基于五运六气理论探讨孝感地区手足口病的发病规律  

Study on the regularity of hand-foot-mouth disease in Xiaogan Area based on the theory of five evolutive phases and six climatic factors

作　　者：胡刚明[1] 贺朝雄 孙秋凌 高杰元 吴正刚 曾进军 万彬彬[2] HU Gangming;HE Chaoxiong;SUN Qiuling;GAO Jieyuan;WU Zhenggang;ZENG Jinjun;WAN Binbin(Department of Traditional Chinese Medicine,Hanchuan People’s Hospital Hanchuan Hospital,Renmin Hospital of Wuhan University,Hubei Province,Hanchuan 431600,China;Department of Rheumatology and Immunology,Wuhan First Hospital,Hubei Province,Wuhan 430022,China)

机构地区：[1]湖北省汉川市人民医院,武汉大学人民医院汉川医院中医科,湖北汉川431600 [2]武汉市第一医院风湿免疫科,湖北武汉430022

出　　处：《中国医药导报》2021年第24期128-131,F0004,共5页China Medical Herald

基　　金：湖北省中医药科研项目(ZY2019F030)。

摘　　要：目的运用五运六气理论探讨孝感地区手足口病的发病规律。方法通过《黄帝内经》五运六气理论对孝感地区2008年1月至2019年12月儿童手足口病的逐月发病数、逐年发病数进行统计分析,并回顾性推测发病率与五运六气所主气候的关系。结果手足口病均在5~6月达到高峰,部分年份11~12月出现小高峰。属性为火热性质的年份,手足口病发病偏高。以6年为1个周期分析六气与手足口病的发病吻合率,准确率达到83.33%。结论孝感地区手足口病的发病多在火热年份、湿热月份,通过五运六气推测每年的气候特点,可以为手足口病的防治提供依据。Objective To explore the regularity of hand-foot-mouth disease in Xiaogan Area by using the theory of five evolutive phases and six climatic factors.Methods Based on the theory of five evolutive phases and six climatic factors in Huangdi Neijing,the monthly incidence and annual incidence of hand-foot-mouth disease of children in Xiaogan Area from January 2008 to December 2019 were statistically analyzed.The relationship between incidence rate and the main climate of five evolutive phases and six climatic factors was also reviewed.Results Hand-foot-mouth disease reached its peak from May to June,with a small peak from November to December in some years.The attribute was a hot year,hand-foot-mouth disease was high in years with hot nature.Taking six years as a cycle,the incidence coincidence rate of six climatic factors and hand-foot-mouth disease was analyzed,and the accuracy rate was 83.33%.Conclusion The incidence of hand-foot-mouth disease in Xiaogan Area is mostly in hot years and humid months.Inferring the annual climate characteristics through five evolutive phases and six climatic factors can provide a basis for the prevention and treatment of hand-foot-mouth disease.

关 键 词：手足口病 五运六气 肠道病毒 湿热 主气 客气 

分 类 号：R272[医药卫生—中医儿科学]