[1]薛泰骑,郭弋凡,刘 武,等.从“五体”角度探讨肌少症的防治策略[J].陕西中医,2025,46(2):220-224.[doi:DOI:10.3969/j.issn.1000-7369.2025.02.015]
　XUE Taiqi,GUO Yifan,LIU Wu,et al.Discussion on pathogenesis and prevention strategy of sarcopenia based on the five body constituents[J].,2025,46(2):220-224.[doi:DOI:10.3969/j.issn.1000-7369.2025.02.015]
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从“五体”角度探讨肌少症的防治策略
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年2期
页码:
220-224
栏目:
学术探讨
出版日期:
2025-02-05

文章信息/Info

Title:
Discussion on pathogenesis and prevention strategy of sarcopenia based on the five body constituents
作者:
薛泰骑1; 郭弋凡1; 2; 刘 武1; 周 一1; 2; 张 梦1; 2; 张 宁1
(1.中国中医科学院望京医院肾病内分泌科,北京 100070; 2.北京中医药大学研究生院,北京 100029)
Author(s):
XUE Taiqi1; GUO Yifan1; 2; LIU Wu1; ZHOU Yi1; 2; ZHANG Meng1; 2; ZHANG Ning1
(1.Nephrology and Endocrinology Department,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100070,China; 2.Graduate School,Beijing University of Chinese Medicine,Beijing 100029,China)
关键词:
肌少症;  五体;  五脏;  防治策略;  健脾;  益气
Keywords:
Sarcopenia;  Five body constituents;  Five ograns;  Rrevention and control strategies;  Strengthening the spleen;  Replenishing qi
分类号:
R 685
DOI:
DOI:10.3969/j.issn.1000-7369.2025.02.015
文献标志码:
A
摘要:
肌少症是一种与多种慢性疾病相关的退行性疾病,表现为肌肉质量、力量和功能的减退。本文从“五体”角度探讨皮、肉、脉、筋、骨及其对应脏腑与肌肉质量、肌肉力量及肌肉功能之间的关系,为临床治疗提供借鉴思路。在五体理论指导下,五脏外应五体,五脏充盛,五体健壮,则肌肉丰满,力量充盛,功能强健。若五脏受损,五体失养,则表现为肌肉瘦削、力量下降和功能减退。因此临床中可根据累及五体及对应脏腑进行针对性治疗:肌少症早期肌肉质量下降宜健脾益气增肌肉; 肌少症期肌肉力量下降宜疏肝养血强力量; 晚期肌肉功能衰退宜补肾填精益功能,治疗过程中配合益心安神养五体、补肺固卫护五体,达到增加肌肉质量、提高肌肉力量、改善肌肉功能的目的。
Abstract:
Sarcopenia is a degenerative disease associated with aging,characterized by a decrease in muscle mass,muscle strength,as well as muscle function.This article explores the relationship between “skin,vessel,muscle,tendon,and bone” with the five internal organs.Their relationship with muscle mass,muscle strength,and muscle function from the perspective of the “Five body constituents” provides reference ideas for clinical management.Under the guidance of the “Five body constituents” theory,the five body constituents are the external manifestation of the five organs.If the five organs are in the harmonious status,the five body constituents would be bouncing strong,which manifests externally as the muscles.If the five body constituents lose nourishment due to the impairment of the five organs,the mass of muscle,the strength of muscle,and the function of the muscle would decrease.Therefore,targeted treatment can be carried out based on the involvement of five body constituents and five organs in clinical practice:strengthening the spleen and replenishing qi to increase muscle mass in the early stage of sarcopenia; soothing the liver and nourishing blood to increase the strength of muscle during the period of sarcopenia; tonifying the kidney and supplementing essence during the end-stage of sarcopenia.It is important to nourish the heart,calm the mind,nourish the five body constituents,as well as strengthen the lungs and protect the five body constituents to increase muscle mass,improve muscle strength,and improve muscle function.

参考文献/References:

[1] 尚健民,欧汝威.肌少症的诊治研究新进展[J].中华老年多器官疾病杂志,2023,22(8):637-640.
[2] CHEN L K,WOO J,ASSANTACHAI P,et al.Asian working group for sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment[J].Journal of the American Medical Directors Association,2020,21(3):300-307.
[3] 程群,郑丽丽,章振林.肌少症流行病学及发病机制[J].中华骨质疏松和骨矿盐疾病杂志,2016,9(3):228-235.
[4] 刘莉,张艳,田雨同,等.老年肌少症患者自我管理研究进展[J].中国慢性病预防与控制,2023,31(12):948-951.
[5] 王玫月,姚明,时悦,等.成人骨骼肌减少症与骨质疏松症相关性调查研究[J].陕西医学杂志,2018,47(9):1207-1209.
[6] 李悦芃,董娟,张任飞,等.肌少症的治疗进展[J].中国临床保健杂志,2023,26(3):313-317.
[7] 李汝琦,万春友.中西医结合防治老年肌少症的研究进展[J].中国中西医结合外科杂志,2024,30(1):127-130.
[8] 李怡.老年肌肉衰减综合征中西医结合防治[J].中国中西医结合杂志,2021,41(9):1032-1035.
[9] 赵百孝.论针灸“皮脉肉筋骨”层次论治方法[J].中国针灸,2005,15(6):433-435.
[10] 陈羽楠,林丹红,陈立典.试析五体理论与中医运动功能[J].中医杂志,2018,59(4):276-280.
[11] 马振友,张广中,丁侃,等.皮肤源流之考证[J].中国美容医学,2014,23(5):416-419.
[12] 代菊红,杨光,杨丹丹,等.基于Logistic回归分析绝经后肌少症患者中医证型分布与体成分及机体功能相关性[J].中华中医药杂志,2023,38(4):1781-1786.
[13] 王慧,滕士超,胡紫薇,等.从脾肾探讨中医对肌少症的认识与研究进展[J].实用中医内科杂志,2023,37(10):122-125.
[14] 薛泰骑.老年肌少症中医证素、证候分布特征研究[D].北京:北京中医药大学,2022.
[15] 黄天瑾,陈发秀,梅洵,等.肌少症与心血管疾病相关性的研究进展[J].中国老年保健医学,2024,22(1):106-110.
[16] 赵云静,杨晓蕾,尹粉英,等.慢性阻塞性肺疾病合并肌少症的发病机制[J].中国老年保健医学,2023,21(1):110-113.
[17] 廖腾威,庄子齐.杨文辉教授治疗重症肌无力经验撷英[J].陕西中医,2022,43(3):356-359.
[18] 王文娟,邓鑫,郭文斌,等.从“甘温建中”探讨糖尿病相关肌少症治疗思路[J].陕西中医,2020,41(12):1790-1792.
[19] 周岚,梅晓云.黄芪对大鼠胫前肌失神经肌萎缩的防治研究[J].中国中药杂志,2014,39(6):1083-1087.
[20] TAN S,ZHOU F,LI N,et al.Anti-fatigue effect of Rb1 on postoperative fatigue syndrome induced by major small intestinal resection in rat[J].Biol Pharm Bull,2013,36(10):1634-1639.
[21] 温春瑜,陈颖颖,彭鹏,等.补中益气汤加减辅助治疗老年肌少症的临床疗效观察[J].实用中西医结合临床,2018,18(7):72-73.
[22] 吕罗岩,陈向民,王建伟,等.补中益气汤加减辅助治疗老年肌少症的临床疗效观察[J].北方药学,2021,18(11):29-31.
[23] 陈丹丹,沈贤发.浅谈调肝益脾法在肌少症患者中的应用[J].江西中医药大学学报,2024,36(1):1-4.
[24] 黄敏娜.基于PI3K/AKT/Nrf2通路研究柴胡皂苷A和D改善CKD骨骼肌萎缩的作用及机制[D].广州:南方医科大学,2024.
[25] 赵俊.补肾健脾方治疗阳虚型肌少症的临床研究[D].天津:天津中医药大学,2021.
[26] 孙帅帅,张立,张泽,等.从脾肾论治老年肌少症[J].中国中医药现代远程教育,2021,19(4):138-140.
[27] 任璇璇,姚惠,汪涛.八珍汤联合基础干预治疗老年肌少症临床疗效观察[J].中国现代医生,2016,54(16):127-130.
[28] 温敏勇,曾远峰,夏欣田,等.培土生金法联合西药治疗慢性阻塞性肺疾病稳定期外周骨骼肌功能障碍效果观察[J].新中医,2018,50(7):94-97.
[29] 先丽红,李娟,颜欢,等.老年肌少症与认知功能障碍相关性研究进展[J].中华老年心脑血管病杂志, 2024, 26(4): 472-474.
[30] 刘政,赵纯.从脾肾论治肌少与骨质疏松症[J].四川中医,2024,42(4):55-59.
[31] 苏晓川,郭智萍,郭清,等.肌少症与骨质疏松症相关性研究的可视化分析[J].中医研究,2024,37(4):75-82.
[32] 齐鹏坤,侯德才,吕艳芳,等.基于“骨肉不相亲”理论探讨肌少症与骨关节炎关系[J].中华中医药学刊,2024,42(12):189-193.

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备注/Memo

备注/Memo:
[基金项目]国家自然科学基金资助面上项目(81973801); 中国中医科学院科技创新工程(CI2021A01609); 中国中医科学院望京医院自主选题专项课题(QJYY-ZZXT-2022-13); 北京中医药大学教育教学改革专项课题(XJYZ22021)
更新日期/Last Update: 2025-02-08