中医药防治老年骨质疏松研究进展
Research progress of traditional Chinese medicine in the prevention and treatment of senile osteoporosis
投稿时间:2013-10-10  
DOI:
中文关键词:  骨质疏松症  病因病机  中医中药
英文关键词:Osteoporosis  Etiology and pathogenesis  Traditional Chinese medicine
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作者单位E-mail
张莲 兰州军区总医院干部二科兰州 730000  
贾成文   
郭峰  houfeiyiqq@163.com 
冯霞   
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中文摘要:
      骨质疏松症是中老年人的常见疾病,中医在该病防治方面主要从以下几方面分型:(1)肾主骨理论:肾为先天之本,肾主藏精,主骨生髓,与生殖、内分泌、性腺系统密切相关,肾的生理作用与骨的旺、盛、平、衰有极大的相关性。骨痿其标在骨,其本在肾。(2)脾肾相关论:脾为后天之本,主运化水谷精微。脾气散精,上输于肺,下归于肾,脾肾相互促进,相互依存,常有脾肾同病之说。脾肾虚弱是骨质疏松症的主要病理变化。(3)血瘀论:骨质疏松症患者脏腑功能失调,经气不利,影响气血运行,导致经络气血运行不畅,不通则痛,故常出现疼痛、功能障碍。血瘀可致气血运行障碍,营养物质不能濡养脏腑、骨骼,引起脾肾俱虚而加重骨质疏松症。(4)肝郁论:肝藏血主筋,肾藏精主骨,肝肾同下焦,精血可以互化,肝郁气滞,郁而化火,易灼伤肝阴而致肝阴不足,肝阴血亏虚,无以生精养骨,终致骨痿。因此临床用药灵活多变,但不出补肾壮骨、健脾益气、活血通脉、以及疏肝解郁的治疗大法。
英文摘要:
      Osteoporosis is a common disease in the elderly.In the field of traditional Chinese medicine, the prevention and treatment of this disease is mainly from the following aspects: ( 1 ) The kidney governing the bone theory.The kidney is the congenital origin, and the kidney stores the essence, governing the bone marrow, and is closely related to reproductive, endocrine, and gonadal system.The physiology of the kidney strongly correlates with the development and the destroy of the bone.The sign of bone atrophy appears on the bone, but orgins from the kidney.(2) The relevant theory of the kidney and the spleen.The spleen is an acquired origin, and the spleen governs the transport of the essence of water and grain.The spleen-Qi transports the essence to the whole body, losses in the lung, then next arrives in the kidney.So, the spleen and the kidney can promote each other and depend on each other.It is often said that the disease is together with the spleen and the kidney.The spleen and the kidney deficiency is the main pathological change of osteoporosis.(3) Blood stasis theory.Patients with osteoporosis have organ dysfunction and meridian-Qi disorder, affecting the circulation of Qi and blood, leading to Qi and blood running sluggish, pain, and dysfunction.Blood stasis can lead to disturbance of Qi and blood circulation, so nutrients can not nourish the organ and bone, causing empty of the spleen and the kidney, which all aggravate osteoporosis.(4) The liver stagnation theory.The liver stores the blood and governs the muscle, while the kidney stores the essence and governs the bone.The liver and the kidney are under the same coke, and the essence and the blood can transform mutually.The stagnation of liver-Qi leads to the stagnation of fire, which can easily burn the Yin of the liver, leading to the liver Yin deficiency.With the liver Yin and blood deficiency, no essence can nourish the bone, ultimately leading to bone atrophy.Therefore, the clinical medication should be flexible and changeable.However, it should follow the treatment of nourishing kidney and strengthening bone, invigorating spleen and benefiting Qi, activating blood to promote blood circulation, and dispering stagnated liver Qi for relieving Qi stagnation.
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