目的 探讨耳尖放血疗法病谱与适宜病症,以指导临床应用。方法 计算机检索中国知网、万方、维普、SinoMed、PubMed等数据库中耳尖放血的相关文献，提取纳入文献的疾病名称与不良反应，检索时间为2000年1月1日至2023年5月25日。结果 共纳入581篇文献，耳尖放血疗法涉及11个临床分科，病谱纳入66种病症，主要集中在五官科、神经内科及皮肤科；共发现20种适宜病症，一级适宜病症8种，为高血压、睑腺炎、痤疮、发热、结膜炎、头痛、失眠与扁桃体炎，耳尖放血降压与泻热抗炎功用是当前研究热点。结论 耳尖放血疗法已取得长足进展，但临床需开展耳尖放血疗法的诊疗培训，加强推广宣教及资金投入，进一步拓宽耳穴放血临床应用。

Objective To investigate the disease spectrum and appropriate symptoms of auricular apex bloodletting therapy,so as to guide clinical application.Methods CNKI,Wanfang Data,cqVIP,SinoMed and PubMed databases were searched to extract the names of diseases and adverse reactions.The search period was from January 1,2000 to May 25,2023.Results A total of 581 literatures were included.The treatment of auricular tip bloodletting involved 11 clinical branches,and the disease spectrum included 66 diseases,mainly in the department of ENT,neurology and dermatology.A total of 20 suitable diseases were found,8 of which were grade I suitable diseases,including hypertension,blepharitis,acne,fever,conjunctivitis,headache,insomnia and tonsillitis.Conclusions Great progress has been made in the treatment of auricular apex bloodletting,but it is necessary to carry out the diagnosis and treatment training of auricular apex bloodletting,strengthen the promotion and education and fund investment,and further expand the clinical application of the therapy.

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山东省自然科学基金青年项目（ZR2020QH315）；山东省中医药科技项目（Z-2022095T）；济南市针灸临床医学研究中心（济科计[2023]1号）