【目的】探讨肝系疾病患者出生日期的五运六气特点，分析肝系疾病发生与患者出生日期五运六气特点的关联性。【方法】 收集广东省中西医结合医院2021年5月至2023年5月收治的肝系疾病患者的住院病例共5 057例，统计分析患者出生日期的 五运六气特点。【结果】肝系疾病患者发病与主运、主气、客气、客主加临、运气相合密切相关；主运中，金运时期出生者 患病率最高，火运最低；主气中，太阴湿土时段出生者患病率最高，太阳寒水时段出生者患病率最低；客气中，阳明燥金 时段出生者患病率最高，少阴君火时段出生者患病率最低；不同客主加临时段中，客气相生或相克主气为顺关系时段出生 者患病率最高，主气与客气为同气关系时段出生者患病率最低；在不同运气相合特点的年份中，顺化年出生者患病率最 高，岁会年出生者患病率最低，差异均有统计学意义（P＜0.05或P＜0.001）。【结论】肝系疾病发生与患者出生时的主运、主 气、客气、客主加临、运气相合之间存在一定的关联性。

Objective To explore the characteristics of the five circuit phases and six climatic factors（wuyun liuqi，also translated as five circuits and six qi）at birth of the patients with hepatic diseases，and to analyze the correlation between the incidence of hepatic diseases and the characteristics of wuyun liuqi of birthdates of the patients. Methods A total of 5 057 inpatients with hepatic diseases admitted to Guangdong Integrated Chinese and Western Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine from May 2021 to May 2023 were collected，and then the characteristics of wuyun liuqi at birth of the patients were statistically analyzed. Results The incidence of hepatic diseases was closely related to the dominant circuit，dominant qi，guest qi，joining of guest qi with dominant qi，and circuit qi. In terms of the correlation of the prevalence of hepatic diseases with the dominant circuit（regular yearly evolutive phase）of the birthdate，the prevalence was the highest in the population born at gold circuit and was the lowest in the population born at fire circuit；in terms of the dominant qi（regular yearly circuit qi ），the prevalence was the highest in the population born at taiyin wet-earth phase and was the lowest in the population born at taiyang cold-water phase；in terms of the guest qi（alterable yearly circuit qi ）， the prevalence was the highest in the population born at yangming dryness-gold phase and was the lowest in the population born at shaoyin monarch-fire phase；in terms of joining of guest qi with dominant qi，the prevalence 广州中医药大学学报 Journal of Guangzhou University of Traditional Chinese Medicine 2024年3月第41卷第3期 March 2024，Vol. 41，No. 3 555 was the highest in the population born at clockwise phase of guest qi generating or restricting dominant qi and was the lowest in the population born at adaptive phase of dominant qi and guest qi； in terms of the combination of circuit qi，the prevalence was the highest in the population born in the year of shunhua（qi generating circuit）and was the lowest in the population born in the year of suihui（yearly circuit phase being the same as the circuit qi of the year earthly branch）. The differences were all statistically significant（P＜0.05 or P＜0.001）. Conclusion The incidence of hepatic diseases is correlated with the dominant circuit，dominant qi，guest qi，joining of guest qi with dominant qi，and combination of circuit and qi at the birthdate of the patients to some extent.

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2022年度佛山市中医优势病种诊疗方案（肝病的中医诊疗方案）推广项目；佛山市中医药免疫健康科技创新基地项目（佛卫新 [2022]35号）