基于脾升胃降论治肌少症  

Treatment of Sarcopenia Based on Spleen Ascending and Stomach Descending

作　　者：胡淑彤 陈晓宏[2] HU Shutong;CHEN Xiaohong(Beicai Community Health Service Center,Pudong New Area,Shanghai 201204,China;Shuguang Hospital Affiliated to Shanghai University of traditional Chinese Medicine,Shanghai 200120,China)

机构地区：[1]上海市浦东新区北蔡社区卫生服务中心,上海201204 [2]上海中医药大学附属曙光医院,上海200120

出　　处：《实用中医内科杂志》2024年第1期99-101,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：上海市卫生健康委员会科研项目(20214Y0033)。

摘　　要：肌少症是一种常见的老年病,在中医上可归属于痿证范畴,目前治疗主要推荐营养疗法和运动锻炼,但营养配方因人而异,运动干预需长期坚持,疗效评定不一。基于中医对肌少症的认识,脾胃、营卫与四肢肌肉的密切联系,可利用脾升胃降理论,通过健脾胃、调营卫、兼顾他脏之则,借内治外治之法,使脾健胃和,气机调畅,营卫通利,则脏腑与四肢肌肉得以滋润濡养,功能得以改善和恢复,从而延缓肌少症的进展,有利于疾病向愈。Sarcopenia is a common senile disease,which can be classified as flaccidity syndrome in traditional Chinese medi-cine.At present,nutritional therapy and exercise are mainly recommended for the treatment,but the nutritional formula varies from person to person.The exercise intervention needs long-term adherence,and the curative effect evaluation is different.Based on the understanding of sarcopenia in traditional Chinese medicine,the close relationship between spleen and stomach and the muscles of the limbs can be achieved by utilizing the theory of spleen ascending and stomach descending.Through the princi-ples of strengthening spleen and harmonizing stomach,regulating Yin and Wei and taking into account other organs,the internal and external treatment can be used to harmonize spleen and stomach,regulate Qi flow,make Yin and Wei unobstructed and nour-ish the organs and muscles of the limbs.The function can be improved and restored,thereby delaying the progression of sarcope-nia and promoting the recovery of the disease.

关 键 词：肌少症 痿证 健脾和胃 调和营卫 气机升降 

分 类 号：R259[医药卫生—中西医结合]