基于异病同治理论探讨肌少症与骨质疏松症的治疗原则  

Therapeutic Principles of Sarcopenia and Osteoporosis Based on the Theory of Treating Different Diseases with the Same Method

作　　者：谭国志 林贤灿 黄佳纯 蔡绍铭 万雷 黄宏兴 张志海 TAN Guo-zhi;LIN Xian-can;HUANG Jia-chun;CAI Shao-ming;WAN Lei;HUANG Hong-xing;ZHANG Zhi-hai(The Third Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405;The Third Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510378;Doctor Workstation,Jiexi Hospital of Traditional Chinese Medicine,Jieyang Guangdong 515400)

机构地区：[1]广州中医药大学第三临床医学院,广东广州510405 [2]广州中医药大学第三附属医院,广东广州510378 [3]揭西县中医医院博士工作站,广东揭阳515400

出　　处：《世界中西医结合杂志》2024年第6期1260-1264,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：国家自然科学基金面上项目(82274551);广东省研究生教育创新计划项目(2022XSLT013);广州中医药大学“双一流”与高水平大学学科协同创新团队重点项目(2021XK21);广东省中医药局科研项目(20231156);沃华科研基金资助项目(BYPDF2231206)。

摘　　要：“异病同治”是中医辨证论治的特点,是指不同的疾病在发展过程中出现性质相同的证型,因而可以采用同样的治疗方法。肌少症(Sarcopenia,SP)与骨质疏松症(Osteoporosis,OP)是老年人最常见的退行性疾病,同时发生时被称为肌少-骨质疏松症(Osteosarcopenia,OS),会造成跌倒、骨折、死亡等不良后果,严重影响患者的生活质量。基于对SP与OP的认识,文章从“异病同治”角度出发,分析SP与OP的共性病因病机,探索中医治疗SP、OP与OS的思路,为中医的临床应用提供参考。Treating different diseases with the same method is a characteristic of diagnosis and treatment in traditional Chinese medicine(TCM),which refers to the fact that patients with different diseases present the same syndrome,and thus can be treated in the same way.Sarcopenia(SP)and osteoporosis(OP)are common degenerative diseases in the elderly.The simultaneous occurrence of the two diseases,known as osteosarcopenia(OS),can cause adverse consequences such as fall,fracture,and death,seriously affecting the quality of life of patients.Based on the available knowledge about SP and OP,this article analyzes the common etiology and pathogenesis of SP and OP from the perspective of treating different diseases with the same method and explores the treatment of SP,OP,and OS with TCM,aiming to provide reference for the clinical application of TCM.

关 键 词：肌少症 骨质疏松症 异病同治 中医学 

分 类 号：R681[医药卫生—骨科学]