Expe rt conse nsus on the pre ve ntion and tre atme nt for primary oste oporosis with traditional Chinese medicine

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1 Chin J Osteoporos September 2015 Vol 21 No. 9 Published online www. wanfangdate. com. cn doi /j. issn * 2* R68 A Expe rt conse nsus on the pre ve ntion and tre atme nt for primary oste oporosis with traditional Chinese medicine GE Jirong 1 ZHENG Hongxin 2 WAN Xiaoming 3 WANG Yongjun 4 LU Min 5 YANG Dongxiang 6 LUO Yiwen 7 ZHAO Yongfang 8 JU Dahong 9 LIU Bailing 10 SUN Shuchun 10 WANG Heming 10 SHI Qi 10 SHI Yinyu 10 LIU Zhonghou Fujian Academy of Traditional Chinese Medicine 2. Liaoning University of Traditional Chinese Medicine 3. The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine 4. Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine 5. The First Hospital of Hunan University of Chinese Medicine 6. The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine 7. Traumatology Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine 8. Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine 9. China Academy of Chinese Medical Sciences 10. Traditional Chinese Medicine and Osteopathy Group of the Osteoporosis Committee of China Gerontological Society 1-2Group leader 3-9Vice-group leader 10. Expert consultant Corresponding author GE Jirong gjrrjgcy@ sohu. com ZHENG Hongxin zhenghx2002@ 126. com Abstract Based on the previous clinical practice guideline and expert consensus of primary osteoporosis OP the searching and evaluating of the traditional Chinese medicine TCM literatures the questionnaire surveys of clinicians and expert discussion the situation of clinical practice and the expert consulting of traditional medical traumatology and orthopedics the Traditional Chinese Medicine and Osteopathy Group of the Osteoporosis Committee of China Gerontological Society formulates the consensus. It provides references for the clinicians of TCM or integrated TCM and Western Medicine. According to TCM etiology and pathogenesis of primary OP types of syndrome of OP can be divided into kidney Yang deficiency syndrome liver and kidney Yin * gjrrjgcy@ sohu. com zhenghx2002@ 126. com

2 Chin J Osteoporos September 2015 Vol 21 No. 9 deficiency syndrome spleen and kidney Yang deficiency blood stasis and kidney deficiency syndrome asthenia of the spleen and stomach syndrome blood stasis and Qi stagnation. The aim is to confirm the present therapy and Chinese medicinal formulas. The principle is treatment based on syndrome differentiation integral adjustments and combination of prevention and treatment. It needs to select the treatment plan observation and testing items rationally and to pay attention to the long-term medication safety and the evaluation and monitoring of clinical efficacy. It also needs to emphasize the principle and methods of prevention of primary OP i. e. prevention before occurrence of the disease prevention deterioration after occurrence of the disease prevention of the recrudescence of the disease. And fully it needs to exert characteristics and advantages of traditional Chinese Medicine. Key words Primary osteoporosis Traditional Chinese Medicine Chinese medicinal herb Treatment based on syndrome differentiation Prevention 3 / / 1 70% 1 X DXA WHO 2001 NIH SPA X SXA QCT WHO SD 1. 2 OCCGS SD 25% 1 2 X 1 2

3 Chin J Osteoporos September 2015 Vol 21 No Table 1 Standard on diagnosis of osteoporosis WHO OCCCS OCCCS % SD ± 1. 0SD ± 12% 12% SD ~ SD - 1 ~ - 2SD - 13% ~ - 24% 24% SD - 2SD 25% SD - 2SD 25% 37%

4 Chin J Osteoporos September 2015 Vol 21 No X 1 ~ D

5 Chin J Osteoporos September 2015 Vol 21 No SF-36 ALP BALP OC I C- PICP I N- PINP OPG TRACP I C- S- CTX Pyr D-Pyr I C- U-CTX I N- U-NTX 2 / IOF I N- PINP I C - S-CTX

6 Chin J Osteoporos September 2015 Vol 21 No J J. Chin J Osteoporosis&Bone Miner Res in Chinese. 4 GB /T GB. Clinic terminology of traditional Chinese medical diagnosis and treatment-syndromes GB /T in Chinese Xie Yanming Yu Wenya Dong Fuhui et al. Clinical practice guideling of traditional Chinese medicine for primary osteoporosis extract. CJTCMP in Chinese. in Chinese. 15. J Huang Hongxin Cai Shenting Huang Hong et al. Cluster Analysis of Syndrome of Osteoporosis in Traditional Chinese. Medicine J. Journal of Guangzhou University of Traditional Chinese Medicine in Chinese. 6. Li Dongtao Wang Jian Jiang Hongyang et al. Quantitative M evaluation of the degrees of traditional Chinese medicine China Association of Chinese Medicine. Guidelines for Diagnosis and Treatment of Common Internal Diseases in Chinese Medicine qualitative syndromes of osteoporosis J. Journal of Integrative Medicine in Chinese. Diseases of Modern Medicine M. Beijing China Press of Traditional Chinese Medicine in Chinese 7. M Liu Zhonghou. Osteoporosis M. Beijing Science Press in Chinese Chinese Orthopaedic Association. Guidelines for Diagnosis and Treatment of Osteoporosis fracture. Chin J Orthop in Chinese 9. M Chinese. Zheng Xiaoyu. Guiding principle of clinical research on new drugs of Chinese medicine for Trial Implementation M. China Medical Science Press in Chinese. 10. Ge Jirong Chen Ke Wang Heming. Study on Syndrome Differentiation Type of TCM in Primary Osteoporosis Journal of Fujian College of TCM in Chinese. 11. J Xie Yanming Zhu Yunyin Ge Jirong et al. Study on the TCM general syndrome of Osteoporosis based on the clinical epidemiological investigation J. World Science and Technology. Modernization of Traditional Chinese Medicine and Materia 1 Anonymous. NIH Consensus Development Panel on Osteoporosis Prevention Diagnosis and therapy J. JAMA Medica in Chinese. 12 Wang ZQ Li JL Sun YL et al. Chinese herbal medicine for osteoporosis a systematic review of randomized controlled trails 2. J. Evid Based Complement Alternat Med Zhang Zhihai Liu Zhonghou Li Na et al. Expert consensus on J the diagnosis of osteoporosis in Chinese Population J. Chin J Xu Chao Xiao Luwei Tong peijian et al. The objective osteoporosis in Chinese. research of traditional Chinese medicine of Osteoporosis J. The 3. Journal of Traditional Chinese Orthopedics and Traumatology 2011 J in Chinese The Chinese medical association of osteoporosis and bone mineral 14. M salt disease branch. Primary osteoporosis treatment guidelines Sun Shuchun Sun Zihao. Clinic Orthopaedics And Traumatology M. Beijing People s Medical Publishing House J J Zheng Zaigen Zheng Hongxin. Deficiency of kidney and Blood stasis Syndrome differentiation and analysis J. Chinese Journal of Basic Medicine In Traditional Chinese Medicine in Chinese. 18. J Zhang Yajun Zhang Peng Liu zhonghou. Syndrome diagnosis of osteoporosis J. Chin J osteoporosis in