从脾肾探讨中医对肌少症的认识与研究进展

Understanding and Research Progress of TCM on Sarcopenia from Perspective of Spleen and Kidney

随着社会人口老龄化,老年人的健康成为越来越重要的公共卫生问题。肌少症是以老年患者肌肉力量减弱、质量下降和功能减退为主要表现的退行性衰弱病变,“骨肉不相亲”,肌少症患者常伴发骨质疏松症,增加跌倒、骨折风险,因此积极防治肌少症对老年患者疾病的预后及生活质量改善有重要意义。但是西医目前尚无专门针对肌少症治疗的药物,而中医文化源远流长,在经典医藉中就有关于“痿证”“虚劳”等病的相关记载,现代医家也对肌少症的病因病机及治疗有其独特见解。肾为先天之本,脾为后天之本,笔者将从脾肾探讨中医对肌少症的认识及研究进展,以期为肌少症的治疗提供更多思路与方法。

With the aging of the social population,the health of the elderly has become an increasingly important public health issue.Sarcopenia is a degenerative and debilitating disease mainly manifested by weakened muscle strength,quality and function in elderly patients.Therefore,the active prevention and treatment of sarcopenia is of great significance to the prognosis of elderly patients and the improvement of quality of life.However,there is currently no specific drug for the treatment of sarcope-nia in Western medicine,and traditional Chinese medicine has a long history.There are relevant records about diseases such as"atrophy syndrome"and"consumption of labor"in classic medical books.Moderm physicians also have their own unique in-sights about sarcopenia.The kidney is the innate foundation,and the spleen is the acquired foundation.The author discussed the understanding and research progress of TCM on sarcopenia from spleen and kidney in order to provide more ideas and methods for the treatment of sarcopenia.