从“治痿独取阳明”论治脾肾两虚型老年性骨质疏松症

Treatment of senile osteoporosis with spleen and kidney deficiency according to the theory of treating flaccidity through Yangming meridian

老年性骨质疏松症(senile osteoporosis,SOP)是一种以骨量减少和骨微结构破坏为特征的老年全身退化性骨病,以致骨的强度降低,骨脆性增加,骨折发生风险较高。SOP属于祖国医学中"骨痿"、"痿证"、"骨枯"等范畴,该病以肝、脾、肾三脏虚损为本,脾肾两虚证是SOP较为常见的证型。目前关于脾肾两虚型SOP是以肾虚为主要病机,补肾健骨成为主要治法,而从脾胃方面论治本病的相关研究较少。本文首次从"治痿独取阳明"角度论治脾肾两虚型SOP,补益中焦脾胃以益肾,并滋养脏腑,改善机体营养状况,为防治本病提供新的思路。

Senile osteoporosis(SOP)is a senile systemic degenerative bone disease characterized by decreased bone quality and microstructure destruction,Resultsing in increased bone fragility and high risk of fracture.In traditional Chinese medicine,SOP belongs to the categories of bone impotence,impotence syndrome,and bone deficiency.This disease is based on deficiency of the liver,spleen,and kidney.Deficiency of the spleen and kidney is a common syndrome type of SOP.At present,deficiency of the kidney is the main pathogenesis of spleen-kidney deficiency type SOP,and kidney tonification is the main treatment method.However,few studies have been conducted on the effect of the spleen and stomach on this disease.For the first time,we discuss the treatment of spleen-kidney deficiency SOP from the aspect of treating flaccidity through Yangming meridian,to supplement the spleen and stomach in the middle Jiao to benefit the kidney and to nourish the abdomens,and to improve the nutritional status of the body,and therefore,to provide new ideas for prevention and treatment of this disease in future.