基于“络虚通补”理论探讨虫类药在治疗慢性心力衰竭中的运用  

Exploration on the Application of Insect Drugs in the Treatment of Chronic Heart Failure Based on the Theory of“Collateral Deficiency and Tonifying”

作　　者：冯兰栓 宁博 王一鸣 余湖斌 李世淋 王宇婷 赵明君 FENG Lanshuan;NING Bo;WANG Yiming;YU Hubin;LI Shilin;WANG Yuting;ZHAO Mingjun(Shaanxi University of Chinese Medicine,Xianyang 712046,China;Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China)

机构地区：[1]陕西中医药大学,陕西咸阳712046 [2]陕西中医药大学附属医院,陕西咸阳712000

出　　处：《中国中医药信息杂志》2025年第1期35-39,共5页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家重点研发计划-中医药现代化研究重点专项(2018YFC1704204);陕西省省级院士工作站建设项目-吴以岭院士工作站(2019年);陕西省名中医赵明君传承工作室建设项目(2019007);陕西省教育厅重点实验室项目(22JS005);咸阳市重点研发计划项目(L2023-ZDYF-SF-047)。

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。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.

关 键 词：慢性心力衰竭 络虚通补 虫类药物 

分 类 号：R259.416.1[医药卫生—中西医结合]