针灸治疗带状疱疹及并发症的研究进展

Research Progress on Acupuncture and Moxibustion Treatment for Herpes Zoster and Its Complications

摘要: 带状疱疹是由水痘–带状疱疹病毒在宿主中的再激活引起的一种急性皮肤疾病。据统计，带状疱疹在青少年和儿童之间较少见，多发生于老年人，且随年龄的增加呈上升趋势。同时在有多种合并并发症以及免疫力低下的人群中也较为常见。随着我国人口老龄化加剧，带状疱疹发病率逐年增加，加重了人们经济负担的同时，也给社会带来了公共卫生问题。据调查，约9%~34%的带状疱疹患者会发展为慢性后遗症，其中带状疱疹后遗神经痛以及眼部并发症最为常见。针灸是我国传统疗法，具有绿色无毒，简便效廉的特点。针灸作为一种融合传统针灸理论与现代神经科学的特色疗法，通过多靶点调节机制在带状疱疹的综合管理中展现出独特优势。本文系统梳理了带状疱疹的发病机制以及针灸治疗带状疱疹以及并发症的基础与临床研究进展，为中医治疗带状疱疹以及相关并发症提供一定参考。

Abstract: Herpes zoster (HZ) is an acute dermatological condition caused by the reactivation of the varicella-zoster virus within the host. Statistics indicate that HZ is relatively uncommon among adolescents and children but occurs more frequently in the elderly, with its incidence rising progressively with age. It is also common among individuals with various comorbidities and those with compromised immune systems. With the intensification of population aging in China, the incidence of HZ has been increasing annually, not only exacerbating the economic burden on individuals but also presenting a public health challenge for society. According to surveys, approximately 9%~34% of HZ patients develop chronic sequelae, among which postherpetic neuralgia (PHN) and ocular complications are the most common. Acupuncture and moxibustion, traditional Chinese therapeutic modalities, are characterized by being green, non-toxic, simple, convenient, effective, and economical. As a distinctive therapy that integrates traditional acupuncture theory with modern neuroscience, acupuncture exerts its unique advantages in the comprehensive management of HZ through multi-target regulatory mechanisms. This article systematically reviews the pathogenesis of HZ and the progress in basic and clinical research on acupuncture and moxibustion treatment for HZ and its complications, aiming to provide a reference for the treatment of HZ and related complications using Traditional Chinese Medicine.