陈渭良基于伏瘀在骨论治绝经后骨质疏松病经验  

Chen Wei-liang's experience in treating postmenopausal osteoporosis based on the theory of volatile blood stasis in the bones

作　　者：陈科 何沛聪 陈逊文[1] CHEN Ke;HE Peicong;CHEN Xunwen(The Eighth Clinical Medical College of Guangzhou University of Traditional Chinese Medicine/Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong 528000,China)

机构地区：[1]广州中医药大学附属第八临床医学院/佛山市中医院,广东佛山528000

出　　处：《四川中医》2024年第4期9-13,共5页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：总结陈渭良教授基于伏瘀在骨理论治疗绝经后骨质疏松病的临床经验。认为伏瘀在骨理论乃伏邪理论在骨伤科的延伸运用,通过大量临床经验及经典古籍研究,发现伏虚热、伏寒湿、伏淤血为骨质疏松病的关键伏邪,并提出女子在骨质疏松症的病位重点在脾胃。临床常以起瘀透邪为基本治法,以脾胃气血为核心,兼以活血、利湿、清热,以期起透伏邪,促进气血布散,填髓养骨,减缓骨质流失。The clinical experience of Professor Chen Weiliang in treating postmenopausal osteoporosis based on the theory of ambulatory stasis in the bone is summarised.It is believed that the theory of amblyopia is an extension of the theory of amblyopia in orthopaedics and traumatology.Through a large number of clinical experiences and studies of classical texts,it is found that amblyopia with deficiency heat,amblyopia with cold and dampness,and amblyopia with stagnant blood are the key amblyopia in osteoporosis,and it is proposed that women's disease in osteoporosis focuses on the spleen and the stomach.Clinical treatment is often based on the basic treatment of raising blood stasis and transmitting evils,with the spleen and stomach qi and blood as the core,and the concurrent use of blood activation,diuresis,and heat purification,with a view to raising and transmitting the ambient evils,promoting the dispersion of qi and blood,filling in the marrow and nourishing the bones,and slowing down the loss of bone mass.

关 键 词：伏瘀在骨 绝经后骨质疏松 关节疼痛 伏虚热 伏寒湿 伏瘀血 

分 类 号：R249[医药卫生—中医临床基础] R271.116[医药卫生—中医学]