“三位一体法”治疗变应性鼻炎经验
Clinical Experience with the “Trinity Method” in Treating Allergic Rhinitis
DOI: 10.12677/tcm.2025.148523, PDF,    科研立项经费支持
作者: 曾春利:南京中医药大学附属盐城中医院/盐城市中医院,江苏 盐城;天津中医药大学第一附属医院,国家中医针灸临床医学研究中心,天津;吕鹤群:南京中医药大学附属盐城中医院/盐城市中医院,江苏 盐城;杨 趁, 沈 燕*:天津中医药大学第一附属医院,国家中医针灸临床医学研究中心,天津;蒋竺君, 彭拥军:南京中医药大学附属医院,江苏 南京
关键词: 变应性鼻炎三位一体法宣肺通窍针法蝶腭神经节刺法自血疗法Allergic Rhinitis Trinity Method Xuanfei Tongqiao Therapy Sphenopalatine Ganglion Acupuncture Autohemotherapy
摘要: 介绍彭拥军主任医师运用“三位一体法”治疗变应性鼻炎心得体会。“三位一体法”由江苏省中医院针灸康复科彭拥军主任医师率先提出,创造性地将宣肺通窍针法、蝶腭神经节刺法、自血疗法相结合治疗变应性鼻炎,在临床上取得了良好的疗效。本文围绕“三位一体法”治疗变应性鼻炎的来源、治疗思路、操作要点及治疗心得展开,为此法治疗变应性鼻炎提供有力依据。
Abstract: This article systematically elaborates on the clinical experience and insights of Chief Physician Peng Yongjun from the Acupuncture and Rehabilitation Department of Jiangsu Provincial Hospital of Traditional Chinese Medicine regarding the “Trinity Method” for treating Allergic Rhinitis (AR). This therapeutic method, pioneered by Chief Physician Peng Yongjun, innovatively combines Xuanfei Tongqiao Therapy, Sphenopalatine Ganglion Acupuncture, and Autohemotherapy for the treatment of AR, demonstrating favorable clinical efficacy. The article focuses on the origin, therapeutic rationale, key operational techniques, and clinical insights of the “Trinity Method” for AR, providing robust evidence to support its application.
文章引用:曾春利, 吕鹤群, 杨趁, 蒋竺君, 彭拥军, 沈燕. “三位一体法”治疗变应性鼻炎经验[J]. 中医学, 2025, 14(8): 3558-3564. https://doi.org/10.12677/tcm.2025.148523

参考文献

[1] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组, 中华医学会耳鼻咽喉头颈外科学分会鼻科学组, 中国变应性鼻炎诊断和治疗指南(2022年,修订版). 中华耳鼻咽喉头颈外科杂志, 2022, 57(2): 106-129.
[2] Wise, S.K., Lin, S.Y. and Toskala, E. (2018) International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis—Executive Summary. International Forum of Allergy & Rhinology, 8, 85-107. [Google Scholar] [CrossRef] [PubMed]
[3] 程雷. 变应性鼻炎指南修订促进临床规范化诊疗[J]. 中华耳鼻咽喉头颈外科杂志, 2022, 57(4): 413-417.
[4] Seidman, M.D., Gurgel, R.K., Lin, S.Y. and Schwartz, S.R. (2014) American Academy of Otolaryngology—Head and Neck Surgery Foundation Clinical Practice Guidelines: Allergic Rhinitis. OtolaryngologyHead and Neck Surgery, 151, P24. [Google Scholar] [CrossRef
[5] Tian, H.M.,Zhang, N.Y., Sun, F.W., et al. (2024) Acupuncture at “Die E acupoint” Alleviates Inflammatory Reaction via Inhibiting TLR4/MyD88/NF-κB Signaling in Rats with Allergic Rhinitis. Acupuncture Research, 49, 456-462.
[6] 曾春利, 彭拥军. “三位一体”法针灸治疗变应性鼻炎35例[J]. 中国针灸, 2022, 42(10): 1101-1102.
[7] 彭拥军, 孙建华, 王和生, 等. 宣肺通窍针法治疗变应性鼻炎的临床观察[J]. 现代中西医结合杂志, 2016, 25(27): 3024-3026.
[8] 刘坛树, 邱蕊, 赖新生. 鼻三针为主辨证取穴治疗常年性变应性鼻炎疗效观察[J]. 中国针灸, 2014, 34(11): 1083-1086.
[9] 曾春利, 吕鹤群, 彭拥军. 基于真实世界观察宣肺通窍针法治疗变应性鼻炎临床疗效[J]. 中国中医药信息杂志, 2024, 31(6): 141-149.
[10] 沈菲, 彭拥军, 史军. 宣肺通窍针法对变应性鼻炎患者生活质量的影响[J]. 针灸临床杂志, 2017, 33(1): 11-14.
[11] 沈菲. 宣肺通窍针法治疗变应性鼻炎的临床疗效及对TLR2表达的影响[D]: [硕士学位论文]. 南京: 南京中医药大学, 2017.
[12] 李新吾, 司银楚. 蝶腭神经节针刺技术的研发与临床应用[J]. 中华中医药杂志, 2018, 33(12): 5680-5682.
[13] Robbins, M.S., Robertson, C.E., Kaplan, E., Ailani, J., Charleston, L., Kuruvilla, D., et al. (2015) The Sphenopalatine Ganglion: Anatomy, Pathophysiology, and Therapeutic Targeting in Headache. Headache: The Journal of Head and Face Pain, 56, 240-258. [Google Scholar] [CrossRef] [PubMed]
[14] Qin, L., Chen, D., Li, X., Gao, Y., Xia, W., Dai, H., et al. (2024) Sphenopalatine Ganglion Stimulation: A Comprehensive Evaluation across Diseases in Randomized Controlled Trials. Frontiers in Neurology, 15, Article ID: 1352145. [Google Scholar] [CrossRef] [PubMed]
[15] Fu, Q., Zhang, L., Liu, Y., Li, X., Yang, Y., Dai, M., et al. (2019) Effectiveness of Acupuncturing at the Sphenopalatine Ganglion Acupoint Alone for Treatment of Allergic Rhinitis: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine, 2019, Article ID: 6478102. [Google Scholar] [CrossRef] [PubMed]
[16] Tian, M., Sun, W., Mao, Y., Zhang, Y., Liu, H. and Tang, Y. (2024) Mechanistic Study of Acupuncture on the Pterygopalatine Ganglion to Improve Allergic Rhinitis: Analysis of Multi-Target Effects Based on Bioinformatics/network Topology Strategie. Briefings in Bioinformatics, 25, bbae287. [Google Scholar] [CrossRef] [PubMed]
[17] 张鹏, 商晓娟, 谭翊, 等. 针刺蝶腭神经节对222例变应性鼻炎患者症状改善的临床观察[J]. 北京中医药大学学报, 2021, 44(6): 569-576.
[18] Zhang, L., Li, L., Shi, D., Chen, L., Zheng, K., Cheng, K., et al. (2015) Sphenopalatine Ganglion Stimulation with One Acupuncture Needle for Moderate-Severe Persistent Allergic Rhinitis: Study Protocol for a Multicenter Randomized Controlled Trial. Trials, 16, Article No. 183. [Google Scholar] [CrossRef] [PubMed]
[19] 李新吾. 针刺蝶腭神经节——“治鼻3”穴位治疗鼻部疾病的机制分析及有关针刺方法的介绍[J]. 临床耳鼻咽喉头颈外科杂志, 2011, 25(5): 193-196.
[20] 曾春利, 吕鹤群, 彭拥军. “三位一体法”治疗变应性鼻炎体会[J]. 针灸临床杂志, 2023, 39(11): 86-91.
[21] 王燕, 刘艳艳, 崔建美, 等. 自血穴位注射疗法临床应用概况[J]. 江苏中医药, 2005(12): 71-73.
[22] 魏涛, 钟国就, 曾明源. 子午流注开穴自血疗法配合培根活络方对MHD患者微炎症状态的影响[J]. 辽宁中医杂志, 2025, 52(7): 154-158.
[23] 张东淑, 刘璐, 李俊雄, 等. 调和阴阳, 以平为期——基于Th1/Th2免疫平衡的自血穴位注射效应机制探索[J]. 世界科学技术-中医药现代化, 2017, 19(5): 791-796.
[24] 张立, 周继红, 谢嘉嘉, 等. 自血穴位注射疗法治疗慢性阻塞性肺疾病的研究进展[J]. 中国民间疗法, 2022, 30(24): 134-138+165.
[25] 莫律, 童晶晶, 彭敏坚, 等. 自血穴位注射对慢性阻塞性肺疾病的疗效和随访情况及相关影响因素[J]. 中国老年学杂志, 2021, 41(4): 768-773.
[26] 陆小连, 莫晓枫, 俞洁, 等. 自血疗法结合针刺治疗肝郁血瘀型黄褐斑的临床疗效观察[J]. 中华中医药杂志, 2017, 32(12): 5686-5688.
[27] 黄晋权, 曾智文, 陈永, 等. 自血穴注对二硝基氯苯诱导小鼠特应性皮炎免疫炎症的影响[J]. 中国中西医结合杂志, 2022, 42(5): 604-610.
[28] 梁超, 姜涛. 自血穴位注射治疗变应性鼻炎及对患者血清IL-12和IFN-γ的影响[J]. 中国针灸, 2012, 32(12): 1077-1080.