肉痿（原发性肌少症）中医诊疗方案*

作者：谭 军1,2,3，卜献春1,2,3，葛金文4，刘春华5，刘剑勇6，李艳芳7，方 锐4，袁春云1,2,3

单位：1.湖南省中西医结合医院/湖南省中医药研究院附属医院，湖南 长沙 410006； 2.国家区域中医（老年病）诊疗中心，湖南 长沙 410006； 3.湖南省老年病中医临床医学研究中心，湖南 长沙 410006； 4.湖南省中医药研究院，湖南 长沙 410013； 5.湖南中医药大学第二附属医院，湖南 长沙 410005； 6.湖南中医药大学第一附属医院，湖南 长沙 410007； 7.长沙市中医医院，湖南 长沙 410100

引用：引用：谭军，卜献春，葛金文，刘春华，刘剑勇，李艳芳，方锐，袁春云.肉痿（原发性肌少症）中医诊疗方案[J].中医药导报,2026,32(3):70-75.

DOI：10.13862/j.cn43-1446/r.2026.03.012

PDF： 下载PDF

摘要：为提高中医老年医学工作者对肉痿的诊疗水平并规范其诊疗行为，由湖南省中西医结合医院老年病科牵头，依托国家中医药管理局高水平重点学科（中医老年病学）、国家中医药管理局老年病重点专科、国家区域中医（老年病）诊疗中心、湖南省老年病中医临床医学研究中心等国家及省级平台，基于湖南省中医药管理局委托课题等项目研究成果，在系统总结名老中医诊治肉痿的学术经验及参考肉痿相关文献的基础上，在方案学术组、方案制定专家组及方案优化专家组的指导下，经过文献研究、专家问卷访谈、专家论证、专家组审核等各项工作流程，制定了肉痿（原发性肌少症）中医诊疗方案。本方案以《中医内科学》教材、欧洲老年肌少症工作组（EWGSOP）2018年发布的《修订的欧洲肌少症的定义和诊断共识》和亚洲肌少症工作组（AWGS）2019年发布的《亚洲肌少症诊疗共识报告》为参考，从中医辨证论治的角度制定不同证型的治疗方案，包括口服中药、针灸推拿等中医特色治疗及饮食调护、运动保健等，为肉痿的中医诊断及辨证治疗提供依据。

关键词：肉痿；原发性肌少症；中医诊疗方案；德尔菲法

Abstract：In order to improve the level of diagnosis and treatment of muscle flaccidity among practitioners of traditional Chinese geriatric medicine workers and to standardize their clinical practices, the Department of Geriatrics of Hunan Hospital of Intergrated Traditional Chinese and Western Medicine, with the support of the high-level Key Discipline of State Administration of Traditional Chinese medicine (TCM Geriatrics), the Key Specialty of Geriatrics in State Administration ofTraditional Chinese Medicine, the National Regional Diagnosis and Treatment Center of Traditional Chinese Medicine (Geriatric Diseases), and the Hunan Clinical Research Center of Traditional Chinese Medicine for Geriatrics, has developed a TCM diagnostic and treatment protocol for Muscle flaccidity (senile primary sarcopenia) based on the research results of the projects entrusted by the Hunan Provincial Administration of Traditional Chinese Medicine, and by systematically summarizing the academic experience of renowned old TCM practitioners in treating Muscle flaccidityand referencing relevant literature. Under the guidance of the Program Academic Group, the Expert Formulation Group, and the Optimization Expert Group, the protocol was developed through literature research, expert questionnaire interviews, expert deliberations, and expert group review and other work. This program is based on the textbook of Internal Medicine of Traditional Chinese Medicine, Revised European Consensus on Definition and Diagnosis of Sarcopenia published by the European Working Group on Sarcopenia in Older People (EWGSOP)the  in 2018, and Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment released by the Asian Working Group for Sarcopenia (AWGS). The treatment plan of different syndromes is formulated from the perspective of TCM syndrome differentiation and treatment, including oral Chinese medicine, acupuncture and massage and other traditional Chinese medicine treatment, diet nursing, exercise and health care, so as to provide basis for the diagnose and Treatment based on pattern identificationof Muscle flaccidity. 

Key words：muscle flaccidity; senile primary sarcopenia; TCM diagnosis and treatment plan; Delphi method

发布时间：2026-03-28

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