骨质疏松症的病因病机及其防治探讨

Discuss on Pathogenesis and Prevention of Osteoporosis

人体内十二正经逐级分支别出许多络脉,分布于骨骼周围,向骨骼渗灌气血、津液、精以营养骨骼,这些络脉称为骨络。骨络失养是骨质疏松症的主要病机,导致骨络失养的根本原因有肾精不足、骨络空虚及骨络瘀痹,临床表现为腰背、四肢、胫膝疼痛,齿摇脱落,龟背,甚或易骨折等。骨质疏松症治疗除补肾生髓养骨外,还应重视对骨络空虚及骨络瘀痹的治疗,选择补血充络及化瘀通络的药物达到络充及络通的目的。骨质疏松症的预防,一要节欲惜精,精足髓旺;二要谨和五味,五味和则“骨正筋柔,气血以疏,腠理从密”;三应饮食有度,起居有节。

Bone collateral branches of the large channel are distributed around bones and serve as the paths for the flow of qi and blood. Dystrophy of bone collateral branches maybe the major etiological factor of osteoporosis. Kidney-essence deficiency, stagnation of bone collateral branches may lead dystrophy of bone collateral. The syndromes include lumbodorsal pain, luxated tooth and bone fracture. The treatment principles include invigorating the kidney to strengthen the bone, removing the stasis in collateral branches and blood. Continence and life regularity are necessary for osteoporosis prevention.