Differentiation and treatment of diabetic osteoporosis based on the pathomechanism of "heat <italic style="font-style: italic">qi</italic> depression and obstruction of <italic style="font-style: italic">Xuanfu</italic>"

XU Mingjun; WEI Junping

doi:10.16025/j.1674-1307.2025.02.021

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Differentiation and treatment of diabetic osteoporosis based on the pathomechanism of "heat qi depression and obstruction of Xuanfu"

更新时间：2025-03-19

- Differentiation and treatment of diabetic osteoporosis based on the pathomechanism of "heat qi depression and obstruction of Xuanfu"
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 2, Pages: 214-218(2025)
- 作者机构：
  
  1.北京中医药大学，北京 100029
  2.中国中医科学院广安门医院科研处，北京，100053
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.02.021
  CLC：
- Received：27 March 2024，
  
  Published：25 February 2025
- 稿件说明：
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徐明君，魏军平.基于“热气怫郁，玄府闭密”病机辨治糖尿病性骨质疏松症的经验［J］.北京中医药，2025，44（2）：214-218.

XU Mingjun,WEI Junping.Differentiation and treatment of diabetic osteoporosis based on the pathomechanism of "heat qi depression and obstruction of Xuanfu"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(02):214-218.
徐明君，魏军平.基于“热气怫郁，玄府闭密”病机辨治糖尿病性骨质疏松症的经验［J］.北京中医药，2025，44（2）：214-218. DOI： 10.16025/j.1674-1307.2025.02.021.

XU Mingjun,WEI Junping.Differentiation and treatment of diabetic osteoporosis based on the pathomechanism of "heat qi depression and obstruction of Xuanfu"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(02):214-218. DOI： 10.16025/j.1674-1307.2025.02.021.

摘要

玄府具有通利的特性。糖尿病性骨质疏松症以糖尿病为基础发展而来，“热气怫郁”是糖尿病的基础病机，“玄府闭密”是糖尿病进展为DOP的核心病机。治疗DOP应以开通玄府为治法总纲，去除玄府郁闭之因，“复其开合，贵于通利”，使脉络得通，糖毒得祛，恢复精气血津液通畅。糖尿病病久脏腑失养，玄府亏虚，故疾病后期应当注重充养玄府，用补虚之法濡养精气血津液，从而强健骨骼。临床可用风药辛散宣通开玄、虫类药破血祛瘀开玄、补虚药健脾益肾开玄。

Abstract

Xuanfu

has the characteristic of being convenient. Diabetes osteoporosis is based on diabetes. "heat

depression" is the basic pathogenesis of diabetes， and "obstruction of

Xuanfu

" is the core pathogenesis of diabetes evolving into DOP. The treatment of DOP should be based on the general principle of opening up the

Xuanfu

， removing the cause of stagnation in the

Xuanfu

， and restoring its opening and closing is more important than promoting diuresis so as to unblock the meridians， eliminate sugar toxins， and restore the smoothness of essence，

， blood， and body fluids. In diabetes， the viscera lose nourishment for a long time， and the

Xuanfu

is deficient. Therefore， in the later stage of the disease， attention should be paid to nourishing the

Xuanfu

， nourishing the essence，

， blood， and body fluid with the method of tonifying deficiency， so as to strengthen the bones. When treating diseases clinically， one can use wind medicine，

Xinsan

，

Xuantong

，

Kaixuan

， and insect medicine to break blood and remove blood stasis， as well as tonifying deficiency medicine to invigorate the spleen and benefit the kidneys.

关键词

Keywords

references

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Differentiation and treatment of diabetic osteoporosis based on the pathomechanism of "heat qi depression and obstruction of Xuanfu"

DOI：10.16025/j.1674-1307.2025.02.021

摘要

Abstract

关键词

Keywords

references