【摘要】 目的：基于“四海”理论探索雷火灸联合揿针治疗肺脾气虚型过敏性鼻炎（AR）的效果及对免疫功能的影响。方法：选取2022年5月至2023年8月期间中山市中医院收治的肺脾气虚型AR患者100例作为研究对象，随机分为观察组50例及对照组50例，其中对照组行常规西药治疗，观察组实施以传统“四海”理论为指导的雷火灸联合揿针治疗，比较两组患者临床疗效。结果：治疗后，观察组患者鼻炎症状得分、免疫球蛋白（Ig）E水平低于对照组，差异具有统计学意义（P <0.05）。治疗后，观察组患者鼻黏膜指征评分低于对照组、分化抗原（CD）4~+水平明显高于对照组，差异具有统计学意义（P <0.05）。观察组患者复发率明显低于对照组，差异具有统计学意义（P <0.05）。结论：对肺脾气虚型AR患者实施以“四海”理论为指导的雷火灸联合揿针治疗，可以显著改善其临床症状，并且复发率较低。更多还原

【Abstract】 Objective To explore the effect of thunder-fire moxibustion combined with press needle in the treatment of allergic rhinitis(AR) of lung spleen deficiency syndrome based on the theory of "Four Seas" and its effect on immune function. Methods From May 2022 to August 2023, 100 patients with AR of lung spleen deficiency syndrome in Zhongshan Hospital of Traditional Chinese Medicine were selected as the research objects. They were randomly divided into an observation group(50 cases) and a control group(50 cases). The control group was treated with conventional Western medicine, and the observation group was treated with thunder-fire moxibustion combined with press needle by the traditional "Four Seas" theory. The clinical efficacy of the two groups of patients was compared. Results After treatment, the rhinitis symptom score and the level of immunoglobulin(Ig) E of the observation group were lower than those of the control group, and the differences were statistically significant(P < 0.05). After treatment, the nasal mucosa indication score of the observation group was lower than that of the control group, and the level of cluster of differentiation(CD) 4~+ was significantly higher than that of the control group, and the differences were statistically significant(P < 0.05). The recurrence rate of the observation group was significantly lower than that of the control group, and the difference was statistically significant(P < 0.05). Conclusion Thunder-fire moxibustion combined with press needle treatment guided by "Four Seas" theory can significantly improve the clinical symptoms of AR patients with lung spleen deficiency syndrome, and the recurrence rate is relatively low.更多还原