Reviewed by June Chan Zhao Rou, Registered TCM Practitioner · November 2026
由注册中医师 田钊柔医师审阅

一起床就打噴嚏、冷氣房鼻塞？鼻敏感與中醫體質調理

简单回答：鼻敏感（过敏性鼻炎）在马来西亚非常常见：早上起床连续打喷嚏、流清鼻水、一进冷气房就鼻塞、眼睛和鼻子痒。灰尘螨、温差、冷气和湿气都是常见诱因。中医认为这和肺、脾、肾的「卫气」不足有关，也就是身体应付外界变化的能力比较弱。调理方向是改善体质，让发作次数和程度慢慢减少，可以和西药一起使用。

Short answer: allergic rhinitis is very common in Malaysia: a run of sneezes on waking, a clear runny nose, a blocked nose as soon as you walk into air-conditioning, itchy eyes and nose. Dust mites, temperature swings, air-conditioning and humidity are common triggers. TCM links it to weak “defensive qi” of the lungs, spleen and kidneys, meaning the body copes less well with changes around it. Care aims to strengthen your constitution so flare-ups become less frequent and milder, and it can be used alongside your usual medicine.

你是不是也這樣？

・早上起床、洗完澡、从户外进冷气房时特别严重。
・鼻水清清的、量很多，怕冷、手脚冰冷。
・鼻塞到晚上用嘴巴呼吸，睡不好、早上喉咙干。
・鼻涕变黄变浓、额头和脸颊胀痛，可能已经变成鼻窦炎。
・家里小朋友也常常揉鼻子、黑眼圈重。

Worst on waking, after a shower, or walking from outdoors into air-conditioning; lots of clear mucus, feeling cold, cold hands and feet; blocked at night so you breathe through your mouth, sleep badly and wake with a dry throat; mucus that turns thick and yellow with pressure over the forehead and cheeks, which may mean sinusitis; children at home who rub their noses and have dark circles too.

中醫怎麼看

肺气虚：容易感冒、怕风、说话没力。
脾气虚：胃口差、容易腹胀、软便，鼻水多。
肾阳虚：特别怕冷、早上最严重、腰膝酸软。
鼻窦有热：鼻涕黄稠、口干、头胀。
不同体质用药不同，所以要先把脉问诊。

Lung qi deficiency: catching colds easily, sensitive to wind, a weak voice. Spleen qi deficiency: poor appetite, bloating, soft stools, lots of mucus. Kidney yang deficiency: very cold, worst in the morning, sore back and knees. Heat in the sinuses: thick yellow mucus, a dry mouth, a heavy head. Each needs different herbs, so a consultation comes first.

醫道閣怎麼處理

依体质开中药，配合针灸改善鼻塞与睡眠；天气转换前、季节性发作前提早调理效果较好。日常建议包括：冷气不要开太低、出风口不要直吹、早上起床先喝温水、少吃冰冷饮料、床单枕套每周用热水清洗。

Herbal medicine for your pattern, with acupuncture to ease congestion and help sleep; starting before seasonal changes tends to work better. Daily tips: do not set the air-conditioning too cold or let it blow on you, drink something warm on waking, cut down iced drinks, and wash bedding in hot water weekly.

第一次來會做什麼？

问诊约 15 分钟：什么时候最严重、诱因、鼻涕的颜色、睡眠、怕冷或怕热、目前用的喷剂或药，也会把脉看舌。之后医师会说明建议的调理方式。初诊问诊 RM60（带 X 光、血液或其他报告 RM100），复诊 RM30；疗程费用另计，开始前会先说明。

A consultation of about 15 minutes covers when it is worst, triggers, the colour of the mucus, sleep, whether you feel cold or hot, and any sprays or medicines you use, plus pulse and tongue. Your practitioner then explains what they suggest. First consultation RM60 (RM100 if we review X-rays, blood tests or other reports), follow-up RM30; treatment is priced separately and explained before anything starts.

這些情況請先看醫生

只有一边鼻塞或流血、脸部肿胀或眼睛周围红肿、高烧、严重头痛、呼吸喘或胸闷（可能是气喘），请先看医生或耳鼻喉科。

See a doctor or ENT first if only one side is blocked or bleeds, the face or the area around the eyes is swollen and red, you have a high fever or severe headache, or you are wheezy or short of breath, which could be asthma.

延伸閱讀

内科 General Care

儿科 Paediatric Care

针灸 Acupuncture

中医体质

个人情况因人而异，疗程建议需经问诊与医师评估后决定。本文不能取代医疗诊断。
Individual conditions vary. Recommendations follow consultation and practitioner assessment. This article does not replace a medical diagnosis.