骨质疏松症证候诊断

Syndrome diagnosis of osteoporosis

目的总结骨质疏松症的常见辨证分型及证候诊断。方法从大量公开发表的文献、期刊及其他相关资料进行辨证分型及症状统计,总结并比较分析骨质疏松症中医证型的累积频率,结合专业知识,筛选出骨质疏松症的常见辨证分型及其症状。结果按照累积频率的第25百分位数以上且出现相对频率由大到小共有7型,依次为肾阳亏虚型、肾阴亏虚型、瘀血阻络型、肝肾阴虚型、脾胃虚弱型、脾肾阳虚型和肾精亏虚型;通过剔除各证型累积频率为25%以下的症状和体征,得到各证型的主要症状和体征。结论肾阳亏虚证、肾阴亏虚证、瘀血阻络证、肝肾阴虚证、脾胃虚弱证、脾肾阳虚证和肾精亏虚证为骨质疏松症的常见证候。

Objective To summarize the common syndrome differentiation typing and syndrome diagnosis for osteoporosis. Methods The cumulative frequency of osteoporosis in Chinese syndrome differentiation was summarized and compared from published literatures, journal articles, and other relevant information. Common osteoporosis syndrome types were screened combined with our professional knowledge. Results Seven types appeared in accordance with the cumulative frequency of more than 25 percentile. They were syndrome of deficiency of kidney yang, syndrome of deficiency of kidney yin, syndrome of blood stasis, syndrome of yin deficiency of liver and kidney, syndrome of deficiency of spleen and stomach, syndrome of yang deficiency of spleen and kidney, syndrome of deficiency of kidney essence, consecutively. Main symptoms and signs were obtained after exclusion of symptoms and signs with cumulative frequency below 25 percentages in each syndrome type. Conclusion The most common osteoporosis syndrome types were syndrome of deficiency of kidney yang, syndrome of deficiency of kidney yin, syndrome of blood stasis, syndrome of yin deficiency of liver and kidney, syndrome of deficiency of spleen and stomach, syndrome of yang deficiency of spleen and kidney, syndrome of deficiency of kidney essence.