The pathogenesis is kidney deficiency and spleen deficiency, so the therapeutic principles of tonifying kidney and strengthening bones, invigorating qi and strengthening spleen are adopted according to the pathogenesis.
(1) tonifying kidney and strengthening bones. According to the traditional Chinese medicine theory of "kidney governs bone", kidney deficiency is the key to osteoporosis, so the treatment should be to tonify kidney and strengthen bone. If kidney essence is sufficient, the bones and muscles will be hard and strong.
Eleven patients with degenerative osteoporosis were selected by Yang et al. They were divided into kidney-yin deficiency type and kidney-yang deficiency type according to their clinical manifestations. They were treated with modified Zuogui Pill and Yougui Pill respectively for 2 months. As a result, the symptoms of low back pain were obviously relieved or disappeared in 9 cases, and the bone mineral density was obviously increased in 6 cases by X-ray.
Wang et al. used Bushen Yigu Ointment (Radix Rehmanniae Preparata, Herba Epimedii, Placenta Hominis, Alisma orientalis, Longgu, etc.) to treat menopausal women with osteoporosis. After taking the medicine for 3 months, the bone mineral content of the patients' radius and ulna increased compared with that before treatment. 58 cases were treated with Radix Dipsaci, Herba Taxilli, Corni Fructus, Rhizoma Drynariae, Radix Rehmanniae Preparata, etc. The symptoms of kidney deficiency were obviously improved, and the average bone mineral density rose slightly, in which the mineral content of ulna and radius increased significantly compared with that before treatment, while the control group showed a progressive decrease.
From the above clinical cases, it is shown that treating osteoporosis from kidney can not only obviously improve the symptoms of kidney deficiency, but also improve the detection of bone mineral content, bone density and other indicators, which proves that kidney-tonifying Chinese medicine has excellent effect on treating osteoporosis.
(2) invigorating qi and spleen, promoting blood circulation and regulating liver. Spleen deficiency leads to kidney essence deficiency, bone dystrophy and weak bones, resulting in osteoporosis. Therefore, the treatment should be invigorating qi and promoting blood circulation, invigorating spleen and regulating liver.
The treatment of osteoporosis with Jiawei Guipi Decoction in Jinjing, Japan showed that the amount of bone salt increased obviously, which could improve anemia and menopause index. Zhang et al. found that Salvia Miltiorrhiza could increase the formation of collagen fibrils and enrich the deposition of calcium salt during fracture, which proved that Salvia Miltiorrhiza could adjust calcium from adjacent fractured bone tissues to meet the needs of new bone formation, which indicated that Salvia Miltiorrhiza could directly regulate calcium metabolism.
// How to treat both the symptoms and the root causes of osteoporosis?