Cold & Allergybí sè

Nasal congestion

Also called:stuffy noseblocked nose
From the TCM perspective: Nasal blockage: wind-cold or damp-heat in the lung

Overview

Nasal congestion is blockage of nasal passages causing breathing difficulty and a muffled voice. TCM attributes acute cases to wind-cold or wind-heat obstructing lung diffusion, and chronic allergic/inflammatory cases to damp-heat or phlegm with weak defensive qi.

☯Common patterns (syndrome differentiation)

1

Wind-cold attacking the lung

Key distinguishing signs
Acute blockage with clear discharge, sneezing, chills and no sweat, tight floating pulse
Treatment principle
Disperse cold, diffuse the lung and open the orifices
2

Wind-heat / damp-heat

Key distinguishing signs
Blockage with thick yellow discharge, red throat, mild fever, red tongue with yellow coat
Treatment principle
Clear heat, drain dampness and open the orifices
3

Defensive qi / spleen-lung deficiency

Key distinguishing signs
Recurrent blockage with thin discharge, fatigue, poor appetite and frequent colds, pale tongue and weak pulse
Treatment principle
Tonify qi, consolidate the exterior and open the nose
4

Qi stagnation and blood stasis

Key distinguishing signs
Persistent blockage, dark swollen turbinates, reduced smell, recurrent headache, dark tongue and rough pulse
Treatment principle
Move qi and quicken blood to open the passages

Daily self-care

  • Rinse the nose with warm saline and keep passages moist.
  • Humidify air, elevate the head slightly in bed, and avoid allergy triggers and smoke.
  • Drink warm fluids—ginger for cold, mint/chamomile for heat.

When to seek medical help

The following warning signs require prompt medical evaluation — do not rely on self-treatment:

  • Severe facial pain with fever, bloody/green discharge or swelling around the eye.
  • Breathing difficulty especially in infants, or total blockage after injury/foreign body.
  • Symptoms over 10 days without improvement, or worsening after initial improvement.

Medical disclaimer: Educational content about traditional Chinese medicine for information only; it is not a diagnosis or treatment and does not replace a qualified clinician. If symptoms worsen or warning signs appear, seek medical care.