中医“治未病”思想与骨质疏松症防治探讨  

Discussion on TCM "Preventive Treatment of Diseases" as Well as Prevention and Treatment of Osteoporosis

作　　者：李伟杰 梁润英[1] LI Weijie;LIANG Runying(Henan University of Chinese Medicine,Zhengzhou Henan China 450003)

机构地区：[1]河南中医药大学

出　　处：《中医学报》2019年第12期2516-2520,共5页Acta Chinese Medicine

基　　金：河南省中医药科学研究专项课题项目(2018-ZYZD12)

摘　　要："治未病"思想体现了中医理论中"以人为本"的思想理念,具有规范、系统、个体化的辨证论治优势。骨质疏松症是当今世界新的"生物-心理-社会医学"模式下普遍存在的医疗和健康问题,根据其发生发展规律,完全可以把中医"治未病"理念应用于该病防治的始终。①未病先防,摄生保健:固肾、健脾、养肝;②欲病救萌,防微杜渐:对处于微而未显"欲病"期的骨质疏松症患者而言,要秉承"三早"原则,即早发现、早诊断、早治疗;③既病防传,病盛防危:对既病期骨质疏松症患者,采用中医辨证论治的方法,既要个体化精准治疗,又要防止其传变,减少并发症,阻止危重症的发生,降低致残率、致死率;④新愈防复,久愈调理:积极采取巩固治疗,促进脏腑功能恢复,不仅要防复,更应该注意调理,确保机体康复,以期邪尽病愈、病不复发。The idea of"preventive treatment of disease"embodies the ideological concept of"human-oriented"in TCM theory,and it has the advantages of normative,systematic and individualized differentiation of syndrome differentiation.Osteoporosis is a common medical and health problem in the new"biological-psychological-social medicine"model in the today’s world.According to its law of development,it is possible to apply the concept of"preventive treatment of disease"of traditional Chinese medicine to the prevention and treatment of this disease:(1)carrying out disease prevention and health care:tonifying Kidney,Spleen and Liver;(2)treating the disease in the early stage to prevent from its development.As for patients with osteoporosis in the micro-insignificant period,the"three Early"principle should be adhered to,namely,early detection,early diagnosis,early treatment;(3)prevention the transmission of the disease and avoiding risk with serious disease:As for patients with osteoporosis disease,TCM syndrome differentiation and treatment methods should be used,not only with individualized precision treatment,but also preventing its transmission and reducing complications to prevent the occurrence of critical illness,and to reduce the rate of morbidity and mortality;(4)avoiding the reoccurrence of the newly healing disease and carrying out long-term physical conditioning:actively adopting consolidation treatment to promote the recovery of the Zang and Fu functions,not only prevent the disease from happening again but also pay attention to physical conditioning to ensure the body’s thorough recovery.

关 键 词：“治未病” 骨质疏松症 肾虚证 肝虚证 脾虚证 

分 类 号：R274.9[医药卫生—中西医结合]