Most research on air chemistry and human health has focused on negative consequences of air pollution from cities, rural dust, mining, or industrial sites. Research on nature tourism and nature therapy, in contrast, focuses on positive benefits of air quality for physical and mental health, e.g., via “clean air clean water” holidays. Aeroanions and terpenoids in forests have received particular attention, especially in China, Japan, and Korea. We review and analyse several hundred articles published in English and Chinese. With a few recent exceptions, English-language research has tested indoor negative ion generators, and concluded that they have no measurable health benefit. It has tested terpenoids in indoor aroma marketing. Chinese-language research, in contrast, has analysed fine-scale components of outdoor environments that affect concentrations of aeroanions and terpenoids: ecosystem, latitude, altitude, temperature, proximity to water, and individual plant species. Historically, health outcomes have been taken for granted, with little rigorous testing. Air quality research has shown that aeroanions can become attached to fine water droplets, e.g., after rain in forests, or in mists produced locally by waterfalls. We hypothesise that the health benefits of aeroanions in natural environments may arise through the scavenging of airborne particulates by negatively charged mists, creating especially clean, dust-free air. We propose that this particularly clean-tasting air, contrasting strongly with polluted urban air, creates positive effects on human mental health and perhaps, also on pulmonary physical health. Mechanisms and outcomes remain to be tested. We also propose testing psychological health effects of airborne terpenoid scents from forest trees.