由“阳明火旺、肾水不足”探讨糖尿病性骨质疏松症的中医药治疗
Discussion on the treatment of diabetic osteoporosis with traditional Chinese medicine based on“Excessive fire in yangming and insufficient water in the kidneys”
  
DOI:10.3969/j.issn.1006-7108.2025.12.011
中文关键词:  糖尿病性骨质疏松症  中医药  阳明火旺,肾水不足  脾肾相关
英文关键词:diabetic osteoporosis  traditional Chinese medicine  yangmingfire,kidney water deficiency  spleen and kidney related
基金项目:国家自然科学青年基金(82004229);中国博士后科学基金面上资助“地区专项支持计划”(2021MD703844);中国博士后科学基金特别资助(站中)(2022T150285);2024年度辽宁省教育厅高校基本科研项目储备项目(2024-JYTCB-071);辽宁省科技计划联合计划(基金)项目(面上项目)(2024-MSLH-295)
作者单位
唐泊文1,2 王静1 朱克3 栾祥威1 郑洪新1* 王庆谚1,2* 1.辽宁中医药大学,辽宁 沈阳110847 2.辽宁中医药大学中医脏象理论及应用教育部重点实验室,辽宁 沈阳110847 3.辽宁中医药大学第四附属医院,辽宁 沈阳110101 
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中文摘要:
      糖尿病性骨质疏松症(diabeticosteoporosis,DOP)是糖尿病常见的慢性骨骼并发症。中医学认为DOP是“消渴”合并“骨痿”的范畴,其病因病机联系紧密。目前,针对DOP研究具有多样性和模糊性的特点,本文将基于清代医家陈士铎“阳明火旺,肾水不足”的中医理论,从中、西医学认识DOP病因病机的角度出发,探究中医药从脾肾相关理论治疗DOP的有效方法,以期为今后的基础和临床研究理清思路、开拓方向。
英文摘要:
      Diabetic osteoporosis (DOP) is a common chronic skeletal complication of diabetes mellitus. According to Chinese medicine, DOP is a category of “thirst-quenching” combined with “bone impotence”, and its etiology and pathogenesis are closely related. Currently, the research on DOP is characterized by diversity and ambiguity. Based on the Chinese medicine theory of Chen Shiduo of the Qing Dynasty, which states that “Yangming fire is strong and kidney water is insufficient”, this paper explores the effective methods of treating DOP from the spleen and kidney related theories in Chinese medicine from the perspective of the etiology of DOP in both Chinese and Western medicine. It is hoped that this study will clarify the ideas and develop the direction for future basic and clinical research.
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