摘要
肾藏精,主骨生髓;肝藏血,主疏泄,在体合筋;肝、肾与筋、骨联系密切。肝、肾同源,在生理上相互联系,在病理上又相互影响。肾为先天之本,女子又以肝为先天,两脏同源,主精血,养筋骨。绝经后女性气血亏虚,各脏腑功能衰退,肾虚精亏、肝血不足,肾虚则髓空骨枯,肝虚则筋骨失濡,由虚而致血瘀,影响气血之运作,不能发挥血的濡养作用,终致"骨痿"不用。对于本病的治疗,中医重视"未病先防,既病防变,瘥后防复"。该文通过肝、肾两脏在生理、病理上的相互联系及影响,结合古今医学对"肝肾同源"的认识,从肝、肾互为母子、精血互化、藏泻互用、阴阳互滋互制、经络互通5个方面,探讨绝经后骨质疏松症的发病机制,以期为中医药防治绝经后骨质疏松症提供更多的思路,从而更好地指导临床实践。
Kidney stores essence,dominates bone and generates marrow.Liver stores blood,dominates dredging and is related to joins and tendons.Liver and kidney are closely related to tendons and bones.Liver and kidneyare related physiologically and affect each other pathologically.Kidney is the congenital root and liver is the congenital root of women.The two Zang-organs are of the same origin.They control the blood essence and nourish the muscles and bone.Postmenopausal women suffer from deficiency of Qi and blood,degeneration of the functions of Zang-Fu organs,kidney deficiency and essence exhaustion and liver blood deficiency.Kidney deficiency can lead to marrow exhaustion and bones osteonecrosis.Liver deficiency causes bones and muscles failing to be nourished,resulting in blood stasis and affecting the movement of Qi and blood,unable to play the role of blood,eventually resulting in“bone impotence”.For the treatment of the disease,traditional Chinese medicine attaches great importance toprevention.In this article,through the the relationship between liver and kidney on physiology and pathology,combining ancient and modern medical understanding of“homology of liver and kidney”,it explored the pathogenesis of postmenopausal osteoporosisfrom five aspects including the mother-son relationship between liver and kidney,transformation of essence and blood,purging and preserving,nourishing and inhibiting of Yin and Yang,meridians and collaterals,in order to provide TCM prevention and treatment of postmenopausal osteoporosis with more ideas,so as to better guide clinical practice.
作者
欧飞微
熊曼玲
解丽菲
陈叶洁
田甜
姜丽娟
OU Feiwei;XIONG Manling;XIE Lifei;CHEN Yejie;TIAN Tian;JIANG Lijuan(Yunnan University of TCM,Kunming 650011,Yunnan,China;Yunnan Hospital of Traditional Chinese Medicine,Kunming 650021,Yunnan,China)
出处
《辽宁中医杂志》
CAS
2021年第7期52-56,共5页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金地区科学基金项目(81560785,82060882)
云南张氏助孕安胎学术流派传承工作室
云南省“万人计划”名医专项[云财社(2019)70号]
云南省王拥军专家工作站(2019IC023)
关键词
绝经后骨质疏松症
骨痿
肝肾同源
发病机制
postmenopausal osteoporosis
bone impotence
homology of liver and kidney
pathogenesis
