文章摘要
田文杨,张范,李松梅,等.衰弱与肌少症中医理论探源[J].中国临床保健杂志,2025,28(6):741-744.
衰弱与肌少症中医理论探源
Exploring the etiological origins of frailty and sarcopenia in traditional Chinese medicine theory
投稿时间:2025-04-05  
DOI:10.3969/J.issn.1672-6790.2025.06.004
中文关键词: 衰弱  肌减少症  中医理论基础  中医病因和病机  老年人
英文关键词: Frailty  Sarcopenia  Rationale of TCM science  Etiological factors and pathogenesis
基金项目:国家自然科学基金面上项目(82174354)
作者单位E-mail
田文杨 中国中医科学院广安门医院内分泌科,北京 100053 1094364420@qq.com 
张范 中国中医科学院广安门医院内分泌科,北京 100053  
李松梅 中国中医科学院广安门医院内分泌科,北京 100053  
张润云 中国中医科学院广安门医院内分泌科,北京 100053  
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中文摘要:
      衰弱与肌少症作为老年人群中常见的健康问题越来越引起关注。衰弱和肌少症存在重合和相互影响,传统医学对于衰弱与肌少症的认识,两者在症状表现上有所差异,但其病因病机均以脾肾虚损为核心,体现了中医“形气俱虚”的理论特点。治疗上均强调补益脾肾,但衰弱侧重于补益气血、调和阴阳,肌少症则更注重健脾补肾、强筋壮骨,兼以活血通络。通过调理脾肾功能,改善气血运行,增强肌肉骨骼系统的功能,改善患者生存状态。
英文摘要:
      Frailty and sarcopenia,as prevalent health concerns among the elderly,have garnered increasing attention.These conditions exhibit overlap and mutual influence during specific periods and states.In Traditional Chinese Medicine (TCM),while frailty and sarcopenia differ in symptomatic manifestations,their etiology and pathogenesis both revolve around the deficiency of the spleen and kidney,reflecting the TCM theory of "deficiency of both physical form and vital energy".Therapeutic approaches for both emphasize tonifying the spleen and kidney,yet with distinct focuses:frailty prioritizes replenishing qi and blood and harmonizing yin and yang,whereas sarcopenia emphasizes strengthening the spleen and kidney,fortifying tendons and bones,and activating blood circulation and dredging collaterals.TCM by regulating spleen-kidney function can improve qi-blood circulation and enhance musculoskeletal system performance,TCM aims to optimize patients′ quality of life.
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