从“脑为髓海”理论探讨骨质疏松症与阿尔兹海默症的相关性
To explore the relationship between osteoporosis and Alzheimer's disease based on the theory of“Brain as Marrow Sea”
  
DOI:10.3969/j.issn.1006-7108.2023.08.014
中文关键词:  脑为髓海  阿尔兹海默症  骨质疏松症
英文关键词:brain being the marrow sea  Alzheimer  osteoporosis
基金项目:国家自然科学基金(82074183) ; 浙江省自然科学基金(LZ22H270002)
作者单位
黄振1 李威1 叶佰盛1 丰杰1 黄海1 史晓林2* 1.浙江中医药大学第二临床医学院浙江 杭州 310000 2.浙江省新华医院浙江 杭州310000 
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中文摘要:
      目的 从“脑为髓海”理论为出发点,分析阿尔兹海默症(Alzheimer’s disease, AD)与骨质疏松症(osteoporosis,OP)的联系,探究二者的共同发病机制,以拓宽OP的防治思路。方法 通过检索中国知网、万方、PubMed等数据库中关于“脑为髓海”理论和OP、AD的中医古籍文献、临床研究与实验研究,深入探讨OP与AD的关联。结果 “脑为髓海”出自《黄帝内经》,医家们对脑与髓的认知不断加深,意识到髓海充盛滋养骨骼,筋骨强健,脑力聪慧,反应敏捷,骨与脑两个系统通过髓在生理上相互依赖,OP与AD有着共同的生理病理基础。结论 “脑为髓海”理论在指导认识AD与OP的共同发病机制上具有很高的价值,大多数医生在防治OP时都以肝、肾、脾、筋、骨、肉为导向,忽视了脑-髓的重要作用,期待以此理论为基础探究出更多的OP防治思路。
英文摘要:
      Objective Based on the theory of"Brain as Marrow Sea", this paper analyzes the relationship between Alzheimer's disease (AD) and osteoporosis (Op) , and explores the common pathogenesis of the two diseases, so as to spread the idea of prevention and treatment of OP. Methods The association between OP and AD was explored by searching cnki, wanfang, PubMed and other databases on the theory of“Brain as Marrow Sea” and the ancient Chinese medical literature, clinical and experimental studies on OP and AD. Results “The brain is the sea of marrow” is from the Huangdi Neijing. The doctors' knowledge of the brain and the Sea of marrow is constantly deepening. They realize that the sea of marrow is full of nourishment for the bones, strong muscles and bones, intelligent and quick-witted, the bone and brain systems depend on each other physiologically through the marrow. Op and AD share the same physiological and pathological basis.Conclusion The theory of“Brain as Marrow Sea” is of great value in guiding the understanding of the common pathogenesis of AD and OP. Most doctors take the liver, kidney, spleen, muscle, bone and muscle as their guidance in the prevention and treatment of OP, we neglect the important role of brain-marrow, and expect to find out more ways to prevent and treat OP based on this theory.
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