基于骨伤经典文献考掘的骨质疏松中医外治思路探微  

Traditional Chinese Medicine External Treatment of Osteoporosis Based on Classical Literature of Bone Injury

作　　者：吴凡 范家诺 李汪洋 陈泽霖 林菲阳 王泽桐 蔡泽京 孙永章 刘立安[1] WU Fan;FAN Jia-nuo;LI Wang-yang;CHEN Ze-lin;LIN Fei-yang;WANG Ze-tong;CAI Ze-jing;SUN Yong-zhang;LIU li-an(Beijing University of Chinese Medicine,Beijing 100029;Yang Reinforcing Committee,World Federation of Chinese Medicine Societies,Beijing 100101;China Association of Chinese Medicine,Beijing 100029)

机构地区：[1]北京中医药大学,北京100029 [2]世界中医药学会联合会扶阳专业委员会,北京100101 [3]中华中医药学会,北京100029

出　　处：《世界中西医结合杂志》2025年第2期246-250,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：北京中医药大学“岐黄英才·优秀青年科技人才培育计划”(K2023D01);中华中医药学会青年人才托举工程项目(CACM-2021-QNRC2-B09);北京中医药大学校内课题(BUCM-2023-JS-ZX-005;BUCM-2023-JS-ZX-006)。

摘　　要：目的 探讨中医在骨质疏松症治疗中的外治方法,以期为临床提供新的综合治疗方案。方法 文中从中医“内外合治”的思想出发,深入挖掘古籍文献,结合五体理论中的临证思路,分析中医外治用药的方向和有效治疗靶位。通过古籍梳理与统计,具体列举了骨碎补、生地黄、葛根、当归、白芥子等药物,并整合相关经络腧穴,探讨中药外治的重点靶位。同时,分析了八段锦“背后七颠百病消”的功用与骨质疏松病机的契合。结果 基于对骨伤经典文献的考掘,构建了一个立体的骨质疏松中医外治思路。通过古籍文献的整理与现代医学实证研究的结合,提出了一系列针对性的传统功法和药物应用。结论 可有效弥补西医治疗和中医内服药在骨质疏松症治疗上的不足,为骨伤科临床提供了新视角下的综合实践治疗方案,具有重要的参考价值。Objective With the aging population,osteoporosis has become a significant public health issue in China.This article aims to explore external treatment methods in traditional Chinese medicine(TCM)for osteoporosis,with the goal of providing new comprehensive treatment options for clinical practice.Methods Starting from the TCM concept of"internal and external treatment in combination",this article delves into ancient texts,combining clinical thinking from the""five body constituents"theory,to analyze the directions and effective treatment targets for TCM external treatment.By reviewing and statistically analyzing ancient literature,specific drugs such as Drynariae Rhizoma,Rehmanniae Radix,Puerariae Lobatae Radix,Angelicae Sinensis Radix,and Sinapis Semen are listed,alongside relevant meridians,collaterals,and acupoints,to discuss key treatment targets for external treatment.Additionally,the function of the Baduanjin exercise(Seven Bumps on the Back Cure All Diseases)is analyzed,examining its relevance to the pathogenesis of osteoporosis.Results Based on the examination of classical texts on bone injury,a three-dimensional approach to TCM external treatment for osteoporosis was established.By organizing ancient literature and combining it with modern medical empirical research,a series of targeted traditional techniques and drug applications were proposed.Conclusion This approach effectively complements the shortcomings of Western medicine and TCM internal medication in the treatment of osteoporosis.It provides a new perspective for clinical bone injury practice,offering a comprehensive treatment plan with significant reference value.

关 键 词：骨质疏松症 中医外治 内外合治 临床文献研究 

分 类 号：R681[医药卫生—骨科学]