向楠基于络病学说从“痰”论治骨质疏松症经验

Xiang Nan’s Experience in Treatment of Osteoporosis from“Phlegm”based on the Theory of Collateral Disease

骨质疏松症引起的骨痛、骨折等并发症严重影响中老年人的健康及生活质量,络病学说理论指出骨络是分布于骨骼中的络脉,起着运行气血、温煦濡养骨组织的作用,向楠教授基于络病学说理论,阐述了络病-痰浊-骨质疏松症之间的关系,指出骨质疏松症病位在骨络,'痰浊'是重要致病因素,'肾精不足、骨络空虚,痰阻络滞、骨失所养'是基本病机,提出从'痰'论治骨质疏松症理论并进行临床探讨和实验研究,提出'补肾化痰通络'治疗骨质疏松症的新治则,以期丰富骨质疏松症中医病因病机学理论,为骨质疏松症的中医治疗方法提供新的理论依据。

Complications such as bone pain and fracture caused by osteoporosis seriously affect the health and quality of life of middle-aged and elderly people.The theory of collateral disease points out that the collaterals are the collaterals distributed in the skeleton and play the role of running qi and blood,warming and moistening bone tissue.Based on the theory of collateral disease,Professor Xiang Nan expounded the relationship between collateral disease,phlegm turbidity and osteoporosis.It is pointed out that osteoporosis is located in bones and collaterals,phlegm turbidity is an important pathogenic factor,and deficiency of kidney essence,emptiness of bones and collaterals and phlegm blocking collaterals are the basic pathogenesis.The theory of treating osteoporosis with phlegm is put forward,and clinical and experimental studies are carried out.In order to enrich the theory of etiology and pathogenesis of osteoporosis in traditional Chinese medicine(TCM)and provide a new theoretical basis for the treatment of osteoporosis in TCM,a new therapeutic principle of'invigorating kidney,resolving phlegm and dredging collaterals'was proposed.