遵义医科大学学报2023，Vol.46Issue(12)：1185-1189,5.
五运六气理论结合地域特性分析遵义地区"疫疠"发病特点
Investigation on the pathogenic characteristics of"epidemic disease"by combi-nation of Five Evolutive Phases and Six Climatic Factors theory with in Zunyi regional characteristics
摘要
Abstract
Objective To analyze the disease characteristics of some patients with COVID-19 infection who visi-ted Affiliated Hospital of Zunyi Medical University in Zunyi,Guizhou,under the specific geographical environ-ment and special time context.Methods The inpatients who consulted with traditional Chinese medicine(TCM)in the Affiliated Hospital of Zunyi Medical University in Zunyi from December 10,2022 to February 10,2023 were collected according to the inclusion and exclusion criteria.Data were collected on patient's main symp-toms,tongue,mossy changes and some auxiliary inspection materials.The etiology and pathogenesis was de-duced by analyzing the characteristics of syndromes,syndrome types and auxiliary examination data.Results A total of 119 patients were included.CT scans of their lungs showed the presence of pneumonia and elevated inde-xes of inflammatory tests;The most common five TCM syndromes are:cough(91.59％),sputum(77.31％),chest tightness and shortness of breath(54.62％),fever(38.65％),and fatigue(37.81％);The tongue man-ifestations are:red tongue is the most common(31.09％),followed by normal reddish tongue(26.89％)and light white tongue(17.64％).The most common tongue moss is greasy moss(81.51％);The syndrome types are:49 cases have lung damp-toxic stagnation,45 cases have lung damp-heat stagnation,and 11 cases have lung cold-dampness stagnation,among which 91 cases were combined with wind syndrome and 20 cases with dry-ness type.Conclusion For the 119 cases infected with COVID-19,the main TCM symptoms are cough,expecto-ration,chest tightness,shortness of breath,fever and fatigue.The tongue is light or reddish,and thick or greasy moss is common.The main syndrome types are dampness toxin stagnating lung type,dampness heat accumula-ting lung type,and cold dampness stagnating lung type.The main differences for the etiologies and pathogenesis happen in the primary and secondary Yunqi in different stages and months between the end of 2022 and the be-ginning of 2023.The violent fluctuations of wind,cold,dampness,fire,and dryness can damage the function of lung and spleen.Moreover,the subtropical geographical environment of Zunyi makes the cold,dampness,and dryness more severe,leading to the cold,dampness and epidemics combine with wind and dryness.关键词
五运六气/地理环境/中医证候/疫疠/新型冠状病毒Key words
five evolutive phases and six climatic factors/geographical environment/TCM syndromes/pesti-lence/COVID-19 infection分类
医药卫生引用本文复制引用
陈龙开,张艳,李天禹..五运六气理论结合地域特性分析遵义地区"疫疠"发病特点[J].遵义医科大学学报,2023,46(12):1185-1189,5.基金项目
2019年度贵州省理论联合创新课题(NO:SKL-2019-3). （NO:SKL-2019-3）
