基于癸竭肾虚 阴阳失调 探析绝经后骨质疏松症发病机制及治疗思路  

Discussion on the Pathogenesis and Treatment of Postmenopausal Osteoporosis Based on Exhaustion of Kidney Deficiency and Imbalance of Yin and Yang

作　　者：龚国星 桂珣 GONG Guoxing;GUI Xun(Department of Orthopedics and Traumatology,Yichun Hospital of Traditional Chinese Medicine,Jiangxi Province,Yichun 336000,China)

机构地区：[1]宜春市中医院骨伤科,江西宜春336000

出　　处：《中国中医药现代远程教育》2025年第4期162-165,共4页Chinese Medicine Modern Distance Education of China

基　　金：江西省中医药管理局科技计划项目[No.2021B173]。

摘　　要：以“肾虚”立论,指导中医药预防及治疗绝经后骨质疏松症(PMOP),受到广泛的重视。但PMOP的发病机制和辨证思路值得进一步探讨研究。文章基于《黄帝内经》“天癸”及“阴阳”理论研究,从中医“骨痿”“骨痹”的概念特点出发,阐释PMOP是由天癸渐竭、肾精渐亏引发而来,癸竭肾虚、阴阳失调为此病发生的根本病机,补肾保癸、调理阴阳是预防及治疗此病的重要方法和原则。The theory of“kidney deficiency”to guide the prevention and treatment of postmenopausal osteoporosis has received exten-sive attention,while the pathogenesis and syndrome differentiation of postmenopausal osteoporosis are worthy of further study.Based on the theoretical study of“Tian-gui”and“yin and yang”in Huangdi Neijing and the concept characteristics of“atrophic debility of bones”and“bone bi-disease”in traditional Chinese medicine,this paper explained that PMOP is caused by the gradual exhaustion of Tian-gui and the gradual deficiency of kidney essence,the fundamental pathogenesis of this disease,and tonifying kidney to protect Tian-gui and regulating yin and yang are important methods and principles to prevent and treat this disease.

关 键 词：骨痿 骨痹 绝经后骨质疏松症 天癸 阴阳 

分 类 号：R259[医药卫生—中西医结合]