Clinical Observation of No.2 Shipi Xiaoshui Powder(实脾消水散2号)Combined with Moxibustion and Acupoint Injection on Upper Limb Lymphedema after Breast Cancer Operation
Objective To observe the clinical efficacy of No.2 Shipi Xiaoshui Powder(实脾消水散2号)combined with moxibustion and acupoint injection on upper limb lymphedema caused by breast cancer operation.Methods During the days from Jan.2022 to Dec.2023,70 female patients with upper limb lymphedema caused by breast cancer operation,who were suffering cancer for 6-18 monthes,were selected to treated by No.2 Shipi Xiaoshui Powder combined with moxibustion and acupoint injected with Danhong Injection(丹红注射液).Their ages were from 35 years old to 76 years old,the average age was(55.4±9.6)years old.Before and after the treatment,the circumference of the arm injured was measured and marked.Also,the important scores were calculated.They are about arm injured function,pain degree,living quality,syndrome of Chinese medicine and serum IL-6,TNF-α and CRP levels.The consequences were compared.Results Compared with the conditions before the treatment,the scores of arm girth were significantly decreased after treatment(P<0.05).And the marks of disabilities of the arm,shoulder and hand(DASH)scores after the treatment were significantly decreased(P<0.05).Equally,the upper extremity pain(VAS)scores after the treatment were significantly decreased(P<0.05).On the contrary,the scores of living quality(KPS)after the treatment were significantly increased(P<0.05).The scores of limb numbness,limb sore distention,limb swollen pain after the treatment were also significantly increased(P<0.05).Compared with the conditions before the treatment,the scores of the serum levels of IL-6,TNF-α and CRP were significantly decreased after treatment(P<0.05).The expansion level of upper limb lymphedema can be obviously relieved by No.2 Shipi Xiaoshui Powder combined with Baixiao moxibustion and acupoint injection.After the therapy,the measurement scores of arm circumference were statistically reductive,the apparently effective rate of it was 47.14%,the effective rate was 45.71%,the ineffective rate was just 7.14%,the total effective rate was 92.86%Conclusion The swelling of upper limbs caused by operation of breast cancer is significantly relieved by the method of No.2 Shipi Xiaoshui Powder combined with moxibustion and acupoint ingress of Danhong Injection,with a remarkable effect.
No.2 Shipi Xiaoshui Powder(实脾消水散2号)moxibustion methodDanhong Injection(丹红注射液)acupoint injectionpostoperative breast cancerlymphatic edema