Chinese Pine, specifically Pinus tabuliformis (and other Pinus species), has been used in traditional Chinese medicine (TCM) for various purposes, including as an ingredient in remedies for respiratory and sinus conditions. The use of pine needles, resin, or oil is thought to help "dispel wind" and "clear dampness," which are TCM concepts sometimes associated with symptoms like headache and sinus congestion. However, there is minimal direct evidence from TCM classical texts or pharmacopoeias specifically recommending Chinese Pine for the treatment of sinus headaches. The connection is more general, with pine extracts sometimes included in preparations intended for upper respiratory health or relief of nasal congestion, which may secondarily help with sinus headaches.

Scientifically, there is very limited research investigating Chinese Pine or its extracts for the treatment of headaches, including those of sinus origin. Some studies have investigated the antimicrobial, anti-inflammatory, or antioxidant properties of pine needle extracts, which could theoretically be beneficial for sinus health, but there is no clinical trial evidence supporting efficacy for sinus headache relief. Thus, while the traditional use exists in a broad sense, it is not well-documented or highly specific to sinus headaches, and scientific validation is currently lacking.