首页|期刊导航|辽宁中医杂志|南京地区814例急性心肌梗死患者生辰及发病日期五运六气分析

南京地区814例急性心肌梗死患者生辰及发病日期五运六气分析OA

Analysis of Date of Birth and Onset Time of 814 Acute Myocardial Infraction Patients in Nanjing Based on Theory of Five Evolutive Phases and Six Climate Factors

中文摘要英文摘要

目的 探索急性心肌梗死(AMI)患者生辰及发病日期的五运六气规律.方法 收集南京中医药大学附属医院(江苏省中医院)收治的814例急性心肌梗死病人生辰及发病日期等病例资料,统计分析五运六气相关要素.结果 (1)出生岁运方面,AMI患者及其中急性ST段抬高型(STEMI)患者生辰岁运为木运太过者最多,而急性非ST段抬高型(NSTEMI)患者生辰岁运乃火运不及最多(均P>0.05);(2)生辰司天-在泉方面,AMI患者及其中NSTEMI、STEMI者皆为阳明燥金-少阴君火最多(前两者均P<0.05,STEMI为P>0.05);(3)主-客气方面,AMI患者生辰主气以厥阴风木及阳明燥金最多,客气以厥阴风木最多(均P<0.05);发病主气以少阴君火最多(P>0.05),客气以太阴湿土最多(P<0.05).AMI患者中STEMI者生辰主气以阳明燥金最多(P<0.05),客气以阳明燥金最多(P>0.05);发病主气以太阳寒水最多,客气以太阴湿土最多(均P>0.05).NSTEMI者生辰主气为厥阴风木及太阳寒水最多(P>0.05),客气以少阳相火最多(P<0.05);发病主气以阳明燥金最多(P>0.05),客气以阳明燥金最多(P<0.05).辛丑年AMI患者发病主气-客气以阳明燥金-阳明燥金最多(P>0.05),壬寅年以少阴君火-太阴湿土最多(P<0.05),癸卯年以阳明燥金-厥阴风木最多(P<0.05).结论 急性心肌梗死患者生辰及发病日期在五运六气方面存在一定规律.

Objective To explore the characteristics of the date of birth and the onset time of acute myocardial infarction(AMI)patients based on the theory of five evolutive phases and six climatic factors.Methods The information of 814 AMI patients who were treated in the Affiliated Hospital of Nanjing University of Chinese Medicine(Jiangsu Province Hospital of Chinese Medi-cine)was collected.The date of birth and the onset time based on the theory of five evolutive phases and six climatic factors were analyzed.Results(1)The year evolutive phase of the birth date:The excess of wood evolutive phase accounted for the largest pro-portion of the distribution of the year evolutive phase of the birth date of AMI patients as well as ST segment elevation myocardial infarction(STEMI)patients(P<0.05),while the deficiency of fire showed significant difference in the distribution of that in non-ST segment elevation myocardial infarction(NSTEMI)patients(P<0.05).(2)The celestial manager Qi and the Qi in the earth of the birth date:Yangming Zaojin-Shaoyin Junhuo accounted for the largest proportion of AMI patients(both STEMI and NSTEMI patients)(AMI and STEMI:P<0.05,STEMI:P>0.05).(3)The host climate Qi and the guest climate Qi:In AMI pa-tients,Jueyin Fengmu and Yangming Zaojin had the biggest proportion of the host climate Qi of the birth date,while Jueyin Feng-mu accounted for the largest proportion of the guest climate Qi of the birth date(both P<0.05),and the most host climate Qi dis-tribution and the most guest distribution of the onset time was Shaoyin Junhuo(P>0.05)and Taiyin Shitu(P<0.05)separately.For STEMI patients,the most distribution of the host climate Qi and the guest climate Qi of the birth date was Yangming Zaojin(the host climate Q:P<0.05,the guest climate Qi:P>0.05),while Taiyang Hanshui and Taiyin Shitu(both P>0.05)accoun-ted for the most proportion of the host climate Qi and the guest climate Qi of the onset time separately.In terms of NSTEMI pa-tients,the most host climate Qi distribution of the birth date was Jueyin Fengmu and Taiyang Hanshui(P>0.05),while that of the onset time was Yangming Zaojin(P>0.05).Shaoyang Xianghuo played the most vital role in the distribution of the guest Qi of the birth date of the NSTEMI patients(P<0.05),while Yangming Zaojin also showed significant difference in that of the onset time(P<0.05).For the aspect of the distribution of the host climate Qi and the guest climate Qi,Yangming Zaojin-Yangming Zaojin accounted for the largest proportion in the year of Xinchou(P>0.05),Shaoyin Junhuo-Taiyin Shitu and Yangming Zaojin-Jueyin Fengmu showed significant difference in the year of Renyin and the year of Guimao separately(P<0.05).Conclusion There are some potential correlations between the date of birth and the onset time with acute myocardial infarction according to the theory of five evolutive phases and six climatic factors.

尹思源;陈晓虎;高原;张洋洋;丁彧涵;石瑞洁;王梦玺;孙彤;张浩文;苏洁

南京中医药大学附属医院,江苏省中医院,江苏南京 210029||南京中医药大学第一临床医学院,江苏南京 210023南京中医药大学附属医院,江苏省中医院,江苏南京 210029南京中医药大学附属医院,江苏省中医院,江苏南京 210029||南京中医药大学第一临床医学院,江苏南京 210023南京中医药大学附属医院,江苏省中医院,江苏南京 210029||南京中医药大学第一临床医学院,江苏南京 210023南京中医药大学中西医结合学院,江苏南京 210023苏州市中医医院,江苏苏州 215009阜外华中心血管病医院,河南省人民医院心脏中心,郑州大学华中阜外医院,河南郑州 451464南京中医药大学附属医院,江苏省中医院,江苏南京 210029||南京中医药大学第一临床医学院,江苏南京 210023南京中医药大学针灸推拿学院·养生康复学院中医养生学教研室,江苏南京 210023南京中医药大学附属医院,江苏省中医院,江苏南京 210029

医药卫生

急性心肌梗死五运六气出生日期发病日期

acute myocardial infarctionfive evolutive phases and six climate factorsdate of birthonset time

《辽宁中医杂志》 2026 (9)

34-39,后插7,7

国家自然科学基金面上项目(82474498,82305189)江苏省中医临床医学创新中心研究项目(k2021j17-2)江苏省自然科学青年基金项目(BK20250759)南京中医药大学中医药拔尖创新人才科研资助计划项目(CXZ2025001)国家中医临床研究基地(江苏省中医院)开放课题(JD2023SZ08)南京中医药大学自然科学基金项目(XZR2021018)江苏省研究生科研与实践创新计划项目(SJCX24-0970)

10.13192/j.issn.1000-1719.2026.09.007

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