从“少阳主骨”论骨质疏松症
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摘要
"少阳主骨"这一理论根源于《黄帝内经》,足少阳之脉循行周身大部分骨节,少阳居半表半里之位,为人身阴阳气机升降出入开阖的枢纽。少阳之气刚,骨之质亦刚,故少阳与骨的关系密切。历代医家多从"肾主骨生髓"理论对骨质疏松症(OP)展开阐释,而"少阳主骨"理论存在千年,究其与OP之间的关系意义重大。
The theory of 'shaoyang being in charge of bone' originates from Huangdi Neijing. Foot Shaoyang meridians go along most of the bones and joints of the whole body. Shaoyang occupies the position of half on the surface and half in the viscera, which is a pivot for ascending-descending yin qi and yang qi, and coming in-going out yin qi and yang qi, and opening and closeing yin qi and yang qi of a person. If the qi of Shaoyang is strong, the quality of bone is also strong, so it is closely related to bone. Physicians of all dynasties have interpreted osteoporosis from the theory of 'kidney being in charge of bone and generating marrow'. The theory of 'shaoyang being in charge of bone' has existed millennium. The relationship between 'shaoyang being in charge of bone' and osteoporosis is of great significance.
The theory of 'shaoyang being in charge of bone' originates from Huangdi Neijing. Foot Shaoyang meridians go along most of the bones and joints of the whole body. Shaoyang occupies the position of half on the surface and half in the viscera, which is a pivot for ascending-descending yin qi and yang qi, and coming in-going out yin qi and yang qi, and opening and closeing yin qi and yang qi of a person. If the qi of Shaoyang is strong, the quality of bone is also strong, so it is closely related to bone. Physicians of all dynasties have interpreted osteoporosis from the theory of 'kidney being in charge of bone and generating marrow'. The theory of 'shaoyang being in charge of bone' has existed millennium. The relationship between 'shaoyang being in charge of bone' and osteoporosis is of great significance.
引文
[1]叶任高.西医内科学.5版.北京:人民卫生出版社,2002:885
[2]中华医学会骨质疏松和骨矿盐疾病分会.原发性骨质疏松症诊治指南(2011年).中华骨质疏松和骨矿盐疾病杂志2011,4(1):2-17
[3]郭文清,何保丽.中医药防治骨质疏松症动物模型研究进展中华中医药杂志,2017,32(2):666-668
[4]NIH Consensus Development Panel on Osteoporosis Prevention,Diagnosis,and Therapy.Osteoporosis prevention diagnosis,and therapy.JAMA,2001,285(6):785-795
[5]柳承希,任艳玲.古代文献对骨质疏松症的认识.中华中医药杂志,2014,29(7):2089-2092
[6]清·张隐庵.灵枢集注.上海:上海卫生出版社,1957:93
[7]隋·杨上善.黄帝内经太素.北京:人民卫生出版社,1965:112
[8]王科闯.王鸿度教授关于“少阳主骨”学术思想和临床经验总结(附“和解少阳”法对膝骨性关节炎合并骨质疏松的临床研究).成都:成都中医药大学,2015:1-71
[9]黄帝内经素问.唐·王冰.沈阳:辽宁科学技术出版社,1997:28
[10]江花,陈庄,扶世杰,等.“少阳主骨”学说的架构与验证.泸州医学院学报,2011,34(1):5-9
[11]范薇,杨剑,夏丽娜,等.《黄帝内经》“少阳主骨”中医机制探析中国中医基础医学杂志,2016,22(5):590-591
[12]周震.从“肾主骨”与“少阳主骨”的关系谈骨之体用.天津中医药2014,31(1):20-21
[13]刘舟.《内经》“少阳主骨”探微.烟台:中华中医药学会第十六次内经学术研讨会论文集,2016:252-255
[14]徐力立,司誉豪,马勇.“少阳”在中医骨伤科中的运用浅析时珍国医国药,2017,28(7):1702-1704
[15]Chen M H,Wang J D,Chou C M,et al.Factors determining bone mineral density in patients with biliary atresia after a successful kasai operation.Pediatr Neonatol,2017,58(2):128
[16]Glass L M,Su G L.Metabolic bone disease in primary biliary cirrhosis.Gastroenterol Clin North Am,2016,45(2):333
[17]扶世杰,杨本伍,舒从科.和解少阳治疗膝骨性关节炎合并原发性骨质疏松症的近期疗效观察.内蒙古中医药,2012,31(24):1-2
[18]陈明,刘燕华,李方.刘渡舟验案精选.北京:学苑出版社1996:141-142
[19]萧瑞坤.柴胡桂枝汤的古今应用文献研究.北京:北京中医药大学,2012:1-49
[20]彭珊,欧阳厚淦,赵志冬,等.灸法治疗骨质疏松症的研究进展中华中医药杂志,2017,32(11):5024-5027
[2]中华医学会骨质疏松和骨矿盐疾病分会.原发性骨质疏松症诊治指南(2011年).中华骨质疏松和骨矿盐疾病杂志2011,4(1):2-17
[3]郭文清,何保丽.中医药防治骨质疏松症动物模型研究进展中华中医药杂志,2017,32(2):666-668
[4]NIH Consensus Development Panel on Osteoporosis Prevention,Diagnosis,and Therapy.Osteoporosis prevention diagnosis,and therapy.JAMA,2001,285(6):785-795
[5]柳承希,任艳玲.古代文献对骨质疏松症的认识.中华中医药杂志,2014,29(7):2089-2092
[6]清·张隐庵.灵枢集注.上海:上海卫生出版社,1957:93
[7]隋·杨上善.黄帝内经太素.北京:人民卫生出版社,1965:112
[8]王科闯.王鸿度教授关于“少阳主骨”学术思想和临床经验总结(附“和解少阳”法对膝骨性关节炎合并骨质疏松的临床研究).成都:成都中医药大学,2015:1-71
[9]黄帝内经素问.唐·王冰.沈阳:辽宁科学技术出版社,1997:28
[10]江花,陈庄,扶世杰,等.“少阳主骨”学说的架构与验证.泸州医学院学报,2011,34(1):5-9
[11]范薇,杨剑,夏丽娜,等.《黄帝内经》“少阳主骨”中医机制探析中国中医基础医学杂志,2016,22(5):590-591
[12]周震.从“肾主骨”与“少阳主骨”的关系谈骨之体用.天津中医药2014,31(1):20-21
[13]刘舟.《内经》“少阳主骨”探微.烟台:中华中医药学会第十六次内经学术研讨会论文集,2016:252-255
[14]徐力立,司誉豪,马勇.“少阳”在中医骨伤科中的运用浅析时珍国医国药,2017,28(7):1702-1704
[15]Chen M H,Wang J D,Chou C M,et al.Factors determining bone mineral density in patients with biliary atresia after a successful kasai operation.Pediatr Neonatol,2017,58(2):128
[16]Glass L M,Su G L.Metabolic bone disease in primary biliary cirrhosis.Gastroenterol Clin North Am,2016,45(2):333
[17]扶世杰,杨本伍,舒从科.和解少阳治疗膝骨性关节炎合并原发性骨质疏松症的近期疗效观察.内蒙古中医药,2012,31(24):1-2
[18]陈明,刘燕华,李方.刘渡舟验案精选.北京:学苑出版社1996:141-142
[19]萧瑞坤.柴胡桂枝汤的古今应用文献研究.北京:北京中医药大学,2012:1-49
[20]彭珊,欧阳厚淦,赵志冬,等.灸法治疗骨质疏松症的研究进展中华中医药杂志,2017,32(11):5024-5027