【目的】探究子宫内膜异位症患者出生日期的五运六气与其后天疾病罹患之间的关系。 【方法】收集2022年3月至2025年 3月期间在河南中医药大学第一附属医院生殖医学科二病区门诊就诊的333例子宫内膜异位症患者的临床资料，对患者出生 日期的五运六气进行统计分析。 【结果】333例子宫内膜异位症患者的出生日期的五运六气中天干、主运、客运、主气、客 气、客主加临、司天-在泉分布比较，差异均无统计学意义 （P＞0.05） 。而地支、岁运及运气相合分布比较，差异均有统计学 意义 （P＜0.05或P＜0.01） ，其中，地支为未年的最多，占总人数的12.3% （41/333） ；岁运为水运不及的最多，占总人数的 14.7% （49/333） ；运气相合为同岁会的最多，占总人数的23.1% （77/333） 。 【结论】子宫内膜异位症的罹患与其出生日期的五运 六气的地支、岁运及运气相合相关：出生日期地支为未年、岁运为水运不及、运气相合为同岁会，即先天禀赋为脾、肾两 脏不足者，后天罹患子宫内膜异位症的可能性较大。

Objective To investigate the relationship between the five-circuit and six-qi characteristics of birth dates and the prevalence of endometriosis （EMs） . Methods Clinical data from 333 EMs patients treated at the Department of Reproductive Medicine，The First Affiliated Hospital of Henan University of Chinese Medicine between March 2022 and March 2025 were collected. Statistical analysis was performed on parameters of the five circuits and six qi of patients’ birth dates. Results No statistically significant differences were found in the distribution of heavenly stems，dominant circuits，guest circuits，dominant qi，guest qi，joining of guest qi with dominant qi，or Sitian-Zaiquan among the 333 EMs patients （all P＞0.05） . However，significant differences were observed in the distribution of earthly branches，yearly circuits，and circuit-qi combinations （P＜0.05 or P＜0.01） . Specifically：（1） The most frequent earthly branch was the “Wei” year （12.3%，41/333）；（2） The most common annual circuit was “deficient water circuit” （14.7%，49/333）；（3） The predominant circuit-qi combination was “Tong Sui Hui” （23.1%，77/333） . Conclusion The development of EMs is associated with specific five circuits and six qi characteristics at birth： （1） Earthly branch of “Wei” year； （2） Annual circuit of “deficient water circuit” ；（3） Circuit-qi combination of “Tong Sui Hui” . These patterns suggest that congenital endowmentl deficiencies in the spleen and kidney systems may predispose individuals to EMs.

R271.9

国家自然科学基金面上项目 （编号：82074167）