摘要
不同的虫类药药效各具特点,涉及祛瘀活血、祛痰散结、补益等.本文基于"络虚通补"理论探讨虫类药在治疗慢性心力衰竭(CHF)中的运用,以中医"络虚通补"理论为切入点,将CHF病机分为气阳虚乏、络虚不荣,痰瘀水停、络息成积,认为治疗应化瘀通络、祛痰通络、散结通络、通补心络,从而达到"络虚通补"之效,并总结虫类药物功效及现代药理机制,为CHF治疗提供用药思路.
Abstract
Different insect drugs have their own characteristics in terms of efficacy,including removing blood stasis and promoting blood circulation,dispelling phlegm and dispersing lumps,and nourishing the body.This article discussed the use of insect medicines in the treatment of chronic heart failure(CHF)based on the theory of"collateral deficiency and tonifying".Taking the TCM theory of"collateral deficiency and tonifying"as the entry point,this article categorized the pathogenesis of CHF into deficiency of qi and yang,deficiency of collaterals,phlegm retention and dampness stagnation,and accumulation of collaterals,and believes that the treatment should be based on resolving blood stasis and promoting collaterals,eliminating phlegm and promoting collaterals,dispersing lumps and promoting collaterals,and tonifying heart collaterals,thus achieving the effect of"collateral deficiency and tonifying".It also summarized the efficacy and modern pharmacological mechanisms of insect drugs,providing medication ideas for the treatment of CHF.