基于“骨肉不相亲”理论探讨肌少症与骨关节炎关系  

Exploring Relationship between Sarcopenia and Osteoarthritis Based on Theory of“No Relationship between Flesh and Bone”

作　　者：齐鹏坤[1,2] 侯德才[2] 吕艳芳 王一品[2] 于冬冬[2] QI Pengkun;HOU Decai;LYU Yanfang;WANG Yipin;YU Dongdong(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China;The Fourth People’s Hospital of Shenyang,Shenyang 110031,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032 [3]沈阳市第四人民医院,辽宁沈阳110031

出　　处：《中华中医药学刊》2024年第12期189-193,共5页Chinese Archives of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(82374480);辽宁省教育厅科学研究经费项目(L202032);沈阳市科技计划项目(22-321-34-10)。

摘　　要：目的在“骨肉不相亲”中医理论基础上对肌肉减少症和骨关节炎(osteoathritis,OA)的相关性研究进行综述。方法查阅国内外肌少症和OA的大量相关研究文献,从中医理论角度对两者的相关性进行总结。结果肌少症合并骨关节炎的本质在于脾肾功能不足,肾主骨生髓,脾主四肢肌肉,在治疗上,关键是通过“补肾壮骨,健脾生肌”的方法来防止疾病的传变。结论为防治肌少症和OA提供新的中医临床和科研思路,尽管对于两者关系的阐述仍需进一步地研究,但从中医理论的角度切入,将会为中医药治疗肌少症和OA提供更多理论基础。Objective To review the correlation between sarcopenia and steoarthritis(OA)based on the theory of“no relation-ship between flesh and bone”.Methods A large number of related literatures about sarcopenia and OA were reviewed,and the correlation between them was summarized from the perspective of TCM theory.Results The essence of sarcopenia complicated with OA lies in the insufficiency of spleen and kidney function.Kidney is in charge of bone and marrow,and spleen is in charge of limbs and muscle.In the treatment,the key is to prevent the disease from changing by the method of“tonifying kidney and strengthening bone,invigorating spleen and promoting muscle”.Conclusion This article provided a new TCM clinical and scien-tific research ideas for the prevention and treatment of sarcopenia and OA.Although the relationship between them still needs fur-ther study.From the perspective of TCM theory,it will provide more theoretical basis for the treatment of both diseases.

关 键 词：骨肉不相亲 肌少症 骨关节炎 中医理论 

分 类 号：R274[医药卫生—中医骨伤科学]