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| 基于“卫气内伐”理论论治骨质疏松症 |
| Treatment of Osteoporosis Based on the Theory of "Endo-Aggression of Defensive Qi" |
| 投稿时间:2025-10-30 修订日期:2026-02-03 |
| DOI: |
| 中文关键词: 骨质疏松症 骨痿 昼夜节律 免疫 卫气内伐 |
| 英文关键词:Osteoporosis Circadian Rhythm Immunity Internal Conflict of Defensive Qi |
| 基金项目:江苏省中医药学会雏鹰腾飞项目(CYTF2024044);昆山市中医医院青年科学(2024QNJJ10)。 |
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| 中文摘要: |
| 骨质疏松症(Osteoporosis, OP)是一种严重影响中老年人生活质量的常见疾病。本文以《内经》“卫气内伐”理论为基础,构建了骨质疏松症从“卫气失位”到“卫气侵营”,最终发展为“卫气失律”的病机演进过程。该理论框架与慢性炎症、免疫代谢紊乱及昼夜节律异常等现代医学机制具有高度的契合性。在此基础上,本文进一步提出“固表—和营—调律”综合防治体系。该体系通过多层面、时序化的干预策略,能够有效整合抗炎、代谢调节及时间疗法等现代防治手段,为骨质疏松症的中西医结合防治提供了新思路与理论参考。 |
| 英文摘要: |
| Osteoporosis (OP) is a common disease that severely affects the quality of life in middle-aged and elderly individuals. Based on the theory of “internal conflict of defensive qi” from the Inner Canon of Huangdi, this paper constructs a pathogenic progression of osteoporosis from “dislocation of defensive qi” to “defensive qi invading the nutrient aspect,” and ultimately to “loss of defensive qi regulation.” This theoretical framework demonstrates a high degree of consistency with modern medical mechanisms such as chronic inflammation, immune-metabolic disturbances, and circadian rhythm dysregulation. Building on this foundation, the paper further proposes a comprehensive prevention and treatment system termed “consolidating the exterior–harmonizing the nutrient aspect–regulating rhythm.” Through multi-level and time-sequential intervention strategies, this system can effectively integrate modern approaches such as anti-inflammatory therapy, metabolic regulation, and chronotherapy, offering novel perspectives and theoretical references for the integrated Chinese and Western medicine management of osteoporosis. |
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