“肾主骨、生髓”理论在骨质疏松性骨折防治中的作用

The Role of the Theory “Kidney Governs Bones and Generates Marrow” in the Prevention and Management of Osteoporotic Fractures

摘要: 随着我国人口老龄化的程度不断加深，骨质疏松症日益凸显为严峻的公共卫生挑战，对老年人群的生活质量造成显著影响。随着年龄增长，骨重塑失衡，骨质疏松性骨折的发病率逐渐呈上升趋势，近年来在中医理论的指导之下有关骨质疏松的研究层出不穷，这都为对骨质疏松性骨折的发病及治疗提供了新的理论来源和思想启发。中医学自古以来就有“肾主骨、生髓”的说法，认为肾气是决定骨骼生长发育的关键所在，肾虚则骨失所养，成为骨质疏松的基本病机。本文以“肾主骨、生髓”为基础，对骨质疏松性骨折与其关系进行分析，阐明从肾论治对于防治骨质疏松性骨折的重要意义，为进一步发挥中医药对骨质疏松性骨折的优势提供有效途径以及新思路，确保用药的安全性和有效性。

Abstract: As our nation’s population ages, osteoporosis has become an increasingly serious public health problem. which has a significant impact on the quality of life for the aged. Bone remodeling is unbalanced with aging and the occurrence rate of osteoporotic fracture gradually rises. In recent years, guided by TCM theory, a large number of researches related to osteoporosis appeared in different aspects, providing new theoretical sources and ideological inspirations to understand and treat osteoporotic fractures, since ancient time, TCM has believed “kidney governs the bones, produces marrow”, believing that kidney Qi is the main basis for the growth and development of bones. In case of kidney deficiency, bones are not nourished and this has been considered as basic pathogenesis in the development of osteoporosis. To sum up, based on the theory of “kidney governs the bones and produces marrow,” this paper discusses the relationship between osteoporotic fracture and the kidney to clarify the importance of treating from the view of kidney in preventing and treating osteoporotic fractures. This can provide a good method and new idea to further play the role of advantage of TCM on the treatment of osteoporotic fracture, drug safety and effectiveness.