Lipomas

The Chinese Medical Treatment of Lipomas

by Bob Flaws, Dipl. Ac. & C.H., FNAAOM, FRCHM

Keywords: Chinese medicine, Chinese herbal medicine, lipomas, Er Chen Tang

Lipomas  are soft, movable,  subcutaneous  nodules with normal overlying skin. Patients may have one, several, or many  lipomas.  These  benign  fatty  tumors  occur  more often in women than in men and appear most commonly on the trunk, back of the neck, and forearms. Since these tumors rarely become malignant, treatment is usually not required. However, if bothersome to the patient, they may be surgically  excised or  removed  by liposuction.  As it happens, one of my first patients many years ago came to me to try and treat a lipoma on their neck, and I failed to make a change in this tumor even after many acupuncture treatments. Therefore, the next year, I asked  one of my teachers in China if there were any Chinese medical treat- ment for such fatty growths, and I remember being told that their only treatment was surgical excision. Based on this response, this is what I too have always said whenev- er asked by students or patients about these benign fatty growths. However, I recently came across an interesting article by Fang Li in the August 2001 issue of  Shan Xi Zhong Yi (Shanxi Chinese Medicine) on page 26. Titled, “The Treatment of 22 Cases of Multiple Lipomas Via the Spleen,” this article describes the author’s internal medic- inal treatment of lipomas using Chinese medicinals aimed at primarily the spleen. If the results of this author are to be believed,  Dr. Fang has been  able to achieve  rather remarkable results in the medicinal elimination of multi- ple lipomas. While lipomas are not a serious medical con- dition, they are commonly seen and may be cosmetically disfiguring. Therefore, if there were a Chinese  medical treatment for this condition, I believe there would be  a group of Western  patients  who would  be interested  in knowing about and taking advantage of such a treatment.

Cohort description:
All the patients in this study had multiple lipomas. Of these 22, 12 were male and 10 were female. The youngest was 16  and  the oldest  was 52 years old. The shortest course of disease was one month and the longest was half a year. Five cases had lipomas on their upper extremities, three on their lower extremities, and 14 one their chest and abdomen. The smallest number of lipomas on a particular patient was five and the largest was 60. The diagnosis of multiple lipomas was based on criteria appearing in  Shi Yong Zhong Xi Yi Jie He Zhen Duan Zhi Liao Xue (A Study of      Practical   Integrated    Chinese-Western    Medical Diagnosis & Treatment) published in Beijing in 1991 by the  Chinese National Medicine & Medicinal Publishing Co. According to that source, the description or definition of  lipomas  is basically the same as given above in the introduction to this article.

Treatment method:
Internally administered Chinese medicinals consisted of: Pericarpium Citri Reticulatae (Chen Pi), 12g, processed Rhizoma  Pinelliae  Ternatae  (Ban  Xia ), 12g,  Radix Ligustici  Wallichii  (Chuan  Xiong),  9g,  Flos Carthami Tinctorii (Hong Hua), 15g, Bulbus Fritillariae Thunbergii (Zhe  Bei Mu), 9g, Sclerotium  Poriae Cocos (Fu Ling),12g, Spica Prunellae Vulgaris (Xia Ku Cao), 30g, Radix Angelicae Sinensis (Dang    Gui),  24g,  Bombyx Batryticatus (Jiang  Can),  12g,  Folium  Nelumbinis Nuciferae  (He  Ye ),  9g,  Rhizoma Coptidis  Chinensis (Huang Lian),  9g,  Radix  Glycyrrhizae  (Gan Cao), 9g, Bulbus Shancigu (Shan Ci Gu), 15g, uncooked Concha Ostreae (Mu Li), 15g. If the lipomas were on the upper extremities, nine grams each of Ramulus Mori Albi (Sang Zhi) and Rhizoma Curcumae Longae (Jiang Huang) were added. If the lipomas were on the lower extremities, 15 grams of Radix Achyranthis Bidentatae (Niu Xi) and 12 grams of  Radix Angelicae  Pubescentis  (Du Huo) were added. If they  were  on the  chest  and/or  abdomen,  12 grams of  Radix  Bupleuri  (Chai Hu) and 15 grams  of Fructus Meliae Toosendan (Chuan Lian Zi) were added. One  ji  was decocted  in water and administered in two divided doses, morning and night, with one month equal- ing one course of treatment.

Treatment outcomes:
Cure  was  defined  as  complete  disappearance  of  the tumors. Improvement was defined as partial receding or shrinking of the tumors with disappearance of any accom- panying symptoms.  No effect meant that there was no improvement in the tumors. Based on these criteria, 20 cases were cured. Ten of these were cured in one course of treatment, six were treated in two courses, and four were treated in three courses. The other two cases which were not cured were judged improved. Thus the cure rate was 90.9% and the total amelioration rate was 100%.

Discussion:
According to Dr. Fang, lipomas are categorized as rou liu, “meaty tumors,” in Chinese medicine and are mostly due to spleen vacuity losing control over movement and trans- formation. Hence phlegm and dampness are engendered internally which then lead to qi stagnation and blood sta- sis locally. Although Dr. Fang does not say so, it is prob- ably  useful  to  remember,  “The  spleen  is  the  root  of phlegm engenderment.” Therefore, Dr. Fang believes that this condition  should mainly be treated via the spleen, assisted  by  rectifying  the  qi  and  loosening  the  center, opening depression and transforming phlegm. Within this formula, Chen Pi, Ban Xia, Fu Ling, and He Ye supple- ment the spleen and boost the stomach, loosen the center and rectify the qi. Zhe Bei Mu, Xia Ku Cao, Shan Ci Gu, and uncooked Mu Li soften the hard and scatter nodula- tion. Dang Gui, Chuan Xiong, and Hong Hua quicken the blood, free the flow of the network vessels, and scatter nodulation, and  Jiang Can  strengthens  the function  of transforming phlegm and freeing the flow of the network vessels.

That being said, I believe that readers should note that none of the patients in this study had had lipomas for very long. In fact, the longest period of time was only half a year. Recently, one of my dogs had a lipoma biopsied and one of the things I learned from the veterinarian is that lipomatous  cells  do  not  metabolize  at  a  steady  rate. Sometimes they are quite active and other times they are quite inactive. In other words, Dr. Fang’s success rate may have had something to do with how  long these patients had had lipomas and not just with the functions and indi- cations of the medicinals he used. Based on my own expe- rience with lipomas, my guess is that Dr. Fang’s success rate would have gone significantly down the longer  the patient had had their lipomas which had achieved a steady state. It would be interesting to know if the two patients who only improved were those who had had their lipomas the longest period of time. Unfortunately, Dr. Fang does not break down his results in this way. Of the medicinals used by Dr. Fang, all are readily avail- able in the U.S. except Shan Ci Gu. One potential substi- tution might be Rhizoma Dioscoreae Bulbiferae (Huang Yao Zi).

Copyright © Blue Poppy Press, 2001. All rights reserved. Blue Poppy Recent Research Reports # 277

 

 

 

 

 

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