Q How does Dongjedang treat the acute stage of sinusitis?
A In the acute stage, we rapidly clear heat-toxin using lung-clearing detoxification and the Hyeonggae-yeongyo-tang family, while combining acupuncture and nasal bloodletting for immediate relief of congestion.
Detailed Answer
Acute Stage Protocol (Weeks 1-2)
- Herbal medicine: a combination of Hyeonggae-yeongyo-tang and Changija-san to resolve lung heat and remove phlegm. When fever is strong, Samhwang-sasim-tang is added.
- Acupuncture: focused on Yingxiang (LI20), Shangxing (GV23), Hegu (LI4), and Fengchi (GB20), 2-3 times per week.
- Nasal bloodletting: bloodletting around the nasal mucosa immediately reduces sinus pressure and speeds relief of congestion.
- Nasal irrigation: twice-daily self-care in parallel.
Acute Stage Goals
Reduced facial pressure within 1 week, and markedly reduced purulent nasal discharge within 2 weeks. Heat sensation and headache usually ease within 3-5 days.
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