从“骨玄府⁃藏象”论骨质疏松症  

On osteoporosis from the perspective of"Gu Xuan Fu-Zang Xiang"

作　　者：吴结枝 黄海平 陈沙[1] 雷晓明[1] 刘平安[1] 张国民[1] WU Jiezhi;HUANG Haiping;CHEN Sha;LEI Xiaoming;LIU Pingan;ZHANG Guomin(Hunan University of Traditional Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南中医药大学,湖南长沙410208

出　　处：《中国骨质疏松杂志》2022年第8期1201-1204,共4页Chinese Journal of Osteoporosis

基　　金：国家自然科学基金面上项目(81973920);湖南省自然科学基金面上项目(2018JJ2297);湖南省教育厅科学研究重点项目(19A370,20A385)。

摘　　要：骨质疏松症(osteoporosis,OP)属于中医骨病的范畴,是一种涉及多脏腑、多器官的复杂病变,该病的发生主要由于肝脾肾亏虚、瘀血阻滞,与脏腑功能关系密切。通过学习中医学对病机的微观认识-玄府理论,认为骨玄府与骨质疏松症密切相关,而中医学论治OP多从宏观藏象学说之脏腑出发,在微观论治方面有待提高。脏腑功能变化引发的生理(精气血津液)及病理产物与玄府理论气机升降出入的气血津精液同属一源。故而本文将宏观藏象-脏腑-微观玄府以脏腑之变为介质,试探究OP的中医宏观、微观同病的病机,以丰富中医药对OP治疗思维的推进。Osteoporosis(OP)belongs to the category of bone diseases in traditional Chinese medicine,and it is a complex disease involving multiple organs and organs.The occurrence of OP is mainly due to deficiency of liver,spleen and kidney and blood stasis,which is closely related to the function of viscera.By studying the microscopic understanding of pathogenesis in traditional Chinese medicine-Xuan fu theory,it is considered that Gu Xuan Fu is closely related to osteoporosis,while the treatment of OP in traditional Chinese medicine is mostly based on the viscera of macroscopic viscera theory,and the microscopic treatment of OP still needs to be improved,while the physiological(essence,qi,blood and body fluid)and pathological products caused by the change of viscera function belong to the same source as the qi,blood and body fluid semen that goes up and down in Xuan fu theory.Therefore,in this paper,the macroscopic viscera-viscera-microscopic mysterious mansion is used as a medium to explore the pathogenesis of the macroscopic and microscopic diseases of OP in traditional Chinese medicine,so as to enrich the treatment thinking of OP by traditional Chinese medicine.

关 键 词：骨玄府 藏象 骨质疏松症 脏腑 中医理论 

分 类 号：R681[医药卫生—骨科学]