基于运气学说探讨广州地区流感患者的禀赋特点

Exploration of the Endowment Characteristics of Influenza Patients in Guangzhou Area Based on the Circuit Qi Theory

【目的】应用运气理论探讨广州地区流行性感冒(简称流感)患者出生时禀赋情况,为流感的预防和治疗提供新的思路。【方法】选取于2015年1月20日至2021年1月19日期间在广东省中医院二沙岛分院急诊科就诊的流感患者2207例,运用运气理论对其出生日期信息进行转化,推算其干支、主客气、客主加临及运气相合的结果对其个人禀赋和流感患病倾向的影响。【结果】天干为壬、丙、甲,地支为戌、申,主气为太阳寒水、阳明燥金,客气为厥阴风木,客主加临为厥阴风木加临太阳寒水,运气相合为水运而遇太阳寒水司天发病率高。【结论】出生时运气特点,包括干支、主客气、客主加临及运气相合等均与后天罹患流感具有相关性,其中与“寒”“湿”禀赋关联最大。

Objective To explore the endowment at birth in influenza patients from Guangzhou area based on the theory of circuit qi,and to provide thoughts for the prevention and treatment of influenza.Methods A total of 2207 influenza patients attending the Emergency Department of Ersha Island Branch Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine between 20 January 2015 and 19 January 2021 were included,and their birth date information was transformed using circuit qi theory.And then we analyzed the features of heavenly stems and earthly branches,zhuqi(regular yearly circuit qi)and keqi(alterable yearly circuit qi),combination of zhuqi and keqi,and circuit qi combination(combination of circuit phases and climatic factors)of the birth date.Finally,the influence of the circuit qi features of birth date on the endowment of the patients and the predisposition to influenza was explored.Results Higher morbidity of influenza was found in patients with the circuit qi features of birth date as follows:the heavenly stems were ren,bing and jia,the earthly branches were xu and shen,zhuqi(regular yearly circuit qi)was taiyang cold-water and yangming dry-metal,keqi(alterable yearly circuit qi)was jueyin wind and wood,combination of zhuqi and keqi was the joint of jueyin wind and wood with taiyang cold-water,and circuit qi combination was water circuit phase encountering taiyang cold-water.Conclusion The characteristics of circuit qi at birth,including the heavenly stems and earthly branches,zhuqi(regular yearly circuit qi)and keqi(alterable yearly circuit qi),combination of zhuqi and keqi,and circuit qi combination,are all relevant to the predisposition to influenza after birth.And the endowments of the patients at birth being cold and damp are more relevant.