Objective To evaluate the clinical efficacy of intranasal acupuncture combined with self-made Yiqi Jiemin Decoction（ 益 气解敏汤） in the treatment of moderate-severe allergic rhinitis. Methods A total of 60 patients diagnosed as moderate to severe allergic rhinitis with spleen-qi deficiency were collected at the Dongzhimen Hospital of Beijing University of Traditional Chinese Medicine. Both sides of Neiyingxiang（ EX-HN9） and Biqiu（ EX-HN） acupoints were acupunctured by endoscopic guidance

once every other day; simultaneous oral administration of Yiqi Jiemin Decoction

one dose per day for a total of 2 weeks. Visual analogue scales（ VAS）

rhinitis primary symptom scores（ TNSS）

general rhinitis conjunctivitis quality of life questionnaire（ RQLQ）

nasal signs

and nasal secretion eosinophils（ EOS） were performed before and after treatment. The clinical indicators were measured. Results After treatment

the scores of VAS

TNSS

RQLQ

and nasal signs were significantly lower than before treatment in 60 patients. EOS counts of nasal secretions decreased compared with those before treatment

and the difference was statistically significant（ P < 0. 01）. Conclusion Intranasal acupuncture combined with Yiqi Jiemin Decoction is effective in the treatment of moderate-severe allergic rhinitis with deficiency of lung and spleen qi. It can be used as a supplement or alternative therapy for allergic rhinitis.