阳维四穴合董氏奇穴针刺治疗肺气虚寒型过敏性鼻炎的疗效及对鼻部温度影响OA

Objective:To observe the therapeutic efficacy of needling Yangwei four acupoints combined with Dong's extraordinary acupoints in treatment of allergic rhinitis(AR)with Lung-Qi deficiency-cold syndrome.Methods:A multicenter randomized controlled trial was conducted.80 patients were randomly assigned into the treatment group and the control group,with 40 patients in each group.The treatment group was treated with needling Yangwei four acupoints combined with Dong's extraordinary acupoints,whereas the control group was treated with conventional acupuncture.Treatments were administered three times per week for four consecutive weeks.The total nasal symptom score(TNSS),visual analog scale(VAS)score,Rhinoconjunctivitis Quality of Life Questionnaire(RQLQ)score,nasal mean temperature(Tt)measured by infrared thermography(IRT),and clinical efficacy rate were assessed before treatment and after 2 and 4 weeks of treatment.Results:After 4 weeks of treatment,the overall effective rate and marked recovery rate in the treatment group were 95.00％(38/40)and 57.50％(23/40),both significantly higher than 80.00％(31/40)and 32.50％(13/40)in the control group correspondingly(P＜0.01).After 2 and 4 weeks of treatment,the TNSS,VAS,and RQLQ scores in both groups were significantly reduced compared with baseline(P＜0.05),with the treatment group showing significantly greater improvements than the control group(P＜0.05).Before treatment,the Tt measured was relatively low in both groups,with no significant difference between groups(P＞0.05);after 4 weeks of treatment,the nasal temperature increased in both groups.Conclusion:This combined acupuncture method can effectively alleviate symptoms,improve quality of life,and increase nasal temperature in patients with AR of Lung-Qi deficiency-cold syndrome.IRT provides an objective method for evaluating the therapeutic effects of this treatment.