第21卷第6期·总第398期2023年3月·下半月刊中国中医药现代远程教育CHINESEMEDICINEMODERNDISTANCEEDUCATIONOFCHINA基于心肾相交探讨绝经后骨质疏松症合并冠心病的发病机制*许振1王舒2肖菲2周海蓉2高毅2※（1.山东中医药大学硕士研究生2020级，山东济南250014；2.山东中医药大学第一附属医院骨内科，山东济南250014）摘要：《黄帝内经》曰：“年四十而阴气自半”，绝经后女性肝肾精血不足，骨枯髓减，气血亏虚，血不得行，因虚致瘀，无以濡养筋骨和血脉，终致骨痿与胸痹合而为病。从中医角度来说，绝经后骨质疏松症合并冠心病为本虚标实之证，治疗上重视标本兼顾。此文从“整体观念”的角度出发，将心与肾相联系，并结合对心肾相交的认识，从心肾的关系探讨绝经后骨质疏松症合并冠心病的发生机制，以期为临床治疗提供更好的指导价值，为治疗绝经后骨质疏松症提供新的方向。关键词：骨痹；绝经后骨质疏松症；胸痹；冠心病；心肾相交doi:10.3969/j.issn.1672-2779.2023.06.029文章编号：1672-2779（2023）-06-0082-05DiscussiononthePathogenesisofPostmenopausalOsteoporosisComplicatedwithCoronaryHeartDiseasefromtheIntercoursebetweenHeartandKidneyXUZhen1,WANGShu2,XIAOFei2,ZHOUHairong2,GAOYi2※(1.Grade2020Graduate,ShandongUniversityofTraditionalChineseMedicine,ShandongProvince,Ji’nan250014,China;2.DepartmentofOsteology,TheFirstAffiliatedHospitalofShandongUniversityofTraditionalChineseMedicine,ShandongProvince,Ji’nan250014,China)Abstract：TheHuangdiNeijingsaid:“yinqibegantodecayat40years”,liverandkidneybloodofpostmenopausalwomenisdeficient,bonereduction,qiandbloodisdeficient,bloodcannotgosmooth,stasisduetodeficiency,eventuallycausedbyatrophicdebilityofbonesandchestparalysis.FromthepointofviewoftraditionalChinesemedicine,postmenopausalosteoporosiscombinedwithcoronaryheartdiseaseisthesyndromeofastheniainoriginandastheniainsuperficiality,andattentionshouldbepaidtotreatingbothmanifestationandrootcauseofdisease.Inthispaper,fromtheperspectiveof“holisticconcept”,heartandkidneyareconnected,andcombinedwiththeunderstandingoftheintersectionofheartandkidney,fromtherelationshipbetweenheartandkidneytoexplorethemechanismofpostmenopausalosteoporosiscombined...
