基于《黄帝内经》"五脏衰论"探讨老年人中医体质特征及体病相关OA
Exploring the Traditional Chinese Medicine Constitution Characteristics of the Elderly Based on the"Five Zang Organs Decline Theory"in Inner Canon of Huangdi
中国人口已经表现出老龄化趋势,据国家统计局报告,2023 年末,中国 60 岁或以上的老年人占总人口的21.1%.老年人疾病的预防与治疗将是未来重点聚焦的医学问题.《黄帝内经》把人生命全过程分为"生、长、壮、老、已"五个阶段.老年处于后段,人体的五脏次第渐衰,体质以虚为主,因虚致实,夹痰夹瘀.王琦院士"体病相关论"指明,根据老年人体质特点调整偏颇体质是防治老年人常见疾病的要点.老年阶段体质的特殊性区别于其他阶段,本文从《黄帝内经》对人体老年段"五脏衰"的描述入手,结合后世医家论点探析老年人的体质特点.
The aging of the Chinese population has become a trend.According to the National Bureau of Statistics,by the end of 2023,the elderly aged 60 or above in China will account for 21.1%of the total population.The prevention and treatment of diseases in the elderly will be a key medical focus in the future.Inner Canon of Huangdi divides the entire life cycle into five stages:"birth,growth,strength,old age,and death".In the later stage of old age,the five organs of the human body gradually decline,the traditional Chinese medicine constitution is primarily characterized by deficiency,which can lead to excess and complications such as phlegm and blood stasis.The"constitution-disease correlation"theory suggests that adjusting the imbalanced constitution based on the physical characteristics of the elderly is crucial for preventing common diseases among them.The unique nature of the physical constitution in the elderly stage sets it apart from other stages.This article begins with the description of the"decline of the five Zang organs"in the elderly stage of the human body as outlined in Inner Canon of Huangdi,and combines it with the views of later medical scholars to explore the physical characteristics of the elderly.
魏巍;赵晓山;蔡煜阳;唐益文;白明华;王济
北京中医药大学,北京 102488南方医科大学,广州 510515北京中医药大学,北京 102488北京中医药大学,北京 102488北京中医药大学国家中医体质与治未病研究院,北京 100029北京中医药大学国家中医体质与治未病研究院,北京 100029
医药卫生
老年人中医体质五脏衰论体病相关
ElderlyTraditional Chinese medicine constitutionFive Zang organs decline theoryConstitution-disease correlation
《中国中医基础医学杂志》 2026 (4)
838-842,5
国家重点研发计划项目(2024YFC3506300,2024YFC3506301)国家中医药管理局高水平中医药重点学科—中医体质学(zyyzdxk-2023251)教育部学科突破先导项目(JYB2025XDXM612)湖北省科技重大专项(2023BCA005)湖北时珍实验室首席科学家科研项目(HSL2024SX0002)北京中医药大学"双一流"重大标志性成果后补助项目(BZXHBZ-2025-001)
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