浅谈中药治疗绝经后骨质疏松症

发布时间：2018-03-30 20:33

本文选题：绝经后骨质疏松症　切入点：病因病机　出处：《辽宁中医杂志》2017年02期

【摘要】：绝经后骨质疏松症(PMOP)是发生于绝经后妇女的一种常见病,以全身骨量减少和骨显微结构破坏和骨的力学性能下降为特征。根据绝经后妇女"多虚多瘀"的特点,祖国医学认为该病属本虚标实之证,肾虚、脾虚、肝虚为本,血瘀、痰浊为标。中药治疗绝经后骨质疏松症有类性激素样作用,能减少骨量丢失,提高患者骨密度,促进钙吸收,并改善疼痛症状,在防治PMOP方面有其独特的优势。该文将根据PMOP肾虚、脾虚、血瘀的病机特点,总结临床常用单味中药(补骨脂、淫羊藿、菟丝子、骨碎补等)及中药复方(仙灵骨葆胶囊、六味地黄丸、骨疏康颗粒、骨灵丸等)抗骨质疏松的作用机理及临床疗效,以期指导临床制定个体化的中西医结合治疗方案,提高PMOP防治率。
[Abstract]:Postmenopausal osteoporosis (PMOP) is a common disease in postmenopausal women, characterized by the reduction of bone mass, the destruction of bone microstructure and the decline of mechanical properties of bone.According to the characteristics of postmenopausal women "more deficiency and more blood stasis", the traditional Chinese medicine considers the disease as the syndrome of deficiency, kidney deficiency, spleen deficiency, liver deficiency, blood stasis and phlegm turbid.The treatment of postmenopausal osteoporosis with traditional Chinese medicine has sex hormone like effect, which can reduce bone loss, increase bone density, promote calcium absorption, and improve pain symptoms. It has a unique advantage in the prevention and treatment of PMOP.According to the pathogenesis characteristics of kidney deficiency, spleen deficiency and blood stasis of PMOP, this paper summarizes the single Chinese medicine (psoralen, Epimedium, Cuscuta, BMD, etc.) and its compound (Xianling Gubao capsule, Liuwei Dihuang Pill, Gushukang granule).The mechanism of anti-osteoporosis and its clinical efficacy are expected to guide the clinical formulation of individualized integrated Chinese and western medicine treatment and improve the prevention and treatment rate of PMOP.
【作者单位】：南方医科大学中医药学院;南方医科大学南方医院;
【基金】：国家自然科学基金面上项目(81573730) 广东省中医药管理局强省专项资金广东省高水平大学建设项目
【分类号】：R271.116

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