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“过酸伤肝”与原发性骨质疏松症的相关性研究
引用本文:张鑫,朱换平,张维平,李育光.“过酸伤肝”与原发性骨质疏松症的相关性研究[J].中国骨质疏松杂志,2023(7):1056-1059.
作者姓名:张鑫  朱换平  张维平  李育光
作者单位:1.甘肃中医药大学,甘肃 兰州 730000 2.甘肃省中医院, 甘肃 兰州 730050
基金项目:甘肃省科技计划项目(21JR1RA050)
摘    要:《周礼》云:“疾医以五药养病,凡药以酸养骨。”《内经》云“味过于酸,肝气以津。”酸味善走筋,而酸味收敛,多食则筋易拘急;肝藏血而主筋,肝气受损,则筋伤血瘀,筋脉失养,运动不利,故发骨痿;过酸伤肝理论长期从饮食摄入方面影响着骨质疏松症的防治。现代研究认为,酸性环境会打破成骨细胞与破骨细胞之间的平衡;肝脏功能受损会引起骨代谢的紊乱,酸负荷也会导致骨代谢异常,但其中的关联尚不清楚。该文探讨“过酸伤肝”与原发性骨质疏松症之间的相关性,为骨质疏松症的防治提供思路。

关 键 词:过酸伤肝  骨质疏松症  骨代谢  酸负荷

Study on the correlation between liver injury caused by excessive acid theory and primary osteoporosis
ZHANG Xin,ZHU Huanping,ZHANG Weiping,LI Yuguang.Study on the correlation between liver injury caused by excessive acid theory and primary osteoporosis[J].Chinese Journal of Osteoporosis,2023(7):1056-1059.
Authors:ZHANG Xin  ZHU Huanping  ZHANG Weiping  LI Yuguang
Institution:1.Gansu University of Traditional Chinese Medicine, Lanzhou 730000 2.Gansu Provincial Hospital of TCM, Lanzhou 730050, China
Abstract:It is said in Zhou Li that the treatment of diseases is with five medicines and all medicines for the bone is with acid. It is said in Neijing that liver qi is used to moister when the taste is too sour. Sour taste goes through tendon and it is convergent. Therefore, over intake leads to tendon spasm. The liver stores blood and dominates tendons. When the liver is damaged, the tendon may injure and blood stasis. When tendons lack of nutrition, the movement may hinder, leading to bone atrophy. The theory of liver injury caused by excessive acid has affected the prevention and treatment of osteoporosis from dietary intake for a long time. Modern studies suggest that acidic environment may break the balance between osteoblasts and osteoclasts, impaired liver function causes disorder of bone metabolism, and acid load also leads to abnormal bone metabolism. However, the association among them is not clear. This paper discusses the correlation between liver injury caused by excessive acid theory and primary osteoporosis, hoping to provide ideas for the prevention and treatment of osteoporosis.
Keywords:liver injury caused by excessive acid  osteoporosis  bone metabolism  acid load
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