Q Is herbal medicine really effective for sinusitis? Is there evidence?
A Clinical studies show that formulas such as Changija-san and Hyeonggae-yeongyo-tang significantly suppress sinus mucosal inflammation and promote mucus drainage.
Detailed Answer
Current Evidence
Domestic and international randomized controlled trials and systematic reviews have reported that the Changija-san (Xanthium powder) family of formulas significantly lowers the SNOT-22 score (a sinusitis symptom measure) and reduces the volume of nasal mucus secretion. The anti-inflammatory and antibacterial components of Hyeonggae-yeongyo-tang (forsythia, schizonepeta, coptis) have been shown in cell studies to suppress inflammatory mediators such as TNF-alpha and IL-6.
Clinical Observations at Dongjedang
In patients with acute sinusitis, we have observed purulent nasal discharge decrease by more than 80 percent after two weeks of herbal treatment. In chronic cases, some patients have shown reduced mucosal thickening on CT after four months of treatment. Because effects vary by constitution and disease stage, a careful assessment at the first visit is important.
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