中医药治疗绝经后骨质疏松症能够改善症状,提高生存质量和骨密度,具有其优势与特色.掌握中医常用治法,以及常用中药的现代医学及药理研究进展,能更好地为中医防治绝经后骨质疏松症提供思路.中老年患者具有多虚多瘀、久病入络的特点,补肾、健脾、柔肝、活血是本病治疗的常用治法,补肾是治疗的核心,活血化瘀贯穿于疾病防治的始终.根据绝经后骨质疏松症肾虚血瘀的病机特点和用药频率,总结了淫羊藿、骨碎补、枸杞、丹参四味常用中药的研究进展,实验研究主要是从细胞因子的变化、基因水平以及骨测量指标等方面分析中药作用机制,临床研究主要观察治疗前后的骨密度、骨代谢指标及临床症状的变化.%Traditional Chinese medicine treatment for postmenopausal osteoporosis can improve symptoms,improving quality of life and bone mineral density,has its advantages and characteristics. When we Know well the TCM commonly used treatment methods, and modern medicine and pharmacological research progress of Chinese medicine, it is convenient to provide ideas to the TCM prevention and control of postmenopausal osteoporosis. Given to the characteristics of deficiency and blood stasis in elderly patients, so nourishing liver and kidney, spleen, and blood-activating is TCM commonly used treatment methods for postmenopausal osteoporosis. However, invigorating kidney is the core of the treatment, activating blood circulation and dissolving stasis is throughout the prevention and control of disease. According to the pathogenesis features of deficiency of kidney and blood stasis, and postmenopausal osteoporosis medicine iretruency, this paper summarizes recent developments oi tour commonly used Chinese medicine in modern basic study and clinical applications. Experiment studies were mainly from the change of cell factors, gene level measurement and bone index analyzing Chinese medicine mechanism. Clinical researches concentrated on bone mineral density,bone metabolism index and the change of the clinical symptoms.
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