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| 基于“重阳思想”论原发性骨质疏松症的病因病机与治疗 |
| Study on the etiology, pathogenesis, and treatment of primary osteoporosis based on thought of paying importance to Yang |
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| DOI：10.3969/j.issn.1006-7108.2021.07.027 |
| 中文关键词: 中医中药 骨质疏松症 病因病机 |
| 英文关键词:raditional Chinese medicine osteoporosis etiology and pathogenesis |
| 基金项目:广西自然基金项目（2018GXNSFBA138044）；广西名老中医民族医传承工作室建设项目（桂卫中[2014]9号文件） |
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| 中文摘要: |
| 原发性骨质疏松症是一种常见的慢性代谢性疾病，严重影响中老年人群的生存质量。但西药治疗原发性骨质疏松症不良反应较多，因此应当发挥中医药治疗原发性骨质疏松症的优势。中医认为肾为先天之本，藏精，生髓，在体合骨；脾为后天之本，在体合肉，主四肢，为气血生化之源；脾肾二脏具有先后天相互资助的关系，二者功能的正常发挥有赖于阳气的激发、推动。“重阳思想”作为中医认识疾病的重要思想理论之一，其核心思想为阳主阴从观，认为治疗疾病应注重顾护阳气，并善用温阳之品。该文从“重阳思想”的角度出发探讨脾肾阳虚与原发性骨质疏松症发生的关系，结合现代医学对温肾健脾中药治疗原发性骨质疏松症的疗效及作用机制进行阐释，认为治疗原发性骨质疏松症应重视温肾健脾。由于目前相关作用机制的研究尚且不足，认为今后可以加强对温肾健脾中药治疗原发性骨质疏松症作用机制的研究，并发掘中医理论与现代科学的结合之处，以发扬中医药理论的优势。 |
| 英文摘要: |
| Primary osteoporosis is a common chronic metabolic disease, which seriously affects the quality of life of middle-aged and elderly people. However, there are many adverse reactions in the treatment of primary osteoporosis with western medicine. Therefore, we should take the advantage of traditional Chinese medicine in the treatment of primary osteoporosis. It is believed in traditional Chinese medicine that the kidney is the congenital origin, storing essence, producing marrow, and dominating the bone. It is believed that the spleen is the acquired foundation, which is in charge of the limbs, and coordinates with the muscles, and is the source of Qi and blood. The spleen and the kidney have the relationship of mutual support one to another. The normal exertion of their functions depends on the stimulation and promotion of Yang Qi. As one of the important theories of traditional Chinese medicine to understand diseases, the core idea of thought of paying importance to Yang is that Yang governs Yin and obeys the view, and that the treatment of diseases should pay attention to protect Yang Qi and make good use of the warming Yang herbs. From the point of view of thought of paying importance to Yang, this paper discusses the relationship between spleen-kidney Yang deficiency and primary osteoporosis, and explores the efficacy and mechanism of traditional Chinese medicine in the treatment of primary osteoporosis combined with the modern medicine for warming kidney and invigorating spleen. It is suggested that attention should be paid to warming the kidney and invigorating the spleen in the treatment of primary osteoporosis. However, the research on relevant mechanism of action in treating primary osteoporosis is still insufficient. It is believed that we should strengthen the research on the mechanism of traditional Chinese medicine for warming the kidney and invigorating the spleen in the treatment of primary osteoporosis, and explore the combination of traditional Chinese medicine theory and modern science, in order to carry forward the advantage of the theory of traditional Chinese medicine. |
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