由“肝主疏泄调畅情志”探讨情志病与骨质疏松的相关性  

To explore the correlation between emotional diseases and osteoporosis based on“the liver hosts the dispersing and discharging functions and plays a key role in smoothing and regulating emotions”

作　　者：张泽臣 黄海 蒋欣 杨小龙 黄振 李威 叶佰盛 陈琪 丰杰 史晓林 ZHANG Zechen;HUANG Hai;JIANG Xin;YANG Xiaolong;HUANG Zhen;LI Wei;YE Baisheng;CHEN Qi;FENG Jie;SHI Xiaolin(The Second Clinical Medical School,Zhejiang University of Traditional Chinese Medicine,Hangzhou 310053;The Second Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine,Hangzhou 310005,China)

机构地区：[1]浙江中医药大学第二临床医学院,浙江杭州310053 [2]浙江中医药大学附属第二医院,浙江杭州310005

出　　处：《中国骨质疏松杂志》2024年第6期858-862,共5页Chinese Journal of Osteoporosis

基　　金：国家自然科学基金(82074183);浙江省自然科学基金(LZ22H270002);浙江省中医药科技计划中医药现代化专项基金(2020ZX009)。

摘　　要：在中医学理论中,肝主疏泄,调畅情志是肝非常重要的生理功能,而不良的情志因素又会对肝以及其他脏腑产生影响,从而引起或加重骨质疏松。随着人口老龄化现象的增加,骨质疏松作为老年人常见疾病之一,患者数量也显著增加。情志因素带来的心理类疾病如抑郁症、焦虑症引起人们的关注。情志病和骨质疏松症在老年人群体中都是好发疾病,且两者的病因病机具有一定的相关性,所以对于两者的同时干预会产生积极的收益。笔者基于“肝主疏泄调畅情志”理论,通过中国知网、万方、PubMed等搜索国内外文献,结合国内外研究,发现情志因素跟肝主疏泄的功能之间存在密切联系。肝主疏泄功能正常,有助于调节情志,使气机通,气血畅,五脏得以濡养,使骨保护内脏、支撑身体的功能正常,对于骨质疏松的防治具有积极意义。该文初步探讨了情志因素与骨质疏松症之间的关系,为临床论治骨质疏松提供一些防治思路。According to the theory of traditional Chinese medicine,that the liver hosts the dispersing and discharging functions and plays a key role in smoothing and regulating emotions is a very important physiological function of the liver,and bad emotional factors will affect the liver and other viscera,thereby causing or aggravating osteoporosis.With the increase of population aging,osteoporosis is one of the common diseases in the elderly,and the number of patients has also increased significantly.Psychological diseases caused by emotional factors,such as depression and anxiety,have attracted people's attention.Emotional diseases and osteoporosis are common diseases in the elderly population,and the etiology and pathogenesis of the two have a certain correlation,so the intervention of the two at the same time will produce positive benefits.Based on the theory of"liver-dominant and cathartic regulation of emotions",this paper searched domestic and foreign literature through CNKI,Wanfang,PubMed,and combined with domestic and foreign research,and found that there was a close relationship between emotional factors and the function of liver-dominant and cathartic regulation.The normal function of the liver is helpful to regulate the emotions,make the qi unobstructed,qi and blood unblocked,and the five zang organs can be rustled,so that the bone protects the internal organs and supports the normal function of the body,which has positive significance for the prevention and treatment of osteoporosis.This article preliminarily discusses the relationship between emotional factors and osteoporosis,and provides some prevention and treatment ideas for clinical treatment of osteoporosis.

关 键 词：肝主疏泄调畅情志 情志 骨质疏松 中医中药 

分 类 号：R259[医药卫生—中西医结合] R589.5[医药卫生—中医内科学]