中医阴阳理论指导下推拿治疗老年性骨质疏松症机制研究

Study on the Mechanism of Massage Therapy for Senile Osteoporosis under the Guidance of Yin and Yang Theory of Traditional Chinese Medicine

摘要: 阴阳是自然界基本的运行法则和变化规律。人体的正常生理功能依赖于阴阳之间的动态平衡，阴阳失衡时疾病也随之发生。老年性骨质疏松症(SOP)作为一种与年龄相关的代谢性骨病，临床症状主要表现为疼痛、脊柱变形及脆性骨折等，严重影响患者生活质量。中医理论认为，“肝主筋，肾主骨”，若肝肾亏虚、阴阳失衡，则筋骨失养、骨质脆弱，为本病的发病基础；现代研究则表明，SOP的发病机制在于骨吸收与骨形成失衡所致的骨代谢紊乱。而推拿作为“调和阴阳”之法，或可在不增加患者负担的基础上调节骨代谢、延缓病程。

Abstract: Yin and yang are the basic laws of nature and the law of change. The normal physiological functions of the human body depend on the dynamic balance between yin and yang, and diseases occur when yin and yang are out of balance. As an age-related metabolic bone disease, Senile Osteoporosis (SOP) has clinical symptoms such as pain, spinal deformity and fragility fracture, which seriously affects patients’ quality of life. According to Chinese medicine theory, “the liver is the master of tendon and the kidney is the master of bone”, if the liver and kidney are deficient and there is an imbalance between yin and yang, then the tendon and bone will not be nourished and the bone will be fragile, which is the basis of the disease; modern research has shown that the pathogenesis of SOP lies in the bone metabolism disorders caused by the imbalance between bone resorption and bone formation. Tuina, as a method of “harmonising yin and yang”, may be able to regulate bone metabolism and delay the course of the disease without increasing the burden of the patient.