分析壬寅年季节性变应性鼻炎（seasonal allergic rhinitis，SAR）患者先天运气禀赋情况。【方法】 采用回顾性研究 方法，收集中国中医科学院西苑医院耳鼻喉科2022年（壬寅年）在春、秋两个花粉季（即3月5日～5月21日、8月7日～9月 23日）就诊的SAR患者共8 918例，对患者的出生日期进行运气分析。【结果】 壬寅年SAR患者发病与岁运、司天、主气、运 气相合，以及双因素中的岁运—司天、主气—客气关系密切。出生于天干为壬，地支为戌，五运为木运，岁运为岁木太过， 阳明燥金司天-少阴君火在泉，主气为阳明燥金，运气相合为不和之年，患者的发病率增高；双因素中，岁运—司天为岁木 太过-太阳寒水，主客相合为阳明燥金—太阳寒水，患者的发病率增高。【结论】 先天运气因素中，岁运、司天、主气及运气 相合等对疾病的发生有影响，出生时运气与发病时的运气因素相互作用可能是导致疾病发生的重要机制之一。

To analyze the innate circuit qi endowment of patients with seasonal allergic rhinitis （SAR） in Renyin year （Ren-Yin stem-branch year of Chinese lunar calendar）. Methods A retrospective study was conducted in 8 918 SAR patients who were treated in the Department of Otorhinolaryngology of Xiyuan Hospital， China Academy of Chinese Medical Sciences in pollen seasons of the spring and autumn （i.e.，the period of March 5 to May 21，and the period of August 7 to September 23） in 2022（Renyin year）. The characteristics of circuit qi at birth date of the SAR patient were analyzed. Results The occurrence of SAR in Renyin year was related to the suiyun（yearly circuit phase），sitian（the first half of the alterable yearly circuit qi），dominant qi，and circuit qi combination. The two-factor model analysis showed that the occurrence of SAR in Renyin year was closely related with suiyun-sitian and dominant qi-guest qi. High morbidity of SAR was shown in the patients born in the year of heavenly-stem Ren and earthly-branch Xu，and with the circuit qi features of five circuits being wood circuit， Suiyun being excessive wood circuit，sitian of yangming dryness-gold，zaiquan（the second half of the alterable yearly circuit qi） of shaoyin monarch-fire，dominant qi being yangming dryness-gold，and circuit qi combination being disharmony. The two-factor model analysis showed that the morbidity of SAR was increased in the year with the circuit qi features of suiyun-sitian being excessive wood circuit and taiyang cold-water，and the combination of dominant qi and guest qi being yangming dryness-gold and taiyang cold-water. Conclusion Among the innate circuit qi factors，suiyun，sitian，dominant qi，and circuit qi combination have an impact on the occurrence of SAR. The interaction between innate circuit qi and circuit qi at onset may be one of the important mechanisms leading to the occurrence of SAR.

R276.1

国家中医药管理局全国名老中医药专家传承工作室建设项目（国中医药人教函〔2012〕149号）；北京市中医药科技发展资金项目 （编号：JJ-2020-17）；中国中医科学院科技创新工程项目（编号：CI2021A02709）