文献类型：期刊文献

中文题名：从筋骨并重理论探讨肌少症与骨质疏松症的中医药防治策略

英文题名：Discussion on the prevention and treatment strategy of sarcopenia and osteoporosis with traditional Chinese medicine based on the theory of muscles and bones

作者：秦大平[1,2];张晓刚[2];宋敏[1];张华[1];曹林忠[1];高国栋[2];赵文韬[3];王志鹏[2];徐斌[1];徐世伟[2]

第一作者：秦大平

机构：[1]甘肃中医药大学,兰州730000;[2]甘肃中医药大学附属医院,兰州730020;[3]云南中医药大学,昆明650500

第一机构：甘肃中医药大学

年份：2019

卷号：34

期号：9

起止页码：4364

中文期刊名：中华中医药杂志

外文期刊名：China Journal of Traditional Chinese Medicine and Pharmacy

收录：CSTPCD;;北大核心:【北大核心2017】；CSCD:【CSCD_E2019_2020】；

基金：国家自然科学基金项目(No.81760873,No.81560780,No.81160444);甘肃中医药大学中青年科研基金项目(No.ZQ2014-22);甘肃中医药大学教学改革科研项目(No.230514520202)~~

语种：中文

中文关键词：肌少症;骨质疏松症;筋骨并重;中医药治疗策略

外文关键词：Sarcopenia;Osteoporosis;Muscles and bones in combination;TCM treatment strategy

摘要：骨质疏松症是一种发病率逐年增高的中老年性疾病,以骨量下降,骨的微细结构破坏、脆性增加,易骨折为主要表现,同时伴有全身肌肉力量、质量及强度下降为主的肌少症的发生。而肌少症常是隐匿发生,容易被临床医生所忽视。目前越来越多研究探索两者的相互关系,这对肌少症、骨质疏松症发病、防治具有深远影响。在中医学中此类病证属于"痿证"之"肉痿""骨痿""骨痹"的范畴,其主要病机是脾肾亏虚,肾虚骨枯、脾虚肉痿、筋骨失养引起肌肉骨骼系统力学生物学特性失衡。笔者从"筋骨并重"理论方面探讨提出"以筋养骨""筋柔骨正"的治疗思路,通过"筋骨并重"理论依据达到"以筋养筋、以筋养骨、柔筋骨正"的作用,而"筋骨并重"理论是遵循"观其脉证,知犯何逆,随证治之"的治疗原则和思想体系,体现了中医治病的基本原则,在辨病基础上的辨证论治和辨证论治过程中的随证加减,为科学、准确地判断把握中医药对肌少症、骨质疏松症靶向治疗策略提供理论基础。
Osteoporosis is an age-related quinquagenarian disease with an increasing incidence of disease year by year. The main manifestations of osteoporosis are decreased bone mass, destruction of bone fine structure, increased brittleness, and easy to have fracture. At the same time, it is accompanied by the occurrence of sarcopenia, which is mainly caused by decreased muscle strength, quality and strength of the whole body. However, sarcopenia is often insidious and easy to be ignored by clinicians. At present, more and more studies have found their mutual relationship, which has a profound impact on the incidence, prevention and treatment of sarcopenia and osteoporosis. In traditional Chinese medicine, this kind of syndrome belongs to the category of ‘flesh wilting’, ‘bone wilting’ and ‘bone bi’ in ‘flaccid paralysis’. Its main pathogenesis is deficiency of spleen and kidney, deficiency of kidney bone, impotence of flesh and spleen deficiency, and malnutrition of bone and flesh, which induce imbalance of mechanical and biological characteristics of musculoskeletal system. This paper puts forward the treatment idea of ‘nourishing bone with tendons’ and ‘strengthening bones with softening tendons’ from the theory of ‘pay equal attention to bone and flesh’. Through the theoretical basis of ‘pay equal attention to bone and flesh’ to achieve the function of ‘nourishing tendons and reinforcing tendons, strengthening bones with tendons and strengthening bones with softening tendons’ the theory of ‘pay equal attention to bone and flesh’ is to follow the treatment of ‘observing its pulse syndrome, knowing what kind of inverses it commits, and treating it with syndrome’. The principles and thought system of treatment reflect the basic principles of TCM treatment of diseases. the treatment of syndrome differentiation on the basis of disease differentiation and the addition and subtraction of syndrome in the process of differentiation of symptoms and signs, so as to scientifically and accurately judge and grasp the Chinese medicine for myasthenia and osteoporosis, and provides the theoretical basis for targeted treatment strategy.