慢性失眠患者运气禀赋与后天发病的关系研究  

Research on the Relationship between Five Evolutive Phases and Six Climatic Factors and Acquired Morbidity in Chronic Insomnia Patients

作　　者：刘美红 温立新[1] 杨敏 吴婷婷 苏文理[1] LIU Meihong;WEN Lixin;YANG Min;WU Tingting;SU Wenli(Institute of Five Evolutive Phases and Six Climatic Factors,Sanming Hospital of Integrated Traditional Chinese and Western Medicine/Fujian University of Traditional Chinese Medicine,Fujian Province,Sanming 365000,China)

机构地区：[1]三明市中西医结合医院/福建中医药大学五运六气研究所,福建三明365000

出　　处：《中国中医药现代远程教育》2023年第19期55-58,共4页Chinese Medicine Modern Distance Education of China

基　　金：三明市新冠疫情防控研究项目【No.2020-S-4】。

摘　　要：目的基于五运六气理论,探究慢性失眠者出生时运气信息分布特点与后天发病的内在关联。方法选取2020年1月—2020年11月就诊于三明市中西医结合医院的慢性失眠患者306例作为发病组1,同期就诊厦门市中医院的慢性失眠患者206例作为发病组2,2组合称发病组,随机选取同期在厦门市中医院体检部体检的健康非失眠者194例作为对照组。采集入组者出生时年月日信息,转化为五运六气信息,进行数据分析。结果慢性失眠患者与健康非失眠者比较,性别分布上差异有统计学意义(P<0.05);出生时司天/在泉之气、主气、客气分布上差异有统计学意义(P<0.05);出生时司天/在泉之气为少阳相火/厥阴风木、客气为少阴君火、客气为太阴湿土和客气为少阳相火,是慢性失眠患者发病的正相关影响因子。结论慢性失眠患者后天发病与性别、出生时五运六气禀赋有关联,“火”“风”“湿”为引发慢性失眠后天发病的因素,提示我们可以通过改善这些病理因素防治慢性失眠。Objective On the basis of the doctrine of five evolutive phases and six climatic factors,to study the internal relationship between the distribution of the five evolutive phases and six climatic factors of the birth date of patients with chronic insomnia and the acquired onset.Methods 306 patients with chronic insomnia admitted to Sanming Hospital of Integrated Traditional Chinese and Western Medicine from January 2020 to November 2020 were selected as disease group 1,and 206 patients with chronic insomnia who went to Xiamen Hospital of Traditional Chinese Medicine during the same period were selected as disease group 2.Disease group 1 and disease group 2 were collectively referred to as disease group.The control group consisted 194 healthy non-insomnia patients in physical examination department of Xiamen Hospital of traditional Chinese medicine.We collected the birth date of the selected personnel,transformed it into five evolutionary stages and six climatic factors,and used statistical software for analysis.Results The gender distribution of chronic insomnia patients and healthy non-insomnia patients was statistically significant(P<0.05).Compared with patients with insomnia,there was a statistical difference in gender distribution(P<0.05),and there was a statistical difference in the celestial manager qi/qi in the earth,host climatic qi and guest climatic qi of Sitian at birth(P<0.05).The celestial manager qi/qi in the earth at birth is Shaoyang Xianghuo/Jueyin Fengmu,and the guest climatic qi is Shaoyin Junhuo,the guest climatic qi tiyin damp soil and the guest climatic qi is the Shaoyang phase fire,which are positively correlated factors in the onset of chronic insomnia.Conclusion Acquired episodes of chronic insomnia are related to gender,congenital five evolutive phases and six climatic factors.The factors that cause chronic insomnia’s onset are“fire”,“wind”,and“wet”,suggesting we can prevent and treat chronic insomnia by improving these pathological factors.

关 键 词：不寐 失眠 五运六气 出生日期 

分 类 号：R256.23[医药卫生—中医内科学]