Abstract：Objective：To observe the clinical effect of auricular holistic copper-stone needle scraping combined with routine nursing care on elderly functional dyspepsia （FD）. Methods：A total of 80 elderly FD patients treated at Lishui Hospital of Traditional Chinese Medicine from July 2024 to July 2025 were enrolled in this study. They were divided into a control group and an observation group using a random number table method，with 40 cases in each group. The control group received routine nursing care， while the observation group received additional auricular holistic copper-stone needle scraping based on the control group's regimen. Both groups were intervened for two weeks.Traditional Chinese medicine syndrome scores，Functional Digestive Disorder Quality of Life （FDDQL） questionnaire scores， serological indicators [pepsinogen Ⅰ （PG Ⅰ）， and gastrin-17 （G-17）]， and patient satisfaction rate were compared between the two groups. Results： After one week and two weeks intervention， the scores of epigastric fullness and stuffiness，gastric distension and pain，poor appetite and reduced food intake，as well as the total scores of traditional Chinese medicine syndrome， decreased in both groups compared with those before intervention （P＜ 0.05），with greater reductions in the observation group. The scores of the above items and total scores in the observation group were lower than those in the control group at the same time points （P＜0.05）. Significant interaction effects between group and time were found for all indicators （P＜0.05）. FDDQL scores increased in both groups after intervention compared to before intervention （P＜0.05）， with a greater increase in the observation group. FDDQL scores in the observation group were higher than those in the control group （P＜0.05）. Significant interaction effects between group and time were found for FDDQL scores （P＜0.05）. After intervention，PG Ⅰ levels increased and G-17 levels decreased in both groups，with significantly higher PG Ⅰ and lower G-17 in the observation group compared to the control group （P＜0.05）. The total patient satisfaction rate in the observation group was 90.00%， significantly higher than that of 62.50% in the control group （P＜0.05）. Conclusion： Auricular holistic copper-stone needle scraping combined with routine nursing care can improve traditional Chinese medicine syndrome manifestations，quality of life，and serological indicators，and enhance nursing satisfaction in elderly patients with FD.