| Purpose: Through the domestic and foreign literature research,make Systematic Review of lymph edema treatment.Through the analysis of lymph edema treatment by oral treatment of traditional Chinese medicine,discuss the therapy Regularity of lymph edema treatment by oral treatment of traditional Chinese medicine.Through the data mining of lymph edema treatment by oral treatment of traditional Chinese medicine,to explore relationship of the treatment of oral treatment of traditional Chinese medicine.Date and method: Filter literature based on inclusion and exclusion criterion,extraction of literature and organize,through the Quality evaluation criteria and methods Cochrane Review Handbook 5.0 to evaluate the quality of the literature.Through ReviewManager5.3 software,Microsoft Office Excel 2003,WEKA3.9 data mining software to statistical analysis.Results:1.Compare Physical therapy or Joint application physical therapy with conventional treatment,SMD=0.41,95% CI=[0.29,0.52],Z=6.97,P<0.00001<0.05,The results had statistical significance,The effect of physical therapy on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,physical therapy compare with the control group is more efficient.Compare pressure bandage with conventional treatment,SMD=0.43,95% CI=[0.04,0.82],Z=2.15,P=0.03 < 0.05,The results had statistical significance,The effect of pressure bandage on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,pressure bandage compare with the control group is more efficient.Compare manual lymph drainage with conventional treatment,SMD=0.40,95% CI=[0.19,0.60],Z=3.79,P=0.0002 < 0.05,The results had statistical significance,The effect of manual lymph drainage on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,manual lymph drainage compare with the control group is more efficient.Compare functional exercise with conventional treatment,SMD=0.52,95% CI=[0.24,0.81],Z=3.58,P=0.0003<0.05,The results had statistical significance,The effect of functional exercise on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,functional exercise compare with the control group is more efficient.Compare intermittent air treatment with conventional treatment,SMD=0.44,95% CI=[0.16,0.72],Z=3.11,P=0.002 < 0.05,The results had statistical significance,The effect of intermittent air treatment on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,intermittent air treatment compare with the control group is more efficient.Compare elastic sleeves with conventional treatment,SMD=0.41,95% CI=[0.16,0.66],Z=3.23,P=0.001 < 0.05,The results had statistical significance,The effect of elastic sleeves on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,elastic sleeves compare with the control group is more efficient.2.Chinese medicine oral administration and traditional Chinese medicine surgical treatment and prevention of lymphatic edema Meta analysis results.Compare Chinese medicine treatment with conventional treatment,RR=1.31,95% CI=[1.24,1.39],Z=9.69,P<0.00001<0.05,The results had statistical significance,The effect of Chinese medicine treatment on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,Chinese medicine treatment compare with the control group is more efficient in total efficiency.Compare Chinese medicine treatment with conventional treatment,RR=8.39,95% CI=[4.36,12.41],Z=4.09,P<0.00001<0.05,The results had statistical significance,The effect of Chinese medicine treatment on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,Chinese medicine treatment compare with the control group is more efficient in KPS score.Compare Chinese medicine treatment with conventional treatment,RR=-1.24,95% CI=[-1.68,-0.08],Z=5.49,P<0.00001<0.05,The results had statistical significance,The effect of Chinese medicine treatment on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,Chinese medicine treatment compare with the control group is more efficient in arm circumference difference between the healthy arm and the sick arm.Compare Chinese medicine treatment with conventional treatment,RR=7.29,95% CI=[5.43,9.15],Z=7.68,P<0.00001<0.05,The results had statistical significance,The Chinese medicine treatment sleeves on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,Chinese medicine treatment compare with the control group is more efficient in QOL score.Compare Chinese medicine treatment with conventional treatment,RR=-1.50,95% CI=[-2.2.3,-0.76],Z=3.97,P<0.0001<0.05,The results had statistical significance,The effect of Chinese medicine treatment on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,Chinese medicine treatment compare with the control group is more efficient in VAS score.3.Compare Chinese medicine penetration therapy with conventional treatment,RR=1.48,95% CI=[1.37,1.59],Z=10.35,P<0.00001<0.05,The results had statistical significance,The effect of Chinese medicine penetration therapy on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,Chinese medicine penetration Therapy compare with the control group is more efficient.Compare acupuncture with conventional treatment,RR=1.50,95% CI=[1.27,1.76],Z=4.85,P<0.00001<0.05,The results had statistical significance,The effect of acupuncture on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,acupuncture compare with the control group is more efficient.Compare moxibustion with conventional treatment,RR=1.44,95% CI=[1.25,1.67],Z=4.87,P<0.00001<0.05,The results had statistical significance,The effect of moxibustion on lymphedema is superior to that of conventional therapy alone,in treatment of lymphedema,moxibustion compare with the control group is more efficient in preventive effect.4.The result of therapy Regularity of oral traditional Chinese medicine treat lymph edema.Blood stasis is ranked first in pathogenesis,appeared 31 times,percentage of incorporated literature 73.80%.Diuresis function is ranked first in Chinese medicine treatment,appeared 32 times,percentage of incorporated literature 71.10%.Angelica Sinensis stasis is ranked first in Chinese medicine treatment of lymphedema,appeared 33 times,percentage of incorporated literature 68.75%.Warm and moderate character is ranked first in Four Properties of Chinese Traditional Medicine,appeared 12 times,percentage of incorporated literature 34.29%.Sweet taste is ranked first in five Chinese medicine flavors,appeared 18 times,percentage of incorporated literature 51.43%.Liver meridian is ranked first in Channel Tropism,appeared 22 times,percentage of incorporated literature 62.86%.Activating blood and absorb clots traditional Chinese medicine is ranked first in treatment classification,appeared 9 times,percentage of incorporated literature 25.71%.5.The result of relationship of oral traditional Chinese medicine.Astragalus with angelica sinensis is ranked first in two drugs at the same time use frequency,appeared 21 times,percentage of incorporated literature 43.75%.Astragalus safflower with Chuanxiong is ranked first in three drugs at the same time use frequency,appeared 14 times,percentage of incorporated literature 29.17%.Astragalus safflower peach kernel with Chuanxiong is ranked first in four drugs at the same time use frequency,appeared 11 times,percentage of incorporated literature 22.92%.Astragalus safflower peach kernel red peony root with Chuanxiong is ranked first in five drugs at the same time use frequency,appeared 7 times,percentage of incorporated literature 14.58%.Conclusion:1.Physical therapy has a clear effect on the treatment of lymphedema.Pressure bandage,manual lymph drainage,functional exercise,intermittent air treatment,elastic sleeves has a clear effect on the treatment of lymphedema.Compare Chinese medicine oral administration with other therapies(basic care,physical,western medicine,etc.)treatment of lymphedema efficacy,in the total effective rate,KPS score,VAS pain score,QOL score,sick arm and healthy arm circumference difference,several lymphatic edema treatment evaluation criteria,have a clear effect.Acupuncture has a clear effect on the treatment of lymphedema.Moxibustion has a clear prevention effect on the occurrence of lymphedema.2.Lymphoid edema pathogenesis is closely related to blood stasis,Qi deficiency,water-wet,blood deficiency,Qi stagnation,spleen deficiency,damage veins,toxic heat.Lymphoid edema pathogenesis is more closely related to blood stasis,Qi deficiency,water-wet,blood deficiency,Qi stagnation.Blood stasis is the most common and most basic pathogenesis.Lymph edema treatment should be based on the benefits of water,taking into account the regulation of blood and body fluid and organs function.Often use blood circulation,benefit qi,benefit Spleen,dredge meridian,regulating Qi.method.Treatment of lymphedema drugs for the purpose of promoting blood circulation,inducing diuresis and excreting dampness,benefit Qi.Lymph edema is more closely related to the function of the liver and spleen and kidney,and the most closely related to the liver.Treatment methods are mostly blood circulation,inducing diuresis and excreting dampness,reinforcing deficiency,dispel wind,clearing heat,relieving the exterior.3.Treatment of lymphedema is the most commonly used combination of two drugs is Angelica and Astragalus.Combination of three drugs is Chuanxiong Safflower and Astragalus.Combination of four drugs is Chuanxiong Safflower Astragalus and peach kernel.Combination of five drugs is Chuanxiong Safflower Astragalus peach kernel and red peony root.Comprehensive combination of three to five groups of drugs can get conclusion,the frequently used combination of drugs is a major component of the Decoction for Removing Blood Stasis and yang supplementing five returning decoction.Two drug associated with a higher degree for the Astragalus compatibility Angelica.Chuanxiong compatibility achyranthes root.Three drug associated with a higher degree for Angelica compatibility Astragalus and Zexie,for Astragalus compatibility Chuanxiong and Safflower.Four drug associated with a higher degree for Safflower compatibility Chuanxiong,Angelica and peach kernel,for Angelica compatibility Chuanxiong,Safflower and peach kernel.Five drug associated with a higher degree for Chuanxiong,Safflower,Angelica,red peony root and peach kernel each other compatibility. |
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