To summarize and analyze the characteristics of clinical randomized controlled trials(RCTs) on acupuncture and moxibustion for perimenopausal insomnia,evaluate their methodological quality and the quality of reporting on acupuncture interventions,and provide reference for future related research.Methods:Six Chinese and English databases were searched using computer retrieval.RCTs on acupuncture and moxibustion therapy for perimenopausal insomnia were screened.Their study characteristics were extracted,and Cochrane's risk of bias assessment tool and the Standards for Reporting Interventions in Clinical Trials of Acupuncture(STRICTA) checklist were used for evaluation.Results:A total of 92 articles were included,with 57 studies(64.1%) on acupuncture and 20 studies(21.7%) on auricular therapy.Diagnostic criteria were primarily based on textbooks and guidelines,and outcome measures primarily utilized scales.Many studies focused on comparing the advantages of acupuncture and moxibustion with other therapies.Cochrane's risk of bias assessment found low reporting rates in random sequence generation(64.1%),allocation concealment(19.6%),blinding of participants and personnel(0%),and blinding of outcome assessors(15.2%).Comparing with STRICTA criteria,completeness of reporting was lacking in number of needles used(0%),depth of needling(50.6% reported),type of needles(54.5% reported),information on treatment setting(0%),and therapist background(5.2% reported).Conclusion:Currently,reports of RCTs on acupuncture and moxibustion for perimenopausal insomnia are predominantly from China,with generally low methodological quality and reporting quality related to acupuncture interventions,suggesting a need for future clinical trials to further improve and standardize their design and reporting.