着互联网与便携式数字设备的广泛普及，数字成瘾已逐渐成为突出的公共健康问题。本文从病因病机、临床研究与作用机制三方面系统综述了中医非药物疗法在数字成瘾治疗中的应用现状。研究指出，数字成瘾可归属于中医情志病范畴，情志过用和生活失序是其病因，病机可归纳为“心神受损—气血失常—脏腑失调”的递进过程。在临床干预中，电针和毫针等针刺疗法、经皮穴位电刺激和耳穴压豆等非侵入性穴位刺激、以及太极拳和八段锦等中医运动疗法，在降低成瘾程度、缓解焦虑抑郁情绪、改善睡眠质量等方面表现出显著效果，其中中医证候积分下降幅度最高达68.9%，成瘾行为量表评分下降幅度可达37.7%。中医非药物疗法可能通过调节神经递质—受体相互作用，影响奖赏系统的功能状态，从而抑制成瘾行为的发展。当前证据初步支持其疗效，但未来仍需更多高质量研究解决现有方法学局限。在今后研究中建议着眼于辨证分型制定个体化治疗方案，建立统一操作规范，并整合客观生物学指标与标准化量表构建多维评价体系，以推动中医非药物疗法在数字成瘾防治中的规范化与科学化应用。

With the extensive popularization of the Internet and portable digital devices, digital addiction has gradually emerged as a prominent public health concern. This paper systematically reviews the current application status of traditional Chinese medicine (TCM) non - pharmacological therapies in the treatment of digital addiction from three aspects: etiology and pathogenesis, clinical research, and mechanism of action. The study suggests that digital addiction can be subsumed under the category of emotional disorders in TCM. Excessive indulgence in emotions and disordered lifestyles are considered the root causes. The pathogenesis can be generalized as a progressive sequence of "impairment of the mind - imbalance of qi and blood - disharmony of the internal organs". In clinical intervention, acupuncture therapies such as electroacupuncture and filiform needle acupuncture, non-invasive acupoint stimulation methods like transcutaneous electrical acupoint stimulation and auricular acupressure with seeds, as well as traditional Chinese exercise therapies like Tai Chi and Baduanjin, have demonstrated significant effects in reducing addiction levels, alleviating anxiety and depression, and improving sleep quality. Among them, the decline in TCM syndrome scores was as high as 68.9%, and the reduction in addiction behavior scale scores could reach 37.7%. TCM non - pharmacological therapies may exert their effects by modulating the interaction between neurotransmitters and receptors, thereby influencing the functional state of the reward system and inhibiting the progression of addictive behaviors. The current evidence tentatively supports its therapeutic efficacy. However, in the future, more high-quality research is required to overcome the existing methodological limitations. In future research endeavors, it is advisable to formulate individualized treatment plans by taking into account syndrome differentiation and classification. Additionally, establishing unified operation specifications and constructing a multi-dimensional evaluation system by integrating objective biological indicators with standardized scales are essential steps. These efforts will contribute to promoting the standardized and scientific application of non-pharmacological therapies in traditional Chinese medicine in the prevention and treatment of digital addiction.

国家市场监督管理总局科技计划项目;中国标准化研究院中央基本科研业务费项目