| 芦瑞霞,凌桂华,朱晓星,等.五运六气视域下的691例高血压病患者先天禀赋研究[J].浙江中医药大学学报,2021,45(3):270-277. |
| 五运六气视域下的691例高血压病患者先天禀赋研究 |
| Inquiry into the Congenital Factors in 691 Hypertensive Patients |
| DOI：10.16466/j.issn1005-5509.2021.03.014 |
| 中文关键词: 高血压病 五运六气 主运 主气 司天 在泉 运气相合 |
| 英文关键词: hypertension five evolutive phases and six climatic factors constant evolutive phase constant climatic factor variable climatic factor in the first half year variable climatic factor in the second half year combined analysis of five evolutive phases and six climatic factors |
| 基金项目:中国中医科学院优势病种项目(CACMS08Y0024) |
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| 中文摘要: |
| [目的]通过对高血压病患者出生日期的五运六气分析，研究高血压病患者的先天禀赋。[方法]采用现况调查方法，收集2019年6月至2020年1月在中国中医科学院西苑医院门诊就诊或住院，并且出生日期明确阳历和阴历的高血压病患者691例，根据出生日期推算出患者所属五运(年运、主运、客运)、六气(主气、客气、司天在泉之气)以及运气相合情况，并对五运六气不同之年与时段的患者数进行统计分析。[结果]不同年运的患者数不同，由高至低依次为土运、金运、木运、水运、火运，差异无统计学意义(P=0.052)。主运病例数由高至低依次为金(四)运、土(三)运、水(终)运、火(二)运、木(初)运，差异有统计学意义(P=0.042)。太阳寒水司天/太阴湿土在泉时段患者数最多，少阳相火司天/厥阴风木在泉时段次之，少阴君火司天/阳明燥金在泉最少，与最高时段病例数相差39例，差异有统计学意义(P=0.021)。主气病例数由高到低依次为阳明、太阴、少阳、太阳、少阴、厥阴(P=0.017)，最高病例数为147例，最低为98例，相差49例。运气相合中，顺化、天刑高于理论患者数，岁会、同天符、天符、同岁会低于理论患者数，差异有统计学意义(P=0.001)。[结论]高血压病易罹患者的出生日期运气特点为:主运为金运不及，主气为阳明燥金，司天为太阳寒水，在泉为太阴湿土，运气相合为顺化。 |
| 英文摘要: |
| [Objective] To explore the congenital factors of hypertensive patients through analyzing five evolutive phases and six climatic factors of their birth dates.[Methods] The current situation survey method was used to collect 691 hypertensive patients who attended or were hospitalized at the Xiyuan Hospital， China Academy of Chinese Medical Sciences from June 2019 to January 2020， and whose birth dates were clear in the solar and lunar calendars. Calculating five evolutive phases(year， constant and variable evolutive phase)， six climatic factors(constant， variable， the first half year and the second half year climatic factor) and combining analysis of five evolutive phases and six climatic factors based on the birth dates， and calculating the number of patients in different years and periods of five evolutive phases and six climatic factors.[Results] The number of patients in different year evolutive phases was different， from high to low in order of soil， gold， wood， water and fire evolutive phases， and the difference was not statistically significant(P=0.052). The number of constant evolutive phase cases in descending order was gold(four)， soil(three)， water(final)， fire(two) and wood(initial) evolutive phase， and the difference was statistically significant(P=0.042). The number of patients with the water-Taiyang as variable climatic factor in the first half year/soil-Taiyin as variable climatic factor in the second half year was the most， the fire-Shaoyang in the first half year/wood-Jueyin in the second half year was the second， the fire-Shaoyin in the first half year/gold-Yangming in the second half year was the least， which was 39 cases different from the highest period， and the difference was statistically significant(P=0.021). The number of constant climatic factor from high to low was Yangming， Taiyin， Shaoyang， Taiyang， Shaoyin and Jueyin(P=0.017). The highest number of cases was 147， and the lowest was 98， with a difference of 49 cases. In the combined analysis of five evolutive phases and six climatic factors， Shunhua and Tianxing were higher than the theoretical number of patients， and the number of Suihui， Tongtianfu， Tianfu and Tongsuihui were lower than the theoretical number of patients(P=0.001).[Conclusion]The characteristics of five evolutive phases and six climatic factors on the dates of birth of patients with hypertension are as follows: Constant evolutive phase is gold not enough， constant climatic factor is gold-Yangming， variable climatic factor in the first half year is water-Taiyang， and variable climatic factor in the second half year is soil-Taiyin， combined analysis of five evolutive phases and six climatic factors is Shunhua. |
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