养心升阳法揿针对心阳不足证低度近视患儿眼部血流参数的影响

陈爽; 张丽霞; 倘孟莹; 蒋飘; 周芷伊; 贾艾香; 孙文英; 武雪

doi:10.13703/j.0255-2930.20241127-0002

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养心升阳法揿针对心阳不足证低度近视患儿眼部血流参数的影响

临床研究 | 更新时间：2026-02-26

- 养心升阳法揿针对心阳不足证低度近视患儿眼部血流参数的影响
- Effects of thumbtack needle therapy for Yangxin Shengyang on ocular blood flow parameters in treatment of low myopia in children with heart yang insufficiency
- 中国针灸 2026年46卷第2期页码：218-226
- 作者机构：
  
  中国中医科学院眼科医院，北京　100040
- 作者简介：
  
  ✉张丽霞，主任医师。E-mail：zhanglixia77@126.com
- 基金信息：
  
  国家重点研发计划项目(2022YFC3502501)
- DOI：10.13703/j.0255-2930.20241127-0002
  中图分类号：
- 收稿：2024-11-27，
  
  网络首发：2025-12-11，
  
  纸质出版：2026-02-12
- 稿件说明：
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陈爽, 张丽霞, 倘孟莹, 等. 养心升阳法揿针对心阳不足证低度近视患儿眼部血流参数的影响[J]. 中国针灸, 2026,46(2):218-226.

CHEN Shuang, ZHANG Lixia, TANG Mengying, et al. Effects of thumbtack needle therapy for Yangxin Shengyang on ocular blood flow parameters in treatment of low myopia in children with heart yang insufficiency[J]. Chinese Acupuncture & Moxibustion, 2026, 46(2): 218-226. DOI: 10.13703/j.0255-2930.20241127-0002.
陈爽, 张丽霞, 倘孟莹, 等. 养心升阳法揿针对心阳不足证低度近视患儿眼部血流参数的影响[J]. 中国针灸, 2026,46(2):218-226. DOI： 10.13703/j.0255-2930.20241127-0002.

CHEN Shuang, ZHANG Lixia, TANG Mengying, et al. Effects of thumbtack needle therapy for Yangxin Shengyang on ocular blood flow parameters in treatment of low myopia in children with heart yang insufficiency[J]. Chinese Acupuncture & Moxibustion, 2026, 46(2): 218-226. DOI: 10.13703/j.0255-2930.20241127-0002. DOI：

摘要

目的：

观察养心升阳法揿针对心阳不足证低度近视患儿黄斑区脉络膜、视网膜厚度及血流的影响。

方法：

将120例心阳不足证低度近视患儿随机分为养心升阳法揿针组（观察1组，40例，脱落2例）、眼周揿针组（观察2组，40例，脱落2例）和对照组（40例，脱落4例）。对照组予散瞳验光及健康宣教；观察1组在对照组基础上予养心升阳法揿针治疗，穴取大椎及双侧阳白、攒竹、太阳、神门、心俞；观察2组在对照组基础上予眼周揿针治疗，穴取双侧阳白、攒竹、太阳。每3 d治疗1次，均连续治疗3个月。分别于治疗前后检测各组患儿黄斑中心凹脉络膜厚度（SFCT）、脉络膜毛细血管层（CC）血流密度、脉络膜中大血管层（CL）血流密度、黄斑区视网膜厚度（MRT）、浅层视网膜毛细血管丛（SCP）血流密度、深层视网膜毛细血管丛（DCP）血流密度、等效球镜（SE）、裸眼远视力、眼轴长度（AL），并于治疗前后评定各组患儿中医证候评分。

结果：

治疗后，观察1组SFCT、MRT及CC、CL、SCP、DCP血流密度均较治疗前增加（

0.05），裸眼远视力较治疗前提高（

0.05），中医证候评分较治疗前降低（

0.05）；观察2组SFCT、CL血流密度较治疗前增加（

0.05）；对照组SFCT及CC、CL血流密度较治疗前降低（

0.05），SE较治疗前进展（

0.05）。观察1组SFCT、MRT、CL血流密度、DCP血流密度、SE、裸眼远视力、中医证候评分较治疗前改善优于观察2组及对照组（

0.05）。

结论：

养心升阳法揿针能够增加心阳不足证低度近视患儿黄斑区脉络膜及视网膜厚度，改善脉络膜及视网膜微循环，从而延缓屈光度进展，控制眼轴增长，并在一定程度上改善中医证候。

Abstract

Objective

To observe the effects of thumbtack needle therapy for

Yangxin Shengyang

(nourishing heart and elevating

yang

) on thickness and blood flow of macular choroid and retina in children with low myopia of heart

yang

insufficiency.

Methods

A total of 120 children with low myopia of heart

yang

insufficiency were randomized into an observation group 1 (40 cases

2 cases dropped out)

an observation group 2 (40 cases

2 cases dropped out) and a control group (40 cases

4 cases dropped out). In the control group

mydriatic optometry and health education were provided. In the observation group 1

besides the interventions in the control group

the thumbtack needle therapy for

Yangxin Shengyang

was delivered at Dazhui (GV14)

bilateral Yangbai (GB14)

Cuanzhu (BL2)

Taiyang (EX-HN5)

Shenmen (HT7) and Xinshu (BL15). In the observation group 2

on the basis of the interventions as the control group

the thumbtack needle therapy was operated at periorbital acupoints

i.e. bilateral Yangbai (GB14)

Cuanzhu (BL2) and Taiyang (EX-HN5). The intervention was given once every 3 days

for consecutive 3 months. Before and after treatment

the subfoveal choroidal thickness (SFCT)

the blood flow density in the choroidal capillary layer (CC) and choroidal large vessel layer (CL)

macular retinal thickness (MRT)

and the blood flow density of superficial retinal capillary plexus (SCP) and deep retinal capillary plexus (DCP)

spherical equivalent (SE)

uncorrected distance visual acuity and eye axis length (AL) were measured in the three groups; and the traditional Chinese medicine (TCM) syndrome scores were evaluated.

Results

After treatment

SFCT

MRT

and the blood flow density of CC

SCP and DCP increased (

0.05)

the un

corrected distance visual acuity was improved (

0.05)

and TCM syndrome score was reduced (

0.05) when compared with those before treatment in the observation group 1. After treatment

in the observation group 2

SFCT and the blood flow density of CL were elevated in comparison with those before treatment (

0.05). After treatment

in the control group

SFCT

the blood flow density of CC and CL were reduced (

0.05) and SE was progressed (

0.05) in comparison with those before treatment. In the observation group 1

the D-values of SFCT

MRT

the blood flow density of CL and DCP

the uncorrected distance visual acuity and TCM syndrome score before and after treatment were larger than those in the observation group 2 and the control group (

0.05).

Conclusion

Thumbtack needle therapy for nourishing heart and elevating

yang

increases the macular choroidal and retinal thickness and improves microcirculation in the choroid and retina in children with low myopia of heart

yang

insufficiency

so as to delay the progression of refractive errors

control axial growth

and alleviate TCM syndrome to a certain extent.

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