21/12/2025
Asthma has never been just an airway problem. It is a spasm, an inflammatory, and a nervous system problem layered together, which is why so many patients feel tightness long before wheezing ever shows up. The smooth muscle surrounding the bronchial tubes locks down, inflammation adds pressure, and the nervous system stays stuck in a reactive loop that keeps the chest from fully opening.
This is where cannabis enters the conversation, not as smoke versus lungs, but as pharmacology versus physiology. Long before legalization debates, researchers were already documenting the antispasmodic and bronchodilatory effects of cannabinoids, especially THC, on airway smooth muscle.
A landmark study published in 1975 in The New England Journal of Medicine titled “Bronchodilator effect of delta9-tetrahydrocannabinol in humans” demonstrated that THC produced significant bronchodilation in both asthmatic and non-asthmatic subjects. The effect was rapid, measurable, and directly tied to smooth muscle relaxation rather than sedation. In simple terms, the airways opened because the muscle stopped spasming.
This matters because asthma attacks are not always driven solely by mucus or allergies. They are often driven by involuntary contraction of the airway muscle, triggered by stress, inflammation, or nervous system overactivity. Cannabinoids interact with the ECS, our Master Regulator, which plays a role in smooth muscle tone, immune signaling, and autonomic balance. When that system is supported, the body is better able to release tension instead of clamping down.
Cannabinoids also influence mast cell activity and the release of inflammatory mediators, which contribute to bronchial hyperreactivity. That does not mean cannabis replaces rescue inhalers or medical oversight, but it does explain why many patients report easier breathing, reduced chest tightness, and fewer stress triggered flare ups when cannabinoids are used thoughtfully and appropriately.
It is also why delivery method matters. Antispasmodic benefits do not require combustion, and many patients find relief with non-inhaled forms of CBG and CBD that still support systemic signaling and nervous system regulation.
Asthma is about control, not force. When the body feels safe, muscles relax, air moves, and panic fades. Cannabinoids do not bully the lungs open. They help the system remember how to let go.
That distinction is everything when it comes to real respiratory balance.
-Mike Robinson, The Researcher OG