王鹏 翁凤泉 陈述祥

【摘 要】

绝经后骨质疏松症相当于中医的骨萎病。翁凤泉教授在治疗绝经后骨质疏松症上，提出从多虚多瘀立论，以滋补肝肾，健脾活血为法，临床上获得了较好疗效。文章总结翁凤泉教授治疗绝经后骨质疏松的临证经验，为中医临床治疗绝经后骨质疏松症提供依据。

【关键词】 绝经后骨质疏松症;多虚多瘀;滋补肝肾;健脾活血

【中图分类号】R249.2/.7   【文献标志码】 A    【文章编号】1007-8517（2021）24-0084-03

Professor Weng Fengquan's Clinical Experience in the Treatment of Postmenopausal Osteoporosis

WANG Peng1 WENG Fengquan2△ CHEN Shuxiang2*

1. Graduate School of Hunan University of traditional Chinese Medicine，changsha 410208，China;

2.Department of Orthopedics，Wuyi Traditional Chinese Medicine Hospital，Jiangmen 529000，China

Abstract：

Postmenopausal osteoporosis is equivalent to bone wilt disease in traditional Chinese medicine.Professor Weng Fengquan in the treatment of postmenopausal osteoporosis，put forward from more deficiency and more blood stasis theory，to nourish the liver and kidney，invigorate the spleen and promote blood circulation for the method，clinical obtainedgood curative effect.This paper aims to summarize Professor Weng Fengquan's clinical experience in the treatment of postmenopausal osteoporosis，and provide the basis for the clinical treatment of postmenopausal osteoporosis with traditional Chinese medicine.

Key words：Postmenopausal Osteoporosis; More Deficiency and More Blood Stasis; Nourishing the Liver and Kidney;Invigorating the Spleen and Promoting Blood Circulation

绝经后骨质疏松症（Postmenopausal osteoporosis，PMOP）属于一种常见的中老年骨性疾病，其病理为女性绝经后骨密度降低，骨微结构异常而增加了骨脆性，这样会导致骨疼痛、脊柱变形、骨折发生率明显提高[1]。其临床表现及骨骼的结构变化来看，现代医家对其归属中医学“骨痿”范畴已达成共识。《黄帝内经》对其机理论述如下：“肾气热，则髓减，发为骨痿”。

翁凤泉教授是广东省名中医，师从国医大师韦以宗。他勤学古今，博采众方， 结合自己几十年临床经验，提出在治疗绝经后骨质疏松症上，从多虚多瘀立论，以滋补肝肾，健脾活血为法。本文主要介绍了翁凤泉教授治疗绝经后骨质疏松症的临证经验及附病案一篇。

1 虚瘀病因病机阐微

1.1 肾虚为根本病因 翁凤泉教授认为，本病虚证主要包括肾虚、肝虚、脾虚，但肾虚为该病发生的根本原因。根据中医理论，肾藏精，精生髓，髓养骨，因而精充则骨强。“女子七七，……天癸竭” ，随着年龄的增长，肾脏虚衰，肾失封藏，肾精不足而生髓乏源，髓少无以养骨，这直接导致绝经后骨质疏松症的发生。