五运六气学说在脑卒中风险评估中的应用： 理论溯源与循证思考

Application of the Five Evolutive Phases and Six Climatic Factors Theory in Stroke Risk Assessment: Theoretical Origin and Evidence-Based Reflection

摘要: 五运六气学说是中医“天人相应”思想的核心体现，旨在揭示自然气候节律与人体生命活动的内在联系。近年来，脑卒中的发病与时间、气象因素的相关性日益受到关注，运气学说在此领域的应用研究也逐渐增多。本文系统梳理五运六气学说的理论根基，以脑卒中为例，综合相关文献的循证证据，从出生禀赋、发病时机、气象关联及临床运用四个方面，探讨运气学说在现代脑卒中风险评估中的应用价值与科学内涵。

Abstract: The five evolutive phases and six climatic factors theory is a core manifestation of the “correspondence between heaven and humans” in traditional Chinese medicine, aiming to reveal the intrinsic relationship between natural climatic rhythms and human life activities. In recent years, the correlation between the onset of stroke and temporal and meteorological factors has garnered increasing attention, and research on the application of the Yunqi theory in this field has gradually expanded. This article systematically reviews the theoretical foundation of the five evolutive phases and six climatic factors theory, taking stroke as an example, and synthesizes evidence from relevant literature. It explores the application value and scientific connotation of the Yunqi theory in modern stroke risk assessment from four aspects: congenital endowment, timing of onset, meteorological correlation, and clinical application.