Friday, 14 November 2025

A TCM Approach to Post-Chemotherapy Fatigue and Neuropathy: Clinical Observations and Patient Feedback

Kit Li



Chemotherapy (1) can affect many parts of the body, so side effects differ from person to person.  Common physical symptoms include fatigue, nausea, vomiting, loss of appetite, changes in taste, hair loss, and skin or nail changes.  Many people also develop Peripheral Neuropathy (2), causing tingling, burning, or numbness in the hands and feet.

It can also reduce blood cell levels, which may lead to Anaemia (feeling tired or shortness of breath), a higher risk of infections, and easy bruising or bleeding.

Digestive symptoms such diarrhoea, constipation, mouth sores, and dry mouth are also frequent.  Emotionally and mentally, some may experience low mood, anxiety, or poor memory and lack of concentration.

Other possible side effects include dizziness, changes in menstrual cycles or fertility, and changes in Kidney, Liver or Heart function, depending on the specific drugs used.

Most of my patients at Florence Nightingale Hospice Charity (3) are experiencing the post-cancer symptoms described above, and the most common issues they face are persistent fatigue and neuropathy in the hands and feet.

From a TCM perspective, these presentations are often associated with patterns such as Liver-Qi stagnation, Qi and Blood deficiency, and Spleen and Kidney deficiency. These imbalances can lead to reduced nourishment of the limbs, impaired circulation, and diminished vitality, which manifest clinically as fatigue, numbness, tingling, or weakness in the extremities.

TCM Treatment Approach (4):

  1. Acupuncture once a week for 30 minutes
  2. Scalp acupuncture targeting key areas such as the Sensory Area, Central Area, FMSA, and others, combined with selected points on the Du Mai or Ren Mai using the Dao-qi technique
  3. Abdominal acupuncture using specific points along the Ren Mai

Each individual responds differently depending on their constitution. Some patients may benefit from three to four sessions as a standard course.

Here are my two patients' positive feedbacks:

Miss FW:

'I wasn't sure what to expect having, never had acupuncture before, I went in with an open-mind.  Meeting Kit for the first time was an absolute pleasure.  Kit was able to easily work out my areas of problem.  It was like she was reading my mind almost.  After my first session, my bowel movement issues I had from bowel cancer had been resolved.  Kit did tell me that the neuropathy may not be fully reversed as I have had it for a long period of time, however, it brought back a twitch and aware of issues I had just been living with and getting on with.  Neck pain, mood, hormonal issues and circulation.  All these have at worst seen a significant improvement and best completely gone away.  This is my 5th session, I have 3 more to go and am blown away by Kit's work.  Thank you!

Mrs GS:

'I thank Butterfly House for letting me see Kit, I never knew of the treatment but with Kit: kind, consolidate, professional knowledge, and understanding of my post-chemo difficulties, she pointed me and treated my symptoms in a connect way to make me feel better, gain self-confidence and get back to my normal happy self.  Thank you Kit.  Love from GS.'


Post-cancer symptoms such as fatigue and neuropathy can significantly impact quality of life. Combining conventional understanding of chemotherapy side effects with a TCM perspective allows for a more holistic approach to patient care. Acupuncture and individualized TCM treatments can help restore balance, improve circulation, and support physical and emotional well-being. Patient experiences demonstrate that even after challenging treatments, meaningful improvements in vitality, comfort, and overall quality of life are achievable.




References:

1) Sign effects of Chemotherapy 

2) Peripheral Neuropathy

3) Florence Nightingale Hospice Charity

4) Acupuncture

Acupuncture in cancer care

Effects of acupuncture-related intervention on chemotherapy-induced peripheral neuropathy and quality of life: An umbrella review

























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