【摘要】 肝肾阴虚型绝经后骨质疏松症(postmenopausal osteoporosis，PMOP)主要发生于绝经初期的中老年女性群体，是因雌激素水平骤然发生变化导致过多的破骨细胞生成或成骨细胞减少而使骨稳态破坏的一种疾病，其主要病机是肾虚骨髓失养。古典有云，女性绝经是因为“任脉虚，太冲脉衰少，天癸竭”，天癸、冲任的功能离不开肾气的充养和肝的调控。肝肾精血同源，相互化生是天癸运行和冲任调和的基础，而肝肾阴虚型作为PMOP的主要证型之一，主要发生在绝经初期，为PMOP的初始环节。本文依据“肝肾同源”理论，从天癸、冲任探讨PMOP与肝肾之间的关系，以及女子绝经与天癸、冲任之间的内在联系，分析肝肾阴虚型PMOP的机制，从整体观念论治肝肾阴虚型PMOP，为现代医学治疗PMOP提供新思路。

    【关键词】 天癸 冲任 肝肾同源 肝肾阴虚 绝经后骨质疏松症

    Exploring the Mechanism of Postmenopausal Osteoporosis with Liver-kidney Yin Deficiency Type Based on the Theory of \"Tiangui-Chong Ren\"/YAO Yasai， LI Hongzhuan， ZHANG Xiaoshou， LIU Yuezhen， WANG Lijun. //Medical Innovation of China， 2024， 21(16)： -183

    [Abstract] Postmenopausal osteoporosis (PMOP) with liver-kidney Yin deficiency type mainly occurs in middle-and-old age women in the early menopause. It is a disease that the excessive osteoclast production or osteoblast reduction due to sudden change of estrogen level， which leads to bone homeostasis is destroyed. The main pathogenesis is kidney deficiency and bone marrow dystrophy. Classical cloud， female menopause is due to \"deficiency of the Ren meridian ......