从脾论治强直性脊柱炎骨代谢失衡理论探讨  

Theoretical discussion about the treatment of ankylosing spondylitis bone metabolism imbalance on the basis of spleen in taditional Chinese medicine

作　　者：汪四海[1] 刘健[1] 张金山[2] 

机构地区：[1]安徽中医药大学第一附属医院,合肥230031 [2]安徽省太和县中医院,太和236600

出　　处：《中华中医药杂志》2013年第8期2233-2235,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药重点学科中医痹病学建设项目(No.国中医药发[2009]30);安徽省2011年科技计划项目(No.11010402170);安徽省科技厅科研计划项目(No.09020304046);安徽省卫生厅中医药科研项目(No.2009ZY05);安徽中医学院科技创新团队项目(No.2010TD005);中国中医科学院自主选题团队建设~~

摘　　要：强直性脊柱炎(AS)合并骨代谢失衡已成为近年来研究的热点,骨代谢失衡贯穿于AS的发生、发展整个过程,故骨代谢失衡在AS的发生、发展中起重要作用。西医在治疗上缺乏特效药,中医根据其病因病机与肝脾肾密切相关,肝主筋,肾主骨,脾主四肢、肌肉,AS的病机以脾虚为先,脾气健运,肝肾充养,筋骨强壮,诸病不生;若脾气亏虚,肝失濡养,肾失所藏,则筋骨失养,痹证乃生。同时,脾虚贯穿于AS骨代谢异常的始终,前期以脾虚为基础,后期则出现脾肾两虚,从而提出了从脾论治AS骨代谢失衡,也为临床治疗该病提供理论依据。Ankylosing spondylitis （AS） bone metabolism imbalance has become the focus of research in recent years. Bone metabolism imbalances throughout the occurrence and development of AS so that bone metabolism imbalances in the occurrence and development of ankylosing spondylitis plays an important role which lacks of specific medicine in Western modem medicine. Liver, spleen and kidney deficiency have close relationships with the onset of AS： the pathogenesis of AS is spleen deficiency at first. If spleen qi is enough, liver and kidney is raised. Thus strong bones and muscles are possessed so that the disease is not born. If spleen qi is not enough, the liver is lost moisten and the kidney is lost hidden, Thus strong bones and muscles are not possessed so that Bi Zheng is born. Meanwhile, the spleen deficiency of traditional Chinese medicine always throughout bone metabolism disorder of AS： bone metabolism imbalance of AS is related to spleen and kidney deficiency which is on basis of the spleen deficiency early and appears both spleen and kidney deficiency later. Therefore, theoretical discussion about the treatment of Ankylosing Spondylitis bone metabolism imbalance on the basis of spleen in taditional Chinese medicine is put forward, which orovides theoretical basis for the diseases.

关 键 词：强直性脊柱炎 骨代谢失衡 脾 中医理论 

分 类 号：R259[医药卫生—中西医结合]