基于肝脾肾讨论原发性骨质疏松症共病

A Discussion on Primary Osteoporosis Comorbidities Based on Liver, Spleen, and Kidney Functions

摘要: 本文探讨了骨质疏松症及其相关共病的中医防治策略。骨质疏松症是一种表现为骨密度降低、骨脆性增加的全身性疾病，常伴发骨性关节炎、腰椎间盘突出及肌少症。中医认为，该病的发病机制与肝、脾、肾功能的失调密切相关。基于“肝肾同源”和“脏腑辨证”的中医理论，文章提出了以补肾强骨、疏肝柔筋、健脾养血为核心的综合治疗方案，从整体上进行调理，以有效防治骨质疏松症及其共病。文章对中医防治骨质疏松症及其共病的理论基础和临床应用进行了深入分析，为进一步的研究和实践提供了重要参考。

Abstract: This article delves into the Traditional Chinese Medicine (TCM) approaches for the prevention and treatment of osteoporosis and its associated comorbidities. Osteoporosis is a systemic disorder characterized by reduced bone density and increased bone fragility, often accompanied by osteoarthritis, lumbar disc herniation and sarcopenia. In TCM, the pathogenesis of osteoporosis is closely linked to the dysfunctions of the liver, spleen, and kidneys. Drawing on the TCM principles of “liver and kidney from same source” and “syndrome differentiation of Zang-Fu viscera”, the paper proposes a comprehensive treatment strategy centered on fortifying the kidneys and bones, soothing the liver and tendons and nourishing the spleen and blood. This holistic approach is designed to effectively address both osteoporosis and its related comorbidities. The paper offers a thorough analysis of the theoretical underpinnings and clinical applications of TCM in managing osteoporosis, providing significant insights for advancing research and clinical practice.