2025乙巳年多囊卵巢综合征患者先天运气禀赋研究

A Study on the Innate Yunqi Endowment of Patients with Polycystic Ovary Syndrome in the Yi-Si Year (2025)

摘要: 目的：通过分析2025年(乙巳年)多囊卵巢综合征(PCOS)患者出生时的五运六气特征，探索易受乙巳年气化格局影响的先天体质类型。方法：收集211例PCOS患者资料，分析出生时岁运、司天–在泉组合、客主加临生克关系、主气与客气关联、运气同化与异化及运气扰动强度的分布规律。结果：患者以20~34岁为主(69.2%)。出生时主气与客气关联存在显著聚集趋势(P = 0.032)。运气同化和运气异化存在显著差异(均P < 0.01)。运气扰动强度分组中危组占比最高(45.9%) (P < 0.001)。结论：2025年乙巳年风火偏盛、木火刑金的气化格局，与出生于厥阴风木–少阴君火、阳明燥金–少阳相火时段及运气扰动中高危年份的个体形成同气相求、内外合邪之局，此类患者在乙巳年气化格局下可能更易出现PCOS相关症状的加重。

Abstract: Objective: To explore the susceptible constitutional types vulnerable to the Qi transformation pattern of the Yi-Si year by analyzing the Five Phases and Six Qi characteristics at birth in patients with polycystic ovary syndrome (PCOS) in 2025 (the Yi-Si year). Methods: Data from 211 PCOS patients were collected. The distributions of annual circuit, celestial manager-terrestrial effect combinations, generating-restricting relationships in guest-host circuit superposition, associations between host Qi and guest Qi, circuit-Qi convergence and divergence, and circuit-Qi disturbance intensity at birth were analyzed. Results: The majority of patients were aged 20~34 years (69.2%). The association between host Qi and guest Qi at birth showed a significant clustering trend (P = 0.032). Significant differences were found between assimilation and dissimilation of circuit Qi (both P < 0.01). Among the groups stratified by disturbance intensity of circuit Qi, the moderate-risk group had the highest proportion (45.9%) (P < 0.001). Conclusion: The Qi transformation pattern of the 2025 Yisi year is characterized by predominance of wind and fire with wood-fire impairing metal. Individuals born during periods of Jueyin wind wood-Shaoyin monarch fire and Yangming dryness metal-Shaoyang ministerial fire, as well as those born in years with moderate-to-high disturbance intensity of circuit Qi, tend to form a pattern of “like Qi attracting like” and combined internal and external pathogenic factors with this Qi transformation pattern. Under the Yisi-year Qi transformation pattern, such patients may be more susceptible to the aggravation of PCOS-related symptoms.