摘要
【目的】通过研究慢性疲劳综合征(CFS)与出生日期五运六气之间的规律,从中探讨易患CFS人群的运气特点与体质,以指导临床诊疗。【方法】通过回顾性研究,收集广东省中医院门诊系统中2019年1月1日至2021年2月8日期间诊断为CFS患者的病例资料,从中筛查符合CFS诊断标准的病例信息,采集诊疗卡号、性别、出生年月日等作为统计分析内容。若同一患者多次就诊,则其资料只纳入1次。将其出生日期数据转换成岁运、主运、客运、主气、客气、司天、在泉、运气相合8组数据,使用SPSS 19.0统计软件进行描述性统计,并通过“差年连续分层比较法”进行χ_(2)检验分析。【结果】共收集645例病例,其中,男210例,女435例,年龄21~62岁,平均(39.72±9.18)岁。分析发现易患CFS人群出生日期岁运多为水、火、土不及,以及木、土太过之年;主运、主气分别为太商和太阴湿土,客运、客气分别为少角和厥阴风木;运气相合的结果多为同岁会之年。【结论】通过分析645例CFS患者出生日期的运气特点,发现此人群出生年份的运气相合结果多为“同岁会”,提示其在岁运不及之年,并受相通的在泉之气的影响而使不足的脏腑之气再受损;具体是在壬寅、甲辰、辛酉、己巳、辛未、癸酉年,总体岁运为火、土、水不及;易患CFS患者出生节气多集中在下半年,受厥阴风木之客气和少阴君火的在泉之气影响,导致脾土受伐和肾失封藏,最终形成易患CFS的体质罹患倾向。CFS与出生日期五运六气间规律的研究结论,有利于较早发现易患CFS人群,从而尽早干预有初始不适症状的患者,发挥治未病的优势。
Objective To investigate the relationship between the incidence of chronic fatigue syndrome(CFS)and the date of birth based on the theory of five circuit phases and six climatic factors,and to explore the features of circuit qi and constitution of people being prone to CFS,so as to supply evidence for guiding clinical treatment.Methods A retrospective study was conducted in the CFS outpatients admiffed in Guangdong Provincial Hospital of Traditional Chinese Medicine from January 1,2019 to February 8,2021.The clinical data of the CFS patients was collected,and the medical information of the medical card number,gender and date of birth were collected for statistical analysis.For the case with multiple visits,the information was input only one time.The date of birth was converted into 8 groups of data,and they were suiyun(yearly evolutive phase),zhuyun(regular yearly evolutive phase),keyun(alterable yearly evolutive phase),zhuqi(regular yearly circuit qi),keqi(alterable yearly circuit qi),sitian(the first half of the alterable yearly circuit qi),zaiquan(the second half of the alterable yearly circuit qi),and circuit qi coincidence.SPSS 19.0 statistical software was used for descriptive statistics,and Chisquare test was performed with differential year continuous stratified comparison method.Results A total of645 cases of CFS were collected in this study,of which 210 were male and 435 were female,aged 21~62 years,with a mean of(39.72±9.18)years.The analysis of the birth date of CFS patients showed that suiyun was usually manifested as the insufficiency of water,fire and earth and the excess of wood and earth,zhuyun was usually manifested as Taishang and zhuqi as Taiyin damp earth,keyun was usually manifested as Shaojue and keqi as Jueyin wind wood,and the circuit qi coincidence was usually manifested as tongsuihui(having the nature of zaiquan in keqi).Conclusion The analysis of the circuit qi characteristics of the birth date of 645 CFS patients showed that the circuit qi coincidence of the CFS group was usually manifested as tongsuihui(zaiquan of keqi),indicated that the circuit qi is characterized by deficiency of yearly evolutive phase,and can cause the re-injury of the insufficient zang-fu qi influenced by the zaiquan(the second half of the alterable yearly circuit qi).CFS usually occurs in the people born in Chinese lunar year of Renyin,Jiachen,Xinyou,Jisi,Xinwei,and Guiyou,and the overall five circuit qi is characterized by insufficiency of fire,earth and water.CFS-prone patients are mostly born in the second half of the year,and are influenced by keqi of Jueyin wind wood and zaiquan of Shaoyin monarch fire,which results into the attack of the spleen earth and the failure of kidney in storage,and causes the formation of CFS-prone constitution.The findings of this study will be helpful for the early identification of people who are susceptible to CFS and the early intervention in patients with initial discomforts,thus to fulfil the advantage of preventive treatment of disease in the field of traditional Chinese medicine.
作者
黄嘉莹
王成澄
林嬿钊
陈欣燕
杨志敏
HUANG Jia-Ying;WANG Cheng-Cheng;LIN Yan-Zhao;CHEN Xin-Yan;YANG Zhi-Min(The Second Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Guangdong Provincial Hospital of Traditional Chinese Medicine,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2022年第6期1221-1227,共7页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
国家中医药管理局中医药行业科研专项(编号:201507003)
关键词
慢性疲劳综合征
运气学说
禀赋特征
罹患倾向
治未病
chronic fatigue syndrome(CFS)
theory of circuit qi
endowment characteristics
predisposition
preventive treatment of disease
作者简介
黄嘉莹(1996-),女,硕士研究生,E-mail:jadey666@163.com;通信作者:林嬿钊,女,硕士,主任医师,硕士研究生导师,E-mail:linyanzhao@163.com
