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| “骨肉不相亲”与骨质疏松症关系的探讨 |
| Investigation of the relationship between the disharmony between bone and muscle theory and osteoporosis |
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| DOI：10.3969/j.issn.1006-7108.2016.06.026 |
| 中文关键词: 骨肉不相亲 骨质疏松 骨骼 肌肉 脾肾 |
| 英文关键词:Disharmony between bone and muscle Osteoporosis Bone Muscle Spleen-kidney |
| 基金项目:广西科学研究与技术开发计划（桂科攻14124004-1-26）；广西名老中医民族医传承工作室建设项目（桂卫中[2014]9号）；国家自然科学基金资助项目（青年科学基金项目 81503403） |
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| 中文摘要: |
| 骨质疏松症是目前常见的老年性疾病，与中医“脾肾亏虚”密切联系。中医基础理论“肾主骨”、“脾主四肢”，先天、后天互为基础，揭示骨骼、肌肉之间相互依存，脾肾亏虚一定程度上会引起骨骼和肌肉系统疾病，从而影响中老年人骨骼肌肉应力平衡。从中医基础理论、古籍文献、现代医学骨应力观点等论述“脾肾”、“骨骼、肌肉”相关性，完善“骨肉不相亲”理论，脾肾亏虚是骨枯肉松的主要病机，从而提出“骨肉不相亲”与骨质疏松症产生密切相关；骨矿含量与肌肉强度改变，对骨代谢、骨质疏松症发生率的影响，增加和保持肌肉量及维持骨骼密度是防治骨质疏松症关键因素之一，中医脾肾调理、改善骨骼肌肉功能是治疗“骨肉不相亲”的关键，对防治骨质疏松症提供了一个崭新的思路。 |
| 英文摘要: |
| Osteoporosis is a common disease in the elderly. It is closely related to spleen-kidney deficiency theory in Chinese medicine. The basic theory of traditional Chinese medicine indicates that the kidney is in charge of bone, and the spleen controls extremities. The congenital and acquired fundamental theory reveals the interdependence between skeletal and muscle. Spleen-kidney deficiency may cause musculoskeletal diseases to a certain extent, thus affects skeletal muscle stress force balance in elder people. The correlation between spleen-kidney and bone-muscle from the basic theory of traditional Chinese medicine is discussed from ancient literature and modern medicine of bone stress force. The disharmony between bone and muscle theory is improved. Spleen-kidney deficiency is the main pathogenesis of dry bone and loss muscle. The disharmony between bone and muscle theory is closely related to osteoporosis. Bone mineral content and muscle strength impact bone metabolism and the incidence of osteoporosis. Increasing and maintaining muscle mass and maintaining bone density is one of the key factors in the prevention and treatment of osteoporosis. Regulation of spleen-kidney and improvement of skeletal muscle are important for disharmony between bone and muscle. This provides a new thinking way in the prevention and treatment of osteoporosis. |
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