针药结合刺络放血拔罐治疗乳腺癌术后上肢淋巴水肿验案

A Case of Acupuncture and Medicine Combined with Bloodletting and Cupping in the Treatment of Breast Cancer-Related Lymphedema

摘要: 乳腺癌术后上肢淋巴水肿(Breast Cancer-Related Lymphedema, BCRL)是乳腺癌术后临床常见并发症之一，患者常出现肢体肿胀疼痛、麻木，关节活动受限等症状，严重影响生活质量。由于此病现代医学的治疗手段有限，中医药治疗作为乳腺癌术后康复治疗的重要部分，充分利用其辨证施治、因人制宜的独特优势，能明显改善乳腺癌患者术后水肿症状。吉学群主任通过分析BCRL的病因病机，认为本病瘀血水湿停聚为标，肺脾肾功能失调为本，属本虚标实之证，故运用祛邪与扶正的方法，将内服中药与中医外治法相结合，祛除体内实邪以治标，固护肺脾肾正气以培本，标本兼治，临床疗效显著，附验案1则以佐证。

Abstract: Breast Cancer-Related Lymphedema (BCRL) is one of the common clinical complications after breast cancer surgery, and patients often suffer from limb swelling, pain, numbness, limited joint movement and other symptoms, which seriously affect the quality of life. Due to the limited treatment means of modern medicine, Chinese medicine treatment, as an important part of postoperative rehabilitation treatment of breast cancer, can significantly improve the symptoms of postoperative lymphedema in breast cancer patients by making full use of its unique advantages of evidence-based treatment and tailoring to the needs of each individual. Director Xuequn Ji analyzed the etiology and pathogenesis of breast cancer-related lymphedema, and believed that this disease has stasis of blood, water and dampness stagnation as the standard, and the dysfunction of lungs, spleens and kidneys as the standard, which belongs to the evidence of the deficiency of the standard and the solid, so he used the method of eliminating the evil and supporting the positive, combining the internal traditional Chinese medicine with the external Chinese medicine, to get rid of the real evil in the body to treat the standard, and solidify the lungs, spleens and kidneys in order to cultivate the standard and the root of the disease, which is a clinical efficacy and is remarkable, and attached an experimental case in order to support the evidence.