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Hao-Chun Chen1,2*
1Division of Chinese Medicine, Chi-Mei Medical Center, Tainan, Taiwan
2The School of Chinese Medicine for Post-Baccalaureate, I-Shou University, Kaohsiung, Taiwan
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Fungating wounds arise from primary, secondary or recurrent malignant disease and are associated with advanced cancer. Care usually aims to slow down disease progression, and improve quality of life by relieving the physical symptoms caused by the wounds (leakage, bad smell, pain and the risk of haemorrhage). This case is about a 48-year-old woman who has locally advanced invasive ductal carcinoma with lung metastasis and lymph nodes metastasis with a fungating malignant wound on her left breast. After 2nd chemotherapy, the skin ulceration was still oozing and painful and the chemotherapy-related diarrhea, fatigue, poor-appetite, hair loss, insomnia, anemia and palpitation were also noticed. With sink pulsation and the above symptoms, the major diagnosis in traditional Chinese medicine is “liver qi stagnation and dampness-heat congestion” and “spleen and kidney deficiency”. After benefiting spleen qi, dispersing stagnated liver qi and reducing the damp and heat, the fungating malignant wound has shrunk from 10 cm to 6.5 cm in diameter and no longer oozing within two months treating with acupuncture and traditional Chinese medicine. Also, the chemotherapy-related diarrhea in the 3rd chemotherapy was reduced.
【Keywords】Breast cancer; Malignant Fungating Wounds; Tumor; Side effects of
chemotherapy; Complementary and alternative medicine; Traditional
Chinese medicine (TCM); Acupuncture
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261.3 針藥並用輔助治療乳癌末期蕈狀傷口潰爛膿血之病例報告
