Objective: To explore the clinical value of Yiqi Quxie Cangerzi Decoction combined with acupoint catgut embedding in the prophylactic treatment of patients with lung qi deficiency and cold type of seasonal allergic rhinitis.Methods: 168 patients with seasonal allergic rhinitis of lung qi deficiency and cold type in Zhangjiakou Hospital of Traditional Chinese Medicine were selected from May 2022 to October 2023, and were randomized into combined group, traditional Chinese medicine (TCM) group, catgut embedding group and control group by convenient sampling method, with 42 cases in each group. All four groups received prophylactic treatment 2 weeks before disease onset in each previous year, and the control group was treated with mometasone furoate nasal spray, and the TCM group was given oral administration of modified Yiqi Quxie Cangerzi Decoction, the catgut embedding group received acupoint catgut embedding, and the combined group adopted modified Yiqi Quxie Cangerzi Decoction combined with acupoint catgut embedding. The clinical efficacy was compared among the four groups of patients. The nasal symptoms and signs [total nasal symptom score (TNSS)], rhinitis accompanying symptoms [total non - nasal symptom score (TNNSS)] and quality of life [rhinoconjunctivitis quality of life questionnaire (RQLQ)] after 4 weeks and 8 weeks of treatment were evaluated. The adverse reactions and recurrence were observed in the four groups.Results: The effective rate in TCM group, catgut embedding group and combined group was obviously higher compared to control group (P <0.01). After 4 and 8 weeks of treatment, the scores of TNSS, TNNSS and RQLQ in TCM group, catgut embedding group and combined group were significantly lower than those in control group (P < 0.05). The recurrence rate was significantly lower in TCM group, catgut embedding group and combined group than that in control group (P <0.01). Only 2 cases of nasal bleeding occurred in control group, and no other obvious adverse reactions were found.Conclusion: Yiqi Quxie Cangerzi Decoction combined with acupoint catgut embedding therapy has a significant prophylactic treatment effect on seasonal allergic rhinitis of lung qi deficiency and cold type. Meanwhile, it can effectively improve the quality of life of patients, and it has low recurrence rate and low risk of adverse reactions.

Lung qi deficiency and cold type  /  Seasonal allergic rhinitis  /  Yiqi Quxie Cangerzi Decoction  /  Acupoint catgut embedding  /  Clinical value