中西医结合疗法干预变应性鼻炎的新进展
New Progress in the Intervention of Allergic Rhinitis with Integrated Traditional Chinese and Western Medicine Therapy

变应性鼻炎(AR)是由IgE介导的鼻黏膜慢性炎症，全球约10亿患者，以阵发性喷嚏、清水样涕、鼻塞为特征，常伴眼痒及哮喘。西医治疗以抗组胺药、鼻用激素为主，但长期使用激素可致鼻黏膜萎缩，免疫治疗需较长周期且依从性较高。中医将其归为“鼻鼽”，病机核心为肺脾肾三脏虚损，治以温阳通窍，然单纯中药起效时间过久，对急性发作控制不足。中西医结合疗法通过“分层干预–靶点整合”模式突破单一治疗局限。急性发作期采用“西药控症 + 针灸调神”：鼻用激素联合针刺蝶腭神经节，配合风池穴刺络拔罐，缓解效果较好。本文就中西医结合治疗变应性鼻炎研究现综述如下。
Allergic rhinitis (AR) is a chronic inflammation of the nasal mucosa mediated by IgE, affecting approximately 1 billion patients worldwide. It is characterized by paroxysmal sneezing, watery nasal discharge, and nasal congestion, often accompanied by eye itching and asthma. Western medicine mainly uses antihistamines and nasal hormones for treatment, but long-term use of hormones can cause nasal mucosal atrophy. Immunotherapy requires a longer period and has higher compliance. Traditional Chinese medicine classifies it as “nasal depression”, and the core pathogenesis is the deficiency of the lungs, spleen, and kidneys. The treatment is to warm yang and unblock the orifices. However, if traditional Chinese medicine only takes effect for too long, it may not effectively control acute attacks. The combination therapy of traditional Chinese and Western medicine breaks through the limitations of single treatment through the “layered intervention target integration” model. During the acute attack period, “western medicine control symptoms + acupuncture and moxibustion to regulate mind”: nasal hormone combined with acupuncture at sphenopalatine ganglion, combined with blood letting puncture and cupping at Fengchi point, has a better effect of relief. This article summarizes the research on the combination of traditional Chinese and Western medicine in the treatment of allergic rhinitis as follows.