对骨质疏松症中医主要病机和现代病因学的认识与探讨

Discussion on the main pathogenesis in traditional Chinese medicine and etiology about primary osteoporosis

骨质疏松症是遗传因素和环境因素共同参与的多因素复杂疾病。中医对骨质疏松症的主要病机存在3种认识,即肾虚为本、脾虚为本、脾肾俱虚共为根本。在对骨质疏松症的主要病机存在分歧和争议的情况下,本文结合骨质疏松症现代病因学的研究结果,阐释了骨质疏松症肾虚为本、脾虚为本、脾肾俱虚共为根本3种认识的科学内涵,目的在于加强对骨质疏松症中医病机的理解,促进对骨质疏松症的中西医认识与沟通,并为提高中医防治骨质疏松症临床疗效提供参考与帮助。

Osteoporosis is characterized by reduced bone mass and impaired micro-architectural structure, leading to an increased susceptibility to fractures. It is a complex, multifactorial disorder resulting from genetic factors, environmental factors and gene-environment interactions. Currently there are three opinions on the main pathogenesis of primary osteoporosis in traditional Chinese medicine kidney deficiency, spleen deficiency, and spleen-kidney deficiency, in which disagreement remains. In this paper, the authors combine the modern etiology of osteoporosis to explain scientific connotation of the three opinions, aiming to comprehend the pathogenesis of primary osteoporosis and strengthen the communication between traditional Chinese medicine and Western medicine, and trying to evaluate the clinical curative effect on osteoporosis.