从“温督启阳”理论探讨针灸治疗绝经后骨质疏松症的研究进展
The research progress of acupuncture in the treatment of postmenopausal osteoporosis based on the theory of warming the governor, tonifying the kidney and strengthening the spleen
  
DOI:10.3969/j.issn.1006-7108.2024.01.017
中文关键词:  绝经后骨质疏松症  温督启阳  针灸疗法  中医
英文关键词:postmenopausal osteoporosis  warming the governor, tonifying the kidney and nourishing the spleen  acupuncture  traditional Chinese medical
基金项目:国家自然科学基金项目(82260941,81760873);甘肃省自然科学基金(22JR11RA126)
作者单位
马姣姣1 权祯1,2 秦大平1,2 刘建军1,2 高国栋2 陈一新1 齐鑫1 张晓刚1,2* 1.甘肃中医药大学中医临床学院甘肃 兰州 730000 2.甘肃中医药大学附属医院脊柱外科甘肃 兰州 730099 
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中文摘要:
      绝经后骨质疏松症以脾肾阳虚居多,针灸疗法在绝经后骨质疏松症的治疗中具有显著优势,针灸通过调理脾肾、温阳督脉功能,达到治疗骨质疏松症的临床目的。笔者通过综述中医学针灸古籍有关绝经后骨质疏松症(postmenopausal osteoporosis,PMOP)的理论溯源,阐释祖国医学中PMOP的病因病机,以现在普通针灸、温针灸、电针、督脉灸、穴位埋线、穴位注射和火针等具体治疗方法,基于“温督启阳”理论从绝经后骨质疏松症的病因病机出发,从“督脉调节全身气血、先后天相互滋生”角度将针灸治疗机制与骨代谢相结合,为针灸治疗绝经后骨质疏松症提供新的治疗思路。
英文摘要:
      The majority of postmenopausal osteoporosis (PMOP) is due to deficiency of the spleen and kidney. Acupuncture and moxibustion take significant advantages in the treatment of postmenopausal osteoporosis. By regulating the function of the spleen and kidney, acupuncture and moxibustion achieve the clinical purpose of treating osteoporosis. By summarizing the theoretical origin of PMOP in ancient Chinese medical acupuncture books, this paper explains the etiology and pathogenesis of PMOP in Chinese medicine, and starts from the etiology and pathogenesis of PMOP based on the theory of warming, upping, electroacupuncture, moxibustion in the supervision of the arteries, acupoint burying, acupoint injection and fire needle, etc. Combining acupuncture treatment mechanism with bone metabolism from the perspective of regulating Qi and blood in the whole body and breeding each other in successive days, this paper provides a new treatment idea for acupuncture treatment of PMOP.
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