Abstract： Objective： To observe the clinical effect of lung- dispersing and spleen- strengthening massage combined with acupuncture on allergic rhinitis in children. Methods：A total of 231 cases of children with allergic rhinitis were randomly divided into the observation group(112 cases) and the control group(119 cases). Both groups received conventional western medicine treatment； the control group was additionally treated with acupuncture， and the observation group additionally received acupuncture combined with lung- dispersing spleen- strengthening massage. The changes of score of signs and symptoms， inflammatory cytokines， nasal physiological function， and level of vitamin D before and after treatment were compared between the two groups； both groups were followed up for one year， and the recurrence rate was calculated. Results：The total effective rate was 91.96% in the observation group，higher than that of 73.11% in the control group，the difference being significant(P＜0.05). After treatment，the scores of signs and symptoms in the two groups were respectively decreased when compared with those before treatment，and the score in the observation group was lower than that in the control group， differences being significant(P＜0.05). After treatment， the total nasal resistance in the two groups was respectively decreased when compared with that before treatment， and the nasal mucociliary transmission rate and nasal ventilation area were respectively increased when compared with those before treatment；the total nasal resistance in the observation group was smaller than that in the control group，and the nasal mucociliary transmission rate and nasal ventilation area were higher and larger respectively than those in the control group， differences being significant(P＜0.05). After treatment，the levels of tumor necrosis factor- α(TNF- α)，C-reactive protein(CRP) and vitamin D(1.25-OH-D3) in the two groups were decreased when compared with those before treatment， and the levels of interleukin- 10(IL- 10) were increased；the levels of TNF-α，CRP and 1.25-OH-D3 in the observation group were lower than those in the control group， and the level of IL- 10 was higher，differences being significant(P＜0.05). After one year follow- up，the recurrence rate in the observation group was 8.92%，lower than that of 20.16% in the control group，the difference being significant(P＜0.05). Conclusion：The therapy of lung-dispersing and spleen-strengthening massage combined with acupuncture can significantly improve the clinical symptoms and nasal physiological function of children with allergic rhinitis，effectively inhibit inflammatory cytokines and reduce the recurrence rate，with significant curative effect.