【目的】 探究中枢性眩晕患者出生日期及首发日期的五运六气分布特征。【方法】 收集 2018年 1月 20日至 2024年 1月 20 日于广东省中医院脑血管病科住院的850例中枢性眩晕患者临床资料（其中首发日期记录完整者共262例），采用卡方检验 或Fisher精确检验对患者出生日期、首发日期的运气分布规律进行分析探讨。【结果】（1）850例中枢性眩晕患者出生日期的主 气以太阴湿土最多，客气以少阴君火最多，客主加临以少阴君火-阳明燥金最多，差异均有统计学意义（P＜0.05 或 P＜ 0.01）。（2）262例首发日期记录完整的中枢性眩晕患者的首发日期运气分布以岁木太角最多，客主加临以少阴君火-太阴湿土 最多，岁运-司天-在泉以太角-少阳相火-厥阴风木、太徵-太阳寒水-太阴湿土最多，差异均有统计学意义（P＜0.01）。（3）综 合运气分布方面，出生岁运-首发岁运以少商-太徵最多，出生司天-首发司天以厥阴风木-太阳寒水最多，差异均有统计学 意义（P＜0.05或P＜0.01）。【结论】 中枢性眩晕患者的出生日期及首发日期均有一定的运气分布规律，“阴虚燥热伤肝，风木 夹痰上扰”可能是中枢性眩晕发作的重要运气病机。

Objective To investigate the distribution characteristics of five-phase and six-qi in the birth and onset dates of patients with central vertigo. Methods Clinical data of 850 central vertigo inpatients admitted to the Cerebrovascular Disease Department of Guangdong Provincial Hospital of Chinese Medicine between January 20， 2018，and January 20，2024 were collected （including 262 patients with complete records of onset date）. Chisquare test or Fisher’s exact test was used to analyze the distribution patterns of five-phase and six-qi in birth and onset dates. Results （1） Among the 850 central vertigo patients， the dominant qi was most commonly taiyin damp-earth，the guest qi was most commonly shaoyin monarch fire，and the combination of guest and dominant qi was most commonly shaoyin monarch fire-yangming dryness-gold，with statistically significant differences （P＜ 0.05 or P＜0.01）.（2） Among the 262 patients with complete onset date records，the onset date distribution was predominantly jiazuo for the year’s qi， and joining of guest qi with dominant qi was most commonly shaoyin monarch fire-taiyin damp-earth. The yearly circuit-celestrial control-terrestrial effect combinations were most commonly taijue-shaoyang ministeral fire-ueyin wind wood and taizhi-taiyang cold water-taiyin damp-earth， with statistically significant differences （P＜0.01）.（3） In comprehensive five-phase and six-qi distribution，the yearly circuit at birth and onset was most commonly shaoshang-taizhi，and the celestrlal control at birth and onset was most commonly jueyin wind wood-taiyang cold water，with statistically significant differences （P＜0.05 or P＜ 0.01）. Conclusion Both birth and onset dates of central vertigo patients exhibit specific five-phase and six-qi distribution patterns.“Yin deficiency and dryness-heat injuring the liver，with wind wood and phlegm harrasing the upper” may be an important five-phase and six-qi pathogenesis of central vertigo.

R277.7

广东省中医院顾植山学术经验传承工作室项目（广中医文[2014]089号）