【摘要】：運(yùn)氣學(xué)說是一門古老而經(jīng)典的學(xué)科。它借助“天人相應(yīng)”的中醫(yī)整體觀作為學(xué)術(shù)核心指導(dǎo)思想,陰陽五行生克承制為基本理論,十天干十二地支作為運(yùn)算推演的符號(hào),以推測(cè)宇宙天象、自然界氣象、物候以及人體正常的生理和疾病狀態(tài)下的病理變化。通過挖掘自然現(xiàn)象和生物生命征象統(tǒng)一性,探求兩者間的內(nèi)在本質(zhì)聯(lián)系,它揭示了疾病的發(fā)病特性并提出與之相對(duì)應(yīng)的預(yù)防治療措施。歷代以來,不少醫(yī)家將其應(yīng)用于臨床醫(yī)療實(shí)踐,指導(dǎo)疾病的預(yù)防和治療,并取得重要成果。目的：本課題通過回顧性分析不同年齡組別原發(fā)性腎病綜合征患兒出生及發(fā)病時(shí)間上的運(yùn)氣學(xué)差異,探討該病的運(yùn)氣學(xué)規(guī)律,以期指導(dǎo)該病的臨床診治,同時(shí)為運(yùn)氣學(xué)說應(yīng)用于小兒疾病研究積累經(jīng)驗(yàn)。方法：收集2011年-2014年間廣東省中醫(yī)院兒科住院部原發(fā)性腎病綜合征患兒117例,依發(fā)病年齡進(jìn)行分組,根據(jù)患兒的出生及發(fā)病相關(guān)時(shí)間,按運(yùn)氣學(xué)理論推算其出生及發(fā)病時(shí)相關(guān)運(yùn)氣學(xué)指標(biāo),對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,得出小兒原發(fā)性腎病綜合征出生及發(fā)病的運(yùn)氣學(xué)特點(diǎn),并比較不同年齡組別患兒出生及發(fā)病時(shí)間運(yùn)氣學(xué)規(guī)律差異性。結(jié)果：原發(fā)性腎病綜合征患兒,多出生于歲運(yùn)為金運(yùn)太過、水運(yùn)不及和土運(yùn)不及之年,客氣為太陰濕土所主之時(shí)；疾病好發(fā)于歲運(yùn)為火運(yùn)不及、水運(yùn)不及和土運(yùn)太過之年,客運(yùn)為太水、太土所主之時(shí)。通過對(duì)相關(guān)指標(biāo)進(jìn)行組間分布差異性分析,發(fā)現(xiàn)出生歲運(yùn)為金運(yùn)太過在1-3歲組和4-7歲組兩組患兒間分布有顯著性差異；出生客運(yùn)為少水在小于4歲(1-3歲組)和大于等于4歲(4-7歲組加8-14歲組)兩組間分布有顯著性差異；出生客氣為少陽相火在1-3歲組和4-7歲組兩組患兒間分布有顯著性差異；發(fā)病客運(yùn)中的少土在1-3歲組和4-7歲組兩組患兒間分布有顯著性差異。結(jié)論：本研究提示廣東地區(qū)小兒腎病綜合征的發(fā)病高峰為1-3歲；在出生及發(fā)病兩方面,小兒原發(fā)性腎病綜合征的全年齡段運(yùn)氣學(xué)規(guī)律與其中1-3歲組患兒的運(yùn)氣規(guī)律基本相似,同時(shí)不同年齡組別間患兒的運(yùn)氣學(xué)規(guī)律存在一定差異。根據(jù)研究結(jié)果,推測(cè)小兒原發(fā)性腎病綜合征運(yùn)氣學(xué)相關(guān)氣候特點(diǎn)以影響脾腎二臟功能為主,基本符合中醫(yī)“同氣相求”的疾病發(fā)病觀,并推測(cè)原發(fā)性腎病綜合征患兒多出生于天干為庚、辛、己年份,疾病好發(fā)于天干為癸、辛、甲年份。
[Abstract]:The theory of luck is an ancient and classical subject. With the help of the whole view of "the correspondence between Heaven and Man" as the core guiding ideology of the academic study, Yin and Yang as the basic theory, and ten days as the symbol of operation and deduction, it can speculate on the cosmic phenomena and natural meteorology. Phenology and normal physiological and pathological changes in the human body. By excavating the unity of natural phenomena and biological signs, and exploring the intrinsic relationship between the two, it reveals the characteristics of disease and puts forward corresponding preventive and therapeutic measures. Since the past dynasties, many doctors have applied it to clinical medical practice, guiding the prevention and treatment of diseases, and achieved important results. Objective: to analyze the difference of luck in birth and onset time of children with primary nephrotic syndrome (PNS) in different age groups, and to explore the rule of luck in order to guide the clinical diagnosis and treatment of the disease. At the same time, accumulated experience for the application of the theory of luck in the study of pediatric diseases. Methods: from 2011 to 2014, 117 children with primary nephrotic syndrome in the department of pediatrics of Guangdong traditional Chinese Medicine Hospital were divided into groups according to the age of onset, according to the birth of the children and the time associated with the disease. According to the theory of luck, the relative luck indexes of birth and onset were calculated, and the data were statistically analyzed, and the characteristics of birth and pathogenesis of children with primary nephrotic syndrome were obtained. At the same time, the difference of birth and onset time of children with different age groups was compared. Results: the children with primary nephrotic syndrome were mostly born in the age of too much gold, water transport and earth transport is not enough years, you are too wet soil is the main time; Disease can occur when fire is too bad, water is too bad and earth is too late, and passenger transport is too water, too much. Through the analysis of the distribution difference among the related indexes, it was found that there were significant differences in the distribution of Jinyuntai between the 1-3 and 4-7 age groups. There was a significant difference in the distribution of less water between the two groups (< 4 years old (1-3 years old) and > 4 years old (4-7 years group plus 8-14 years old group); The distribution of Shaoyang phase fire in 1-3 years old group and 4-7 years old group had significant difference, and there was significant difference between 1-3 years old group and 4-7 years old group in the distribution of little soil in passenger transportation. Conclusion: this study suggests that the peak incidence of nephrotic syndrome in children in Guangdong area is 1-3 years old. In the aspect of birth and pathogenesis, the law of luck in children with primary nephrotic syndrome is similar to that of children aged 1-3 years, and there are some differences in the laws of luck among children of different age groups. According to the results of the study, it is inferred that the climatic characteristics related to luck in children with primary nephrotic syndrome are mainly related to the function of spleen and kidney, and basically accord with the disease pathogenesis view of TCM. It was inferred that the children with primary nephrotic syndrome were born in Tianxan as G, X, D, A.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R272

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本文編號(hào)：2309545