[1]房谋昊,周航,陈天鹏,等.从“治痿独取阳明”论治绝经后骨质疏松症[J].中医正骨,2021,33(08):49-50.
 FANG Mouhao,ZHOU Hang,CHEN Tianpeng,et al.Treatment of postmenopausal osteoporosis based on the theory of treating flaccidity by emphasizing Yangming meridian[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(08):49-50.
点击复制

从“治痿独取阳明”论治绝经后骨质疏松症()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年08期
页码:
49-50
栏目:
学术探讨
出版日期:
2021-08-20

文章信息/Info

Title:
Treatment of postmenopausal osteoporosis based on the theory of treating flaccidity by emphasizing Yangming meridian
作者:
房谋昊1周航1陈天鹏1何才剑1史晓林2
(1.浙江中医药大学第二临床医学院,浙江 杭州 310053; 2.浙江中医药大学附属第二医院,浙江 杭州 310005)
Author(s):
FANG MouhaoZHOU HangCHEN TianpengHE CaijianSHI Xiaolin
关键词:
骨质疏松绝经后 痿证 治痿独取阳明
摘要:
“治痿独取阳明”是中医治疗痿证的基本理论之一,绝经后骨质疏松症属于中医“骨痿”的范畴,为痿证的一种。本文论述了绝经后骨质疏松症的中医病因病机和“治痿独取阳明”的含义,从健脾益气、肝肾同调两个方面对从“治痿独取阳明”论治绝经后骨质疏松症进行了探讨。

参考文献/References:

[1] WATTS N B,CAMACHO P M,LEWIECKI E M,et al.American association of clinical endocrinologists/American college of endocrinology clinical practice guidelines for the diagnosis and treatment of postmenopausal osteoporosis-2020 update[J].Endocr Pract,2021,27(4):379-380.
[2] 中华医学会骨质疏松和骨矿盐疾病分会.原发性骨质疏松症诊疗指南(2017)[J].中国骨质疏松杂志,2019,25(3):281-309.
[3] HOFBAUER L C,RACHNER T D.More DATA to guide sequential osteoporosis therapy[J].Lancet,2015,386(9999):1116-1118.
[4] CAI X,YI X,ZHANG Y,et al.Genetic susceptibility of postmenopausal osteoporosis on sulfide quinone reductase-like gene[J].Osteoporos Int,2018,29(9):2041-2047.
[5] 中华医学会骨质疏松和骨矿盐疾病分会.中国骨质疏松症流行病学调查及“健康骨骼”专项行动结果发布[J].中华骨质疏松和骨矿盐疾病杂志,2019,12(4):317-318.
[6] 梁文娜,李西海,李灿东.绝经后骨质疏松的核心病机——骨痿[J].中国老年学杂志,2015,35(18):5333-5335.
[7] 中华中医药学会.绝经后骨质疏松症(骨痿)中医药诊疗指南(2019年版)[J].中医正骨,2020,32(2):1-13.
[8] 张文达,任艳玲.绝经后骨质疏松症病因病机研究概况[J].辽宁中医药大学学报,2019,21(7):101-104.
[9] 李建国,谢兴文,李宁,等.绝经后骨质疏松症的中医脏腑认识及治疗现状[J].中国中医基础医学杂志,2019,25(3):410-412.
[10] 曹盼举,张晓刚,于海洋,等.基于中医学“肺与大肠相表里”理论的肠道微生态与骨质疏松症的关系探讨[J].时珍国医国药,2019,30(10):2457-2459.
[11] 冯歆,葛继荣.中医从脾论治原发性骨质疏松症的研究进展[J].中国骨质疏松杂志,2014,20(8):968-972.
[12] SAKAMOTO S,SASSA S,KUDO H,et al.Preventive effects of a herbal medicine on bone loss in rats treated with a GnRH agonist[J].Eur J Endocrinol,2000,143(1):139-142.
[13] OU L,WEI P,LI M,et al.Inhibitory effect of Astragalus polysaccharide on osteoporosis in ovariectomized rats by regulating FoxO3a /Wnt signaling pathway[J/OL].Acta Cir Bras,2019,34(5):e201900502[2021-04-06].https://doi.org/10.1590/s0102-865020190050000002.
[14] ZHANG N D,HAN T,HUANG B K,et al.Traditional Chinese medicine formulas for the treatment of osteoporosis:Implication for antiosteoporotic drug discovery[J].J Ethnopharmacol,2016,189:61-80.
[15] HUANG X H,LIANG R H,SU L,et al.Mechanism of Bushen Jianpi decoction in preventing and treating osteoporosis caused by aromatase inhibitors in breast cancer treatment[J].Cancer Biomark,2017,18(2):183-190.
[16] 张邵青,邱美榕,吴追乐.“治痿独取阳明”的古今研究及临床应用[J].陕西中医药大学学报,2016,39(2):9-12.
[17] 刘玥,张允岭.浅论“治痿独取阳明”[J].环球中医药,2014,7(9):713-715.
[18] 黄煜.“治痿独取阳明”的异病同治思想——糖尿病性胃轻瘫与“痿”的关系[J].中国中医药现代远程教育,2020,18(17):55-57.
[19] 曹继忠,温川飙.痿证之“治痿独取阳明”浅析[J].世界最新医学信息文摘,2018,18(92):205-206.
[20] 鞠申丹,宗蕾.从“治痿独取阳明”谈痿证的针灸治疗[J].中国针灸,2015,35(9):956-959.
[21] 邹桂芝,郝建军,张介眉.张介眉教授运用“治痿独取阳明”临证心得[J].实用中西医结合临床,2017,17(9):124-125.
[22] 胡湘玲.针刺对绝经后骨质疏松患者骨密度及血清雌二醇的影响[J].湖南中医杂志,2016,32(11):86-87.
[23] 李硕,张玉珠,刘钧雨,等.针刺联合健脾益肾方治疗脾肾亏虚型骨质疏松症疗效观察[J].中医药临床杂志,2020,32(9):1771-1774.
[24] 李少华,康石发,孙坚钢,等.穴位贴敷疗法治疗绝经后及老年性骨质疏松症腰背疼痛的研究进展[J].中医正骨,2020,32(5):43-45.

相似文献/References:

[1]李林军.应用膨胀式椎弓根螺钉内固定治疗合并骨质疏松的 胸腰椎退行性疾病[J].中医正骨,2015,27(08):49.
[2]李学朋,朱立国.骨疏康胶囊对去卵巢大鼠骨小梁的影响[J].中医正骨,2015,27(12):12.
 LI Xuepeng,ZHU Liguo.Effect of Gushukang Jiaonang(骨疏康胶囊)on bone trabecula in the ovariectomized rats[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(08):12.
[3]陈冠军,陈扬,庄汝杰.可灌注骨水泥椎弓根螺钉系统 在老年腰椎疾患手术中的应用[J].中医正骨,2015,27(02):40.
[4]王丹辉,贲越,韩梅.林蛙油治疗绝经后骨质疏松症的临床研究[J].中医正骨,2014,26(01):27.
 Wang Danhui*,Ben Yue,Han Mei..Clinical study of Rana temporaria oil in the treatment of postmenopausal osteoporosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(08):27.
[5]黄建华,黄建武,李慧辉,等.加味左归丸对绝经后骨质疏松症肝肾不足证 患者骨密度的影响[J].中医正骨,2013,25(11):19.
 Huang Jianhua*,Huang Jianwu,Li Huihui,et al.Effect of JIAWEI ZUOGUI pill on bone mineral density in postmenopausal osteoporosis patients with deficiency of liver and kidney[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(08):19.
[6]项旻,杨虹,林爱菊,等.绝经后2型糖尿病患者骨质疏松与血微量元素的关系研究[J].中医正骨,2013,25(12):20.
 Xiang Min*,Yang Hong,Lin Aiju,et al.Clinical study on the relationship between osteoporosis and serum trace elements levels in postmenopausal women with type 2 diabetes[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(08):20.
[7]史晓林,李春雯,张志强.弱阳离子磁珠分离技术和基质辅助激光解吸电离飞行时间质谱技术在原发性Ⅰ型骨质疏松症血清标志蛋白筛选中的应用[J].中医正骨,2014,26(03):5.
 Shi Xiaolin*,Li Chunwen,Zhang Zhiqiang..Application of magnetic beads based weak cation exchange separation technology and matrix-assisted laser desorption-ionization time of flight mass spectrometry technology in screening serum protein markers of primary type-Ⅰ osteoporosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(08):5.
[8]李明,徐明雄,冯左基,等.自拟壮骨方治疗绝经后骨质疏松症的疗效及作用机制研究[J].中医正骨,2014,26(09):21.
 Li Ming*,Xu Mingxiong,Feng Zuoji,et al.Study on the curative effect and mechanism of action of self-made ZHUANGGU decoction in treatment of postmenopausal osteoporosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(08):21.
[9]陈俊杰,李晴晴,夏瑢.脂代谢及血清内脂素水平与绝经后骨质疏松症的 相关性研究[J].中医正骨,2012,24(04):16.
 CHEN Jun-jie*,LI Qing-qing,XIA Rong.*.Study on the correlations between the levels of lipid metabolism and serum visfatin and postmenopausal osteoporosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(08):16.
[10]许超,肖鲁伟,吴承亮.绝经后女性骨质疏松症辨证分型与抑郁焦虑的关系研究[J].中医正骨,2011,23(12):3.
 XU Chao*,XIAO Lu-wei,WU Cheng-liang.*.Study on the relationship between the syndrome differ classification and the depression and anxiety for the postmenopausal women with osteoporosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2011,23(08):3.
[11]韩艳,温利平,刘娜,等.补肾活血方对去卵巢大鼠骨代谢及骨密度的影响[J].中医正骨,2015,27(12):7.
 HAN Yan,WEN Liping,LIU Na,et al.Effect of Bushen Huoxue Fang(补肾活血方)on bone metabolism and bone mineral density in the ovariectomized rats[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(08):7.
[12]欧国峰,刘鑫,董博,等.绝经后骨质疏松症的免疫学研究进展[J].中医正骨,2016,28(08):70.
[13]施振宇,刘钟,陈文亮,等.中医综合疗法防治绝经后骨量减少的多中心临床研究[J].中医正骨,2017,29(04):1.
 SHI Zhenyu,LIU Zhong,CHEN Wenliang,et al.A multicenter clinical study of complex therapy of traditional Chinese medicine for prevention and treatment of postmenopausal osteopenia[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(08):1.
[14]梁文娜,李西海,李灿东.血清microRNA与绝经后骨质疏松症肾虚证的关系[J].中医正骨,2017,29(10):53.
[15]梁文娜,李西海,胡柳,等.二至丸抑制绝经后骨质疏松大鼠骨代谢紊乱的作用机制研究[J].中医正骨,2017,29(11):1.
 LIANG Wenna,LI Xihai,HU Liu,et al.Study on mechanism of action of Erzhi Wan(二至丸)in inhibiting bone metabolism disorder in rats with postmenopausal osteoporosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(08):1.
[16]刘晨,李兴勇,姚兴璋,等.绝经后骨质疏松症的流行病学概况及发病机制研究进展[J].中医正骨,2018,30(03):52.
[17]杨依然,刘钟,毛一凡,等.酪蛋白激酶-2相互作用蛋白1基于磷脂酰肌醇3-激酶/蛋白激酶B/哺乳动物雷帕霉素靶蛋白通路参与绝经后骨质疏松症发生发展过程中细胞自噬的机制[J].中医正骨,2018,30(04):59.
[18]曹俊青,郑剑南,张麟.右归丸联合阿仑膦酸钠口服治疗绝经后骨质疏松症肾阳虚证的临床研究[J].中医正骨,2018,30(05):20.
 CAO Junqing,ZHENG Jiannan,ZHANG Lin.A clinical study of oral application of Yougui Wan(右归丸)and alendronate sodium for treatment of postmenopausal osteoporosis with kidney-yang deficiency syndrome[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(08):20.
[19]李中万,徐绍俊,杨广钢,等.健肾方联合碳酸钙D3咀嚼片(Ⅱ) 治疗绝经后骨质疏松症肾阳虚证[J].中医正骨,2018,30(08):11.
 LI Zhongwan,XU Shaojun,YANG Guanggang,et al.Oral application of Jianshen Fang(健肾方)and calcium carbonate and Vitamin D3 chewable tablets(Ⅱ)for treatment of postmenopausal osteoporosis with kidney-yang deficiency syndrome[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(08):11.
[20]赵凡,刘全,吴连国.口服强骨饮联合碳酸钙D3片治疗绝经后骨质疏松症的临床研究[J].中医正骨,2019,31(04):26.
 ZHAO Fan,LIU Quan,WU Lianguo.Oral applications of Qianggu Yin(强骨饮)and calcium carbonate and Vitamin D3 tablets for treatment of postmenopausal osteoporosis:a clinical study[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(08):26.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81873129,82074183); 浙江省中医药现代化专项项目(2020ZX009); 浙江省中医药重点研究项目(2018ZZ012)
通讯作者:史晓林 E-mail:xlshi-2002@163.com
更新日期/Last Update: 1900-01-01