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基于“五脏元真通畅”探析肌少症辨治思路
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Abstract:
肌肉减少症是一类复杂的临床综合征，目前尚无确切的中医病名，笔者从病症证角度将其辨为痿证一类。其病因病机虽繁杂多变，但有关肌少症的证、因、脉、治不外乎五脏功能失调，病现于筋骨肌肉，但根植于五脏。故临床辨治是基于“五脏元真通畅”理论，运用系统变易思维整体调治，把握脏腑动态观。以元真通畅为顺，气血津液中和为期，依其好恶，平其盈亏，使脏腑各司其职，气机周流无碍，血脉津液和达，则脏安痿平。
Sarcopenia is a complex clinical syndrome, and there is no exact Chinese medicine name, the author from the point of view of the disease certificate will be identified as a class of impotence. The etiology and pathogenesis of the disease is complex and varied, but there are evidence, causes, veins, and treatments for sarcopenia as a dysfunction of the five viscera, the disease is now in the sinews and bones of the muscles, but rooted in the five viscera. So the clinical diagnosis and treatment need to be based on the “theory of unlocked-circulation of five zang-organs” essence, the use of the system of variable thinking overall treatment, grasp the dynamic view of the internal organs. To take five zang-organs essence fluency, and achieve the desired harmonization of qi, blood and fluids, according to their likes and dislikes, and balancing their strengths and weaknesses, so that the internal organs in their respective roles, the flow of qi is unobstructed, the blood and fluids are harmonized, only in this way can the five organs be at peace and impotence be cured.
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