摘要
目的:探析肺癌患者的先天运气学禀赋特点,并基于运气特点探讨肺癌的治疗策略。方法:采用回顾性研究的方法纳入近7年在上海中医药大学附属市中医医院住院的肺癌患者共计7030例,探索肺癌患者出生日期的运气学特征在不同天干、岁运、主气、客气、司天之气、在泉之气及运气相合方面的分布差异,并从运气学角度探讨肺癌患者的病机共性及治疗策略。结果:天干、岁运分布中,以火运不足的癸年出生的肺癌患者比例最高,不同天干、岁运分布比较,差异均有统计学意义(P<0.05);主气分布中以阳明燥金时段出生的肺癌患者比例最高,不同主气分布比较,差异有统计学意义(P<0.05);客气分布中以太阳寒水时段出生的肺癌患者比例最高,不同客气分布比较,差异无统计学意义(P>0.05);司天之气为太阳寒水、在泉之气为太阴湿土时段出生的肺癌患者比例最高。此外,在不和之年出生的肺癌患者比例最高,在岁会类年份出生的肺癌患者比例最低。结论:肺癌患者的运气学禀赋以寒、燥为主要特点,治疗大法应以调补肺气为主,理气化痰行津为辅,针药结合,可获佳效。
Objective:To explore the congenital Yunqi characteristics in patients with lung cancer and to explore the treatment strategies based on the Yunqi characteristics.Methods:A retrospective study including a total of 7030 lung cancer patients hospitalized in Shanghai Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine in the past seven years were conducted to explore the differences in the distribution of heavenly stems,year evolutive phase,dominate-qi,guest-qi,Sitian period,Zaiquan period,and Yunqi combination.Moreover,the commonality of disease mechanisms and treatment strategies for lung cancer patients were investigated from the perspective of the five evolutive phases and six climatic factors theory.Results:The proportion of lung cancer patients born in the year of Gui or less fire was the highest among the heavenly stem and year evolutive phase.The difference of distribution of heavenly stems and year evolutive phase were statistically significant(P<0.05).The proportion of lung cancer patients born in the Yangming Zaojin period was the highest among the dominate-qi distribution.The difference of dominate-qi was statistically significant(P<0.05).The proportion of lung cancer patients born in the Taiyang Hanshui period was the highest among the guest-qi distribution There was no statistical difference in the distribution of lung cancer patients with different kinds of guest-qi(P>0.05).The highest proportion of lung cancer patients was born in the Sitian period of Taiyang Hanshui and the Zaiquan period of Taiyin Shitu.In addition,the highest percentage of lung cancer patients were in years of disharmony and the lowest in years of Suihui.Conclusions:The congenital Yunqi characteristics of lung cancer patients were cold and dryness,so the main treatment method should be to tonify lung qi,supplemented by regulating qi,resolving phlegm,and moving fluid.Besides,the combination of acupuncture and herb could lead to better clinical efficacy.
作者
王宇立
朱为康
李雁
陆俊骏
滕文静
毛俊华
朱笛忻
WANG Yuli;ZHU Weikang;LI Yan;LU Junjun;TENG Wenjing;MAO Junhua;ZHU Dixin(Shanghai Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China;Shanghai Xinzhuyuan Private Middle School,Shanghai 200122,China)
出处
《山东中医杂志》
2023年第5期430-436,共7页
Shandong Journal of Traditional Chinese Medicine
基金
上海市科委医学科技创新项目(编号:20Y21902600)。
关键词
五运六气
肺癌
治疗策略
天干
岁运
主气
客气
调补肺气
five evolutive phases and six climatic factors
lung cancer
treatment strategy
heavenly stem
year evolutive phase
dominant-qi
guest-qi
tonify lung qi
