CN103120771A - Traditional Chinese medicine composition for treating upper limb lymphedema after radical mastectomy - Google Patents

Traditional Chinese medicine composition for treating upper limb lymphedema after radical mastectomy Download PDF

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CN103120771A
CN103120771A CN2013100517992A CN201310051799A CN103120771A CN 103120771 A CN103120771 A CN 103120771A CN 2013100517992 A CN2013100517992 A CN 2013100517992A CN 201310051799 A CN201310051799 A CN 201310051799A CN 103120771 A CN103120771 A CN 103120771A
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chinese medicine
medicine composition
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upper limb
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丛英珍
王志军
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Abstract

The invention relates to a traditional Chinese medicine composition for treating upper limb lymphedema after radical mastectomy. The traditional Chinese medicine composition is characterized by comprising raw materials by weight as follows: 8-10g of virgate wormwood herb, 4-6g of talcum, 6-9g of akebia stem, 6-9g of forsythia fruit, 8-10g of frankincense, 6-9g of myrrh, 3-6g of pangolin scales, 4-6g of Resina Draconis, 4-6g of snakegourd peel, 6-9g of cape jasmine, 4-6g of angelica root, 6-9g of salvia root, 6-9g of honeysuckle stem, 6-9g of driverse wormword herb, 4-6g of red peony root, 6-9g of madder root, 6-9g of star jasmine stem, 4-6g of hirsute shiny bugleweed herb, 6-9g of cowherb seed, 6-9g of polyporus and 4-6g of common lophatherum herb. The traditional Chinese medicine composition has the beneficial effects of removing turbidity and clearing damp, activating blood circulation and removing blood stasis, and resolving toxin and dispersing swelling. And the traditional Chinese medicine composition also has the advantages that the treatment effect is good, the cure rate is high, and the toxic and side effects are few.

Description

A kind of Chinese medicine composition for the treatment of upper limb lymphedema after radical operation of mastocarcinoma
Technical field
The present invention relates to a kind of Chinese medicine composition for the treatment of upper limb lymphedema after radical operation of mastocarcinoma.
After breast cancer operation, the pathologic basis of homonymy edema of the upper extremity is that the factors such as operation and radiotherapy cause local little blood vessel and lymphatic vessel minimizing, pressurized, narrow down, blood, lymph fluid backflow obstacle.The traditional Chinese medical science thinks it is mainly that in art, golden sword is killd blood trouble vitality of pulse warp, and the venation stasis of blood is stagnant, due to QI-blood circulation is not smooth.It is the common complication of stubbornness again.Severe patient can cause abnormal appearance, weak, repeated infection and upper limb disorder, has increased patient's misery and depression, has a strong impact on patient's quality of life.The mammary cancer radical operation postoperative because lymph and the blood backflow of upper limb is subjected to obstacle, easily causes the edema of upper limb.Each family of the incidence rate of edema of the upper extremity report does not wait from 5%~40%, and cause seriously the reflux reason of obstacle of upper limb: the axillary fossa cleaning range is improper, has destroyed local collateral circulation.Lymph around axillary vein fat is dissected in the past, often simultaneously axillary sheath is deleted in the lump, also affect the lymphatic return of postoperative, thus during operation as there are no obvious enlarged lymph node the time, can not will the axil vagina vasorum dial and remove.When in fact axillary fossa is invaded axillary sheath if any enlarged lymph node, radical cure purpose that often non-operation can reach fully; There are hydrops or infection in the axillary region, causes contrafluxion, and the fibrosis cicatrization has hindered the foundation of collateral circulation; The radiotherapy of the upper and lower district of postoperative clavicle and axillary region causes local edema, connective tissue proliferation, and local fibrosis causes edema then.Although patients ' lives without direct threat, is lacked effective treatment means at present after occuring, Clinical Processing is comparatively thorny.
Summary of the invention
Useful effect of Chinese medicine of the present invention is: dispel turbid damp eliminating, blood circulation promoting and blood stasis dispelling, reducing swelling and alleviating pain, putrefaction-removing granulation-promoting.Often give determination for the treatment of based on pathogenesis obtained through differentiation of symptoms and signs according to different disease types clinically.
Technical problem to be solved by this invention is in order to overcome technical deficiency, a kind of good effect, short treating period to be provided,
Remission rate is high, and cost is low, a kind of Chinese medicine composition for the treatment of upper limb lymphedema after radical operation of mastocarcinoma that has no side effect.
For above-mentioned purpose, a kind of Chinese medicine composition for the treatment of edema of the upper extremity after radical operation of mastocarcinoma is characterized in that its raw material medicines in portions by weight is as follows: Herba Artemisiae Scopariae 8~10g, Talcum 4~6g, Caulis Akebiae 6~9g, Fructus Forsythiae 6~9g, Olibanum 8~10g, Myrrha 6~9g, Squama Manis 3~6g, Sanguis Draxonis 4~6g, Pericarpium Trichosanthis 4~6g, Fructus Gardeniae 6~9g, the Radix Angelicae Dahuricae 4~6g, Radix Salviae Miltiorrhizae 6~9g, Caulis Lonicerae 6~9g, Herba Artemisiae Anomalae 6~9g, Radix Paeoniae Rubra 4~6g, Radix Rubiae 6~9g, Caulis Trachelospermi 6~9g, Herba Lycopi 4~6g, Semen Vaccariae 6~9g, Polyporus 6~9g, Herba Lophatheri 4~6g.
Herba Artemisiae Scopariae bitter in the mouth in Chinese medicine of the present invention, property suffering are slightly cold.Return spleen, stomach, liver, gallbladder meridian.Function cures mainly: clearing away heat-damp and promoting diuresis, jaundice eliminating.Modern study has antibiotic, antiinflammatory, blood fat reducing, coronary artery dilating and fibrinolysis enhancing, enhancing immunization.Talcum sweet in the mouth, light, cold in nature.Return bladder, lung, stomach warp.Function cures mainly: inducing diuresis for treating stranguria syndrome, clearing away summer-heat, damp eliminating sore." detailed outline ": Talcum profit key, not only urine also, upper key that can the profit hair natural fibre line of meat, lower key of can the profit essence drowning.The Caulis Akebiae bitter in the mouth, cool in nature.Function cures mainly: pathogenic fire purging row water.Promoting blood circulation.Cure mainly hot urination, stranguria with turbid discharge, edema, irritable feverish sensation in the chest, sore throat pharyngalgia, inflexible pain all over, women's amenorrhea, galactostasis." detailed outline ": Caulis Akebiae, upper energy leads to heart lung heat clearing, controls headache, sharp nine orifices, lower can let out damp and hot, diuresis, logical large intestine is controlled inflexible pain all over.Olibanum acrid in the mouth, hardship, warm in nature.Enter the heart, liver, spleen channel.Function cures mainly: invigorates blood circulation, and circulation of qi promoting, pain relieving." not Lu ": treat the edema due to wind pathogen poison swollen, remove bad odor.Treat urticaria itch poison and " detailed outline ": all poison of eliminating carbuncle cellulitis, the heart is protected in the Tuoli, and muscle is stretched in the analgesic therapy of invigorating blood circulation.The Myrrha bitter in the mouth, suffering, property is flat.Join Olibanum, promoting blood circulation to remove blood stasis, circulation of qi promoting Shujin; Wear Squama Manis, promoting blood circulation to remove blood stasis, reducing swelling and alleviating pain.Match exhausts, promoting blood circulation to remove blood stasis, pain relieving.Modern study has antibiotic, blood fat reducing.The Squama Manis salty in the mouth; Cold nature.Function cures mainly: blood circulation promoting and dispersing pathogen accumulation, the stimulating milk secretion of stimulating the menstrual flow, eliminating carbuncle are burst hard.Be used for blood circulation promoting and dispersing pathogen accumulation, the stimulating milk secretion of stimulating the menstrual flow, eliminating carbuncle is burst hard.Cure mainly the blood stasis amenorrhea, lump in the abdomen, rheumatic arthralgia, agalactia, carbuncle, the diseases such as scrofula." detailed outline ": except the intermittent fever due to phlegm cold and heat, the tetanic pain of migratory arthralgia, qualcomm meridian, lower milk, subduing inflammation, evacuation of pus blood, sensible parasite killing.Sanguis Draxonis sweet in the mouth, salty, property is flat.Function cures mainly: dissipating blood stasis analgesic therapy, hemostasia and promoting granulation.The external hemostasia and promoting granulation, sore.Be used for traumatic injury, congestion swells and ache.Modern study on hemorheological property and larger on the impact of platelet aggregation, has the sanguimotor function of improvement.The Pericarpium Trichosanthis sweet in the mouth, cold in nature.Attach to the lung and stomach meridians.Function with cure mainly: removing heat-phlegm, promoting the circulation of QI the chest stuffiness relieving.Be used for phlegm-heat cough, hypochondriac pain uncomfortable in chest.Fructus Gardeniae bitter in the mouth, cold in nature, nontoxic.Effect: pathogenic fire purging relieving restlessness, clearing away heat-damp and promoting diuresis, removing pathogenic heat from blood and toxic substance from the body.Modern study has the effect of bacteriostasis, analgesic activity, antiinflammatory and treatment soft tissue injury.Join the Radix Angelicae Dahuricae to help detumescence.Cortex Phellodendri bitter in the mouth, cold in nature.Heat clearing and damp drying is arranged, and pathogenic fire purging is except steaming, the effect of detoxification sore treatment.The Radix Salviae Miltiorrhizae nature and flavor are bitter, cold nature effect: promoting blood flow to regulate menstruation, stasis-dispelling and pain-killing, removing heat from blood eliminating carbuncle, the relieving restlessness that clears away heart-fire, nourishing blood to tranquillize the mind." book on Chinese herbal medicine converges and says ": Radix Salviae Miltiorrhizae, be apt to control blood system, remove stagnant tissue regeneration promoting, regulating menstruation is along the feeling pulse medicine also.Modern study has antibiotic, as to improve microcirculation, promotion tissue reparation and regeneration.The Caulis Lonicerae sweet in the mouth, cold in nature.Attach to the lung and stomach meridians.Function cures mainly: heat-clearing and toxic substances removing, dispelling wind collateral dredging.Be used for the epidemic febrile disease heating, toxic-heat and blood stasis, carbuncle skin infection, rheumatism pyretic arthralgia, redness and swelling of joints burning pain.The Herba Artemisiae Anomalae bitter in the mouth, warm in nature.Function cures mainly: removing blood stasis stimulates the menstrual flow, healing up sore and subduing swelling.Control the amenorrhea lump in the abdomen, chest and abdomen swelling and pain, puerperal blood stasis, traumatic injury, incised wound is hemorrhage, Yong Du burning swelling." book on Chinese herbal medicine is looked for the truth ": " function cures mainly: removing blood stasis stimulates the menstrual flow, healing up sore and subduing swelling for Herba Artemisiae Anomalae, bitter in the mouth tepor.The broken silt of multipotency stimulated the menstrual flow, except swollen under disease.Tang Materia Medica: " main removing blood stasis is lower swollen." Radix Paeoniae Rubra bitter in the mouth, cold nature.Return Liver Channel.Function cures mainly: clots absorbing, pain relieving, removing heat from blood, detumescence." herbal classic ": main pathogen stomachache, broken hard long-pending except arthralgia due to stagnation of blood, cold and heat hernia abdominal mass, pain relieving, diuresis, QI invigorating.The Radix Rubiae bitter in the mouth, cold in nature.Return Liver Channel.Function cures mainly: removing heat from blood, and hemostasis, blood stasis dispelling stimulates the menstrual flow, and antitussive is eliminated the phlegm.The Caulis Trachelospermi bitter in the mouth, cold nature.GUIXIN, liver, kidney channel.Function cures mainly: dispelling wind and removing obstruction in the collateral, removing heat from blood detumescence.Be used for the rheumatism pyretic arthralgia, the contracture of muscle arteries and veins, soreness of waist and knee joint, sore throat, carbuncle, injury from falling down." herbal classic ": the dead flesh carbuncle wound of main air heat, the xerostomia scorching tongue, carbuncle does not disappear, mouthpiece is swollen, water slurry not under.Herba Lycopi's bitter in the mouth, suffering.Function cures mainly blood circulation promoting and blood stasis dispelling, line water detumescence.Be used for menoxenia, amenorrhea, dysmenorrhea, postnatal blood stasis stomachache, edema.The Semen Vaccariae bitter in the mouth, property is flat.Return liver, the stomach warp.Effect: promoting the circulation of blood regulating menstruation, reducing swelling and alleviating pain, the lactogenesis of invigorating blood circulation, expedite the emergence of the thymus dredging of stimulating milk secretion, puerperal.Polyporus sweet in the mouth, light, flat, return kidney, urinary bladder channel.Function cures mainly: promoting diuresis to eliminate damp pathogen.Control dysuria, edema, have loose bowels, stranguria with turbid discharge, leukorrhagia.Modern study, strengthens immunity, has radiation resistance the diuresis utilization.Herba Lophatheri: slightly sweet flavor, cold in nature, nontoxic.Enter heart channel, kidney channel.Has clearing heat and relieving fidgetness, the effect of inducing diuresis for treating stranguria syndrome.Above compatibility of drugs, bring out the best in each other.
The present invention follows the prescription principle of the traditional Chinese medical science, the use that is decocted in water for oral dose, and through the clinical application for many years checking, total effective rate is 96.7%, and cure rate 83.8% has no side effect.
The specific embodiment
The invention will be further described below in conjunction with embodiment:
Embodiment 1: a kind of Chinese medicine composition for the treatment of upper limb lymphedema after radical operation of mastocarcinoma is characterized in that its raw material medicines in portions by weight is as follows: Herba Artemisiae Scopariae 8~10g, Talcum 4~6g, Caulis Akebiae 6~9g, Fructus Forsythiae 6~9g, Olibanum 8~10g, Myrrha 6~9g, Squama Manis 3~6g, Sanguis Draxonis 4~6g, Pericarpium Trichosanthis 4~6g, Fructus Gardeniae 6~9g, the Radix Angelicae Dahuricae 4~6g, Radix Salviae Miltiorrhizae 6~9g, Caulis Lonicerae 6~9g, Herba Artemisiae Anomalae 6~9g, Radix Paeoniae Rubra 4~6g, Radix Rubiae 6~9g, Caulis Trachelospermi 6~9g, Herba Lycopi 4~6g, Semen Vaccariae 6~9g, Polyporus 6~9g, Herba Lophatheri 4~6g.
Embodiment 2: a kind of Chinese medicine composition for the treatment of upper limb lymphedema after radical operation of mastocarcinoma is characterized in that its raw material medicines in portions by weight is as follows: Herba Artemisiae Scopariae 10g, Talcum 6g, Caulis Akebiae 6g, Fructus Forsythiae 9g, Olibanum 8g, Myrrha 6g, Squama Manis 3g, Sanguis Draxonis 4g, Pericarpium Trichosanthis 4g, Fructus Gardeniae 9g, Radix Angelicae Dahuricae 4g, Radix Salviae Miltiorrhizae 9g, Caulis Lonicerae 6g, Herba Artemisiae Anomalae 6g, Radix Paeoniae Rubra 6g, Radix Rubiae 6g, Caulis Trachelospermi 6g, Semen Vaccariae 6g, Polyporus 6g, Herba Lophatheri 4g.
Clinical efficacy is summed up:
One, physical data: we adopt in clinical practice factory general for many years, treatment female patient 66 examples, and the age is at 31~56 years old, average 39.2 years old.Curative effect is frequently good.Be not taken by pregnant women.
Two, diagnostic criteria: the Breast cancer radical operation history is arranged, clinical manifestation: slight lymphedema shows as the full and tiger’s jaw skin pleat thickening of disappearance, ancon and the upper arm far-end profile of hand and forearm venae subcutaneae at first; Pitting edema and the sclerosis of subcutaneous fibrofatty tissue appear in middle severe edema.But for the patient with slight symptoms, because just there are difference in advantage side (through that hand commonly used) and schizophrenics itself, inspection and palpation easily cause erroneous judgement, need to carry out detection by quantitative at this moment.The quantitative target of estimating the limds edema degree comprises: upper arm Zhou Jing, water replacement amount, tissue tension, distribution volume and regional nodes of unit flow.
Three, method of administration: fry in shallow oil 200ml 1 dose, every dose of the every day of being decocted in water for oral dose, being grown up, and early, late sub-service, every 10 days was 1 course for the treatment of.
Four, curative effect judging standard
Cure: clinical symptoms disappears more than 80% fully.
Take a turn for the better: clinical symptoms is improved and is reduced 50%.
Invalid: clinical symptoms is unchanged or increase the weight of.
Five, therapeutic effect: the present invention is for many years in clinical practice, and treatment 66 routine patients cure 52 examples 83.8%, and 9 examples that take a turn for the better are 12.9%; Invalid 1 example.Total effective rate is 96.7%, cure rate 83.8%.
Six, model case
1, Rhizoma Zingiberis Recens XX, the female, 32 years old, in JIUYUE, 2009 was medical.After main suit's right side radical operation of mastocarcinoma 3 months, show as at first the full and tiger’s jaw skin pleat thickening of hand, ancon and upper arm far-end profile, and pitting edema occurs through limb rehabilitation training, the right upper extremity edema alleviates, but still impact life and do daily housework.Have a medical check-up: the disappearance of forearm venae subcutaneae.The patient requires to take 20 doses, Chinese medicine of the present invention, and clinical symptoms disappears fully, follows up a case by regular visits to not recurrence again after half a year.
2, Lee XX, the female, 39 years old, in June, 2010 was medical, after main suit's right side radical operation of mastocarcinoma 2.5 months, showed as at first the full and tiger’s jaw skin pleat thickening of hand, ancon and upper arm far-end profile, and pitting edema and the sclerosis of subcutaneous fibrofatty tissue occurred.Through limb rehabilitation training, poor effect.Have a medical check-up: the right upper extremity edema increases thick 2.8cm than the right side, the disappearance of forearm venae subcutaneae, and the sclerosis of subcutaneous fibrofatty tissue.The patient requires to take 20 doses, Chinese medicine of the present invention, and clinical symptoms disappears fully, follows up a case by regular visits to not recurrence again after half a year.
3, high X, the female, 41 years old, in July, 2011 was medical.After the radical operation of mastocarcinoma of main suit left side 5 months, show as at first the full and tiger’s jaw skin pleat thickening of hand, ancon and upper arm far-end profile, and pitting edema and the sclerosis of subcutaneous fibrofatty tissue occur.Through limb rehabilitation training, the right upper extremity edema alleviates, but still can not recover.Have a medical check-up: left upper arm pitting edema, the disappearance of venae subcutaneae.The patient requires to take 20 doses, Chinese medicine of the present invention, and clinical symptoms disappears fully, follows up a case by regular visits to not recurrence again after half a year.

Claims (1)

1. a Chinese medicine composition for the treatment of upper limb lymphedema after radical operation of mastocarcinoma, is characterized in that its raw material medicines in portions by weight is as follows: Herba Artemisiae Scopariae 8~10g, Talcum 4~6g, Caulis Akebiae 6~9g, Fructus Forsythiae 6~9g, Olibanum 8~10g, Myrrha 6~9g, Squama Manis 3~6g, Sanguis Draxonis 4~6g, Pericarpium Trichosanthis 4~6g, Fructus Gardeniae 6~9g, the Radix Angelicae Dahuricae 4~6g, Radix Salviae Miltiorrhizae 6~9g, Caulis Lonicerae 6~9g, Herba Artemisiae Anomalae 6~9g, Radix Paeoniae Rubra 4~6g, Radix Rubiae 6~9g, Caulis Trachelospermi 6~9g, Herba Lycopi 4~6g, Semen Vaccariae 6~9g, Polyporus 6~9g, Herba Lophatheri 4~6g.
CN2013100517992A 2013-02-06 2013-02-06 Traditional Chinese medicine composition for treating upper limb lymphedema after radical mastectomy Pending CN103120771A (en)

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CN103961659A (en) * 2014-06-03 2014-08-06 丛宁 Traditional Chinese medicine for treating lymphedema of upper limbs after breast cancer operation and preparation method thereof
CN104383147A (en) * 2014-11-28 2015-03-04 慈明伟 Traditional Chinese medicine for treating postoperative upper limb lymphedema of breast cancer
CN104491451A (en) * 2015-01-05 2015-04-08 王瑞平 Traditional Chinese medicine fuming and washing agent for treating upper limb lymphedema of postoperative breast cancer and nursing method for upper limb lymphedema of postoperative breast cancer
CN104623192A (en) * 2015-01-04 2015-05-20 孙中侠 Traditional Chinese medicine preparation for treating upper limb lymphedema after breast cancer operation and nursing method

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* Cited by examiner, † Cited by third party
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CN103961659A (en) * 2014-06-03 2014-08-06 丛宁 Traditional Chinese medicine for treating lymphedema of upper limbs after breast cancer operation and preparation method thereof
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CN104623192A (en) * 2015-01-04 2015-05-20 孙中侠 Traditional Chinese medicine preparation for treating upper limb lymphedema after breast cancer operation and nursing method
CN104491451A (en) * 2015-01-05 2015-04-08 王瑞平 Traditional Chinese medicine fuming and washing agent for treating upper limb lymphedema of postoperative breast cancer and nursing method for upper limb lymphedema of postoperative breast cancer

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