[1]陈舟扬,许金海,宁辉丽,等.莫文教授基于“脏腑-情志-奇经”理论分期论治绝经后骨质疏松症的经验探析[J].中国中医骨伤科杂志,2026,34(06):103-107.[doi:10.20085/j.cnki.issn1005-0205.260615]
　CHEN Zhouyang,XU Jinhai,NING Huili,et al.An Analysis of Professor Mo Wen's Experience in Treating Postmenopausal Osteoporosis with Staged Treatment Based on the Theory of Zang-fu Organs,Emotion,and the Extraordinary Meridians[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(06):103-107.[doi:10.20085/j.cnki.issn1005-0205.260615]
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莫文教授基于“脏腑-情志-奇经”理论分期论治绝经后骨质疏松症的经验探析()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年06期
页码:
103-107
栏目:
经验交流
出版日期:
2026-06-15

文章信息/Info

Title:
An Analysis of Professor Mo Wen's Experience in Treating Postmenopausal Osteoporosis with Staged Treatment Based on the Theory of Zang-fu Organs,Emotion,and the Extraordinary Meridians
文章编号:
1005-0205(2026)06-0103-05
作者:
陈舟扬1; 许金海1; 宁辉丽1; 徐一白1; 薛瑞瑞1; 王国栋1; 叶洁1; 莫文1; 2△
1上海中医药大学附属龙华医院(上海,200032)
2上海中医药大学脊柱病研究所
Author(s):
CHEN Zhouyang1; XU Jinhai1; NING Huili1; XU Yibai1; XUE Ruirui1; WANG Guodong1; YE Jie1; MO Wen1; 2 △
1Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China; 2Research Institute of Spine Diseases,Shanghai University of Traditional Chinese Medicine,Shanghai 200003,China.
关键词:
绝经后骨质疏松症;  奇经;  冲任督脉;  分期论治;  中医辨证论治
Keywords:
postmenopausal osteoporosis;  extraordinary meridians;  Chong-Ren-Du meridians;  staged treatment;  TCM pattern differentiation and treatment
分类号:
R274.9
DOI:
10.20085/j.cnki.issn1005-0205.260615
文献标志码:
B
摘要:
绝经后骨质疏松症严重危害女性健康,总结了莫文教授论治绝经后骨质疏松症的学术思想,以期为骨伤临证治疗提供参考。莫文教授认为绝经后骨质疏松症病机以“肾虚为本”,但在绝经期常因情志因素“始于肝郁”,继而“传至脾虚”,终“归于肾亏”,并倡导“调理奇经(尤以冲任督脉)”以统摄脏腑辨证,构建 “病机传变-枢纽调控” 的治疗体系。治疗上立“通补结合”总则,并进行 “分期论治”:围绝经期以 “疏肝健脾、调和冲任”为核心,重在预防骨量流失; 绝经后早期以 “滋阴清热、填补冲任” 为主,阻断阴虚伏热伤骨; 老年期以 “温阳填髓、活血通奇经” 为要,改善骨枯髓减,形成动态防治链。
Abstract:
Postmenopausal osteoporosis(PMOP)seriously endangers women's health.This article summarizes Professor Mo Wen's academic perspectives on the treatment of PMOP.This work is intended to provide a reference for clinical practice in orthopedics and traumatology.Professor Mo Wen posits that while the pathogenesis of PMOP is rooted in “Kidney Deficiency as the root”,its onset during menopause is often triggered by emotional factors,“starting with Liver Depression”,which then “transmits to Spleen Deficiency”,and ultimately “culminates in Kidney Deficiency”.He places particular emphasis on the dysfunction of the Extraordinary Meridians(Qi Jing)as the fundamental cause of the disease and advocates “regulating the Extraordinary Meridians” to guide Zang-fu pattern differentiation.For treatment,he establishes the general principle of “Unblocking and Tonifying in Combination” and implements a “Staged Treatment” model:the perimenopausal stage focuses on prevention by harmonizing the Chong and Ren Meridians; the early postmenopausal stage emphasizes nourishing Yin and clearing heat to replenish the Chong and Ren Meridians; and the late/senile stage aims to warm Yang and invigorate blood to warm and unblock the Extraordinary Meridians.

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(收稿日期:2025-10-20)

备注/Memo

备注/Memo:
基金项目:国家中医药管理局高水平中医药重点学科建设项目(中医骨伤科学,ZYYZDXK-2023059)
上海市申康医院发展中心项目(SHDC2024CRI045)
上海市浦东新区中医药传承创新发展示范试点建设项目(高水平研究型中医医院建设YC-2023-0901)
上海中医药大学第三轮学术荣誉体系特聘教授计划
△通信作者 E-mail:mw2218@126.com
更新日期/Last Update: 2026-06-15