TCM Case Report: Post-Chemo Neuropathy
Patient: James (alias), 25M, Software Engineer
First Visit: March 1, 2025
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Presentation:
Post-chemotherapy numbness, tingling, and burning in hands/feet for 5 months. Gait unstable, poor balance, weak grip, worsened in past 2 months. Pale complexion, fatigue, impaired coordination.
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History:
Lymphoma treated with chemo. Diagnosed with peripheral neuropathy. Western care focused on symptom control.
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Exam (TCM):
Tongue: Pale with thin white coat
Pulse: Deep, weak
Findings: Dry extremities, reduced reflexes, unstable walk
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TCM Diagnosis:
Qi and Blood Deficiency + Cold-Damp Obstruction
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Treatment Plan:
Herbs: Huang Qi, Dang Shen, Bai Shao, Dang Gui, Ji Xue Teng, Bai Zhu, Gui Zhi, Chuan Xiong, Qiang Huo, Xi Xin, Zhi Gan Cao
Modifications:
Luo Shi Teng, Shen Jin Cao (numbness)
Xian Mao, Rou Gui (cold-damp)
Acupuncture: LI4, ST36, SP6, GB34, GB39, KI3, GB30; warm needle & moxa
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Home Care:
Avoid raw/cold foods, warm foot baths, Tai Chi, stress reduction
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Expected Outcome:
2–4 weeks: Reduced numbness/pain
8–12 weeks: Improved balance, daily function。
