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Osteoporosis Chinese medicine diagnosis and treatment technology

 

 

 

China's traditional Chinese medicine reported

 

 

 

        Osteoporosis is and debilitates subtle structure characteristic of degradation, causing brittle bone fractures and easy to increase the whole body metabolic bone disease. The motherland medicine thinks the occurrence, development and "kidney" closely related, the grain asked · the inverse of "yue:" don't give birth to the marrow, kidney can't full ", "the element asked · six section hide like theory" yue: "the Lord sting, kidney, sealing, the hidden in the fine, also in China, and the filling in hair bone".

 

        Routine therapy

 

        Encourage patients exercising, sunshine, and promote the synthesis of vitamin D to the absorption of calcium, and the fracture in part to brake fixed for fracture healing. Due to osteoporosis bones protein and calcium salt are loss, reason should be added the protein in the diet and right amount. As for a secondary or idiopathic osteoporosis in treatment for the disease to primary treatment.

 

        Syndrome differentiation type points

 

        Liver and kidney deficiency type: disease see body fatigue strength, dizzy, tinnitus dry mouth, lumbar debility, rijin rickets, trudging, little insomnia forgetful, red tongue moss less, pulse heavy fine.

 

        Treatment: nourishing liver kidney, strong gluten bones.

 

        Agent: briskly tiger and dive pill: turtle 2 copies of glue, glue antlers 2 portion, tiger tibial (now a dog with a bone generation) 2 copies, there are 2 of 2 ~ of sichuan, eucommia 2 of 2 a lock Yang, angelica 2 portion, cooked dihuang 2 copies, WeiLingXian 2 copies, cortex phellodendri a, the ginseng of 1, qiang work a, root of herbaceous peony a, a white atractylodes, proved the mountains of 1.5, the honey right amount. Grind for fine at the end, such as green bean big refined honey pill). Each take 10 g, hollow weak brine send, daily 2 ~ 3 times.

 

        Spleen and kidney Yang type: disease see god exhausted body tired, light yellow complexion is not China, limb cold chills, low back pain, the valley not jasmine, loose stools Sou qing, tongue light moss thin white, pulse heavy fine.

 

        Treatment: the spleen benefiting kidney.

 

        Agent: then lingya scattered and right to limit drink: lotus seed meat (peeled) 500 grams, kindhearted YiRen 50 grams, shrinking sand benevolence 50 grams, platycodon grandiflorum (fry make deep yellow) 50 grams, white lentils (ginger baptized, and to skin, small fry) 75 grams, poria alba 100 grams, ginseng 100 grams, liquorice (fry) 100 grams, white atractylodes 100 g and 100 g yam. Grind for fine at the end, each take 6 g, big jujube Fried take soup.

 

        Qi stagnancy and blood stasis syndrome: disease see bone pain, low back pain, lumbar debility, stalking, rib bilge stuffy, go channeling pain or see limbs joint deformities, dark red tongue, moss white greasy, pulse sink string.

 

        Treatment: promoting blood circulation line gas, validates the pain.

 

        Agent: the body pain by stasis soup: QinJiao 3 g, river xiong 6 grams, which is 9 g, safflower 9 g, liquorice 6 g, qiang work 3 g, myrrh 6 g, angelica root 9 g, five spirit fat (fry) 6 g, sweet with 3 g, ~ 9 g, dilong 6 grams. Water frying uniform, avoid cold greasy, pregnant women not taken.

 

        If the concurrent fracture, should be in the regard the premise of vital qi, the three periods of prescription drug fracture syndrome differentiation.

 

        Western medicine therapy

 

        The commonly used medicine according to the pharmacological effects can be divided into three groups: to promote bone formation kind, such as fluoride etc; Inhibit bone absorption categories, such as estrogen, of calcitonin and two phosphate kind; and Promote bone mineralization categories, such as vitamin and calcium, etc.

 

        Calcium: calcium supplement can make the negative calcium balance to positive calcium balance, if the normal absorption, the daily supplement 1 ~ 1.5 grams of calcium ions can, calcium carbonate, calcium lactate all can.

 

        Vitamin D: help the absorption of calcium, general and daily 400 ~ 5001 U. Too large doses can cause high blood calcium diseases and high urinary calcium diseases, when using, should pay attention to.

 

        Sex hormones: used to prevent women after menopause osteoporosis. Estrogen can promote the secretion of calcitonin, make active vitamin D3 synthesis increase, and thyroid hormone has antagonist role. Use estrogen drugs when treatment, careful evaluation of drug therapy effect and side effects, and regularly check to prevent serious complications.

 

        Of calcitonin: can immediately suppress osteoclast activity, delay effect and can reduce the number of broken bone cells. Currently used clinically salmon of calcitonin (secret calcium rate) and eel of calcitonin (profit calcium rather), appropriate chooses. On bone mass loss of pain associated with osteoporosis relieve symptoms effect is obvious.

 

        Double phosphate: can inhibit the broken bone cells mediated bone absorption and the treatment and prevention role.

 

        Fluoride: can combine bone hydroxyapatite crystals and a more stable inorganic salt phase and not be dissolved and absorption, also can increase the number of osteoblast and stimulating bone formation. General and daily 50 ~ 75 mg, at the same time cooperate with element calcium and vitamin D.

 

        Appropriate technology

 

        Traditional Chinese medicine treatment: the faeries bone remains particles

 

        Composition: barrenwort, renewal break, danshen, altogether, psoralea corylifolia, rehmannia glutinosa.

 

        Function and indication: nourishing liver kidney, promoting blood circulation, dredging, strong gluten bones. Used for liver and kidney deficiency, blood stasis caused by the winding resistance of osteoporosis, fracture, osteoarthritis; Sterile necrotic bone; Menopausal syndrome.

 

        Usage: 1 bag (3 g), a day of 2 times; 4 ~ 6 weeks for a period of treatment.

 

        Modern research: (1) to regulate the body's metabolism, stimulating bone formation; Improve bone mineral density, increasing bone mineral content; Restrain the absorption of osteoclast activity of bone to build activity, make whole bone mass and bone quality restoration. (2) the increase disruption callus area and the kind of bone area; Increases in serum osteocalcin, growth hormone, serum ALP, serum phosphorus, obviously reduce serum Ca2 +; Promote bone trabeculae mature, the osteoblast and marrow cavity increase cell rich, promote cartilage cells mature. (3) to promote fiber tissue, outside callus formation, accelerate the metabolism of the callus tissue activities and make callus mineralization in advance, to speed up the shape. (4) the protection, improve the sex hormone level; Because of the sex hormone levels dropped and recovery of the loss of bone mass. (5) can promote organization bleeding absorption, primary and secondary damage to joints, chemical foot swelling, traumatic foot swelling and inflammation had significant inhibitory effect; Can obviously reduce the blood capillary permeability of the abdominal cavity. 6 significantly increased serum estrogen level, improve Yang, improve swimming endurance. 7 have obvious effect.

 

        Traditional Chinese medicine may also make use of bone health particles, a 12 grams, a day of 3 times; Or loose bone treasure grain, a 12 grams, a day of 3 times. Most of these proprietary Chinese medicine according to osteoporosis from the kidney, liver, spleen three dirty differentiation, think pathogenesis to "virtual" as this, take "stasis" for mark, combined with "to take confused alone Yang Ming" can take temporary solution for activating blood circulation and eliminating stasis to reduce the pain, and the spleen may benefiting kidney and fill the liver. Osteoporosis treatment is one of the important ways. (excerpt from "formulary disease treatment technology, traditional Chinese and western medicine") the D4