莫文教授基于"脏腑-情志-奇经"理论分期论治绝经后骨质疏松症的经验探析OA
An Analysis of Professor Mo Wen's Experience in Treating Postmenopausal Osteoporosis with Staged Treatment Based on the Theory of Zang-fu Organs,Emotion,and the Extraordinary Meridians
绝经后骨质疏松症严重危害女性健康,总结了莫文教授论治绝经后骨质疏松症的学术思想,以期为骨伤临证治疗提供参考.莫文教授认为绝经后骨质疏松症病机以"肾虚为本",但在绝经期常因情志因素"始于肝郁",继而"传至脾虚",终"归于肾亏",并倡导"调理奇经(尤以冲任督脉)"以统摄脏腑辨证,构建"病机传变-枢纽调控"的治疗体系.治疗上立"通补结合"总则,并进行"分期论治":围绝经期以"疏肝健脾、调和冲任"为核心,重在预防骨量流失;绝经后早期以"滋阴清热、填补冲任"为主,阻断阴虚伏热伤骨;老年期以"温阳填髓、活血通奇经"为要,改善骨枯髓减,形成动态防治链.
Postmenopausal osteoporosis(PMOP)seriously endangers women's health.This article summarizes Professor Mo Wen's academic perspectives on the treatment of PMOP.This work is intended to provide a reference for clinical prac-tice in orthopedics and traumatology.Professor Mo Wen posits that while the pathogenesis of PMOP is rooted in"Kidney Deficiency as the root",its onset during menopause is often triggered by emotional factors,"starting with Liver Depres-sion",which then"transmits to Spleen Deficiency",and ultimately"culminates in Kidney Deficiency".He places particular emphasis on the dysfunction of the Extraordinary Meridians(Qi Jing)as the fundamental cause of the disease and advo-cates"regulating the Extraordinary Meridians"to guide Zang-fu pattern differentiation.For treatment,he establishes the general principle of"Unblocking and Tonifying in Combination"and implements a"Staged Treatment"model:the perim-enopausal stage focuses on prevention by harmonizing the Chong and Ren Meridians;the early postmenopausal stage em-phasizes nourishing Yin and clearing heat to replenish the Chong and Ren Meridians;and the late/senile stage aims to warm Yang and invigorate blood to warm and unblock the Extraordinary Meridians.
陈舟扬;许金海;宁辉丽;徐一白;薛瑞瑞;王国栋;叶洁;莫文
上海中医药大学附属龙华医院(上海,200032)上海中医药大学附属龙华医院(上海,200032)上海中医药大学附属龙华医院(上海,200032)上海中医药大学附属龙华医院(上海,200032)上海中医药大学附属龙华医院(上海,200032)上海中医药大学附属龙华医院(上海,200032)上海中医药大学附属龙华医院(上海,200032)上海中医药大学附属龙华医院(上海,200032)||上海中医药大学脊柱病研究所
医药卫生
绝经后骨质疏松症奇经冲任督脉分期论治中医辨证论治
postmenopausal osteoporosisextraordinary meridiansChong-Ren-Du meridiansstaged treatmentTCM pattern differentiation and treatment
《中国中医骨伤科杂志》 2026 (6)
103-107,5
国家中医药管理局高水平中医药重点学科建设项目(中医骨伤科学,ZYYZDXK-2023059)上海市申康医院发展中心项目(SHDC2024CRI045)上海市浦东新区中医药传承创新发展示范试点建设项目(高水平研究型中医医院建设YC-2023-0901)上海中医药大学第三轮学术荣誉体系特聘教授计划
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