名中医向楠补肾化痰方治疗绝经后骨质疏松症经验  

Professor XIANG Nan's experience in treating postmenopausal osteoporosis with Bushen Huatan prescription

作　　者：鲁志林 陈继东[1] 周广文[1] 曾明星[1] 司银梅[1] 文智琦 向楠[1] LU Zhilin;CHEN Jidong;ZHOU Guangwen;ZENG Mingxing;SI Yinmei;WEN Zhiqi;XIANG Nan(Hubei University of Chinese Medicine,Wuhan 430061,China)

机构地区：[1]湖北中医药大学,湖北武汉430061

出　　处：《陕西中医》2024年第5期687-690,共4页Shaanxi Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(82074416);第七批全国老中医药专家学术经验继承项目工作室(国中医药人教函2022-76号);湖北中医名师向楠工作室建设项目[鄂卫生计生通报(2018)15号]。

摘　　要：绝经后骨质疏松症(PMOP)是中老年女性最常见的代谢性骨病,属中医学“骨痿”“骨痹”“骨枯”等范畴。导师向楠教授总结自身多年临床经验,并结合现代医学对骨质疏松症的相关研究,在“肾虚骨枯”的基础上,提出“肾虚生痰”也是加重PMOP的重要因素,并自拟补肾化痰方,从“肾虚”与“痰浊”两方面着手,以菟丝子、淫羊藿、补骨脂三药补肾填精坚骨,全瓜蒌、山楂、红曲三药化痰调脂通络,补肾化痰,强筋壮骨,标本兼治,临床疗效显著。Postmenopausal osteoporosis(PMOP)is the most common metabolic bone disease in middle-aged and elderly women,which belongs to the categories of“bones flaccidity”,“bone rheumatism”and“bone withered”in traditional Chinese medicine.Professor XIANG Nan summarizes her clinical experience for many years,and combines with the related research of modern medicine on osteoporosis.On the basis of“kidney deficiency and bone withered”,she proposed that“kidney deficiency and phlegm”is also an important factor to aggravate PMOP,and self-made Bushen Huatan prescription.Starting from the two aspects of“kidney deficiency”and“phlegm turbidity”,using Cuscuta,Epimedium,and Morindae Officinalis to tonify kidney and fill in essence to strengthen the bones,and using Fructus Trichosanthis,Hawthorn,and Red Yeast Rice to dissolve phlegm and regulate the fat to dredge collaterals,to tonify kidney and dissolve phlegm,to strengthen tendons and bones,and to treat the symptom as well as the root cause,and the clinical therapeutic effect is remarkable.

关 键 词：绝经后骨质疏松症 肾虚 痰浊 补肾化痰方 名医经验 向楠 

分 类 号：R271.19[医药卫生—中医妇科学]