骨质疏松症
Alias骨痿
Traditional Chinese Medicine Definition
Osteoporosis, known as "Bone Weakness" in traditional Chinese medicine, falls under the category of bone injury diseases. According to traditional Chinese internal medicine, Bone Weakness is caused by insufficient kidney essence and空虚骨髓, which fail to nourish the bones. The main symptoms include bone pain, weakness in the lower back and knees, decreased bone mass, and an increased risk of fractures.
In the clinical practice of traditional Chinese medicine, the core pathogenesis of osteoporosis is the deficiency of kidney essence and the malnourishment of bone marrow. Common precipitating factors include aging, malnutrition, reduced physical activity, and endocrine disorders. During the process of differentiation, it is important to distinguish between cold and heat, as well as deficiency and excess. For instance, kidney essence deficiency manifests as soreness in the lower back and knees, teeth loosening, and hair loss. Meanwhile, deficiency of both the spleen and kidney is characterized by general bone pain, poor appetite, fatigue, and loose stools. The overall approach to treatment is to replenish kidney essence, strengthen the spleen and kidneys, and fortify the tendons and bones. In clinical practice, through differentiation and treatment, combined with internal herbal medicine, acupuncture, massage, and other comprehensive therapies, the symptoms of patients can be improved, and their quality of life can be enhanced. Traditional Chinese medicine believes that the treatment of osteoporosis should focus on holistic treatment, emphasizing the simultaneous treatment of the liver and kidneys, to achieve the effect of treating both the root and the symptoms.
Common Syndrome Types and Key Points of Differentiation
肾精亏虚证
Main Manifestations：腰背酸痛,腰膝酸软,齿摇发脱
Management Approach：补肾填精,壮骨生髓
脾肾两虚证
Main Manifestations：全身骨痛,纳差乏力,便溏
Management Approach：健脾补肾,强筋壮骨
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
Patients with osteoporosis often experience weakness in the lower back and knees. Focusing on kidney-tonifying and bone-nourishing is the fundamental approach to treatment.
— 李明久 中医执业医师
Guidance for Nearby Treatment
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)