中医药助力骨健康视域下的脊柱退行性疾病防治策略  

trategies for prevention and treatment of spinal degenerative diseases from perspective of traditional Chinese medicine for bone health

作　　者：李玲慧[1,2] 魏戌 朱立国[1,2] 章轶立 王尚全[1,2] 孙凯 齐保玉 秦晓宽[1] 王晓阳 陈明 刘治泽 LI Ling-hui;WEI Xu;ZHU Li-guo;ZHANG Yi-li;WANG Shang-quan;SUN Kai;QI Bao-yu;QIN Xiao-kuan;WANG Xiao-yang;CHEN Ming;LIU Zhi-ze(Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China;Bejing Key Laboratory of Orthopaedic Technology of Traditional Chinese Medicine,Beijing 100102,China;School of Integrated Chinese and Western Medicine,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]中国中医科学院望京医院,北京100102 [2]中医正骨技术北京市重点实验室,北京100102 [3]南京中医药大学中西医结合学院,江苏南京210023

出　　处：《中国中药杂志》2024年第21期5681-5685,共5页China Journal of Chinese Materia Medica

基　　金：中国工程院战略研究与咨询重点项目(2024-XZ-61,2024-XZ-61-02);北京市科技新星交叉合作课题(20220484228);国家重点研发计划项目(2021YFC1712800,2021YFC1712802);国家自然科学基金面上项目(82474544);中国中医科学院优秀青年科技人才培养专项(ZZ17-YQ-014,ZZ13-YQ-039)。

摘　　要：伴随老龄化社会与信息化时代的到来,脊柱退行性疾病发病率逐年攀升,造成严重社会及经济负担。在筋骨理论指导下,中医药在脊柱退行性疾病的预防与诊疗实践中积累了丰富的经验,展现出独特优势。国家把保障人民健康放在优先发展的战略位置,为实现健康老龄化提供了有利发展环境。《“健康中国2030”规划纲要》倡议开展健康骨骼专项行动,而我国正面临人口结构转型的重要时期,结合国家健康战略需求与中医药特色优势,“中医药助力骨健康计划”应运而生。该文详细论述了该计划提出的时代背景和意义,并在“五体”理论的启发下,结合骨健康相关疾病自身的特点,构建了以“筋-脉-肉-骨-髓”为主要脉络的骨健康理论体系。该理论框架的构建从中医学整体观出发,不仅体现了中医对肌肉骨骼系统结构层次和功能联系的认识,更有利于开展疾病发生发展规律及中医药疗效机制相关研究,既从横向视角关注骨健康视域下的共病研究,也从纵向视角认识疾病的发生、发展和转归。在慢性退行性疾病的管理上,除了关注疾病本身的治疗,更加注重疾病防控体系的建设和完善。该文对中医药在脊柱退行性疾病“预防、诊断、治疗、康复、养生”全流程中的特色优势加以梳理,以期丰富中医筋骨理论的内涵,为中医药临床实践提供思路和实施策略,最终实现脊柱退行性疾病诊疗防控全程的有效管理。The population aging and the coming of the information era are accompanied with the growing incidence of spinal degenerative diseases,which result in heavy social and economic burdens.Under the guidance of the tendon-bone theory,rich experience has been accumulated in the prevention and diagnosis of spinal degenerative diseases with traditional Chinese medicine(TCM),which demonstrates unique advantages.China′s government has placed people′s health in the strategic position of development,providing a favorable environment for the realization of healthy aging.The Healthy China 2030 advocates special actions for healthy bones.As China is facing an important period of demographic transition,the Traditional Chinese Medicine for Bone Health Program has emerged,combining the needs of the national health strategy and the advantages of TCM.This paper discusses the background and significance of the program.According to the theory of five body constituents and the characteristics of musculoskeletal system diseases,this paper constructs a theoretical system of"tendon-meridian-muscle-bone-marrow"to explain the structure and function of the musculoskeletal system.From the holistic view of TCM,this system shows not only the structure and function of the musculoskeletal system but also the patterns of disease development and the mechanism of TCM treatment.The system facilitates the research on not only the comorbidities related to bone health but also the occurrence,development,and outcome of diseases.In the management of chronic degenerative diseases,attention should be paid to the establishment and improvement of the disease prevention and control system in addition to the disease treatment alone.Finally,this paper introduces the characteristic advantages of TCM in the whole process of prevention,diagnosis,treatment,rehabilitation,and health maintenance of spinal degenerative diseases,aiming to enrich the connotation of the tendon-bone theory,provide ideas and implementation strategies for TCM clinical practice,and ultima

关 键 词：骨健康 筋骨理论 脊柱退行性疾病 中医药 

分 类 号：R274.9[医药卫生—中西医结合]