Perthes病发病与五运六气的关系初探

A Preliminary Study of the Relationship between the Onset of Perthes’ Disease and Five Circuit Phases and Six Climatic Factors

摘要: 目的：基于五运六气学说探讨先天体质与Perthes病的相关性及其发病规律。方法：对2015年1月至2023年6月广州中医药大学第三附属医院骨科门诊及住院部收治的147例符合纳入标准的Perthes病患者的出生时间五运六气分布特点进行统计，分析患者出生时间的岁运、司天/在泉、主气及客气的分布情况，探讨先天体质与Perthes病的相关性。结果：研究结果发现，易患Perthes病的人群出生时间的运气特点为岁运为太水，司天在泉为阳明燥金司天、少阴君火在泉，主气为太阳寒水，客气为阳明燥金，各组间分布未见明显统计学差异；易患Perthes病人群先天体质主要为偏热偏阴虚体质，多兼有风热特征，各组间分布具有显著性差异(P < 0.01)。结论：Perthes病患者的先天体质和后天罹患Perthes病有一定的关联性，Perthes病患者先天体质多为偏热偏阴虚，且多兼有风热特征。

Abstract: Objective: To explore the correlation between innate endowment and Perthes disease and its path-ogenesis based on the theory of the five circuit phases and six climatic factors. Methods: The distri-bution characteristics of the five circuit phases and six climatic factors at the date of birth of 147 patients with Perthes disease who met the inclusion criteria and were admitted to the orthopedic outpatient and inpatient departments of the Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from January 2015 to June 2023 were statistically analyzed, and the distribution of suiyun (yearly evolutive phase), zhuqi (regular yearly circuit qi), keqi (alterable yearly circuit qi) and the sitian (the first half of the alterable yearly circuit qi)/zaiquan (the second half of the alterable yearly circuit qi) at the date of birth of the patients were analyzed to explore the correlation between innate endowment and Perthes disease. Results: The results of the study found that the five circuit phases and six climatic factors of the birth date of people prone to Perthes disease was characterized by the suiyun of the year as Taishui, with the sitian as the yang ming dry gold, the zaiquan as the shaoyin monarch fire, the zhuqi as the sun cold water, and the keqi as the yang ming dry gold, and no statistically significant differences were found in the distribution be-tween the groups; the innate endowment of the Perthes-prone group was mainly heat and yin defi-ciency, mostly combined with the wind-heat characteristics, and the distribution of the groups was significantly different (P < 0.01). Conclusion: There is a correlation between the innate endowment of Perthes disease patients and the development of Perthes disease later in life, and the innate en-dowment is mostly heat-leaning and yin deficient constitution, and most of them have wind-heat characteristics.