Study On The Method Of Tonifying The Kidney And Removing Blood-stasis In Channels For Treating Postmenopausal Osteoporosis

Postmenopausal osteoporosis (PMOP) is a common and frequently encountered disease. After a systematic review of plenty of ancient and modern literatures, this paper aims to present a research summary of pathogenesis, diagnosis and treatment of PMOP from the perspective of modern medicine. Western medical drugs for the treatment of PMOP are classified into two groups:one is to inhibit osteolysis, prevent bone loss and maintain bone mass, like calcium, estrogen, thyrocalcitonin, bisphosphonates and activated vitamin D (calcitriol); the other is to promote bone formation, increase bone density, like androgen, fluoride, growth hormone and synthesized protein anabolic hormone. It is admitted that modern medicine has made great progress on the treatment of PMOP, which has quick and obvious effects and is convenient in use. However, modern medicine has side effects which bother people all along as long-term use of drugs may increase the risk of canceration.There’s no certain name for PMOP in Chinese medicine, but related descriptions could be found, especially further research on PMOP from the perspective of Chinese medicine have been carried out in recently years. Currently the pathogenesis of PMOP is considered to be related to the deficiency of kidney essence, deficiency of spleen and stomach, stagnation of liver qi and blood, obstruction of blood stasis and attack of pathogenic factors. Various treating methods are found effective like specific prescriptions and drugs, treatment based on syndrome patterns, sequential therapy and dietotherapy.This paper believes that the pathogenesis of PMOP is the kidney deficiency and blood stasis on the basis of collected literatures, thus proposing that the basic treating method is to tonify the kidney and remove blood-stasis in channels. Thirty subjects were my outpatients in Taiwan’s clinic collected on the basis of diagnostic criteria of PMOP. Method:You Gui Wan (restoring the right kidney bolus) plus zi he che (placenta hominis), gu sui bu (Rz Drynari), ji xue teng (Canlis Milletliae) and huai niu xi (Rx Achyranthis Bidentatae) was for patients with kidney yang deficiency and blood stasis; Zuo Gui Wan (restoring the left kidney bolus) plus zi he che (placenta hominis), gu sui bu (Rz Drynari), ji xue teng (Canlis Milletliae) and huai niu xi (Rx Achyranthis Bidentatae) was for patients with kidney yin deficiency and blood stasis. Both groups received treatment for3months, supported by dietotherapy. Result:Main syndromes of 30patients were cured or significantly improved. The evaluation of clinical efficacy reached100%. This result indicates that the method to tonify the kidney and essence-blood, strengthen bones, promote blood circulation and remove blood stasis should be further studied as lumbago and back pain, gonyalgia and skelalgia caused by PMOP could be released after treatment.