由“肠-骨轴”探讨从“阳明系统”防治骨质疏松症
Discussion on the prevention and treatment of osteoporosis from "Yangming system" based on "gut- bone axis"
  
DOI:10.3969/j.issn.1006-7108.2024.01.025
中文关键词:  阳明系统  肠-骨轴  骨质疏松症
英文关键词:Yangming system  gut-bone axis  osteoporosis
基金项目:陕西省自然科学基础研究计划项目(2018 JM128);陕西省教育厅项目(2018KT-50);咸阳市科技成果推广计划项目(18JK0210)
作者单位
余彧1 向婷1 王官林2 杨利学* 1. 陕西中医药大学陕西 咸阳712000 2. 陕西中医药大学附属医院陕西 咸阳712000 
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中文摘要:
      本文结合近年来对“肠-骨轴”的研究,探讨阳明系统在防治骨质疏松症中的重要意义,通过《黄帝内经》对阳明定义出发,结合后世医家对“阳明”概念的补充明确阳明系统内涵,并通过梳理近年对“肠-骨轴”的研究,探究阳明系统、“肠-骨轴”、骨质疏松三者之间的关联。阳明系统包含气机、脏腑、经脉三个方面,是以中土脾胃为中心,以气机阖降为联络,辐射到多个脏腑与经络的功能系统。“肠-骨轴”是阳明系统的重要组成部分,是中土脾胃到骨的宏观联系的微观表达。随着人口老龄化程度的不断加深,既要把握微观上的“肠-骨轴”,也要立足阳明系统从整体出发,辨证论治骨质疏松症。
英文摘要:
      This article explores the important significance of the Yangming system in the prevention and treatment of osteoporosis based on recent research on the "gut-bone axis". Starting from the definition of Yangming in the "Huangdi Neijing" and combining with the supplement of the concept of "Yangming" by later doctors, the connotation of the Yangming system is clarified. By reviewing recent research on the "gut-bone axis", the relationship between the Yangming system, the "gut-bone axis", and osteoporosis is explored. The Yangming system includes three aspects: qi movement, viscera, and channel and collateral. It is a functional system centered around the spleen and stomach, connected by the closure and descent of qi movement, radiating to multiple organs and channel and collateral. The "gut-bone axis" is an important component of the Yangming system and a microscopic expression of the macroscopic connection between the spleen, stomach and bone. With the continuous deepening of social aging, it is necessary to grasp the "gut-bone axis" at the micro level, and also start from the Yangming system as a whole, and treat osteoporosis based on syndrome differentiation.
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