从SARS发病规律论证五运六气起点时间及临床意义

Exploration on Wuyun Liuqi and clinical efficacy from occurrence of SARS

目的:五远六气起点时间主要有两种观点:以大寒为起点和以立春为起点。利用现代医学统计学,分析2003年北京SARS发病规律,论证五运六气起点时间。方法:据《素问·六元正纪大论》记载:癸未年的二之气温厉大行。即2003年二之气时段发生疫病流行,而不是初之气,或三之气。用两种起点时间划分方法分别统计北京2003年3-6月份的三个运气时间段内SARS发病例数,进行X检验,比较两种起点时间的二之气时段发病率是否有显著性差异,即哪个起点时间的二之气发病率更高。结果:大寒起点组,初之气(大寒至春分)时间段发病8例,占0.31%,二之气(春分至小满)2436例,占96.55%,三之气(小满至大暑)79例,占3.13%。立春起点组,初之气(立春至清明)发病19例,占0.75%,二之气(清明至芒种)2503例,占99.24%,三之气(芒种至立秋)1例,占0.03%。两组二之气时段发病率有显著性差异,P=0.000,χ2=42.86,即立春组二之气发病率更高。结论:本研究首次证实五运六气起点时间为立春,符合《内经》论述二之气温厉大行,据此判断,我国主要发病区域几乎所有SARS患者止于二之气的结束时间,即芒种6月6日前,而不是小满5月21日。

Objective:The beginning time of Wuyun Liuqi(五运六气)was believed as Dahan(大寒)or Lichun(立春).According to modern medical statistics,the incidence of SARS in Beijing in 2003 was analyzed and the starting time of Wuyun Liuqi was explored.Methods:Cases in Beijing from March to June 2003 were counted according to different time.And cases were compared between different time.Results:In beginning time from Dahan,8 cases suffered from the disease in Chuzhiqi(初之气)from Dahan to Chunfen(春分),accounting for 0.31%.2436 cases suffered in Erzhiqi(二之气)from Chunfen to Xiaoman(小满),for 96.55%.79 cases suffered in Sanzhiqi(三之气)from Xiaoman to Dashu(大暑),for 3.13%.In the beginning from Lichun,19 cases suffered in Chuzhiqi from Lichun to Qingming(清明),accounting for 0.75%,2503 cases in Erzhiqi from Qingming to Mangzhong(芒种),for 99.24%,1 case in Sanzhiqi from Mangzhong to Liqiu(立秋),for 0.03%.There was a difference between two groups in morbidity.Conclusion:The beginning time of Wuyun Liuqi was Lichun,was consistent with Erzhiqi in Neijing(《内经》).According to the above,SARS patients recoveried before Mangzhong(June 6),not Xiaoman(May 21).