Brief Introduction of Clinical Research on Treatment of Allergic Rhinitis(Biqiu/鼻鼽) by External Therapy of Traditional Chinese Medicine
Allergic rhinitis(AR) belongs to the category of "Biqiu/鼻鼽". "Internal treatment, external treat-ment" of traditional Chinese medicine has a long history, especially in the treatment of AR, focusing on both specimens, the standard alleviates acute symptoms, slowly consolidates the root, improve allergic constitution; efficacy can be comparable to commonly used western medicine, or even better, can improve symptoms, reduce recurrence rate, long-term effect is considerable. In the past, the international guidelines for diagnosis and treatment of acupuncture and moxibustion held a negative attitude. With the combination of modern anatomy and acupuncture stimulation of sphenopalatine ganglion becoming more and more widespread, in 2015, the American Society of Otolaryngology Head and Neck Surgery AR Clinical Practice Guidelines first recommended the use of acupuncture and moxibustion for the treatment of AR Acupuncture and moxibustion can not only alleviate symptoms, improve the quality of life, reduce recurrence, but also reduce drug use, reduce adverse reactions, more in line with the wishes of patients. Acupuncture can dredge meridians and collaterals, harmonize Yin and yang, strengthen the body’s self-regulation function, promote the release of endogenous substances, and play a role in disease prevention and treatment. Moxibustion can play a role in combination with medicines, with high safety, effective improvement of curative effect and promotion of quality of life; commonly used partition moxibustion, thunder-fire moxibustion, heatsensitive moxibustion and other moxibustion methods have a positive effect; most of the selected points are Du Meridian, Bladder Meridian and nasal part, Dazhui, Feishu, Yingxiang and Zusanli are most frequently used. Acupoint catgut embedding can enhance T cell mediated cellular immunity and humoral immunity,enhance the cytotoxic function of NK cells, and weaken the autoimmune response. Massage can dredge meridians and collaterals, promote qi and blood, regulate the functions of viscera and organs, and balance yin and yang. Autohemotherapy can effectively improve symptoms and curative effect. Cupping therapy can stimulate meridian qi and Yang qi, and make the body vigorous gradually, so as to improve the immunity of the respiratory system. It is often used in combination with other external therapies in clinic. Common acupoints for acupoint injection include Yingxiang, Yintang, Fengchi, Zusanli, etc. Common medicines include triamcinolone acetonide injection and vitamin B12. Acupoint application can improve the body’s self-immunity and disease resistance through the combination of meridian acupoint stimulation and dermal administration. The best time for application is "three-volt" and "three-nine", followed by "three-volt" and "threenine" stickers. The clinical effect of combined application is better than that of single application. There are also some adverse reactions in the external treatment of TCM, such as allergy at acupoint application, hard knot of Catgut Embedding at acupoint, etc., which can be alleviated after stopping treatment.
allergic rhinitis; Biqiu/鼻鼽; external treatment of traditional Chinese medicine; acupuncture; moxibustion; partition moxibustion; thunder-fire moxibustion; heat-sensitive moxibustion; acupoint catgut embedding; massage; autohemotherapy; cupping; acupoint injection; acupoint application; review;