• Jianwei Ai, Suying Guo, Yaqin Wang, Yuezhi Kang, Man Wang, Jingyi Zhao, Shaoting Huang, and Junge Wang.
• Department of Otorhinolaryngology Head and Neck Surgery, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.
• Medicine (Baltimore). 2024 Jan 26; 103 (4): e37060e37060.

RationaleIn recent decades, the incidence of perennial allergic rhinitis (PAR) has been increasing annually. However, some patients could not achieve adequate symptomatic relief with routine pharmacological treatment. Consequently, there exists an urgent clinical imperative for the development of safe and efficacious treatments with sustained therapeutic impact to ameliorate the symptomatic burden and enhance the quality of life.Patient ConcernsThe patient was a 35-year-old woman. She had suffered moderate and severe refractory PAR for decades and failed to sustain symptom mitigation from regular treatment.DiagnosesPerennial allergic rhinitis.InterventionsThe patient underwent a 4-week course of fire needle acupuncture at Neiyingxiang, administered weekly, during which all allopathic medication was discontinued.OutcomesThe total nasal symptoms score, total non nasal symptoms score, rhinoconjunctivitis quality of life questionnaire, and the total nasal resistance of the patient were decreased after treatment and achieved symptomatic relief. Follow-up conducted 3 months post-treatment revealed enduring symptom relief, with only sporadic nasal congestion elicited by cold stimulus.LessonsThis case proves that, fire needle acupuncture at Neiyingxiang may be beneficial in treating moderate and severe refractory PAR patient and have a lasting effect.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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