Effectiveness of high-frequency ultrasound-guided acupuncture of the sphenopalatine ganglion combined with heat-sensitive moxibustion in the treatment of perennial allergic rhinitis: a prospective, multicenter, randomized controlled trial

INTERVENTION: Intervention group:high‐frequency ultrasound‐guided sphenopalatine ganglion acupuncture combined with heat‐sensitive moxibustion;Control group:Budesonide Nasal Spray therapy; CONDITION: allergic rhinitis PRIMARY OUTCOME: Total Nasal Symptom Score, TNSS; SECONDARY OUTCOME: Total Non‐Nasal Symptom Score, TNNSS;Rhinoconjunctivitis Quality of Life Questionnaire, RQLQ; INCLUSION CRITERIA: 1. Participants meeting the diagnostic criteria, mainly those with moderate‐to‐severe perennial allergic rhinitis (AR). The Total Nasal Symptom Score (TNSS) was used as the primary defining criterion. TNSS is the sum of scores for 4 nasal symptoms, nasal obstruction, rhinorrhea, sneezing, and nasal itch, with each symptom rated on a scale of 0 (no symptom) to 4 (severe symptom). The total TNSS ranges from 0 to 16. Specifically, a TNSS of > 0 and <= 4 indicates mild AR, while a score of > 4 indicates moderate‐to‐severe AR. 2. Heat‐sensitive moxibustion sensations were detected at points 1 cun superior, inferior, left and right to Yintang (EX‐HN3). 3. Aged 18 to 65 years, regardless of gender;Voluntarily participated in this clinical observation and signed the informed consent form. 4. Able to comply with the physician’s treatment arrangements and coordinate with the treatment and follow‐up procedures. 5. With clear consciousness, capable of accurately des