基于证素辨证探析绝经后骨质疏松症

Analysis on Postmenopausal Osteoporosis based on Syndrome Factor Differentiation

证素辨证是依据证候、辨别病位和病性证素、确定证名的三阶网络结构,其中证素是辨证关键,是具体诊断单元和证候病理本质。当前,绝经后骨质疏松症(PMOP)的中医诊断缺乏客观标准和规范,"肾虚"主导的病机辨证限制了诊断思路。将传统中医理论与证素辨证学结合,认为PMOP病机主要在肾,与肝、脾、气滞、血瘀、寒痰湿证素相关,即PMOP证素以肾为主,也存在脾、肝和血瘀、气滞、寒痰湿证素。除药物治疗外,绝经后的女性应加强身体锻炼和饮食调养,增加激素的分泌,避免感受风寒邪气,注意调护身体,提高免疫。

Syndrome factor differentiation is the third order network based on syndrome to identify the disease location,disease nature factors and the syndrome name,among which syndrome factor is the key and essence of concrete diagnostic unit and syndrome pathology.At present,the diagnosis of postmenopausal osteoporosis（PMOP） in traditional Chinese medicine lacks objective standard and specification.Pathogenesis of ＂kidney deficiency＂ limited the diagnostic thinking.Combining the theory of traditional Chinese medicine with the syndrome factor differentiation,it is believed that the location of PMOP mainly lies in the kidneys and is related to the liver,spleen,qi stagnation,blood stasis,coldness,phlegm and dampness.The syndrome factors of PMOP included the kidneys（mainly）,spleen,liver,blood stasis,qi stagnation,coldness,phlegm and dampness.Except for medication,postmenopausal should do more exercises,increase nutrition to improve hormone secretion,avoid the attacks of pathogenic wind and cold,regulate the body to improve immunity.