“肾藏精，主骨”理论与男性骨质疏松症

doi:10.16138/j.1673-6087.2025.01.20

摘要/Abstract

摘要：

男性骨质疏松症（male osteoporosis，MOP）的危害性常不受到重视，然而相较于女性患者，MOP可能导致更严重的后果。本文基于中医“肾藏精，主骨”理论，认为MOP的发生与中医肾脏生理功能相关。通过探讨“肾藏精，主骨”理论与MOP的相关性，提出“肾精不足、髓减骨痿”是MOP的核心病机，与多种骨质疏松症的现代医学发病机制相关。古今医家多采用补肾强骨、填精益髓的方法有效防治骨质疏松症。

关键词: 肾藏精, 肾主骨, 男性骨质疏松症, 中医理论, 流行病学

Abstract:

Male osteoporosis (MOP) is often not taken seriously by the public, while MOP may cause more severe consequence compared with female osteoporosis. Based on the theory of “kidney storing the essence and dominating the bones” in traditional Chinese medicine (TCM), it was believed that the concurrence of MOP is related to kidney’s physiological function in TCM. It is proposed that “kidney essence deficiency, marrow loss and bone atrophy” is the core pathogenesis of MOP, which is related to the pathogenesis of various osteoporosis in modern medicine. In terms of treatment, both ancient and modern TCM doctors have mostly adopted the methods of tonifying kidney, strengthening bone and replenishing the essence and nourishing the marrow to effectively prevent and treat osteoporosis.

Key words: The kidney stores the essence, The kidney controls the bones, Male osteoporosis, Traditional Chinese medicine theory, Epidemiology

中图分类号:

沈世仲, 隋亮, 陈康, 史晓, 施丹. “肾藏精，主骨”理论与男性骨质疏松症[J]. 内科理论与实践, 2025, 20(01): 94-100.

SHEN Shizhong, SUI Liang, CHEN Kang, SHI Xiao, SHI Dan. Theory of “kidneys storing essence and dominating bones” and male osteoporosis[J]. Journal of Internal Medicine Concepts & Practice, 2025, 20(01): 94-100.

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