;从六步间气来看,初之气、二之气、四之气的哮病证型分布符合运气规律;三、五、六之气的哮病证型分布则与运气规律不相符。壬辰年哮病证型分布与全年运气规律不相符;从六步间气来看,初之气、二之气、三之气的哮病证型分布与运气分析不符;四、五、六之气的哮病证型分布则与运气规律相符。癸巳年哮病证型分布与全年运气规律不相符;从六步间气来看,二之气的哮病证型分布与运气分析不符;其余各间气的证型分布情况均与运气规律相符。【结论】运气学说用于预测哮喘的发病特点和指导哮喘防治有一定价值,确切的结论尚有待于大样本的更深入的临床研究结果证实。Objective A retrospective study was carried out for the analysis of correlation of traditional Chinese medical syndrome patterns of asthma patients at period of onset with five-element motions and six climatic factors. Methods All of the subjects were the inpatients of the First Affiliated Hospital of Guangzhou University of Chinese Medicine admitted from January 20, 2011 to January 19, 2014, matching the year of Xinmao, Renchen, Guisi correspondingly in ancient Chinese calendar. The patients were confirmed as asthma at period of onset and were differentiated into various traditional Chinese medical syndrome patterns. The time of onset was classified into various Yunqi periods according to the theory of five-element motions and six climatic factors, and then the correlation of syndrome patterns with the Yunqi periods was analyzed. Results A total of 308 inpatient case files were collected. In the year of Xinmao （2011） , 31 cases were differentiated as cold pattern asthma, 48 as heat pattern asthma, 6 as turbidity pattern asthma, 5 as wind pattern asthma. In the year of Renchen （2012） , 37 cases were differentiated as cold pattern asthma, 58 as heat pattern asthma, 13 as turbidity pattern asthma, 7 as wind pattern asthma. In the year of Guisi （2013） , 32 cases were differentiated as cold pattern asthma, 47 as heat pattern asthma, 14 as turbidity＆nbsp;pattern asthma, 10 as wind pattern asthma. The results of statistical analysis showed that the differences of the distribution of syndrome patterns were insignificant among the year of Xinmao, Renchen, Guisi （P〉0.05） . During the 3 years, heat pattern asthma had the highest incidence, cold pattern asthma came next, and turbidity pattern asthma and wind pattern asthma came last. Distribution of syndrome patterns of asthma in the year of Xinmao was consistent with the law of five-element motions and six climatic factors of the year of Xinmao. On the aspects of the theory of six Jianqi （ climatic periods） , the distribution of patterns of asthma i

关 键 词：哮病 发作期 证型 五运六气 

分 类 号：R256.12[医药卫生—中医内科学]