癸卯年春季五运六气对北京地区变应性鼻炎影响初探

Exploration of the Influence of Five Evolutive Phases and Six Climatic Factors in Spring of Guimao Year on Allergic Rhinitis in Beijing

[目的]基于五运六气理论,探讨癸卯年春季运气特点对北京地区变应性鼻炎发病的影响。[方法]根据癸卯年春季立春至立夏期间运气消长变化,分析癸卯年岁火不及、阳明燥金司天、少阴君火在泉的运气分布,与春季北京地区的气候和以风媒花粉为主的季节性变应原播散情况之间的关联,总结这一时段北京地区变应性鼻炎的人群发病特点,进而探析诊治方法。[结果]变应性鼻炎的季节性发作与气候因素密切相关。癸卯年春季北京地区变应性鼻炎患者整体较往年存在过敏季提前且跨度广、鼻部症状更重、鼻腔黏膜充血明显三大差异。这与癸卯年水湿偏重,春分后主客运之火运与主气少阴君火、客气少阳相火加临,三火相叠,导致人群机体郁火内盛存在潜在关联。变应性鼻炎的发作离不开郁火病机,不单纯由肺脾肾三脏虚损引起。癸卯年春季的运气特点使得变应性鼻炎患者整体郁火更甚,郁火上犯鼻窍,故这一阶段鼻部症状较往年更为明显、特殊。因此,针对存在郁火辨证要素的变应性鼻炎患者,治疗酌情泻南补北、清上温下,可获满意疗效。[结论]癸卯年春季变应性鼻炎的发作有更为突出的火热征象,借助五运六气理论,可为变应性鼻炎的防治提供参考。

[Objective]To explore the occurrence and treatment of allergic rhinitis in spring of Guimao Year based on the theory of five evolutive phases and six climatic factors.[Methods]Based on the changes of five evolutive phases and six climatic factors during spring of Guimao year,this study explores the correlation between the distribution of five evolutive phases and six climatic factors,and the climate in Beijing in spring,as well as the spread of seasonal allergens mainly driven by wind pollen,and summarizes the characteristics of allergic rhinitis in the population in Beijing during this period and explore the diagnosis and treatment methods.[Results]It further explores the three significant differences in the onset time of allergic rhinitis patients in Beijing in spring of Guimao year compared with previous years,including earlier and wider allergy season,more severe nasal symptoms and significant nasal mucosa congestion.The above symptoms are closely related to the changes of climates in Guimao year,deducted by the theory of five evolutive phases and six climatic factors.The onset of allergic rhinitis cannot be separated from the underlying mechanism of stagnation and fire and is not simply a deficiency of the lungs,spleen and kidney.The characteristics of five evolutive phases and six climatic factors in spring of Guimao year makes the overall depression fire of allergic rhinitis patients more severe.If the depression fire occurs in the nasal orifices,the nasal symptoms at this stage are more evident and unique than in previous years.Therefore,treatment can achieve satisfactory results for allergic patients with stagnation and fire syndrome differentiation elements by appropriately eliminating heat and purging fire.[Conclusion]In spring of Guimao year,allergic rhinitis showed more prominent signs of fire and heat.The theory of five evolutive phases and six climatic factors can provide a reference for preventing and treating allergic rhinitis.