试论治脾法在腰痛中的应用

试论治脾法在腰痛中的应用山西省永济市中医院（０４４５００）马建国治脾法治疗腰痛，运用得法每获良效，试述于后。１．虚证腰痛，健脾为先：虚证腰痛，多因肝脾肾虚损、病在筋骨肌肉。腰为肾之腑，肾者主骨，封藏之本，精之处；肝者主筋，罢极之本，藏血之脏：脾者主肌...     

张华东教授痹后调摄四法

张华东教授强调痹病当治养并举,痹后尤重调摄,并将痹后调摄归纳为“贵肝、察体、勤练、善养”四法。“贵肝”之法,重视肝郁,推荐音乐疗法疗痹解郁;“察体”之法,当辨体质为先,据体选方用茶,调和阴阳;“勤练”之法,把握痹痿同病,锻炼强调整体以使五脏调和,针对局部使经络通达,筋骨强健,关节通利;“善养”之法,以药食同源为基,灵活应用食疗治痹。牢牢把握上述四法,方可缩短病程,控制病情反复。     

基于生命四时调理脾胃探析骨质疏松症“治未病”理念

骨质疏松症发病广泛,其"治未病"意义重大。生命四时,少、壮、中、老,长、壮、衰、亡,构成阳气升降一生命循环,为四季变化之延长。其中,脾土主四时,掌生命终始。生命中期之前,脾土顺阳气之升发,承载筋骨生长,奠定基石,防变于先,生命中期之后,脾土顺阳气潜藏,厚纳以封藏精微,稳固筋骨,缓病之势。故生命四时不同,脾胃所主不一,形成了骨质疏松症独特的"未病先防、既病防变"理念。笔者认为,儿少发陈,温升脾土,条达肝木;壮硕之年,温补脾阳,助阳宣泄;中老之年,润脾降胃,容平阳气;年老之时,酸甘敛藏,固元纳气,防病之要义。     

中医药防治老年骨质疏松研究进展

骨质疏松症是中老年人的常见疾病,中医在该病防治方面主要从以下几方面分型:(1)肾主骨理论:肾为先天之本,肾主藏精,主骨生髓,与生殖、内分泌、性腺系统密切相关,肾的生理作用与骨的旺、盛、平、衰有极大的相关性。骨痿其标在骨,其本在肾。(2)脾肾相关论:脾为后天之本,主运化水谷精微。脾气散精,上输于肺,下归于肾,脾肾相互促进,相互依存,常有脾肾同病之说。脾肾虚弱是骨质疏松症的主要病理变化。(3)血瘀论:骨质疏松症患者脏腑功能失调,经气不利,影响气血运行,导致经络气血运行不畅,不通则痛,故常出现疼痛、功能障碍。血瘀可致气血运行障碍,营养物质不能濡养脏腑、骨骼,引起脾肾俱虚而加重骨质疏松症。(4)肝郁论:肝藏血主筋,肾藏精主骨,肝肾同下焦,精血可以互化,肝郁气滞,郁而化火,易灼伤肝阴而致肝阴不足,肝阴血亏虚,无以生精养骨,终致骨痿。因此临床用药灵活多变,但不出补肾壮骨、健脾益气、活血通脉、以及疏肝解郁的治疗大法。     

基于“肝主筋、肾主骨”理论探讨OPG/RANKL/RANK信号轴与绝经后骨质疏松症的筋骨相关性

中医基础理论素有"肝主筋,肾主骨"之说,肝藏血主筋,筋束骨利关节,肾为先天之本,主骨而生髓,肝肾精血同源、筋骨相关,互资互生,二者共同介导机体器官、脏腑的发育、生长与衰退过程,尤其与骨细胞生长代谢机制关系密切。随着中医药分子生物学研究的深入,发现骨保护蛋白(OPG)/核因子-k B受体活化因子(RANK)/核因子-k B受体活化因子配体(RANKL)信号轴在骨代谢中发挥关键作用。本文基于"肝主筋,肾主骨"理论,从绝经后骨质疏松症的病因病机出发,从"肝肾论治,筋骨并重"角度将OPG/RANKL/RANK信号转导系统与骨代谢内环境稳态相结合,为中医药柔肝补肾、调筋养骨机制提供分子生物学、筋骨力学依据支撑,以期进一步指导临床论治。     

基于“肝主筋、肾主骨”理论探讨OPG/RANKL/RANK信号轴与绝经后骨质疏松症症的筋骨相关性

中医基础理论素有“肝主筋，肾主骨”之说，肝藏血主筋，筋束骨利关节，肾为先天之本，主骨而生髓，肝肾精血同源、筋骨相关，互资互生，二者共同介导机体器官、脏腑的发育、生长与衰退过程，尤其与骨细胞生长代谢机制关系密切。随着中医药分子生物学研究的深入，发现骨保护蛋白（OPG）/核因子-kB受体活化因子（RANK）/核因子-kB受体活化因子配体（RANKL）信号轴在骨代谢中发挥关键作用。本文基于“肝主筋，肾主骨”理论，从绝经后骨质疏松症症的病因病机出发，从“肝肾论治，筋骨并重”角度将OPG/RANKL/RANK信号转导系统与骨代谢内环境稳态相结合，为中医药柔肝补肾、调筋养骨机制提供分子生物学、筋骨力学依据支撑，以期进一步指导临床论治。     

王海东教授针药结合治疗类风湿关节炎膝关节病变经验

王海东教授认为,类风湿关节炎膝关节病变发病以正气亏虚为本,风、寒、湿、热等外邪侵袭为标,病位主要在脾,与肝、肾关系密切,形成了“正虚则生积致痹”的学术思想。治疗时注重内外合治、针药并用,针刀治疗时强调解剖结构和经筋理论并重,提出辨筋论治的针刀舒筋解结术,重视形、气、神一体观,整体治疗。用药时提出了“益气法”治痹理论,选方以“益气蠲痹汤”为基础,临证时随症加减、灵活处方。     

密骨疏治疗骨质疏松症病例报告

骨质疏松症是最为常见的代谢性骨病 ,是一种重要的老年性疾病 ,其特点为单位体积内骨组织量减少 ,骨皮质变薄 ,海绵骨骨小梁数目及大小均减少 ,髓腔增宽 ,骨荷载功能减弱 ,从而产生腰背、四肢疼痛、脊柱畸形甚至骨折。中医学把本病归属于“骨痿”“骨枯”“骨痹”“骨缩”等范畴 ,认为病机有肾虚、脾虚与血瘀 ;肾精不足则不能化生气血以荣筋养骨 ,肾阳虚衰则气血温运无力又渐可致瘀而呈本虚标实证 ,在治疗方面现代医学主要有周期应用性激素、钙剂、维生素Ｄ、二磷酸盐、降钙素和病因治疗 ,中医则按辨证论治以重在补肾兼顾脾、肝 ,佐以祛瘀为…     

张氏攻邪学术思想在治疗慢性肾脏病中的应用

慢性肾脏病可由水肿、淋证等多种病症发展而来,其病程冗长,病机错综复杂,既有正气的耗损,又有时邪蕴阻,属本虚标实,虚实夹杂之证.病位主要在脾、肾,波及肝、心、肺、胃等诸脏腑.本病病机关键是肾之开阖功能失调,不能及时疏导、传输、转化水液及毒物,而形成湿浊、湿热、瘀血、尿毒等邪毒,进而波及五脏六腑、四肢百骸而产生临床诸证.     

庄礼兴运用直接灸四花穴治疗恶性肿瘤化疗后骨髓抑制思路探析

化疗后骨髓抑制,是化疗最常见的毒副反应之一。庄礼兴教授认为化疗后骨髓抑制的病机多为气血亏虚、脾肾不足,提出以直接灸法升提阳气,并配合具有补肾气、升脾阳、调血补血作用的四花穴治疗,强调扶阳固本兼顾脾肾之气,阴阳气血同调,可有效减轻化疗所致的骨髓抑制。     

Rheoencephalography and the study of the pulsation of the cervical vascular network in the diagnosis of goiter and neck and mediastinal tumors

The authors have applied rheography of the brain and sphygmography of the vessels of the neck and mediastinum for the diagnosis of compression of the neck vessels and organs in goiter and tumors of retrosternal and deep cervical localization. The methods allow to recognize stenosing of the vessels in early stages and facilitate the diagnosis of these conditions.     

Ocular immunopathological characteristics and the involvement of the platelet-aggregation factor and the anti-PAF at the level of the eye

This lecture tries to systematize the data about PAF (platelet activating factor) complex implications in the different ocular immune responses, and about the therapeutical results of PAF antagonists ?n experimental and clinical inflammatory conditions.     

Relation between the structure of the annulus fibrosus and the function and failure of the intervertebral disc

A simple model is presented that explains the observed function and failure of the intervertebral disc in compression, torsion, and bending; this model is based upon the observed arrangement of collagenous fibers in the annulus fibrosus. The fibers are considered to have the same mechanical properties as tendon; thus the stresses required to produce a given deformation and which irreversibly damage the fibers can be predicted. Predictions of the mechanical behavior of the disc are in good agreement with published results for compression and torsion; no comparable experiments have been performed for bending. It is further predicted that torsion and bending are likely to cause annular failure and protrusion. Failure is likely to occur posteriorly because of the effect of forward bending and because in the flattened and reentrant discs of the lumbar spine, torsional stress is concentrated at the points of maximum curvature. The structure of the disc tends to protect the collagenous fibers in forward bending and torsion. Compression is predicted to cause end-plate fracture rather than annular failure.