Managing Chronic Rhinitis: Insights from Traditional Chinese Medicine

Chronic rhinitis

Hello Dr.
Lin,
I have been experiencing nasal allergies since middle school.
I have tried various traditional and Western medications intermittently, but none have completely cured my condition, and I still have some symptoms (such as phlegm in my throat upon waking, nasal congestion, and nasal discharge).
Perhaps my lack of patience in continuing treatment for a few months has led me to give up too soon.
Currently, I consistently feel phlegm in my throat in the mornings that I can't seem to clear.
It feels like I haven't been completely healthy since middle school, and I wonder if this is how my life will be.
Could you please advise me on how to regain my health? Also, will this condition be hereditary for my future children? I currently do not wish to have children.

Xiao Ru, 30~39 year old female. Ask Date: 2004/08/18

Dr. Lin Qingzhong reply Traditional Chinese Medicine

Dear Miss Hsiao-Ju,
(1) In the morning, if you experience phlegm in your throat, nasal congestion, and nasal discharge, it may be caused by chronic rhinitis (allergic rhinitis) leading to post-nasal drip into the throat.
If it were simply bronchitis, you would have phlegm in your throat without nasal issues.
Chronic allergic rhinitis is often triggered by environmental factors related to autoimmunity, with clinical investigations indicating that dust mites and air conditioning are common allergens.
Traditional Chinese medicine typically treats this condition by tonifying the lungs and boosting qi, as well as dispelling wind and unblocking the nasal passages, using formulas such as Xiao Qing Long Tang, Cang Er San, and Xin Yi Qing Fei San.
It is also advisable to engage in regular exercise, take steam baths, and minimize exposure to air conditioning to improve your constitution, which can yield positive results.
(2) Your nasal condition is not hereditary and should not be passed on to the next generation.
Based on your letter, I assume you are married, and I recommend planning for pregnancy sooner rather than later to avoid becoming an advanced maternal age, which could increase the risk of genetic issues.
Wishing you good health,
Dr.
Lin Ching-Chung
Director, Department of Traditional Chinese Medicine
Fengyuan Hospital
[email protected]

Reply Date: 2004/08/18

More Info

Managing chronic rhinitis can be a challenging endeavor, especially when conventional treatments have not provided satisfactory relief. Traditional Chinese Medicine (TCM) offers a unique perspective and a variety of treatment modalities that may help alleviate symptoms and improve overall health.
Chronic rhinitis, characterized by persistent nasal congestion, runny nose, sneezing, and postnasal drip, can be influenced by various factors, including environmental allergens, infections, and even emotional stress. In TCM, the approach to treating chronic rhinitis involves understanding the underlying imbalances in the body that contribute to these symptoms.
Understanding TCM Principles:
In TCM, the body is viewed as a holistic system where the balance of Qi (vital energy), blood, and bodily fluids is essential for health. Chronic rhinitis may be attributed to several patterns, such as Wind-Heat invasion, Phlegm-Damp accumulation, or Yin deficiency. Each of these patterns has specific symptoms and requires tailored treatment strategies.

1. Wind-Heat Invasion: This pattern is often associated with acute onset symptoms, such as fever, sore throat, and yellow nasal discharge. Treatment typically involves dispersing Wind and clearing Heat using herbs like peppermint and honeysuckle.

2. Phlegm-Damp Accumulation: This is a common pattern in chronic cases, characterized by thick nasal discharge, a feeling of heaviness, and a tendency to feel sluggish. TCM practitioners may use herbs that transform phlegm and strengthen the spleen, such as pinellia and atractylodes.

3. Yin Deficiency: This pattern may manifest as dryness, a chronic cough, and a feeling of heat. Treatment focuses on nourishing Yin and clearing heat, often using herbs like rehmannia and goji berries.

Treatment Modalities:
TCM employs various treatment modalities, including herbal medicine, acupuncture, dietary therapy, and lifestyle modifications.
- Herbal Medicine: A TCM practitioner may prescribe a customized herbal formula based on your specific symptoms and constitution. It is essential to follow the prescribed regimen consistently, as TCM often requires a longer duration to see significant improvements.

- Acupuncture: This technique can help regulate the flow of Qi, reduce inflammation, and alleviate symptoms. Acupuncture points may be selected based on your individual condition and can provide immediate relief from nasal congestion and other symptoms.

- Dietary Therapy: TCM emphasizes the importance of diet in managing health. Foods that are warm and nourishing, such as soups and stews, can help strengthen the body and reduce phlegm. Avoiding cold, raw foods and dairy products may also be beneficial, as they can contribute to phlegm production.

- Lifestyle Modifications: Stress management techniques, such as meditation and gentle exercise, can help improve overall well-being and reduce the impact of chronic rhinitis. Ensuring adequate sleep and maintaining a balanced lifestyle are also crucial for recovery.

Genetic Considerations:
Regarding your concern about the hereditary nature of chronic rhinitis, while there may be a genetic predisposition to allergic conditions, environmental factors and lifestyle choices play a significant role in their development. It is essential to focus on managing your health and symptoms rather than worrying excessively about potential inheritance.

Conclusion:
In summary, managing chronic rhinitis through TCM requires a comprehensive approach that addresses the root causes of your symptoms. By working closely with a qualified TCM practitioner, you can develop a personalized treatment plan that may lead to improved health and quality of life. Remember, patience and consistency are key, as TCM treatments often take time to yield results. If you have concerns about starting a family in the future, discussing these with a healthcare provider can provide additional insights and support.

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