益气活血法治疗过敏性鼻炎研究进展

Research Progress in the Treatment of Allergic Rhinitis with Benefiting Qi and Activating Blood Method

摘要: 过敏性鼻炎(中医称“鼻鼽”)发病率逐年升高，西医治疗存在易复发、副作用明显等局限，中医药在调节免疫、降低复发率方面具独特优势。本文从理论基础、临床应用及研究展望三方面综述益气活血法治疗该病的进展：气虚(肺脾肾虚损)是发病的内在根本，血瘀为病程迁延的关键病机；临床中通过中药复方及针药结合等，有效改善患者鼻部症状、降低复发率。目前研究存在高质量试验少、方药未规范化等不足，未来需加强循证研究、明确药效物质基础以优化治疗方案。

Abstract: Allergic rhinitis (known as “biqiu” in traditional Chinese medicine, TCM) has an increasing incidence worldwide. Western medicine treatments have limitations such as high recurrence rate and obvious side effects, while TCM has unique advantages in regulating immune balance and reducing recurrence. This paper reviews the research progress of Benefiting Qi and Activating Blood Method in treating allergic rhinitis from three aspects: theoretical basis, clinical application and research prospects. Qi deficiency (deficiency of lung, spleen and kidney) is the internal root cause of the disease, and blood stasis is the key pathogenesis for the protracted course of the disease. In clinical practice, this therapy can be applied through various forms such as self-made prescriptions and combination of acupuncture and medicine, which can effectively improve patients’ nasal symptoms and reduce recurrence rate. At present, the research has shortcomings such as insufficient high-quality trials and non-standardized prescriptions. In the future, it is necessary to strengthen evidence-based research and clarify the pharmacodynamic material basis to optimize the treatment plan.