基于“少阳为枢”理论论治骨质疏松症  

Discussion About Treating Osteoporosis Based on the Theory of "Lesser Yang as the Pivot"

作　　者：豆均平 李现林[2] 宋鹏 DOU Junping;LI Xianlin;SONG Peng(The Second Affiliated Hospital to Henan University of Chinese Medicine,Henan Province Hospital of Traditional Chinese Medicine,Zhengzhou,Henan,China,450002;The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou,Henan,China,450001)

机构地区：[1]河南中医药大学第二附属医院,河南省中医院,河南郑州450002 [2]河南中医药大学第一附属医院,河南郑州450001

出　　处：《河南中医》2024年第1期29-31,共3页Henan Traditional Chinese Medicine

基　　金：2022年河南省重点研发与推广专项项目(222102310568)。

摘　　要：骨质疏松症为本虚标实之证,本虚为脏腑功能失调、气血阴阳失和,标实为痰瘀痹阻。少阳调控相火输布,温煦脏腑,使肝肾功能正常,化生精血,濡养骨骼,使骨坚硬。若“少阳为枢”功能失常,则肝胆、肾与三焦功能失调,导致脏腑-经络-骨骼失衡,发为骨质疏松症。治疗可和解少阳以调和脏腑,方用柴胡桂枝汤加减;调和气血、补益肝肾,药选当归、熟地黄、牛膝、骨碎补、淫羊藿等,再以少阳引经药柴胡疏利肝胆,通畅全身气机,加黄芪、党参等补气药物化生气血,以补胆气,兼以川楝子、延胡索等理气药通畅三焦之气,调畅全身水液代谢。通过和解少阳,疏通少阳经络,促进邪气转出,使“少阳为枢”功能正常,最终起到治疗骨质疏松症的作用。Osteoporosis is the syndrome of deficient root cause and excessive manifestation.The deficient root cause is due to the dysfunction of zang-fu organs,and disharmony of qi and blood,yin and yang.Excessive manifestation refers to stagnated phlegm and stasis.Lesser yang regulates the ministerial fire′s transportation and distribution,warms zang-fu organs,makes the liver-kidney function normally,transforms and generates essence and blood,nourishes and strengthens bones.If the function of "lesser yang as the pivot" is abnormal,the function of the liver,gallbladder,kidney and the triple energizer is dysfunctional,leading to the imbalance of zang-fu organs-meridians-bones,then osteoporosis will occur.For reconciling the zang-fu organs by harmonizing lesser yang,Modified Bupleurum and Cinnamon Twig Decoction can be used.For regulating qi and blood,tonifying the liver and kidney,Danggui(Radix Angelicae Sinensis),Shudihuang(Radix Rehmanniae Praeparata),Niuxi(Radix Achyranthis Bidentatae),Gusuibu(Rhizoma Drynariae),Yinyanghuo(Herba Epimedii),etc.can be used;in addition,lesser yang meridian-inducing drugs can be adopted to disperse the liver,gallbladder,dredge the qi movement of the whole body.Qi-tonifying drugs,such as Huangqi(Radix Scutellariae),Dangshen(Radix Codonopsis),etc.can be added to transform and generate qi and blood,tonify gallbladder qi.Qi-regulating drugs,such as Chuanlianzi(Fructus Toosendan),Yanhusuo(Rhizoma Corydalis),etc.can be added to dredge qi of the triple energizer,and smooth the metabolism of fluids throughout the body.By reconciling lesser yang,dredging lesser yang meridians,driving pathogenic qi out,the function of "lesser yang as the pivot" is normal,and it finally plays a role in the treatment of osteoporosis.

关 键 词：骨质疏松症 “少阳为枢” 和解少阳 调和气血 通达经络 

分 类 号：R222.2[医药卫生—中医基础理论]