从“因虚致瘀”论原发性骨质疏松症病机  

Pathomechanism of Primary Osteoporosis Based on the Theory of Stasis Caused by Deficiency

作　　者：史晓林 梁博程 李春雯[2] SHI Xiao-lin;LIANG Bo-cheng;LI Chun-we(Department of Osteology,The Second Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou (310005);College of Basic Medical Science,Zhejiang Chinese Medical University,Hangzhou (310053))

机构地区：[1]浙江中医药大学附属第二医院骨伤科,杭州310005 [2]浙江中医药大学基础医学院,杭州310053

出　　处：《中国中西医结合杂志》2019年第1期111-114,共4页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：国家自然科学基金面上项目(No.81373878;No.81573754);国家中医药管理局中医药行业科研专项(No.201307010);浙江省中医药科技计划(No.2013ZB128)

摘　　要：原发性骨质疏松症临床症状隐匿,并发症严重,致死率高。我国历代医家在"骨枯"、"骨痿"、"骨蚀"、"骨极"、"骨痹"等中医病症中均有阐述,"肾主骨髓"可谓其辨证之根基。当前医家对于该病中医病机辨证阐述繁琐、复杂,笔者在临床实践中,结合老年人的体质特点,从"虚"、"瘀"两方面辨证,提出"因虚致瘀理论",虚、瘀作为该病病机辨证的基本点,以脏腑辨证为基础,以精、气、血辨证为关键,强调精气血虚与气滞血瘀两方面辨证结合。The symptoms of primary osteoporosis are not easy to diagnose. Primary osteoporosis has serious complications which lead to higher mortality. The understanding of the traditional Chinese medicine on primary osteoporosis can refer to the "bone wilting", "desiccated bone", "bone erosion", "extreme of the bone" and "bone impediment". The major pathogenesis of primary osteoporosis is "Shen nourishes the bone marrow". There are a lot of theories about causes of osteoporosis, so the pathomechanism of osteoporosis is very cumbersome and complex. The stasis and deficiency are the main features of constitution in the elderly. The stasis and deficiency are the basic point in the syndrome differentiation of primary osteoporosis. The differentiation of Zang and Fu is the basis of syndrome differentiation of primary osteoporosis. Essence, Qi, Blood are the key factors in the syndrome differentiation of osteoporosis. Both deficiency of Essence, Qi and blood, Qi stagnation and blood stasis should be combined with each other in the syndrome differentiation of primary osteoporosis. Therefore, we think that " the Theory of Stasis Caused by Deficiency" is beneficial to the prevention and treatment of osteoporosis.

关 键 词：因虚致瘀 原发性骨质疏松 病机 

分 类 号：R259[医药卫生—中西医结合]