中医从脾论治原发性骨质疏松症的研究进展

摘要

Osteoporosis is characterized by reduced bone mass and disruption of bone architecture, resulting in increased fracture risks.Current experimental studies and clinical observations on primary osteoporosis have showed that the kidney deficiency is the main pathogenesis, and reinforcing the kidney is generally acknowledged as the main treatment.But the studies on the effect of the spleen deficiency are very few.According to the knowledge of osteoporosis etiology and pathogenesis of traditional Chinese medicine combined with characteristics, modern medical researches using traditional Chinese medicine in the prevention and treatment of osteoporosis should be in accordance with the principle of syndrome differentiation in traditional Chinese medicine treatment.It should not simply treat one organ, but look at the complexity of bone osteoporosis and refractory.From the experimental study on the relationship between the spleen and osteoporosis to clinical observation of the spleen and the kidney, all indicate that the spleen plays an important role in primary osteoporosis.Deficiency of the kidney is the main pathogenesis of osteoporosis, so the general treatment of the kidney and nourishing the kidney treatment are important.At the same time, we must pay attention to nourishing the spleen and the stomach.%骨质疏松症是一种以骨量低下，骨微结构损坏，导致骨脆性增加，易发生骨折为特征的全身性骨病。当前实验研究及临床观察对原发性骨质疏松症以肾虚为主要病机，补肾为主要治法形成普遍认识，而脾虚对本病的影响研究相对较少。根据中医学对骨质疏松症病因病机特点的认识，结合现代医学对中医药治疗骨质疏松症的研究，对骨质疏松症的防治要按照中医的理法方药进行辩证论治，因证施治，不能简单地治疗某一脏一腑，要看到骨质疏松症的复杂性和难治性。从传统医学中脾对骨质疏松症的认识到脾脏与骨质疏松症关系的实验研究再到健脾补肾的临床观察，无不表明脾虚在原发性骨质疏松症的重要地位。肾虚为骨质疏松症的主要病机，补肾滋肾的治疗总则固然重要，与此同时必须要重视补益脾胃。