腰痛患者的发病日期与五运六气相关性分析

裴冬阳 饶耀剑 郭江翠

【摘要】目的：分析腰痛患者的发病日期与五运六气的相关性。方法：纳入2017～2018年河南省洛阳正骨医院门诊收治的腰痛患者167例，统计每位患者完整的发病信息，采用c2检验分析腰痛患者发病日期与五运六气的关系。结果：木运发病人数较金运发病人数多（P<0.05）；主气中初之气（厥阴风木）发病人数较二之气（少阴君火）发病人数多（P<0.05），且主气各时段发病人数分布差异有统计学意义（P<0.05）；客气中三之气（少阳相火）发病人数较终之气（太阳寒水）发病人数多（P<0.05），且客气各时段发病人数分布差异有统计学意义（P<0.05）。结论：腰痛患者的发病与五运六气具有相关性，符合中医学五运六气对腰痛发病的认识。

【关键词】腰痛；发病日期；五运六气

[中图分类号]R226 [文献标识码]A [文章编号]2096-5249（2021）05-0034-02

Correlation Analysis on Onset of Low Back Pain and the Date of Birth on the Theory of Five Evolutive Phases and Six Climatic Factors

PEI Dong-yang， RAO Yao-jian， GUO Jiang-cui （Department of microtraumatic orthopedics， Henan orthopedic hospital， Luoyang Henan 470000， China）

[Abstract] Objective： to analyze the correlation between the onset date of low back pain and five evolutive phases and six climatic factors. Methods： A total of 167 patients with low back pain admitted to Luoyang orthopedic hospital of Henan Province from 2017 to 2018 were included. The complete information of each patient was counted， and the relationship between the onset date of low back pain patients and the five movements and six Qi was analyzed by test. Results： The number of diseases of Muyun was more than that of Jinyun （P<0.05）， the number of diseases of the first Qi of the main Qi （Jueyin Fengmu） was more than that of the second Qi （Shaoyin junhuo） （P<0.05）. There were significant differences in the distribution of the number of diseases in each period of the main Qi （P<0.05）， the number of diseases of the third Qi of politeness （Shaoyang Xianghuo） was more than that of the final Qi （cold water of the sun） （P<0.05）， and the distribution of the number of diseases in each period of politeness was statistically significant （P<0.05）. Conclusion： The incidence of low back pain patients was related to the disease date of five evolutive phases and six climatic factors， which was in line with the understanding of five evolutive phases and six climatic factors of traditional Chinese medicine on the incidence of low back pain.

[Key words] Lumbago； Date of onset； Five evolutive phases and six climatic factors

腰痛是以腰部一側或两侧疼痛为主要症状的常见病症，西医认为肾脏疾病、强直性脊柱炎等疾病可致腰痛发作[1]。而中医认为腰痛与肾阳不足，寒凝带脉，阳虚气弱有关[2]。如何从根本上预防腰痛的发生是十分必要的。五运六气学说是中医理论的重要组成部分，近年来，中医研究领域对五运六气在中医基础理论中的指导意义研究深入广泛，可运用其预测疾病，初定病位，将病机归于人体的五运六气变化[3]。虽有研究[4]表明腰痛病机与气机升降密切相关，但关于分析腰痛发病日期与五运六气相关性的研究却鲜有报道。因此，本研究采用回顾性分析法对腰痛发病日期与五运六气相关性进行研究，总结规律，为腰痛预防提供参考。……