| 蒋云霞,李双蕾.基于“和合”思想阐析骨质疏松症辨治及经验[J].中国临床保健杂志,2025,28(6):838-841. |
| 基于“和合”思想阐析骨质疏松症辨治及经验 |
| Explaining the diagnosis and treatment of osteoporosis based on the concept of "Harmony" and sharing clinical experience |
| 投稿时间：2025-05-08 |
| DOI：10.3969/J.issn.1672-6790.2025.06.020 |
| 中文关键词: 骨质疏松 中医治疗学 辨证论治 名医经验 |
| 英文关键词: Osteoporosis Therapeutics |
| 基金项目:国家自然科学基金项目(81860784)；广西名中医传承工作室建设项目(桂卫中〔2014〕9号) |
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| 中文摘要: |
| 运用“和合”思想阐述分析骨质疏松症的辨证论治及临床用药经验。骨质疏松症病机是一种“失和”状态,涉及肾阴阳失和、脾肾失和、气血失和,日久瘀血内生,故而治疗上当以“调和阴阳、补肾健脾、气血同治”为要。李双蕾教授经多年临床经验辨证选方,以壮骨方加减治疗骨质疏松症,临床获得良好的疗效；不仅可以缓解临床症状,还可以提高骨密度,改善骨代谢指标；组方虚实共治,补泻兼施,阴阳调和,补而不敛邪,通而不伤络,共奏补肾健脾、阴阳协调、活血通络之效,以达“和合”的状态。 |
| 英文摘要: |
| Using the concept of "harmony" to elucidate the syndrome differentiation and treatment of osteoporosis,as well as the clinical drug experience.It is believed that the pathogenesis of osteoporosis is a state of "disharmony".It involves imbalance of kidney yin and yang,disharmony between the spleen and kidneys,as well as the disruption of qi and blood.Over time,this can lead to the internal generation of stasis due to blood stagnation.Therefore,the treatment should focus on "harmonizing yin and yang,tonifying the kidney and strengthening the spleen,and simultaneously addressing qi and blood."Professor LI Shuanglei has selected formulas based on years of clinical experience and differential diagnosis to treat osteoporosis with modifications of the Zhuanggu Decoction.This approach has yielded favorable clinical outcomes,not only alleviating symptoms but also enhancing bone mineral density and improving bone metabolism indicators.The formulation employs a strategy that addresses both deficiency and excess,incorporating methods of supplementation and drainage while balancing yin and yang.It supplements without restraining pathogenic factors,promotes circulation without damaging meridians,collectively achieving effects that tonify the kidney,strengthen the spleen,balance yin and yang,promote blood circulation,ultimately reaching a state of "harmony." |
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