How to Alleviate Sinusitis Using Traditional Chinese Medicine

Sinusitis is an uncomfortable condition that can be triggered by bacterial, fungal, or viral infections, or even an allergic response. Depending on which sinus cavities are affected, the pain may be felt in the forehead, around the eyes, or in the mouth area. Typically, yellow or green nasal discharge occurs, often draining into the throat. Along with the pain, the head feels heavy. This condition can become chronic, particularly with frequent colds.

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Without adequate rest and the avoidance of mucus-inducing foods, the sinuses won't fully drain. It's crucial to address this condition early and with proper care to prevent a serious infection that may require antibiotics. Recurrent infections and antibiotic treatments can create a harmful cycle, weakening the immune system and increasing susceptibility to future infections.

Traditional Chinese Medicine identifies specific diagnostic patterns for sinusitis, including wind cold, wind heat, lung heat, and liver-gallbladder fire rising to the head. Though each pattern requires distinct treatment, herbs and acupuncture are integral to all approaches. Acute sinusitis typically responds to acupuncture and herbal therapy within days. Points near the nose, such as Large Intestine 20 and extra points like Bitong or Yintang, are particularly effective for clearing nasal passages. These points can cause a brief but tolerable discomfort, often followed by immediate relief from congestion. Additional points are selected based on the specific underlying disharmony.

A foundational herbal formula for practitioners is Xanthium Powder (cang er san), made up of Xanthium fruit (cang er zi), magnolia flower (xin yi hua), Angelica dahurica root (bai zhi), and peppermint (bo he). As this formula is warming, cooling herbs such as honeysuckle flowers (jin yin hua) and Scutellaria root (huang qin) may be added when symptoms of heat (fever or yellow mucus) are present. An effective patent medicine for nasal and sinus congestion is Bi Yan Pian, paired with a heat-clearing formula like Chuan Xin Lian Antiphlogistic Pills.

Diet plays a key role in treating any condition related to mucus buildup, as many foods can exacerbate the problem. Patients should avoid cold, greasy, and overly spicy foods. Sweet treats can worsen the condition, often causing an immediate reaction from the sinuses in the form of increased congestion and pain.

Once the acute episode subsides, herbs like Codonopsis root (dang shen) or Astragalus root (huang qi), which strengthen the spleen, should be introduced. These herbs are found in formulas like Shen Qi Da Bu Wan. A strong spleen qi reduces mucus production and boosts the immune system, helping prevent the colds that lead to sinusitis.

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AUTHOR INFORMATION:

Bill Schoenbart has been practicing Traditional Chinese Medicine (TCM) since 1991 after earning a Master's degree in TCM. He is an educator in TCM medical theory and herbalism at a California acupuncture school, and also runs a clinical practice.

Ellen Shefi is a licensed massage therapist, acupuncturist, and registered dietician. She is affiliated with the American Association of Acupuncture and Oriental Medicine, the American Herb Association, and the Oregon Acupuncture Association.