基于文献综述的慢性鼻窦炎中医治疗策略分析

Analysis of Traditional Chinese Medicine Treatment Strategies for Chronic Sinusitis Based on Literature Review

摘要: 目的：分析并总结中医药治疗慢性鼻窦炎(CRS)的当前策略与研究进展。方法：通过梳理近年文献，从病因病机、内治法(辨证论治、中成药)与外治法(熏吸、针灸等)等维度对治疗策略进行归纳与评价。结果：中医理论认为CRS核心病机为本虚标实，现有临床研究显示，辨证论治、中成药及多种外治法在改善症状、提高生活质量方面显示出潜力，且初步安全性数据良好。结论：现有证据表明，中医药为CRS提供了多层次、个体化的治疗选择，具有应用前景，但其临床疗效的确定性及具体作用机制仍有待更多高质量研究予以证实和阐明。

Abstract: Objective: To analyze and summarize the current strategies and research progress of traditional Chinese medicine (TCM) in the treatment of chronic sinusitis (CRS). Methods: By reviewing recent literature, treatment strategies were summarized and evaluated from the dimensions of etiology and pathogenesis, internal treatment (syndrome differentiation and treatment, prepared Chinese medicine), and external treatment (fumigation, acupuncture, etc.). Results: TCM theory holds that the core pathogenesis of CRS is deficiency of the root and excess of the branch. Existing clinical studies show that syndrome differentiation and treatment, prepared Chinese medicine, and various external treatments have potential in improving symptoms and quality of life, and preliminary safety data are good. Conclusion: Existing evidence suggests that TCM provides multi-level and individualized treatment options for CRS and has application prospects. However, the certainty of its clinical efficacy and specific mechanisms of action still need to be confirmed and elucidated by more high-quality studies.