五运六气禀赋与葡萄膜炎病因病机的相关性研究

Relevant research on the endowment of five elements’motion and six kinds of natural factors and the etiology and pathogenesis of uveitis

目的:通过分析葡萄膜炎患者先天运气禀赋探究其体质性内因,并结合易患葡萄膜炎的流年运气学外因,明确葡萄膜炎的病因病机以预防其复发治未病。方法:采集2019年12月至2022年2月就诊于中国中医科学院西苑医院眼科并确诊为葡萄膜炎的患者的出生日期,共979例。采集患者在2021年的发病情况,共收集发病日期161例。以采集到的出生日期和发病日期推演五运六气,统计各运气因素出现的频数并进行统计学分析。结果:①胎孕期岁运分布为太木最多。②胎孕期司天在泉分布为少阴君火司天,阳明燥金在泉最多。③胎孕期全运气禀赋分布为岁运太火,少阴君火司天,阳明燥金在泉最多。④葡萄膜炎患者于节气为寒露时出生者最多,季节为秋季出生者最多。⑤2021年二之运和二之气时段发病最多,其时主运为太火,客运为太木,主气为少阴君火,客气为少阴君火。以上结果分布差异均具有统计学意义(P<0.05)。结论:综合葡萄膜炎患者的易患体质和易于发病的流年运气学特点,葡萄膜炎的核心病因病机为金胜伐木,其次为水火交争,脾湿为患。

Objective:Exploring the underlying causes by analyzing the physical constitution and natural endowment of patients with uveitis,and combined with the external climate factors that make uveitis prone to illness,clarify the etiology and pathogenesis of uveitis to prevent its recurrence and prevent treatment.Methods:Collect 979 cases of the birth date of patients with uveitis who have been diagnosed into the Ophthalmology Department,Xiyuan Hospital,China Academy of Chinese Medicine Science in December 2019 to February 2022.The incidence of patients was collected in 2021,and a total of 161 cases were collected.The collection of the birth date and the onset date is calculated into Five elements’motion and six kinds of natural factors,and the frequency of the statistical analysis of various Yunqi factors is performed.Results:①During the taiyun period,Taimu is the most in the distribution of Suiyun.②During the taiyun period,Shaoyin Junhuo Sitan,Yangming Zaojin Zaiquan is the most in the distribution of Sitan and Zaiquan.③During the taiyun period,Taihuo of Suiyun,Shaoyin Junhuo Sitan,Yangming Zaojin Zaiquan is the most in the distribution of all Yunqi physique.④Cold Dew in the distribution of solar terms and autumn in the distribution of seasons was the most when patients with uveitis were born.⑤In 2021,the second of Yun and the second of qi periods occur the most,which domination circuit is Taihuo,guest circuit is Taimu,domination qi is Shaoyin Junhuo,guest qi is Shaoyin Junhuo(P<0.05).Conclusion:Comprehensive analysis of the congenital natural endowment of patients with uveitis and the Yunqi characteristics of the recurrence of uveitis,the core disease of the uveitis is metal restrier wood,followed by water and fire fighting and spleen dampness.