从肝肾同治法以李可“肾四味”加减治疗绝经后骨质疏松症
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摘要
中医学上,绝经后骨质疏松症以腰脊酸痛,下肢乏力,骨痛等为主要症状,属"骨痿""骨痹"范畴。该病多因妇女衰老,肾气亏虚,日久及肝,责之"肝肾亏虚",肾虚骨髓失养,肝虚筋骨失濡。故而临证时可肝肾同治,补益肝肾,填精益髓,使肾精充盛,骨髓得养,肝血充足,筋脉得濡。作者在临床实践及跟师学习的过程中,发现运用李可"肾四味"加减,取其温、润、缓、平的特点,结合辨证论治,在绝经后骨质疏松症治疗上可取得良好的效果,现将理论依据阐述如下。
In traditional Chinese medicine, postmenopausal osteoporosis is characterized by lumbar spine pain,weakness of lower limbs, and bone pain. It belongs to the categories of" Gubi/Guwei". The disease is mostly occurring by decrepitude, deficiency of kidney Qi, affecting the liver. It is blamed for" deficiency of liver and kidney", kidney deficiency and bone marrow dystrophy, liver deficiency and bone loss.So the clinical syndrome can be treated with liver and kidney, tonifying liver and kidney, filling lean marrow, so that kidney essence is full, bone marrow is nourished,liver blood is sufficient, veins are moistened. In the process of clinical practice and learning from teachers, the author found that the application of Dr. LI Ke's" kidney four flavors" plus or minus, taking its characteristics of warmth,moistening, gentleness and smoothness, and combining with syndrome differentiation and treatment, achieving good results in postmenopausal osteoporosis treatment, and the theoretical basis is described as follows.
In traditional Chinese medicine, postmenopausal osteoporosis is characterized by lumbar spine pain,weakness of lower limbs, and bone pain. It belongs to the categories of" Gubi/Guwei". The disease is mostly occurring by decrepitude, deficiency of kidney Qi, affecting the liver. It is blamed for" deficiency of liver and kidney", kidney deficiency and bone marrow dystrophy, liver deficiency and bone loss.So the clinical syndrome can be treated with liver and kidney, tonifying liver and kidney, filling lean marrow, so that kidney essence is full, bone marrow is nourished,liver blood is sufficient, veins are moistened. In the process of clinical practice and learning from teachers, the author found that the application of Dr. LI Ke's" kidney four flavors" plus or minus, taking its characteristics of warmth,moistening, gentleness and smoothness, and combining with syndrome differentiation and treatment, achieving good results in postmenopausal osteoporosis treatment, and the theoretical basis is described as follows.
引文
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[7]赵继荣,薛旭,邓强,等.基于“肝肾同源”理论的绝经后骨质疏松症病因病机及治疗探讨[J].时珍国医国药,2018,29(9):2220-2222.
[8]江南,李春梅,张艺,等.肝肾同补治疗绝经后骨质疏松症的临床研究[J].中医药信息,2017,34(5):52-54.
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[10]朱宝,宋瑞平,赵继荣,等.基于“乙癸同源”理论探讨绝经后骨质疏松症的中医药治疗[J].中国骨质疏松杂志,2017,23(1):116-121.
[2]张介宾.类经[M].北京:中医古籍出版社,2016:6-1,524.
[3]岳新,冯志海,王庆红.中医体质与绝经后骨质疏松症的相关性分析[J].中国中医基础医学杂志,2016,22(2):203-205.
[4]陈伟国,王想福,叶丙霖,等.基于“精血同源”理论探讨绝经后骨质疏松症防治进展[J].辽宁中医药大学学报,2018,20(11):139-142.
[5]李佳,于澜,杨晨,等.关节筋骨之“肝肾同源”[J].中华中医药杂志,2018,33(8):3360-3362.
[6]吴娜,高翔,叶之华,等.李瀚旻教授对“肝肾同源”理论的继承创新[J].中华中医药学刊,2018,36(3):619-622.
[7]赵继荣,薛旭,邓强,等.基于“肝肾同源”理论的绝经后骨质疏松症病因病机及治疗探讨[J].时珍国医国药,2018,29(9):2220-2222.
[8]江南,李春梅,张艺,等.肝肾同补治疗绝经后骨质疏松症的临床研究[J].中医药信息,2017,34(5):52-54.
[9]李可.李可老中医急危重症疑难病经验专辑[M].太原:山西科学技术出版社,2004.
[10]朱宝,宋瑞平,赵继荣,等.基于“乙癸同源”理论探讨绝经后骨质疏松症的中医药治疗[J].中国骨质疏松杂志,2017,23(1):116-121.