基于生命四时调理脾胃探析骨质疏松症“治未病”理念
Analysis of the theory of preventive treatment of disease in osteoporosis basing on coordination
  
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中文关键词:  中医中药  骨质疏松症  生命四时  黄帝内经  预防  未病先防  脾胃
英文关键词:Chinese Medicine  Osteoporosis  Four stages of lifetime  Neijing  Prevention  Prevention before disease onset  Spleen and stomach  
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周龙云 黄桂成 * 陈旭青 郭杨 苑文超 王礼宇 南京中医药大学江苏 南京 210029 
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中文摘要:
      骨质疏松症发病广泛,其“治未病”意义重大。生命四时,少、壮、中、老,长、壮、衰、亡,构成阳气升降一生命循环,为四季变化之延长。其中,脾土主四时,掌生命终始。生命中期之前,脾土顺阳气之升发,承载筋骨生长,奠定基石,防变于先,生命 中期之后,脾土顺阳气潜藏,厚纳以封藏精微,稳固筋骨,缓病之势。故生命四时不同,脾胃所主不一,形成了骨质疏松症独特的“未病先防、既病防变”理念。笔者认为,儿少发陈,温升脾土,条达肝木;壮硕之年,温补脾阳,助阳宣泄;中老之年,润脾降胃,容平阳气;年老之时,酸甘敛藏,固元纳气,防病之要义。
英文摘要:
      Osteoporosis is one of the most common bone diseases in human. The prevention before the disease onset is of important significance. The four stages of lifetime which is the extending of the four seasons,including growth,embonpoint,senility and death,constitute the circulation of the movement of Yang qi. Specially,spleen dominates the four seasons and four stages of life. Before the mid-lifetime,following the ascending of Yang qi,the spleen bears the growing the muscle and bone,laying the foundation for prevention of osteoporosis. After the mid-lifetime,following the hide of Yang qi,the spleen stores essence,steadies the muscle and bone for slowing down the incidence and development of osteoporosis. Above all,the function of spleen is different during the four stages,which constitutes the unique theory of prevention before the disease onset for osteoporosis. The authors believe that we need to transport spleen in early youth,warmly invigorate spleen and stomach in maturity,nourish spleen and stomach in middle age,nourish yin with sour and sweet drugs in senile.
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