In this study, a randomized clinical trial, samples are selected among dialysis patients in hospitals affiliated to Mashhad University of Medical Sciences.They are older than 18 and younger than 65 years old with pruritus for more than three months despite routine treatment .These patient are under dialysis for at least 6 months, Visual Analogue Scale questionnaire Score more than 4 and are able to answer the questions.After completing the questionnaires by the investigator and consent form by patient, dermatologist does skin punch biopsy in the dorsal surface of the hand and prescribes Gabapentin(200-300 mg daily ) for every patient and refers them to acupuncture clinic . Patients were randomly located in one of the 2 groups by acupuncturist. Intervention group receive acupuncture treatment by needling in the SP10, st36, LI4, LV3, sp6 ,2 times a week, for 6 weeks .control group receive sham acupuncture treatment by needling at 1 cm outside the corresponding acupuncture point with similar duration and frequency.
After the last session of intervention, patient are referred to dermatology clinic and biopsy on the same condition is prepared and will be sent pathology lab to compare the mast cell infiltration with first biopsy.
Before and after treatment, VAS and quality of life questionnaire will be completed by investigator and the mast cell infiltration will be compare by pathologist in both groups then data will be analyzed