基于五运六气理论探讨酒精性肝硬化患者的先天禀赋特征  

Exploration of the innate endowment characteristics of patients with alcoholic cirrhosis based on the theory of five circuits and six qi

作　　者：姜艳丹 江宇泳[2] 熊飞翔 张琴[1] 段浩鑫 赵赛赛 JIANG Yandan;JIANG Yuyong;XIONG Feixiang;ZHANG Qin;DUAN Haoxin;ZHAO Saisai(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Center of Integrative Medicine,Beijing Ditan Hospital,Capital Medicl University,Beijing 100015,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]首都医科大学附属北京地坛医院中西医结合中心,北京100015

出　　处：《中华中医药杂志》2024年第11期6148-6151,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：北京市卫健委公共卫生高层次技术人才-学科带头人(No.03-04);首都卫生发展基金(No.首发2020-2-2172)

摘　　要：目的:通过分析酒精性肝硬化患者先天运气禀赋探究其体质性内因,明确酒精性肝硬化患者先天体质的病因病机以预防其进展。方法:采集2020年8月—2023年3月于首都医科大学附属北京地坛医院住院并确诊为酒精性肝硬化患者,共364例。以采集到的出生日期推演五运六气,统计各运气因素出现的频数并进行统计学分析。结果:①胎孕期岁运分布为木运太过最多(P<0.01)。②胎孕期司天在泉分布为少阳相火司天-厥阴风木在泉最多(P<0.01)。③二十四节气为芒种时出生者最多(P<0.01)。④干支纪年为壬寅年出生者最多(P<0.01)。结论:综合易患酒精性肝硬化患者的先天禀赋特点为肝旺脾虚,湿热内蕴,肾精亏虚。Objective:To explore the underlying causes by analyzing the physical constitution and innate endowment characteristics of the patients with alcoholic cirrhosis,and dentify the etiology and pathogenesis of congenital constitution in patients with alcoholic liver cirrhosis to prevent its progression.Methods:A total of 364 cases of the birth date of patients with alcoholic cirrhosis were collected who had been diagnosed into the Beijing Ditan Hospital,Capital Medical University from August 2020 to March 2023.The collection of the birth date and the onset date is calculated into five circuits and six qi factors,and the frequency of the statistical analysis of various Yunqi factors is performed.Results:①During the taiyun period,Muyun Taiguo was the most in the distribution of Suiyun(P<0.01).②During the Taiyun period,Shaoyang Xianghuo Sitan,Jueyin Fengmu Zaiquan was the most in the distribution of Sitan and Zaiquan(P<0.01).③The highest number of births occurred during the 24 solar terms when the grain was harvested(P<0.01).④The Ganzhi era had the highest number of births in the year of Renyin(P<0.01).Conclusion:Comprehensive analysis of the congenital natural endowment of patients with alcoholic cirrhos is hyperactivity of the liver and weakness of the spleen,dampness and heat accumulate inside,kidney essence deficiency.

关 键 词：酒精性肝硬化 五运六气 胎孕期 体质 病因 先天禀赋 

分 类 号：R259[医药卫生—中西医结合]