首页|基于五运六气分析POAG患者的先天运气禀赋特点

基于五运六气分析POAG患者的先天运气禀赋特点

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目的 探析原发性开角型青光眼(POAG)患者的先天运气学禀赋特点.方法 纳入2023年1月—2023年6月中国中医科学院眼科医院诊治的POAG患者226例,将其出生日期(年、月、日)转化为干支纪年后,录入Excel表,建立数据库,数据可视化采用GraphPad 9.0绘制相关表格.结果 (1)天干、岁运分布:不同天干年份POAG患者,以壬年出生人数最多,共34例(15.04%),其次为乙年和己年,均为24例(10.62%);不同岁运的POAG患者,以木运年出生人数最多,共 56 例(24.78%),其次为土运年 47 例(20.80%),金运年 45 例(19.91%).(2)主气、客气分布:不同主气的POAG患者,以阳明燥金时段最多,共47例(20.80%),其次为少阳相火45例(19.91%),太阳寒水42例(18.58%);不同客气的POAG患者,以厥阴风木时段最多,共54例(23.89%),其次为太阴湿土43例(19.03%),太阳寒水41例(18.14%).(3)司天之气-在泉之气分布:以太阳寒水-太阴湿土为最多,共44例(19.47%),其次为太阴湿土-太阳寒水43例(19.03%),阳明燥金-少阴君火41例(18.14%).(4)运气相合分布:以不和之年(含天刑年、小逆年及不和年)为最高,共95例(42.04%),其次为顺化年53例(23.45%),天符类年份(含天符年、同天符年、太医天符年)51例(22.57%).结论 POAG患者的运气学禀赋以木为主要特点,在体合肝脏,临诊当以疏肝气,解郁滞,明目窍为要.
Analysis of Congenital Astrological Features in Patients with Primary Open-angle Glaucoma Based on the Theory of Five Evolutive Phases and Six Climatic Factors
OBJECTIVE To explore the congenital astrological features of patients with primary open-angle glaucoma(POAG)using the theory of five evolutive phases and six climatic factors.METHODS A total of 226 patients with POAG treated at the Eye Hospital of China Academy of Chinese Medical Sciences from January 2023 to June 2023 were collected.Their birth dates(year,month,day)were converted to the Chinese lunar calendar and entered into an Excel spreadsheet to establish a database.Data visualization was performed using GraphPad 9.0 to create relevant tables.RESULTS(1)Distribution of heavenly stems and annual cycles:Among patients born in different heavenly stem years,Ren years had the highest number of cases,with 34 cases(15.04%),followed by Yi and Ji years,with 24 cases each(10.62%).Among patients born in different annual cycles,Wood cycles had the highest number of cases,with 56 cases(24.78%),followed by Earth cycles with 47 cases(20.80%)and Metal cycles with 45 cases(19.91%).(2)Distribution of primary and guest Qi:Among patients with different primary Qi,the most common was the Yangming Zaojin period,with 47 cases(20.80%),followed by Shaoyang Xianghuo period with 45 cases(19.91%),and Taiyang Hanshui period with 42 cases(18.58%).Among patients with different guest Qi,the most common was the Jueyin Fengmu period,with 54 cases(23.89%),followed by Taiyin Shitu period with 43 cases(19.03%),and Taiyang Hanshui period with 41 cases(18.14%).(3)Distribution of celestial Qi and spring Qi:The combination of Taiyang Hanshui and Taiyin Shitu was the most common,with 44 cases(19.47%),followed by Taiyin Shitu and Taiyang Hanshui with 43 cases(19.03%),and Yangming Zaojin and Shaoyin Junhuo with 41 cases(18.14%).(4)Distribution of harmonious cycles:The highest number of cases was in discordant years(including Tianxing years,Xiaoni years,and Buhe years),with 95 cases(42.04%),followed by Shunhua years with 53 cases(23.45%),and the kind of Tianfu years(including Tianfu years,Tongtianfu years,and Taiyi Tianfu years)with 51 cases(22.57%).CONCLUSIONS Patients with POAG have predominant astrological features of Wood,suggesting liver involvement.Therefore,clinical treatment should focus on soothing liver Qi,resolving stagnation,and brightening eyes.

five evolutive phases and six climatic factorsprimary open-angle glaucomacongenital characteristicstreatment strategiessoothing liver Qi

倘孟莹、张丽霞、魏宇娇、孙志超、陈爽、蒋飘、周芷伊

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中国中医科学院眼科医院,北京 100040

中国中医科学院,北京 100700

首都医科大学附属北京同仁医院,北京 100176

五运六气 原发性开角型青光眼 禀赋特征 治疗策略 疏肝解郁

国家自然科学基金北京市自然科学基金首都卫生发展科研专项重点攻关项目中国民族医药学会科研项目

8207450072121972018-1-41812020ZY356-320301

2024

中国中医眼科杂志
中国中医科学院

中国中医眼科杂志

CSTPCD
影响因子:0.476
ISSN:1002-4379
年,卷(期):2024.34(4)
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