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Even when breathing, the mind feels as bleak as fog | Incheon Atrophic Rhinitis
Blog August 14, 2025

Even when breathing, the mind feels as bleak as fog | Incheon Atrophic Rhinitis

Dr. Yeonseung Choe
Dr. Yeonseung Choe
Chief Director

Even when breathing, it doesn't feel refreshing. A heavy pressure and pain as if the area around the nose and forehead is tightly filled. Along with an unpleasant feeling of foreign matter constantly flowing down the back of the throat (post-nasal drip), the joy of food fades as the sense of smell dulls.

“My nose is so blocked that my head feels foggy. I can't concentrate, and I keep waking up at night because it's hard to breathe.”

Sinusitis is not simply a problem of a blocked nose. It is a disease that fills the mind, which should be clear, with a stifling fog, stealing away our concentration, comfortable sleep, and a refreshing day.

Causes and Symptoms

Small rooms inside our face where the 'ventilation ducts' are blocked

Inside our facial bones, there are several 'small rooms' called 'paranasal sinuses'. These rooms are connected to the nose through 'ventilation ducts (natural ostia)', serving to circulate air and discharge secretions. But what happens when these small and sensitive 'ventilation ducts' become swollen and blocked due to a cold, rhinitis, or allergies?

Just as moisture builds up and mold grows in a bathroom with a closed door, secretions cannot escape and pool inside the rooms called sinuses. This pool of secretions becomes an environment where bacteria thrive, causing inflammation and turning into yellow pus. This is exactly what sinusitis (paranasal sinusitis) is.

Traditional Korean Medicine Perspective

Dirty 'windows' are a problem with the 'ventilation system'

In Traditional Korean Medicine, the nose is viewed as the 'window of the lungs (肺)'. When the window becomes dirty and its function declines, it is a signal that the function of the lungs, which governs the 'ventilation system' of the entire house, has weakened. When the lung energy (Lung Qi 肺氣) weakens, the body cannot smoothly circulate air and moisture.

Due to this, unnecessary 'heat (熱)' and 'moisture (phlegm-fluid 痰飮)' stagnate in the spaces of the nose and sinuses, becoming sticky yellow nasal mucus and causing inflammation. Therefore, treatment in Traditional Korean Medicine goes beyond simply draining the pus from the nose; it focuses on cooling the heat around the 'ventilation ducts' (clearing heat 淸熱), drying up the stagnant moisture (removing moisture 祛濕), and ultimately strengthening the power of the 'ventilation system (lungs)' itself (tonifying Lung Qi 補肺氣) to help the body maintain a clear and healthy nose on its own.

Lifestyle Management

3 daily habits to clear a blocked nose

Small daily practices are a great help in restoring healthy circulation in the sinuses.

  • Habit 1: Nasal Rinse
    Nasal irrigation using saline is one of the most effective ways to directly wash away pus and inflammatory substances pooled in the sinuses and keep the nasal mucosa moist.
  • Habit 2: Humidity Control
    Dry air irritates the nasal mucosa and worsens symptoms. Use a humidifier or wet towels to maintain indoor humidity at 40~50%, and drink plenty of warm water to help keep nasal mucus thin.
  • Habit 3: Inflammation Care
    Avoid external irritants such as cigarette smoke or fine dust, and identify allergy triggers to minimize contact. Reducing the body's inflammatory response is the shortcut to preventing chronicity.

Prognosis and Golden Time

Will you get used to a 'stifling head'?

Chronic nasal congestion and headaches can easily become part of daily life, making one numb to the discomfort. However, leaving this state untreated leads to decreased concentration and memory loss due to chronic oxygen deficiency, and a decline in sleep quality, gradually eating away at the overall vitality of life.

In severe cases, inflammation may spread to surrounding areas and cause other problems. However, recognizing this signal and clearing the blocked paths of the sinuses is a choice to recover the overall 'quality of life'—beyond simply breathing freely through the nose, it clears a head that was stifling like fog and restores the day's energy through deep sleep.

#Sinusitis #SinusitisTKMClinic

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Dr. Yeonseung Choe

Dr. Yeonseung Choe Chief Director

I have met many patients who came after visiting multiple medical institutions and departments for persistent or recurrent conditions. Symptoms normally handled by different specialties—such as abdominal pain, headaches, palpitations, dizziness, and insomnia—may overlap in one person. Sometimes there is no clear improvement despite taking medication for each symptom, and being unwell gradually becomes part of daily life. In these cases, I look beyond individual diagnoses and examine how the symptoms connect and change together. Asking only about the most uncomfortable symptom today does not reveal the full course. I look at when the body first began to change and what happened after illness, surgery, childbirth, or starting and stopping medication. I also review changes in weight, diet, and sleep, then trace which symptoms improved with previous treatment and which remained. Test results, diagnoses, and the course of previous treatment are important for understanding the current condition. Clinical research in modern Korean medicine, physiological and pathological research in modern medicine, and observations recorded in classical Korean medicine texts offer different perspectives on the same body. Rather than fitting a patient into one perspective, I consider what each can and cannot explain and look for clues that connect symptoms and treatment histories that were previously considered separately.

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