Objective To observe the clinical efficacy of acupuncture and moxibustion for patients of Yang deficiency constitution with seasonal allergic rhinitis (AR) and its effects on the clinical symptoms and constitution score. Methods A total of 70 patients with seasonal AR were randomized into a trial group and a control group using the random number table method, with 35 cases in each group. The control group was treated with oral desloratadine tablets, once daily. The trial group was treated with additional acupuncture and moxibustion, 5 times weekly. Both groups were treated for 2 weeks. The total nasal symptom score (TNSS), total ocular symptom score (TOSS), sign score, rhino-conjunctivitis quality of life questionnaire (RQLQ) score, and constitution transformation score were recorded before and after treatment, and at 6-month follow-up. Results After treatment, the total effective rate of the trial group was higher than that of the control group (P<0.05). Compared to the same group before treatment, the TNSS, TOSS, sign score, and RQLQ score after treatment in both groups decreased significantly (P<0.05). The constitution transformation score in the trial group decreased significantly (P<0.05), but had no obvious change in the control group (P>0.05). After treatment, the TNSS, sign score, and RQLQ score in the trial group were significantly lower than those in the control group (P<0.05). There was no statistical difference in the TOSS between the two groups (P>0.05). The constitution transformation score in the trial group was significantly lower than that in the control group (P<0.05). At follow-up, there was no statistical difference in the recurrence rate between the two groups (P>0.05). At follow-up, the TOSS and RQLQ score in both groups had no statistical difference compared to the same group before treatment (P>0.05); the TNSS and sign score in the control group had no statistical difference compared to those before treatment (P>0.05); the TNSS and sign score in the trial group significantly decreased compared to those before treatment (P<0.05); there was no statistical change in the constitution score in the two groups (P>0.05). At follow-up, the TNSS and RQLQ score in the trial group were lower than those in the control group (P<0.05). There was no statistical difference in the TOSS and sign score between the two groups (P>0.05). The constitution score in the trial group was lower than that in the control group (P<0.05). Correlation analysis showed that there was a moderate correlation between the TOSS and the constitution transformation score (0.4<r<0.6). There was a strong correlation between the TNSS, sign score, and RQLQ score and the constitution transformation score (0.6<r<0.8). There was no correlation between therapeutic efficacy and the constitution transformation score (P>0.05). Conclusion Compared to oral desloratadine tablets alone, combined with acupuncture and moxibustion can better improve the constitution of patients with seasonal AR of Yang deficiency constitution, reduce clinical symptoms and signs, improve the quality of life, and the long-term effect is stable.

Clinical observation of acupuncture and moxibustion for patients of Yang deficiency constitution with seasonal allergic rhinitis

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发表日期：

2025年12月23日

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Yingyu Liu,
Qi Shen

摘要

Objective

To observe the clinical efficacy of acupuncture and moxibustion for patients of Yang deficiency constitution with seasonal allergic rhinitis (AR) and its effects on the clinical symptoms and constitution score.

Methods

A total of 70 patients with seasonal AR were randomized into a trial group and a control group using the random number table method, with 35 cases in each group. The control group was treated with oral desloratadine tablets, once daily. The trial group was treated with additional acupuncture and moxibustion, 5 times weekly. Both groups were treated for 2 weeks. The total nasal symptom score (TNSS), total ocular symptom score (TOSS), sign score, rhino-conjunctivitis quality of life questionnaire (RQLQ) score, and constitution transformation score were recorded before and after treatment, and at 6-month follow-up.

Results

After treatment, the total effective rate of the trial group was higher than that of the control group (P<0.05). Compared to the same group before treatment, the TNSS, TOSS, sign score, and RQLQ score after treatment in both groups decreased significantly (P<0.05). The constitution transformation score in the trial group decreased significantly (P<0.05), but had no obvious change in the control group (P>0.05). After treatment, the TNSS, sign score, and RQLQ score in the trial group were significantly lower than those in the control group (P<0.05). There was no statistical difference in the TOSS between the two groups (P>0.05). The constitution transformation score in the trial group was significantly lower than that in the control group (P<0.05). At follow-up, there was no statistical difference in the recurrence rate between the two groups (P>0.05). At follow-up, the TOSS and RQLQ score in both groups had no statistical difference compared to the same group before treatment (P>0.05); the TNSS and sign score in the control group had no statistical difference compared to those before treatment (P>0.05); the TNSS and sign score in the trial group significantly decreased compared to those before treatment (P<0.05); there was no statistical change in the constitution score in the two groups (P>0.05). At follow-up, the TNSS and RQLQ score in the trial group were lower than those in the control group (P<0.05). There was no statistical difference in the TOSS and sign score between the two groups (P>0.05). The constitution score in the trial group was lower than that in the control group (P<0.05). Correlation analysis showed that there was a moderate correlation between the TOSS and the constitution transformation score (0.4<r<0.6). There was a strong correlation between the TNSS, sign score, and RQLQ score and the constitution transformation score (0.6<r<0.8). There was no correlation between therapeutic efficacy and the constitution transformation score (P>0.05).

Conclusion

Compared to oral desloratadine tablets alone, combined with acupuncture and moxibustion can better improve the constitution of patients with seasonal AR of Yang deficiency constitution, reduce clinical symptoms and signs, improve the quality of life, and the long-term effect is stable.