福建中医药2026，Vol.57Issue(2)：4-8,5.DOI:10.13260/j.cnki.jfjtcm.2026.02002
俞募配穴针刺法联合综合消肿疗法治疗脾肾阳虚型乳腺癌相关淋巴水肿的临床研究
Clinicil Study on Breast Cancer-Related Lymphedema of Spleen-Kidney Yang Deficiency Type Treated by Acupuncture at Shu-Mu Acupoints Combined with Comprehensive Decongestion Therapy
摘要
Abstract
Objective:To evaluate the clinical efficacy of acupuncture at Shu-Mu with Spleen-Kidney Yang deficiency type acu‐points combined with comprehensive decongestion therapy(CDT)in the treatment of breast cancer-related lymphedema(BCRL).Methods:A total of 64 patients with BCRL were recruited from the outpatient departments of Oncology,Acupuncture,and Tuina at the Third People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine between October 2024 and September 2025.They were randomly assigned to control group and observation group(n=32 each)using a random number table.During the study,1 case in the control group and 2 cases in the observation group dropped out,resulting in the final inclusion of 31 cases in the control group and 30 cases in the observation group.Both groups received CDT.In addition to CDT,the observation group received acupuncture at Shu-Mu acupoints.The acupoints selected were bilateral Feishu(BL13),Zhongfu(LU1),Pishu(BL20),Zhangmen(LR13),Shenshu(BL23),and Jingmen(GB25).Normal reinforcement and normal reduction were applied with a retention time of 20 minutes,once daily,5 times per week.The treatment course for both groups was 2 weeks.The circumference differences between the affected and healthy upper limbs at 8 fixed points(transverse carpal crease,5 cm above the transverse carpal crease,10 cm below the cubital crease,5 cm below the cubital crease,cubital crease,and 5 cm,10 cm,and 15 cm above the cubital crease),Traditional Chi‐nese Medicine(TCM)syndrome scores,and Quality of Life scores were compared before and after treatment in both groups.The therapeutic effects were compared between the two groups.Results:Compared with pre-treatment,the circumference differences at the 8 fixed points of the upper limbs,as well as the TCM syndrome scores,decreased in both groups(P<0.05),while the Quality of Life scores increased(P<0.05).Compared with the control group,the circumference differences at 3 fixed points(5 cm,10 cm,and 15 cm above the cubital crease)in the observation group were significantly reduced after treatment(P<0.05),the TCM syndrome scores were lower(P<0.05),and the Quality of Life scores were higher(P<0.05).The total effective rate in the observation group was 80.00%(24/30),which was significantly higher than the 54.84%(17/31)in the control group(P<0.05).The overall efficacy dis‐tribution of the observation group was superior to that of the control group(Z=6.88,P<0.05).Conclusion:Acupuncture at Shu-Mu acupoints combined with CDT can effectively improve upper limb circumference in BCRL with Spleen-Kidney Yang deficiency type patients,alleviate edema,relieve patient anxiety,and improve quality of life.关键词
乳腺癌相关淋巴水肿/脾肾阳虚型/俞募配穴/综合消肿疗法Key words
breast cancer-related lymphedema/Spleen-Kidney Yang deficiency type/Shu-Mu acupoints/comprehensive decon‐gestion therapy引用本文复制引用
程暘,陈碧茵,方舒,石淑平,林洁..俞募配穴针刺法联合综合消肿疗法治疗脾肾阳虚型乳腺癌相关淋巴水肿的临床研究[J].福建中医药,2026,57(2):4-8,5.基金项目
福建省卫生健康委员会中医药科研项目(2025YBA036) （2025YBA036）
福建省卫生健康科技计划项目青年科研课题(2024QNA075) （2024QNA075）
福建中医药大学校管课题临床专项课题(XB2024041) （XB2024041）
