02042nas a2200241 4500000000100000008004100001260001600042653004300058653003700101653003700138653001500175100002400190700001900214700002200233700001300255700001600268700001700284245008500301856016700386300001100553520122200564022001401786 2020 d bElsevier BV10aComplementary and alternative medicine10aAdvanced and Specialised Nursing10aComplementary and Manual Therapy10aLymphedema1 aSheikhi-Mobarakeh Z1 aYarmohammadi H1 aMokhatri-Hesari P1 aFahimi S1 aMontazeri A1 aHeydarirad G00aHerbs as old potential treatments for lymphedema management: A systematic review uhttps://reader.elsevier.com/reader/sd/pii/S0965229920318823?token=B1ECB1F5ACA023F657765D4E22F923A8F4D2F70788ADDEFBE4208BA0871589ECDE1E41DA27896FB3378C84C1F1972764 a1026153 aIntroduction
Herbs have been reported to be effective in reducing lymphedema burden. This paper aimed to review literature reporting on herbs for lymphedema treatment.

Methods
A systematic review was performed using the PRISMA guideline. Clinical studies on herbal intervention and lymphedema were included. Evidence on the effectiveness of herbal interventions for desired outcomes including reduction of edema volume, other symptoms, quality of life and inflammation were collected and assessed in detail.

Results
In all twenty studies were included in this review. Of these 14 studies were randomized clinical trials and the rest were prospective pilot studies. Herbal treatment was reported for breast cancer-related lymphedema in most studies and coumarin was the most reported herb that used for lymphedema management. Edema volume reduction (17 out of 20) and symptoms improvement (15 out of 20) were the outcomes reported in most studies.

Conclusion
Phytochemicals can be a promising pharmacotherapy for lymphedema management. However, further evidence is needed to establish definite effectiveness for the use of herbal remedies for lymphedema management. a0965-2299