Q Why is chronic sinusitis difficult to cure?
A Chronic sinusitis lasting more than 12 weeks is difficult to cure completely with antibiotics alone because drainage is continuously blocked by mucosal thickening, nasal polyps, or structural abnormalities, rather than by bacterial infection.
Detailed Answer
Reasons for Chronicization
- The mucosa thickens (hypertrophies) due to repeated inflammation, narrowing the opening
- Nasal polyps (mucosal sacs) form, causing mechanical blockage
- The inflammatory cycle does not break due to persistent immune hypersensitivity
- Cases caused by antibiotic-resistant bacteria or fungi
Traditional Korean Medicine Pathogenesis of Chronic Condition
Dongjedang Korean Medicine Clinic views the chronic stage as a complex state of Lung Qi Deficiency (Pegi-heo) + Damp Phlegm (Sipdam), and focuses on mucosal recovery (resolving phlegm and tonifying the lungs) rather than simple antibacterial treatment. By combining herbal medicines that clear nasal congestion with those that boost vital energy, we promote both mucosal regeneration and immune normalization.
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