针刺治疗干眼的机制及临床辨证论治研究进展  

Research Progress on the Mechanism and Syndrome Differentiation-based Clinical Treatment of Dry Eye with Acupuncture

作　　者：许竹青[1] 魏伟 XU Zhuqing;WEI Wei(Suqian Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Suqian 223800,China;Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学附属宿迁市中医院,宿迁223800 [2]南京中医药大学附属医院,南京210023

出　　处：《中国中医眼科杂志》2025年第4期391-394,共4页China Journal of Chinese Ophthalmology

摘　　要：干眼是全球流行性眼病之一,其引起的眼部不适严重影响患者的生活质量。由于发病机制复杂多样,目前临床应用人工泪液的常规治疗无法从根本上治疗干眼。本文从针刺治疗干眼的机制以及临床辨证论治2个方面进行综述,发现针刺可通过调节泪液功能单位结构与功能、细胞凋亡、炎症反应等多种途径治疗干眼,且应用辨证论治思维取穴进行针对性治疗,可取得更优疗效。但目前临床研究数量不充足,证据等级有限。本研究可为临床应用针刺治疗干眼提供一定参考。Dry eye is a globally prevalent ophthalmic disorder,and its associated ocular discomfort significantly affects patients'quality of life.Due to the complex and multifactorial pathogenesis of dry eye,conventional treatments such as artificial tears fail to provide a fundamental cure.This review summarizes researches on the mechanisms of acupuncture in treating dry eye and its clinical application based on syndrome differentiation.Studies have shown that acupuncture can alleviate dry eye through multiple pathways,including regulating the structure and function of the lacrimal functional unit,modulating apoptosis,and reducing inflammatory responses.Furthermore,selecting acupoints based on syndrome differentiation enhances treatment efficacy.However,current clinical studies remain insufficient,and the overall level of evidence is limited.This review provides a reference for the clinical application of acupuncture in dry eye treatment.

关 键 词：针刺 干眼 辨证论治 机制 

分 类 号：R777.34[医药卫生—眼科] R276.7[医药卫生—临床医学]