己亥年广州地区社区获得性肺炎患者先天运气禀赋及发病运气特征研究
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R563.1;R226

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广州市科技局市院联合资助项目(202201020291);广东省中医院中医药传承创新工程重点项目(YN2020CC01);广东省中医院许家栋学术经验传承工作室项目(中医二院〔2018〕101号);广东省中医院李可古中医齐玉茹学术经验传承工作室(中医二院〔2014〕89号-22);广州市荔湾区科技计划项目(202201005)


Study on Circuit-Qi Endowment and Circuit-Qi Characteristics of Onset in Patients with Community-Acquired Pneumonia in Guangzhou in Year Ji Hai
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    摘要:

    目的:探讨己亥年广州地区社区获得性肺炎(CAP) 患者的先天运气禀赋及发病运气特征。方法: 选取2019年1月20日—2020年1月19日在广州中医药大学第二附属医院住院的674例CAP患者,对其出生日 期及发病日期的运气因素进行统计学分析。结果:己亥年易患CAP的先天运气禀赋特征为:岁运为土太过、 主运为太宫、主气为太阴湿土、客气为少阴君火、客主加临为少阴君火加临少阳相火;己亥年CAP发病运气 特征为:主运为土运、客运为少羽、主气为少阳相火和太阴湿土、客气为厥阴风木和少阴君火、客主加临为厥 阴风木加临少阳相火和少阴君火加临太阴湿土。结论:己亥年易患CAP的先天运气禀赋为肺脾两虚、痰湿内 生,感邪易从火化、热化;己亥年CAP发病的运气病机为土虚木乘、痰浊停聚,加之风邪、热邪、湿邪单独 或兼夹侵袭。

    Abstract:

    Abstract: Objective: To explore the circuit-qi endowment and circuit-qi characteristics of onset in patients with community-acquired pneumonia (CAP) in Guangzhou in year of Ji hai. Methods: A total of 674 CAP patients who were hospitalized in the Second Affiliated Hospital of Guangzhou University of Chinese Medicine from January 20,2019 to January 19,2020 were selected,and the circuit-qi factors of their birth dates and onset dates were statistically analyzed. Results: The characteristics of circuit-qi endowment of CAP in the year of Ji Hai were as follows:the earth was excessive for the circuit of year, the circuit of earth was too much for the dominant circuit, the dominant qi was greater-yin damp earth, the guest qi was lesser-yin sovereign fire,and the joining of guest qi with dominant qi was that of lesseryin sovereign fire with lesser-yang ministerial fire;the circuit-qi characteristics of CAP onset in year of Ji Hai were in the following:the dominant circuit was circuit of earth,the guest circuit was deficient circuit of water, the dominant qi was lesser-yang ministerial fire and lesser-yin damp earth, the guest qi was reverting-yin wind and wood and lesser-yin sovereign fire, and the joining of guest qi with dominant qi was that of reverting-yin wind and wood with lesser-yang ministerial fire,and of lesser-yin sovereign fire with greater-yin damp earth. Conclusion:The congenital circuit-qi endowment of CAP in year of Ji Hai is the dual deficiency of the lung-spleen,endogenous phlegm-damp,and pathogenic factors are easy to be transformed from fire and heat;the circuit-qi pathogenesis of CAP onset in year of Ji Hai is deficient earth and overwhelming wood, and retention and aggregation of phlegm turbidity with single or combined invasion of wind,heat and dampness.

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兰福娟,杨涛宇,黄遂和,陈党红,颜芳,徐国峰.己亥年广州地区社区获得性肺炎患者先天运气禀赋及发病运气特征研究[J].新中医,2024,56(22):52-57

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  • 在线发布日期: 2024-11-28
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