
Q In what stages does the treatment for chronic sinusitis proceed?
A The treatment proceeds over 2 to 4 months, following the sequence of: the stage of dissolving accumulated phlegm through *Hwadam* (dissolving phlegm) → the stage of rebuilding the mucous membrane through *Bopae* (replenishing the lungs) → the preventive management stage.
Detailed Answer
Chronic 3-Stage Protocol
- Stage 1: Phlegm Dissolution Stage (1-2 months): Herbal medicines that clear nasal congestion and regulate phlegm in the body promote the dissolution and drainage of phlegm and mucus within the sinuses. Focuses on improving nasal congestion and postnasal drip.
- Stage 2: Lung Replenishment Stage (2-3 months): Herbal medicines that boost energy and moisten the lungs to treat coughs strengthen lung function and the immune system. Mucosal regeneration and restoration of defense mechanisms. Stage 3 Preventive Management Phase: Supplemental prescriptions for 1–2 months, primarily during seasonal changes (spring and autumn). Intensive management during periods of high risk for recurrence. At Dongjedang Korean Medicine Clinic, nasal congestion index, nasal discharge characteristics, and changes in the sense of smell are evaluated every 2–4 weeks. Follow-up CT scans are recommended if necessary after 4 months of treatment, and the decision regarding surgery is re-evaluated based on the results.
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