肌肉减少症的中西医诊治与探讨

被引：11

作者：

杜来义

黄捷

汪桂青

孙保军

机构：

[1] 郑州大学附属郑州中心医院

来源：

中医学报 | 2020年 / 35卷 / 07期

关键词：

肌肉减少症; 痿证; 病因病机; 中西医疗法;

D O I：

暂无

中图分类号：

R685 [肌肉疾病及损伤];

学科分类号：

100220 [骨科学];

摘要：

肌肉减少症属于中医学"痿(病)证"范畴,以精髓、气血亏虚以致筋脉弛缓,软弱无力、不能随意运动为特征的一种疾病。临床表现为肢体筋脉弛缓,软弱无力,活动不利,甚则肌肉萎缩,不能持重或不能久立、久行,可伴有肢体麻木、疼痛或拘急痉挛,严重可见排尿困难、呼吸困难、吞咽无力等。中医治疗总则为补肾填精以养先天之本、健脾和胃益气血以补后天,兼以祛湿热,化痰饮、消瘀血。该病辨证论治:肺热津伤证治以清热润燥,滋养筋脉,常用清燥救肺汤加减;气滞血瘀证治以行气活血,通络养营,药用柴胡疏肝散或圣愈汤合血府逐瘀汤加减;脾胃虚弱证治以健脾养胃,益气通脉,方用补中益气汤合参苓白术散加减;肝肾亏虚证治以滋补肝肾,强筋健骨,方用虎潜丸加减。临证还可用针灸推拿和导引法治疗,效果肯定。

引用

页码：1420 / 1423

页数：4

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