【目的】探讨女性乳房良恶性肿瘤患者出生日期的五运六气特点以及异同性，并围绕罹患乳房肿瘤的良恶性倾向展开 趋势性分析。 【方法】从广州中医药大学第一附属医院的电子病例系统中采集723例乳房恶性肿瘤 （乳腺癌） 患者和1 595例乳 房良性肿瘤患者的出生日期信息，运用SPSS 25.0统计学软件对2组患者的运气学信息进行统计分析。 【结果】（1） 岁运方面， 木运太过、火运太过、土运不及之年出生的患者倾向性于罹患乳腺癌，而金运不及、木运不及、水运太过之年出生的患者 倾向于患乳房良性肿瘤。 （2） 主气方面，出生于少阴君火的患者更倾向于罹患乳腺癌，而出生于厥阴风木、太阴湿土的患者 更倾向于患乳房良性肿瘤。 （3） 客气方面，出生于厥阴风木、阳明燥金的患者更倾向于罹患乳腺癌，而出生于少阳相火、太 阳寒水的患者更倾向于患乳房良性肿瘤。 （4） 出生季节方面，出生于春季的患者更倾向于罹患乳腺癌。 （5） 运气相合方面，出 生于小逆/不和/天刑的患者患乳腺癌的倾向性更大，而出生于岁会/同岁会的患者更倾向于患乳房良性肿瘤。 （6） 司天-在泉方 面，出生之年的司天-在泉组合情况对乳腺癌和乳房良性肿瘤的影响并无明显的统计学差异。 【结论】（1） 乳房良恶性肿瘤之 间的出生日期的运气信息有一定的差异性和倾向性。 （2） 从运气学角度分析，乳腺癌患者出生日期的相关运气气候以风、热 为特点，病变部位主要涉及肝、脾、心、肾，且相较于乳房良性肿瘤患者，其体质禀赋更偏向于实性、热性。

Objective To explore the birthdate circuit qi endowment of the five circuit phases and six climatic factors in the female patients with benign and malignant breast tumors，and to analyze the benign and malignant tendency of breast tumors. Methods The birth date information of 723 patients with breast malignant tumor （breast cancer） and 1 595 patients with benign breast tumor were collected from the electronic medical record system of the First Affiliated Hospital of Guangzhou University of Chinese Medicine. SPSS 25.0 statistical software was used to analyze the circuit qi information of the two groups of patients. Results （1） The analysis of suiyun （yearly evolutive phase） showed that the patients born in the years of excessive wood phase，excessive fire phase，and deficiency earth phase tended to suffer from breast cancer，while the patients born in the years of deficiency gold phase， deficiency wood phase and excessive water phase tended to suffer from benign breast tumors. 2 The analysis of dominant qi （regular yearly circuit qi） showed that the patients born at the time of shaoyin monarch fire were more likely to suffer from breast cancer，while patients born at the time of jueyin wind-wood and taiyin damp-earth were more likely to suffer from benign breast tumors. （3） The analysis of guest qi （alterable yearly circuit qi） showed that the patients born at the time of jueyin wind-wood and yangming dry-gold were more likely to suffer from breast cancer，and the patients born at the time of shaoyang ministerial fire and taiyang cold-water were more likely to suffer from benign breast tumors. （4） The analysis of birth season showed that the patients born in spring were more likely to suffer from breast cancer. （5） The analysis of the combination of circuit and qi （circuit phases and climatic factors） showed that the patients born in the year of xiaoni （circuit phases generating climatic factors），buhe （circuit phases restricting climatic factors），and tianxing （sitian climatic factors restricting the predominant circuit phases） tended to suffer from breast cancer，and patients born in the year of suihui （yearly heavenly-stem circuit phase accorded with the yearly earthly-branch circuit qi） and tongsuihui （deficiency yearly circuit phase in accordance with the second half of the alterable yearly circuit qi） tended to suffer from benign breast tumors. （6）The analysis of celestial control-terrestrial effect showed that the combination of celestial control-terrestrial had no significant effect on the incidence of breast cancer or benign breast tumors （P＞0.05） . Conclusion （1） Certain differences and tendencies of birthdate circuit qi endowment exist between benign breast tumors and breast cancer. （2）The birthdate circuit qi endowment of breast cancer is characterized by wind and heat，and mainly involves liver，spleen，heart and kidney. Compared with patients with benign breast tumors，patients with breast cancer usually have the excess and heat biased constitution endowment.

R273.79

广东省中医药局科研项目 （编号：20231123）