探讨绝经后骨质疏松症“从肝论治”思想的相关机理
To explore the mechanism of postmenopausal osteoporosis “treating from the liver”
  
DOI:10.3969/j.issn.1006-7108.2019.10.025
中文关键词:  “从肝论治”思想  绝经后骨质疏松症  相关机理  中医中药
英文关键词:"Treating from the liver" thought  postmenopausal osteoporosis  correlation mechanism  traditional Chinese medicine
基金项目:国家自然科学基金(81760877);卫生部医药卫生科技发展研究中心科研基金(W2014ZT210);甘肃省自然科学基金(17JR5RA054);甘肃中医药大学研究生创新基金项目(CX2018-10);兰州市创新人才项目(2017-RC-44);兰州市创新人才项目(2018-RC-99)
作者单位
石敏1 赵继荣2* 邓强2 马同2 薛旭3 1.兰州市城关区妇幼保健院甘肃 兰州 730030 2.甘肃省中医院甘肃 兰州 730050 3.甘肃中医药大学甘肃 兰州 730000 
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中文摘要:
      绝经后骨质疏松症(postmenopausal osteoporosis,PMOP)在骨质疏松症(osteoporosis,OP)中占有比例最大,严重影响中老年女性的健康及生活质量。中医药治疗PMOP有独特的优势,但PMOP的中医诊疗指导思想多以藏象“肾-骨”为主要理论依据,往往忽略了“肝”的重要作用。女子以肝为先天,对于中老年女性来说,“从肝论治”尤为重要。笔者基于对肝主疏泄-畅情志、肝藏血、肝-筋等肝生理功能与PMOP的发病相关机理作一探讨,以期对PMOP的防治诊疗提供新思路。
英文摘要:
      Postmenopausal osteoporosis (PMOP) represents the largest proportion of osteoporosis, and seriously affects the health of middle-aged and old women and their quality of life. Traditional Chinese medicine (TCM) has unique advantages in the treatment of PMOP, but the TCM diagnosis and treatment of PMOP mostly takes "kidney-bone" as the main theoretical basis, and often ignores the important role of "liver". Women with the liver as a congenital, therefore for elderly women, "treating from the liver" is particularly important. In this paper, the pathogenesis of PMOP was discussed based on the physiological functions of liver, such as hepatic main catharsis - free emotion, liver storing blood, liver - tendon, etc., so as to provide new ideas for the prevention and treatment of PMOP.
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