Objective:Establish the susceptible diseases of different people who have different five yun and six qi endowments in Beijing district,to provide clinical data support for the prevention and curation of diseases.Methods:This was a retrospective case-control study.The experimental group was all the outpatient of Dongzhimen Hospital who visits the doctors from April 2010 to April 2016.There were 212 790 males and 334 221 females in the experimental group.The control group had 6 469 103 males and 6 409 200 females.They were divided into different groups by sex and birth season (people with same birth season had the same endowment of five yun and six qi which was definitedin the time of embryonic period).Dieases were classified by their location.Finally collect the statistics of different crowd with different diseases.Build the date base of birthday/five yun and six qi endowment-susceptible diseases (secondary data base) by chi square test.Results:The diseases were divided into 53 groups,and there were 45 diseases in the male group,and 50 diseases in the female group.The primary and secondary data base were established.The primary database shown the statistics of different diseases of 356 populations born from 1924-2012 (male and female separately);the secondary data base shown 340 populations’ susceptible disease who born in 1926-2010 (male and female separately).Conclusion:The sources of the statistics is clear and reliable,and the method of analysisis reasonable and standard.The finding is reliable,can provide some information to the prevention and treatment of disease.
目的:观察基于五运六气理论运川体质平调散治疗2型糖尿病患者的有效性.方法:对2014年-2015年269例北京中医药大学东直门医院体质医学门诊全部2型糖尿病患者进行胚胎期10个月五运六气禀赋分析后,服药初期在不改变原有降糖药物或胰岛素基础上,据不同体质禀赋,给予体质平调散基本方加味干嚼服,服药3个月后评定疗效,期间进行回访并协助患者调整原有西药用量.疗效以减停西药降糖药而血糖控制良好且整体体质改善为基本前提.结果:严格遵循医嘱饮食忌口者(饱食主食、忘生冷等)降糖显效率79.5%,有效率18.8%,无效率1.7%;一直不严格忌口者,降糖显效率5.2%,有效率24.1%,无效率70.7%;先不严格后严格忌口者,降糖显效率分别为14.9%、72.3%,有效率30.9%、24.5%,无效率54.3%、3.2%.降糖显效及有效者整体体质、并发症及高血压、高血脂等合并症及相应理化指标均相应改善或至正常.结论:运用五运六气理论中药体质平调散结合饮食调整体质调理及治疗糖尿病疗效显著.
目的 探讨五运六气禀赋差异对原发性高血压发病的影响.方法 以北京市常住人口为对照,对48666例原发性高血压患者按出生时段进行人群归类,分析原发性高血压易患人群和阻患人群胚胎期五运六气禀赋特点,确定运气禀赋与疾病发生间的关系. 结果 男女易患人群(男9种、女11种)出生时段多在春夏,而不易患(阻患)人群之出生时段多在冬天.故其主运主气禀赋在易患人群为秋冬之气多而春夏之气少,阳为阴抑;而阻患人群则为四季阴阳之气平均且顺四时生长之序.易患人群之岁运禀赋多为两个运,男性多五行逆生(“太金-少水/土胜”最多)、女性多五行相克(“少土/木胜-太金”最多);易患人群客气禀赋男性以金木同盛(厥阴在泉+阳明司天)者最多、女性则水火同盛(“少阴在泉+太阳司天”或“太阳在泉+少阳司天”)者最多.阻患人群岁运禀赋多为一个运,客气禀赋阴阳平均,男多“少阴司天阳明在泉”、女多“太阳司天太阴在泉”.男女各易患人群的共同特点为同时禀赋五行相克之运气,或金木、或水火、或土木,或土金过胜而木来复.结论 源于运气禀赋的阴抑阳争木郁,即金木相争、水火相争、土郁木争,是原发性高血压的病因;由此导致清阳不升、肝脉拘挛而发病;故原发性高血压应属于厥阴病,升降逆乱、寒热虚实错杂,总体属阴证,与脑中风继发之阳证高血压不同.