Advances in Clinical Research on Acupuncture Treatment for Diabetic Retinopathy
Author：YOU Hongju1, WANG Liyuan2, ZHANG Yuan1, JIAO Hongwei3, ZHI Zhaohui1, CUI Hua1, LI Jiaohui1, SUN Yuanzheng1,4
Unit：1.Heilongjiang University of Chinese Medicine, Harbin Heilongjiang 150040, China; 2.The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin Heilongjiang 150040, China; 3.Heilongjiang Jiaoshi Ophthalmology Hospital, Harbin Heilongjiang 150001, China; 4.The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin Heilongjiang 150001, China
Quote：引用：游洪菊，王丽媛，张园，焦宏伟，智兆慧，崔华，李佼徽，孙远征.针刺治疗糖尿病视网膜病变临床研究进展[J].中医药导报,2025,31(12):168-173.
DOI：10.13862/j.cn43-1446/r.2025.12.027
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Abstract：
Diabetic retinopathy (DR) is a retinal microvascular complication caused by chronic hyperglycemia, potentially leading to blindness. This review summarizes clinical research from the past decade on acupuncture monotherapy and acupuncture combined with Chinese herbs, proprietary Chinese medicines, Western drugs, laser therapy, etc., for DR. Findings indicate that acupuncture can effectively improve visual acuity, reduce retinal hemorrhage and exudation, regulate retinal microcirculation, and delay DR progression. Acupuncture combined with Chinese herbs is a primary TCM approach. Filiform needle acupuncture and electroacupuncture are common techniques. Acupoint selection primarily involves points of the three foot-yang meridians, combined with periocular and systemic points, frequently utilizing specific points like Back-Shu and Source points. By analyzing current progress and limitations, this review aims to provide clinical references and insights for further acupuncture research in DR.
Key words：diabetic retinopathy; acupuncture; mechanism; clinical research; review
摘要：糖尿病视网膜病变（DR）是由于长期高血糖引发的视网膜微血管损伤，严重者可导致失明。本文总结近十年单一针刺及针刺联合中药、中成药、西药、激光等治疗DR的临床研究，发现针刺疗法可以有效提高DR患者视力，改善眼底出血和渗出，调节眼底微循环，延缓病情进展。结果显示：针刺联合中药是主要的中医疗法；针刺方法以毫针针刺、电针为主；选穴以足三阳经腧穴为主；配穴多采用眼周与全身腧穴结合的方式，其中脏腑背俞穴、原穴等特定穴运用较多。本文通过分析当前研究进展和存在的不足，旨在为针刺治疗DR提供临床方案参考和进一步研究的思路。
关键词：糖尿病视网膜病变；针刺；机制；临床研究；综述
Release time：2026-01-30
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