| Based on the previous clinical practice guideline and expert consensus of primary osteoporosis (OP)，the searching and evaluating of the traditional Chinese medicine (TCM) literatures，the questionnaire surveys of clinicians and expert discussion，the situation of clinical practice，and the expert consulting of traditional medical traumatology and orthopedics，the Traditional Chinese Medicine and Osteopathy Group of the Osteoporosis Committee of China Gerontological Society formulates the consensus. It provides references for the clinicians of TCM or integrated TCM and Western Medicine. According to TCM etiology and pathogenesis of primary OP，types of syndrome of OP can be divided into kidney Yang deficiency syndrome，liver and kidney Yin deficiency syndrome, spleen and kidney Yang deficiency, blood stasis and kidney deficiency syndrome, asthenia of the spleen and stomach syndrome, blood stasis and Qi stagnation. The aim is to confirm the present therapy and Chinese medicinal formulas. The principle is “ treatment based on syndrome differentiation, integral adjustments, and combination of prevention and treatment”. It needs to select the treatment plan, observation and testing items rationally and to pay attention to the long-term medication safety and the evaluation and monitoring of clinical efficacy. It also needs to emphasize the principle and methods of prevention of primary OP, i.e. , ‘‘prevention before occurrence of the disease, prevention deterioration after occurrence of the disease, prevention of the recrudescence of the disease”. And fully it needs to exert characteristics and advantages of traditional Chinese Medicine. |