疫病流行与六气之少阴、少阳的关联探析

目的：探析疫病流行与六气之少阴、少阳是否具有关联性。方法：收集香港特别行政区卫生署卫生防护中心提供的1997—2019年12种传染病（包括病毒性肝炎、伤寒副伤寒、流行性腮腺炎、痢疾、麻疹、风疹、百日咳、肺结核、猩红热、疟疾、斑疹伤寒、登革热）年、月发病数据。采用描述性统计、卡方检验分析不同疫病的发病时间与六气之少阴、少阳的关联性。结果：猩红热、病毒性肝炎、百日咳、麻疹、风疹、结核病、痢疾、登革热这８种传染病普遍高发于六气客气之少阴、少阳时段，关联性最强的传染病包括猩红热、病毒性肝炎和百日咳（P < 0.05）。结论：香港地区的疫病高发与运气理论中提示的客气为火时段之间存在一定关联。总体的疫病流行在太阳寒水司天之年初之气、阳明燥金司天之年终之气和太阴湿土司天之年二之气时段，但仍有待于进一步挖掘探讨。

Objective: To explore whether there is a correlation of epidemic diseases with Shaoyin and Shaoyang of Six Qi. Methods: The annual and monthly incidence data of 12 infectious diseases (including viral hepatitis, typhoid and paratyphoid, mumps, dysentery, measles, rubella, whooping cough, tuberculosis, scarlet fever, malaria, typhus and dengue fever) from 1997 to 2019 were collected for the study. Descriptive statistics and Chi-square test were used to analyze the relationship between the onset time of different epidemic diseases and Shaoyin and Shaoyang of six Qi. Results: Eight infectious diseases including scarlet fever, viral hepatitis, whooping cough, measles, rubella, tuberculosis, dysentery and dengue fever generally presented a high-prevalence in the stage of Shaoyin and Shaoyang, and the most related infectious diseases were scarlet fever, viral hepatitis and whooping cough (P< 0.05). Conclusion: The correlations between epidemic diseases and the guest Qi of fire were identified in this study, such as high prevalence in the 1st Qi of the year of Taiyang Hanshui, the 6th Qi of the year of Yangming Zaojin and the 2nd Qi of the year of the Taiyin Shitu, but further investigation is needed in the future.