深圳平乐郭氏正骨三代医家防治骨质疏松症的思路探讨

中图分类号：R274.9 文献标志码：A 文章编号：1007-3213（2025）11-2888-06

DOI： 10.13359/j.cnki.gzxbtcm.2025.11.038

Abstract：Osteoporosis（OP）isa refractory metabolic bone disease，with decreased bone mineral mass， weakened bone strength，and systemic bone pain as typical clinical manifestations.Shenzhen Pingle Guo’s Orthopedics，an important branch of the Pingle Guo’s Orthopedics，has developed their distinct therapeutic approaches to the prevention and treatment of OP：the fifth-generation inheritor，Mr.Guo Chunyuan，advocated for the simultaneous regulation of qi and blood and formulated Shudi Zhuanggu Formula（composed of Rehmanniae Radix Praeparata，Codonopsis Radix，Atractylodis Macrocephalae Rhizoma，Poria，Angelicae Sinensis Radix， Paeoniae Radix Alba，Chuanxiong Rhizoma，Dipsaci Radix，and Achyranthis Bidentatae Radix）；the sixthgeneration inheritor，Professr Yang Zejin，emphasized zang-fu syndrome diffrentiation and established Yang's Guwei Formula，which simultaneously tonifies the liver，spleen，and kidney，and simultaneously treats deficiency and blood stasis（composed of Astragali Radix，Rehmanniae Radix Praeparata，Achyranthis Bidentatae Radix，Epimedii Folium，Cistanches Herba，Cuscutae Semen，Drynariae Rhizoma，Angelicae Sinensis Radix，Salviae Miltiorrhizae Radix et Rhizoma，Notoginseng Radix et Rhizoma，Corydalis Rhizoma， and Paeoniae Radix Alba）；the seventh-generation inheritor，Profesor Gong Chunzhu，proposed a three-stage clinical treatment strategyand stressed theprinciple of reinforcing acquired foundationof life（i.e.，reinforcing spleen and stomach），and formulated the modified Shudi Zhuanggu Formula with Lingnancharacteristics （composed of Rehmanniae Radix Praeparata，Corni Fructus，Dioscoreae Rhizoma，Alismatis Rhizoma，Poria， Moutan Cortex，Astragali Radix，Dipsaci Radix，Cyathulae Radix，Acanthopanacis Cortex，Atractylodis Macrocephalae Rhizoma，Codonopsis Radix，and Chaenomelis Fructus）.During the evolution，Shenzhen Pingle Orthopedic Hospital has continuously integrated modern medical achievements，passed downand enriched the clinical experience，and then the theoretical framework of traditional Chinese medicine in the prevention and treatmentof OP hasbeendeveloped.

Keywords：osteoporosis；Pingle Guo’s Orthopedics；simultaneous regulation of qi and blood；simultaneous treatmentof deficiencyand blood stasis；reinforcing acquired foundationof life；Shudi Zhuanggu Formula; Yang's Guwei Formula；modified Shudi Zhuanggu Formula；Guo Chunyuan

骨质疏松症（osteoporosis，OP）是以成骨细胞与破骨细胞介导的骨吸收-骨形成间的“骨稳态”失衡为病理变化核心，以肌肉骨骼慢性疼痛为主症，伴发高骨折风险的难治性代谢性骨病1。（剩余8610字）