中医外治法治疗乳腺癌相关淋巴水肿的研究进展

文章信息/Info

• Title:中医外治法治疗乳腺癌相关淋巴水肿的研究进展

• 卷期:2024年22卷11期

• 作者:林婕，张海添*，胡 军

• 广西中医药大学附属国际壮医医院乳腺病科，广西 南宁 530001

• Author(s):Lin Jie，Zhang Hai-tian*，Hu Jun

• Department of Breast Diseases, International Zhuang Medical Hospital, Guangxi University of Traditional Chinese Medicine, Nanning, 530001, China

• 关键词乳腺癌相关淋巴水肿；中医外治；研究进展

• Keywords: Breast cancer-related lymphedema; TCM external treatment; Research progress

• 摘要:乳腺癌相关淋巴水肿（BCRL）是乳腺癌术后常见并发症，其发展迅速，如若不及时治疗，严重可导致肌肉疼痛和肩肘关节功能永久丧失。中医药为中华民族历代主流医学，是历代医学家们通过自己的不断实践而传承下来的文化瑰宝，众多研究表明，其在防治BCRL疗效显著，具有独特优势。故本文从中药外治法、针灸推拿、耳穴压豆、刺络拔罐等四个角度，对中医药外治法在防治BCRL中的研究进展进行系统性的总结，也为BCRL的后续相关治疗研究提供理论依据。                                                                                                                                                                                

• Abstract Breast cancer-related lymphedema (BCRL) is a common postoperative complication of breast cancer that can develop rapidly and, if left untreated, can lead to muscle pain and permanent loss of shoulder and elbow function. Traditional Chinese medicine is the mainstream medicine of the Chinese nation for generations, and it is a cultural treasure passed down by generations of medical scientists through their own continuous practice, and many studies have shown that it has remarkable efficacy and unique advantages in the prevention and treatment of BCRL. Therefore, this paper systematically summarizes the research progress of external treatment of traditional Chinese medicine in the prevention and treatment of BCRL from four perspectives, including external treatment of traditional Chinese medicine, acupuncture and tuina, auricular bean pressing and cupping, and also provides a theoretical basis for the follow-up related treatment research of BCRL.                

  BCRL归属于中医“水肿”范畴，《诸病源候论》巢元方曾在水肿篇诸侯病中写道：肾者主水，脾胃俱主土，土性克水。脾与胃合，相为表里。脾得水湿之气，加之则病，脾病则不能制水，故水气独归于肾。三焦不泻，经脉闭塞，故水气溢于皮肤而令肿也。其病机就是与水液代谢相关的脏腑均发生失调，致体内水液积聚，形成水肿。