基于“中土五行”理论论述肌少症

Sarcopenia Is Discussed Based on the Theory of “Five Elements of the Middle Earth”

摘要: 肌少症为最常见的老年综合征之一，其患病率逐年剧增，常表现为骨骼肌质量、肌肉力量和躯体功能的下降。由于初期临床症状不突出，容易被忽视，从而增加老年患者跌倒、骨折等不良事件的发生。在传统医学中，多数医家常以“脾、肝、肾”三脏进行论治，但基于“中土五行”理论进行论述的鲜有报道。“中土五行”是以土居中央，上为火，下为水，左为木，右为金的分布模式，强调土居中央，控制四方的理念。脾属土，主肌肉四肢，中土脾胃虚弱，无以调控四方，日久阴阳失调，四肢肌肉失于濡养，则见肌肉痿软无力，甚则痿废不用。因此，在治疗上以补脾为主，同时兼顾四脏，为临床防治本病提供思路。

Abstract: Mycopenia is one of the most common geriatric syndromes, with its prevalence increasing year by year, often showing a decline in skeletal muscle mass, muscle strength and physical function. Because the initial clinical symptoms are not prominent, it is easy to be ignored, thus increasing the occurrence of adverse events such as falls and fractures in elderly patients. In traditional medicine, most doctors often treat the three viscera of “spleen, liver and kidney”, but there are few reports based on the theory of “five elements of China and earth”. “The Five Elements of the Middle Earth” is the distribution mode of the earth in the center, the top is fire, the water below, the left is wood and the gold on the right, emphasizing the concept of the earth in the center and controlling the four sides. The spleen belongs to the soil, the main muscles and limbs, the spleen and stomach is weak, which cannot control the square; Yin and Yang disorder for long time; muscles and limb are not nurturing, then the muscles are weak, even worse, the limbs are paralyzed and cannot be used. Therefore, treatment should primarily focus on strengthening the spleen while also taking into accounts the four other organs, providing insights for clinical prevention and treatment of this disease.