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| 骨质疏松症中医证候分布规律及相关性研究进展 |
| Research progress of the correlation and the distribution of syndromes of osteoporosis in traditional Chinese medicine |
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| DOI： |
| 中文关键词: 骨质疏松症 中医证候；进展 |
| 英文关键词:Osteoporosis Syndrome of traditional Chinese medicine Progress |
| 基金项目:河南省教育厅自然科学计划项目(2QQ8 B360003) |
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| 中文摘要: |
| 骨质疏松症是中老年人常见病、多发病，属于中医“骨痿”、“骨痹”的范畴。中医学对其病因病机有着深刻的认识，但对 其辨证分型存在不同的观点。为了使中医研究更加规范化、科学化，本文通过复习文献并结合自己的临床体会，对骨质疏松 症中医辨证证候分布规律、证型分型规律及现代医学检查指标（如：骨密度、生化指标、基因蛋白组等）之间相关性的一些研究 概况进行综述，为骨质疏松症的中医研究更加客观化、规范化，提供新思路、新方法。目前关于OP的中医证候分类多数是流 于一般的释病、立法及用药说理等，并涉及脏腑、气血、经络等，没有体现病理实质，常常存在着不同的观点，分析其原因可能 与学者根据个人的临床经验提出中医证型分类法，导致中医辨证分型比较混乱有关；其次，中医辨证分型易受观察者主观因 素的影响等因素，均可导致研究结果的不一致。所以，使用规范、统一，能充分反映疾病本质的中医证型分类法是研究中医 “证”的关键所在，所得的结果才有可比性。 |
| 英文摘要: |
| Osteoporosis is a common and frequent disease in the elderly，which belongs to the “flaccidity of bones” and “ bone bi-disease” category in traditional Chinese medicine. Its etiology and pathogenesis has been profoundly understood in traditional Chinese medicine，but there are still controversial views about the syndrome differentiation and classification. In order to conduct the study of traditional Chinese medicine in a more standardized and scientific way，this article reviews the correlation among the syndrome differentiation of TCM，the syndrome distribution regularity of osteoporosis，the law of syndrome classification， and modern medical examination indicators， including bone mineral density， biochemical indicators， and gene protein grouping， by reviewing the research literatures and combining with own clinical experience， in order to provide new ideas and new methods for the study of traditional Chinese medicine. The current syndrome classification about osteoporosis in traditional Chinese medicine mainly lays in general interpretation of diseases， working out a therapy， and explanation of the medication， involving zangfu viscera， qi and blood， and meridians， without reflecting the pathological substance， thus， usually existing controversial views. The reasons may relate to the types of syndrome classification proposed by scholars according to their individual clinical experience， thus causing much confusion. Secondly，syndrome classification in traditional Chinese medicine is easily influenced by the subjective factors of the observers， leading to a controversial result. Therefore， the key point of the research of “ syndrome” in traditional Chinese medicine is to use a standard and uniform type of syndrome classification， which can fully reflect the nature of diseases， and then the results are comparable. |
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