：目的：探讨加味犀角地黄汤治疗表层巩膜炎的临床疗效，为该病的临床治疗提供参考。方法：2015年1月至2015年12月收治的48例表层巩膜炎患者随机分为观察组和对照组，其中观察组26例，对照组22例，观察组在西医治疗的基础上加用加味犀角地黄汤治疗，对照组仅单纯应用西医治疗。比较两组的临床疗效及复发率。结果：观察组的总有效率为92.30%，明显优于对照组的72.72%，两组比较有统计学意义（P＜0.05）；观察组复发率为26.90％，明显优于对照组的40.90%，两组有统计学意义（P＜0.05）。结论：对于表层巩膜炎在西医治疗的基础上以加味犀角地黄汤辨证施治，标本同治，见效快，临床疗效明显且复发率低，对于临床治疗表层巩膜炎具有积极的指导意义。

This study was aimed to observe the clinical efficacy of Xi-Jiao Di-Huang (XJDH) decoction in the treatment of episcleritis and to provide references for its clinical treatment. A total of 48 episcleritis cases from January to December 2015 were randomly divided into two groups, with 26 cases in the observation group and 22 cases in the control group. The same conventional drug therapy was given to both groups. XJDH decoction was also given to the observation group. Clinical efficacy and recurrence rate of both groups were compared. The results showed that the total effective rate of the observation group was 92.30%, which was obviously better than 72.72% in the control group, with statistical significance (P < 0.05). The recurrence rate of the observation group was 26.90%, which was obviously better than 40.90% in the control group, with statistical significance (P < 0.05). It was concluded that XJDH decoction combined with modern medicine treatment in the treatment of episcleritis achieved better clinical curative effect with lower recurrence rate. It provided positive guidance in the clinical treatment of episcleritis.

江苏省第二批优秀中青年中医临床人才研修项目（12SYXNC007）：江苏省第二批优秀中青年中医临床人才研修项目，负责人：阎芹。