无锡地区冠心病发病与五运六气及气象的相关性研究

Study on the correlation between the incidence of coronary heart disease and the ’five evolutive phases and six climatic factors’ and meteorology in Wuxi area

目的:基于《黄帝内经》五运六气理论及现代气象学客观指标,探讨无锡地区冠心病发病与五运六气及气象变化规律。方法:将纳入研究的住院病例入院日期换算成干支纪年,根据相应的"中运"及"六气"起止时间归纳整理,统计发病数并结合运气致病特点和气象资料行描述性统计分析、卡方检验、单因素相关性分析。结果:冠心病在不同"主气"间发病情况:终之气(太阳寒水)>初之气(厥阴风木)>二之气(少阴君火)>五之气(阳明燥金)>四之气(太阴湿土)>三之气(少阳相火);"主气"间发病差异有统计学意义(P<0.01)。冠心病在不同"客气"间发病情况:少阳相火>阳明燥金>厥阴风木>少阴君火>太阳寒水>太阴湿土,"客气"间发病差异无统计学意义。"主气"时段冠心病发病与平均气温、平均风速、平均降水量和平均相对湿度均呈负相关,与平均气温和平均降水量的相关性差异有统计学意义(P<0.05)。结论:无锡地区冠心病发病与运气理论和实际气象数据变化之间具有相关性。

Objective:Based on the theory of‘five evolutive phases and six climatic factors’in Huangdi Neijing and the objective index of modern meteorology,to explore the occurrence of coronary heart disease(CHD)and the regularity of five elements and six elements and meteorological changes in Wuxi area.Methods:The date of admission of hospitalized cases included in the study was converted into the year of stem and branch,and the onset and end time of‘zhongyun’and‘six qis’were summarized and sorted out.The number of cases was counted by descriptive statistical analysis,chi-square test and single-factor correlation analysis combined with the pathogenic characteristics of luck and meteorological data.Results:The incidence of CHD in different‘main qi’was as follows:final qi(cold water of the sun)>primary qi(wind wood of Jueyin)>second qi(Shaoyin junhuo)>five qi(Yangming and drying gold)>four qi(Taiyin and wet soil)>three qi(Shaoyang and mutually fire).There was significant difference in the incidence of‘main qi’(P<0.01).The incidence of CHD among different‘courtesy’was:shaoyang and mutually fire>yangming and drying gold>wind wood of Jueyin>Shaoyin junhuo>Cold water of the sun>Taiyin and wet soil.There was no significant difference in the incidence of‘courtesy’.The incidence of coronary heart disease in the period of‘main qi’was negatively correlated with average temperature,wind speed,precipitation and relative humidity,and had significant difference with average temperature and precipitation(P<0.05).Conclusion:There is a correlation between the incidence of coronary heart disease and the changes of the theory of qi and the actual meteorological data in Wuxi area.