基于五运六气理论探讨少阴病证型肺炎患者先天运气禀赋特征  

Exploring the Characteristics of Congenital Circuit-Qi Endowment in Patients with Pneumonia of Shaoyin-Disease Syndrome Based on the Five-Circuit and Six-Qi Theory

作　　者：兰福娟 杨涛宇 陈党红 徐国峰 颜芳 黄遂和 LAN Fu-Juan;YANG Tao-Yu;CHEN Dang-Hong;XU Guo-Feng;YAN Fang;HUANG Sui-He(The Second Clinical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Dept.of Classical Chinese Medicine,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120 Guangdong,China;Outpatient of Complicated and Refractory Miscellaneous Diseases,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120 Guangdong,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广州中医药大学第二附属医院中医经典科,广东广州510120 [3]广州中医药大学第二附属医院疑难杂病门诊,广东广州510120

出　　处：《广州中医药大学学报》2024年第11期2863-2868,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家中医药管理局龙砂医学流派传承基地建设项目(编号:国中医药人教函[2012]228号);广州市市院联合资助基础研究计划项目(编号:202201020291);广东省中医院顾植山学术经验传承工作室项目(编号:广中医文[2014]089号);广东省中医院许家栋学术经验传承工作室项目(编号:中医二院[2018]101号)。

摘　　要：【目的】基于五运六气理论探讨少阴病证型肺炎住院患者出生日期的运气因素分布特征。【方法】选取2012年1月20日至2022年6月30日广东省中医院芳村分院中医经典科收治的少阴病证型肺炎住院病例,共422例,对其出生日期的运气因素进行统计学分析。【结果】经卡方-拟合优度检验,少阴病证型肺炎住院患者出生时的年干、年支、岁运、重组岁运、主气、司天-在泉的分布,差异均有统计学意义(P<0.05或P<0.001)。提示出生于己年和丑年、岁运太少分布为土运不及、重组岁运为风象之年、主气为太阴湿土、太阴湿土司天-太阳寒水在泉者罹患少阴病证型肺炎的风险较高。【结论】少阴病证型肺炎的罹患与出生时期运气存在一定的相关性,其可能的出生运气病机为脾肾阳虚,寒湿夹杂。Objective Based on the theory of five circuits and six qi,the characteristics of circuit-qi indicators of the date of birth of hospitalized patients with pneumonia of Shaoyin-disease syndrome were explored.Methods The data collection was conducted in 422 hospitalized patients with pneumonia of shaoyin-disease syndrome admitted to the Department of Classical Chinese Medicine,Fangcun Hospital of Guangdong Provincinal Hospital of Chinese Medicine from January 20,2012 to June 30,2022.And then statistical analysis was performed for circuit-qi indicators of the date of birth of the patients.Results The goodness of fit by chi-square test showed that there were statistically significant differences in the distribution of the heavenly-stem year,earthly-branch year,yearly circuit,recombinant yearly circuit,predominant qi,and sitian-zaiquan(circuit qi of the first and second half of a year)at birthdate of hospitalized patients with pneumonia of shaoyin-disease syndrome(P<0.05 or P<0.001).And the results indicated that a higher risk of suffering from pneumonia of shaoyin-disease syndrome existed in the population born in the heavenly-stem ji year and earthly-branch chou year,in the yearly circuit being deficient earth circuit,in the recombinant yearly circuit being wind,in the predominant qi being taiyin damp earth,and in the sitian-zaiquan being taiyin damp earth and taiyang cold-water.Conclusion There is a correlation between the incidence of pneumonia of shaoyin-disease syndrome and the circuit-qi indicators of the date of birth of the patients,and the pathogenesis of circuits and qi at birth date is probably related with yang deficiency of spleen and kidney,and cold interweaved with dampness.

关 键 词：五运六气 肺炎 少阴病 出生日期 脾肾阳虚 寒湿夹杂 

分 类 号：R259.631[医药卫生—中西医结合]