从精气神探讨骨质疏松相关性认知障碍的辨治思路
Discussion on the treatment of osteoporosis related cognitive impairment from vitality,energy and spirit
龚美胜 1李生龙 2安玉芳3
作者信息
- 1. 黑龙江省中医药科学院研究生院,黑龙江 哈尔滨,150006
- 2. 甘肃中医药大学中西医结合学院,甘肃 兰州,730000
- 3. 黑龙江省中医药科学院,黑龙江 哈尔滨,150000
- 折叠
摘要
骨质疏松和认知障碍是老年人常见的慢性病,骨质疏松相关性性认知障碍也是导致骨质疏松患者生活质量下降、功能障碍甚至残疾、病死的重要因素.中医学认为,精、气、神是人体生命活动的三大元素,精是生命产生的本原,神是生命活动的外部表现,气是构成和维持人体生命活动的物质,精气神共同维持人体正常的生命活动.文章通过阐述精气神的概念及相互作用,结合骨质疏松症肝肾亏虚、脾虚肾亏、气滞血瘀的病机特点,认为骨质疏松相关性认知障碍与脾肾密切相关,精亏、气虚、神少是其核心病机.本病以脾肾亏虚为本,气虚血瘀为标.治疗以补肾填精、益精填髓、健脾益气、活血化瘀为主,以达到恢复神机的作用.临证当辨别虚实轻重,加减化裁,以期为骨质疏松相关性认知障碍的临床治疗提供参考.
Abstract
Osteoporosis and cognitive impairment are common chronic diseases in the elderly,and osteoporosis-related cognitive impairment is also an important factor leading to the decline in quality of life,dysfunction and even disability,and even death of osteoporosis patients.Traditional Chinese medicine believes that vitality,energy and spirit are the three elements of human life activities,vitality is the origin of life,spirit is the external expression of life activities,energy is the substance that constitutes and maintains human life activities,and spirit jointly maintains normal life activities of human body.Based on the understanding of the concept and interaction of vital energy and spirit,combined with the pathogenesis characteristics of liver and kidney deficiency,spleen and kidney deficiency,Qi(气)stagnation and blood stasis in osteoporosis,the author believes that the cognitive impairment related to osteoporosis is closely related to the spleen and kidney,and the core pathogenesis is the deficiency of vital energy,Qi deficiency and lack of spirit.This disease is based on spleen and kidney deficiency,Qi deficiency and blood stasis.The treatment of tonifying kidney and essence,filling lean pulp,invigorating spleen and Qi,activating blood and removing stasis,in order to achieve the role of restoring the spirit.In order to provide reference for the clinical treatment of osteoporores-related cognitive disorders,clinical diagnosis should be made by distinguishing the degree of deficiency and solid.
关键词
精气神/骨质疏松/认知障碍/治疗方法Key words
Vitality,energy and spirit/Osteoporosis/Cognitive impairment/Therapeutic method引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据