摘要
目的:探究胎孕期五运六气禀赋与慢性乙型肝炎(CHB)发病的相关性。方法:以2018年北京市常住人口为对照,以172 064例CHB患者为研究对象,按照出生时段划分人群,标记其胎孕期五运六气禀赋,对比各年龄段即各人群的发病率,先找出CHB的高危人群和保护人群,再进一步对比分析出高危人群的五运六气禀赋特征,确定先天体质性内因,探究五运六气禀赋与CHB发生之间的联系。结果:CHB男女共同高危人群为1929年冬、1935年秋、1969年秋、1976年秋、1980年秋、1985年秋、1986年秋、1987年秋、1991年秋、2012年夏、2012年冬;CHB先天禀赋偏颇在主气表现为秋季四之气,客运客气以少阴在泉、厥阴在泉、太土少金、少金太水为突出。结论:CHB的先天体质性内因为金土郁木所致之肝郁湿热,同时肾虚寒。
Objective:To study the correlation of gestational five movements and six qiendowments on the incidence of chronic hepatitis B(CHB).Methods:A total of 172064 patients with CHB were selected as the case group,the permanent population of Beijing in 2018 was selected as the control group.The population was divided according to the time of birth,and the gestational five movements and six qiendowments were marked.The incidence of CHB in different age groups was compared,and the characteristics of five movements and six qi endowments in high-risk groups were found out to determine the internal causes of congenital constitutions and to explore the relationship between five movements and six qi endowment and CHB occurrence.Results:Male and female CHB high-risk groups were winter 1929,autumn 1935,autumn 1969,autumn 1976,autumn 1980,autumn 1985,autumn 1986,autumn 1987,autumn 1991,summer 2012 and winter 2012.CHB congenital bias in the dominate qi was manifested as the fourth qi in autumn,and the most liable guest yun and guest qi were Shaoyin Zaiquan,Jueyin Zaiquan,Taitu Shaojin,Shaojin Taishui.Conclusion:The result shows that the congenital constitution of CHB is caused by excessive metal and earth which leads to liver depression and damp-heat as well as kidney deficiency and cold.
作者
李昂
张洪钧
LI Ang;ZHANG Hongjun(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)
出处
《中华中医药杂志》
CSCD
北大核心
2023年第12期6046-6050,共5页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
慢性乙型肝炎
易患性
五运六气禀赋
体质医学
临床流行病学
Chronic hepatitis B(CHB)
Susceptibility to disease
Five movements and six qi endowment
Constitutional medicine
Clinical epidemiology
