黄凤林 张宝瑜 周洪波

    摘要 根据《黄帝内经》中“骨痿”“骨枯”“骨极”等内容和骨质疏松症临床表现，以及现代医学对骨质疏松症认识，探究骨质疏松症病因病机和辨证施治思路。认为肝肾不足、脾肾亏虚、气滞血瘀是骨质疏松主要病因病机。治疗应以补肝益肾、健脾补肾、行气活血为主;《黄帝内经》论治骨质疏松症具有较高指导意义，因此在临床治疗中应按照证候虚实，调整病邪性质辨证施治，提高临床治疗效果，进而为临床优化骨质疏松症治疗提供有效资料。

    關键词 黄帝内经;骨质疏松症;骨痿;筋骨互用

    Treatment Experience of Osteoporosis in Huangdi′s Internal Classic

    HUANG Fenglin，ZHANG，Baoyu，ZHOU Hongbo

    (Department of Hemodialysis，Nangang Branch of Heilongjiang Provincial Hospital of Traditional Chinese Medicine，Harbin 150001，China)

    Abstract According to “bone wilting”，“cachexia in bone”，and “bone exhaustion” in the Huangdi′s Internal Classic (Huang Di Nei Jing)，the clinical manifestations of osteoporosis，and the modern medical understanding of osteoporosis，the etiology and pathogenesis，as well as the therapeutic principles based on syndrome differentiation of osteoporosis were explored.It is believed that liver and kidney deficiency，spleen and kidney deficiency，qi stagnation and blood stasis are the main causes of osteoporosis.Therapeutic principles should be dominated by tonifying liver combined with replenishing kidney ......