基于“骨肉不相亲”理论探讨骨质疏松症防治

Inquiry into the Prevention and Treatment of Osteoporosis Based on the Theory That"The Bones and the Muscles are Detached from Each Other"

骨质疏松症的主要病机为肌肉与骨骼功能失调,脾主肌肉,肾主骨,脾肾二脏相资相助,肾中精气可助脾之运化,脾气散精,又可滋养肾中精气,使人体骨骼肌肉强健有力,反之“骨不濡,则肉不能着”“骨肉不相亲,则肉软却”。说明肌肉与骨骼相关疾病,其根本在于脾肾失和,治疗需补肾壮骨,健脾强肌,从肌肉与骨骼两方面干预,在增加骨密度、提高骨强度的同时,还需要增加肌肉质量、提高肌肉力量。

The main pathogenesis of osteoporosis is dysfunction of muscles and bones.The spleen governs the muscles,and the kidney governs the bones,and the spleen and kidney help each other.The essence in the kidney can help transportation and transformation of the spleen.The spleen qi can dissipate essence,and nourish the essence in the kidney,and make the human skeleton and muscle strong and powerful.On the contrary,"if the bone is not wet,the meat cannot touch","if the bone marrow is not nourished by kidney qi,the muscle cannot be attached to the bone.""If the bones and the muscles are detached from each other,muscles will become flaccid and atrophic."These show that the root cause of muscle-bone related diseases lies in the disharmony of the spleen and kidney.The treatment needs to tonify the kidney and strengthen the bones,activate the spleen and strengthen the muscles,and intervene from the two aspects of muscles and bones.Besides increasing the bone density and bone strength,it is still necessary to increases the muscle quality and muscle strength.