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INSIGHTS & WELLNESS

TCM View of Sinusitis

Sinus is the hollow cavities in the skull and are lined with soft tissue. Healthy sinuses are filled with air. However, if they become inflamed due to triggers such as viruses or bacteria, the soft tissues start to produce excessive amounts of yellow or green mucus. This is known as Sinusitis.

Sinus is the hollow cavities in the skull and are lined with soft tissue. Healthy sinuses are filled with air. However, if they become inflamed due to triggers such as viruses or bacteria, the soft tissues start to produce excessive amounts of yellow or green mucus. This is known as Sinusitis. 

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As the mucous membrane starts to secrete more mucus, they become swollen, resulting in congestion. Symptoms include a reduced sense of smell, stuffed nose as well as headache and facial pain. Excessive mucus could also lead to a backflow into the mouth, thus some would experience symptoms such as a cough or sore throat.

Symptoms:

    • Yellowish / Greenish mucus
    • Congested nose
    • Reduced sense of smell
    • Headache or facial pain
    • Cough
    • Sore throat

    Allergic Rhinitis also causes inflammation in the nasal canal. However, the triggers are due to allergens such as dust, pollens etc. Common symptoms are sneezing, runny nose with clear and watery mucus, itchy nose, eyes. An inflamed mucous membrane could also cause congestion; hence one would experience blocked nose and the loss of smell. 

    Build-up of mucus from Allergic Rhinitis, when not cleared entirely, could become infected with bacteria or virus and eventually lead to sinusitis.

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    TCM View of Sinusitis

    According to Chinese medicine, the following are the most common causes of Sinuisitis.

    External factors – pathogens such as wind heat and wind cold

        • In TCM, the Lung system is the first line of defence for our body. As External pathogens attack our body, the Lung system is weakened. Imbalances in the Respiratory tract governed by the Lung system brings about accumulation of phlegm which is expelled in the form of mucus.  

      Internal factors – Poor eating habits, Emotional factors

          • An old TCM saying “脾为生痰之源,肺为储痰之器” translates to “Spleen produces phlegm while Lung stores the phlegm”. Weakening of the spleen system due to unhealthy eating habits and irregular eating times may manifest dampness in the body, which in turn congeals to form phlegm. This phlegm would eventually be stored in the lungs and expelled in the form of mucus. 

          • Negative emotions, stress, and inadequate sleep may affect the Liver system. An aggravated Liver system would in turn weaken the spleen system. Again, the weakening of the spleen system would bring about dampness in the body and over time, thicken to form phlegm. 

         

        How can TCM Help with Sinusitis?

        From a detailed consultation and assessment, a TCM physician would diagnose the root cause of your sinus problem and tailor the treatment accordingly. TCM treatment  methods such as acupuncture and herbal medication are commonly used to treat sinusitis and allergic rhinitis. They can help to address the root causes of your sinus,  re-establish balance in the body and  reduce the occurrence of sinus episodes. 

            • Siberian Cocklour Fruit (苍耳子, Cang Er Zi) 10g
            • Mint (薄荷, Bo He) 4.5g
            • Dahurian Angelica Root (白芷, Bai Zhi) 6g
            • Magnolia Flowers (辛夷, Xin Yi) 6g
            • Water 300-500ml

          Instructions

              1. Put all of the ingredients into a cup.
              2. Add boiling water and let it simmer for 20 minutes
              3. Drink one time a day, to clear mucus from sinuses.
            1.  

            Ingredients

                • Perilla Leaf (苏叶, Su Ye) 6g
                • Magnolia Flowers (辛夷, Xin Yi) 2g
                • Water 300-500ml

              Instructions

                  1. Put all of the ingredients into a cup.
                  2. Add boiling water and let it simmer for 15 minutes. 
                  3. Drink one time a day, to clear mucus from sinuses and reduce inflammation.

                The body constitution of each individual varies and thus, it is important to have a consultation with a physician to know the root cause for sinusitis, thereby treating the root problem along with the symptoms. Early detection and treatment could reduce occurrence as well as prevent it from becoming a long-term illness. 

                Note: Information provided is not a substitute for a physician or any form of medical care. Individual symptoms differ due to different body constitutions and diagnosis. One should consult a licensed TCM practitioner for accurate diagnosis and treatment.

                  PULSE TCM, PULSE, PULSE+ ALLIED HEALTH, TCM IN SINGAPORE, TRADITIONAL CHINESE MEDICINE

                   

                  Self-help TCM Tips for Sinusitis

                    Acupressure Massages

                      • 迎香穴 (Ying Xiang, LI20) – Massage both acupoints on face for 1 minute.

                    Blog-Sinus-4-Ying-Xiang

                    Decreases sensitivity of the nose, reduces obstruction in the nasal canal.

                        • 合谷穴 (He Gu, LI4) – Massage both acupoints on hands for 1 minute.

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                      Helps to increase blood circulation to the face, bringing inflammatory pathogens away from the nose

                          • Avoid oily and spicy food.
                          • Regular exercise to build up immunity.
                          • Manage your stress.
                          • Adopt healthy sleeping habits.
                          • For allergic rhinitis, avoid allergens that causes the allergic reaction.

                        TCM drinks that can help to alleviate sinusitis

                        Ingredients

                            • Siberian Cocklour Fruit (苍耳子, Cang Er Zi) 10g
                            • Mint (薄荷, Bo He) 4.5g
                            • Dahurian Angelica Root (白芷, Bai Zhi) 6g
                            • Magnolia Flowers (辛夷, Xin Yi) 6g
                            • Water 300-500ml

                          Instructions

                              1. Put all of the ingredients into a cup.
                              2. Add boiling water and let it simmer for 20 minutes
                              3. Drink one time a day, to clear mucus from sinuses.
                            1.  

                            Ingredients

                                • Perilla Leaf (苏叶, Su Ye) 6g
                                • Magnolia Flowers (辛夷, Xin Yi) 2g
                                • Water 300-500ml

                              Instructions

                                  1. Put all of the ingredients into a cup.
                                  2. Add boiling water and let it simmer for 15 minutes. 
                                  3. Drink one time a day, to clear mucus from sinuses and reduce inflammation.

                                The body constitution of each individual varies and thus, it is important to have a consultation with a physician to know the root cause for sinusitis, thereby treating the root problem along with the symptoms. Early detection and treatment could reduce occurrence as well as prevent it from becoming a long-term illness. 

                                Note: Information provided is not a substitute for a physician or any form of medical care. Individual symptoms differ due to different body constitutions and diagnosis. One should consult a licensed TCM practitioner for accurate diagnosis and treatment.

                                Frequently Asked Questions (FAQs)

                                Traditional Chinese Medicine (TCM) focuses on addressing the root cause of sinusitis rather than just managing the symptoms. By clearing internal dampness, removing pathogens, and strengthening the Lung and Spleen systems, TCM aims for long-term recovery. While the concept of a "cure" depends on the severity of the condition and your individual body constitution, consistent TCM treatment can significantly reduce the frequency and intensity of flare-ups, allowing many patients to live symptom-free.
                                Yes, acupuncture is highly effective for rapidly relieving sinus congestion and facial pressure. By stimulating specific acupoints on the face and body (such as Ying Xiang and He Gu), acupuncture unblocks stagnant Qi, improves local blood circulation, and reduces inflammation in the nasal passages. Many patients experience noticeable relief from a blocked nose during or immediately after a session.
                                The timeline for relief varies based on whether your condition is acute or chronic. For acute sinusitis (triggered by a recent cold or flu), custom Chinese herbal medicine can often clear mucus and relieve pressure within a few days to a week. For chronic sinusitis or long-standing allergic rhinitis, it typically takes 1 to 3 months of consistent treatment to rebuild the body's immunity and fully eliminate deep-rooted dampness.
                                In TCM, diet plays a massive role in mucus production. To prevent aggravating your sinuses, you should avoid "damp-producing" foods that weaken the Spleen. This includes:
                                • Cold and raw foods: Salads, sushi, and iced beverages.
                                • Dairy products: Milk, cheese, and heavy creams.
                                • Greasy and spicy foods: Deep-fried meals and heavy spices, which introduce excess heat and inflammation into the body.
                                • Refined sugars: Sweets and processed carbohydrates.
                                Generally, you can use TCM alongside Western treatments like antihistamines or prescribed nasal sprays, but it requires careful management. You should always inform your licensed TCM physician and your medical doctor about all medications and supplements you are taking. As a general rule of thumb, practitioners usually recommend leaving a gap of 1 to 2 hours between consuming Western medication and TCM herbal brews.
                                Yes, TCM is a safe and natural option for children suffering from chronic runny noses and allergies. Pediatric TCM treatments are modified to be gentler. Instead of traditional acupuncture, practitioners often use pediatric Tui Na (a specialized therapeutic massage) to stimulate acupressure points, alongside milder, child-friendly herbal formulations to strengthen their developing respiratory and immune systems.

                                References