Q In what stages does chronic sinusitis treatment proceed?
A It proceeds over 2-4 months in this order: a phlegm-resolving (hwa-dam) stage to dissolve accumulated phlegm, a lung-tonifying (bo-pye) stage to rebuild the mucosa, and a preventive care stage.
Detailed Answer
Three-Stage Protocol for Chronic Cases
- Stage 1, phlegm-resolving (months 1-2): the Changija-san plus Ijin-tang family dissolves and promotes drainage of phlegm and mucus within the sinuses, focusing on improving congestion and postnasal drip.
- Stage 2, lung-tonifying (months 2-3): the Bojungikgi-tang and Maekmundong-tang family strengthens lung qi and immune function, restoring mucosal regeneration and defenses.
- Stage 3, preventive care: supplementary prescriptions for 1-2 months mainly around the changing seasons (spring and autumn), with intensive management during high-risk recurrence periods.
Progress Evaluation
At Dongjedang, we assess congestion level, the nature of nasal discharge, and changes in the sense of smell every 2-4 weeks. Follow-up CT is recommended if needed after four months of treatment, and we re-evaluate whether surgery is required based on the results.
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Q
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