1用药原则1.1辨证论治骨质疏松症是由于骨量减少、骨微观结构退化,导致易发生骨折的一种全身性骨骼疾病。本病属于中医学的“骨痹”“骨痿”范畴。中医认为,骨质疏松症是由于年老肾虚精亏、气血不足或因寒湿之邪侵袭,导致气血凝滞,络脉不通,筋骨失养,发生“骨痹”“骨痿”。本病基本病机是本虚,病位在骨,证属本虚标实,以肝、脾、肾三脏虚弱,尤以肾虚为本,寒湿、血瘀为标。初起时以实证或虚证多见,久病则多为虚实 1 Principles of medication 1.1 Treatment based on syndrome differentiation Osteoporosis is a type of systemic skeletal disease that is prone to fractures due to reduced bone mass and degraded bone microstructure. The disease belongs to the category of “bone spasm” and “bone spasm” in Chinese medicine. Chinese medicine believes that osteoporosis is due to the deficiency of old kidney deficiency, lack of blood or cold and evil invasion, resulting in blood stagnation, collateral veins, bones, dystrophy, “bone spasm ” ". The basic pathogenesis of the disease is the virtual disease, the disease is located in the bone, the card is the virtual standard, to the liver, spleen, kidney three dirty, especially kidney-based, cold dampness, blood stasis as the standard. At the beginning of the year, there were more cases with evidence or deficiency, while those with chronic illness were mostly false