五省市肺结核发病率的主气特征分析研究  

Analysis of the Characteristics of Dominant Qi of Tuberculosis Incidence in Five Provinces and Municipalities

作　　者：秦田雨 马师雷 郝宇 熊为锋 李林康 贺娟 QIN Tianyu;MA Shilei;HAO Yu;XIONG Weifeng;LI Linkang;HE Juan(School of Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Editorial Department,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学中医学院,北京100029 [2]北京中医药大学期刊中心,北京100029

出　　处：《西部中医药》2024年第12期56-59,共4页Western Journal of Traditional Chinese Medicine

基　　金：北京市自然科学基金(面上项目)(7182094);北京中医药大学2020年度重大传染病防治应急攻关项目(2020-yjgg_08)。

摘　　要：目的:探索不同地域代表性五省市(黑龙江、河南、广东、甘肃、上海)肺结核发病的主气特征。方法:利用五省市2004—2017年共14年肺结核发病资料,统计分析不同年份的六步气位发病率数据。结果:黑龙江省、河南省、广东省和上海市六气主气时段肺结核发病率皆以二之气-少阴君火时段最高,甘肃省以初之气-厥阴风木时段最高、以二之气-少阴君火时段次高;黑龙江省、甘肃省六气主气时段发病率以五之气-阳明燥金时段最低,广东省和上海市以终之气-太阳寒水时段最低,河南省以四之气-太阴湿土时段最低,且差异均有统计学意义(P<0.05)。结论:五省市肺结核多在二之气-少阴君火时段高发,在五之气、终之气发病最低,与肺结核发病的火热病机相吻合;不同省市肺结核发病的主气特征具有一定的相似性。Objective:To explore the characteristics of dominant Qi of tuberculosis(TB)in different geogra-phical representations five provinces and municipalities including Heilongjiang,Henan,Guangdong,Gansu and Shanghai.Methods:The data of TB incidences between 2004 and 2017 in five provinces and municipalities were utilized to statistically analyze the data on the incidences of the six-step Qi position in different years.Results:Among the dominant Qi periods of Six Qi,the morbidity rate of TB was the highest in Heilongjiang province,Henan province,Guangdong province and Shanghai on second Qi-Shao Yin stage of the monarch fire,the rate was the highest in Gansu province on the primary Qi-Jue Yin stage of the wind wood,the second highest on Second Qi-Shao Yin stage of the monarch fire;it was the lowest in Heilongjiang province and Gansu province on fifth Qi-Yang Ming stage of the dry metal,the lowest in Guangdong province and Shanghai municipality on the final Qi-Taiyang stage of the cold water,and the lowest in Henan province on the forth Qi-Taiyin stage of damp-earth,and the difference had statistical meaning(P<0.05).Conclusion:TB presents the high incidences in five provinces on the second Qi-Shao Yin stage of the monarch fire,and the lowest morbidity rate on the stages of the fifth Qi and the final Qi,coinciding with the pathogenesis of TB fire-heat;certain similarities are found in the characteristics of the incidences of dominant Qi in different provinces and municipalities.

关 键 词：肺结核 地域 发病率 少阴君火 主气 

分 类 号：R256.17[医药卫生—中医内科学]