A dietary combination for promoting lymphatic vessel healing

Abstract

This invention discloses a dietary combination to promote lymphatic vessel healing, comprising the following foods for breakfast, lunch, and dinner for patients with lymphatic vessel injury: staple foods including rice and steamed buns without added oil; protein foods with no added oil and a fat content of less than 2g / 100g; low-fat vegetables and fruits; and 100% pure medium-chain triglycerides. This dietary combination can promote lymphatic vessel healing in all patients with lymphatic vessel injury.

Description

Technical Field

[0001] This invention relates to the field of postoperative dietary technology, and in particular to a dietary combination that promotes lymphatic vessel healing suitable for all patients with lymphatic vessel injuries. Background Technology

[0002] Lymphatic vessel injury is a common complication after various surgical procedures, especially those involving simultaneous lymph node dissection. These procedures include radical esophagectomy, radical lung cancer resection, spinal surgery, radical thyroid cancer resection, radical pelvic tumor resection, and radical renal pelvis cancer resection, all of which can lead to lymphatic vessel injury, causing chylous leakage or lymphorrhea. The main pathogenesis involves rupture of the thoracic duct or lymphatic vessel branches, causing lymph or chyle to leak into the pleural or peritoneal cavities, resulting in pleural and peritoneal effusion and significant loss of serum proteins. This also leads to the loss of immune factors, vitamins, and electrolytes, causing a series of nutritional and metabolic problems, and in severe cases, can be life-threatening.

[0003] The primary treatment for lymphatic vessel injury is nutritional therapy, followed by somatostatin-assisted therapy and surgery. However, in cases of abdominal and pelvic lymphatic vessel injury, surgery is usually not an option, and only proper nutritional therapy can be relied upon to help the leak heal. Proper nutritional therapy can provide postoperative patients with sufficient energy and protein to meet their needs and promote wound healing; it can also reduce chyle formation, addressing the root causes of nutrient loss from chylous leakage and the resulting pleural and peritoneal effusions.

[0004] Nutritional therapy for chylous fistula includes total parenteral nutrition (fasting) and low-fat diets. However, hospital practice shows that low-fat diets are ineffective for most patients with lymphatic vessel injury, with a high failure rate. Total parenteral nutrition (fasting) often provides insufficient energy and protein to meet the patient's postoperative needs. For patients with poor basal nutritional status, this method often leads to malnutrition and prolonged fistula healing. The incidence of various complications and risks associated with long-term intravenous nutrition is significantly increased, and treatment failure is also more likely. In other words, current nutritional therapies for chylous fistula are not suitable for all patients with lymphatic vessel injury.

[0005] Lymphatic vessel injury is a common complication after various surgical procedures, especially those involving simultaneous lymph node dissection. These include radical surgeries such as esophagectomy, lung cancer resection, spinal surgery, thyroid cancer resection, pelvic tumor resection, and renal pelvis cancer resection, all of which can lead to chylous leakage or lymphorrhea. The main pathogenesis involves rupture of the thoracic duct or lymphatic branches, causing chyle to leak into the pleural and peritoneal cavities, resulting in pleural and peritoneal effusion and significant loss of serum proteins. This also leads to the loss of immune factors, vitamins, and electrolytes, causing a series of nutritional and metabolic problems, which can be life-threatening in severe cases. Summary of the Invention

[0006] The purpose of this invention is to provide a dietary combination that promotes lymphatic vessel healing suitable for all patients with lymphatic vessel injury.

[0007] The present invention provides a dietary combination for promoting lymphatic vessel healing, comprising the following foods for patients with lymphatic vessel injury to eat at breakfast, lunch and dinner: staple foods such as rice and steamed buns without added oil; protein foods without added oil and with a fat content of less than 2g / 100g; low-fat vegetables and fruits; and 100% pure medium-chain triglycerides (here, 100% purity means that it does not contain any other fats besides medium-chain triglycerides).

[0008] Preferably, for patients with lymphatic vessel injury whose height is below 165cm, the dietary energy of breakfast, lunch and dinner is 1400~1600kcal and the protein is 55~83g; of which, medium chain triglycerides are 7~10g, 7~10g and 7~10g in breakfast, lunch and dinner respectively.

[0009] Preferably, the dietary energy of the three meals for the lymphatic vessel injury patients with a height of 160-170cm is 1601-1800kcal, and the protein is 60-100g; of which, the medium chain triglycerides are 7-10g, 10-15g, and 10-15g in the three meals respectively.

[0010] Preferably, the dietary energy of the three meals for the lymphatic vessel injury patients with a height of 165-175cm is 1801-2100kcal, and the protein is 75-110g; of which, the medium chain triglycerides are 10-15g, 10-15g, and 10-15g in the three meals respectively.

[0011] Preferably, the dietary energy of the lymphatic vessel injury patients who are 175cm or taller or have a body mass index of 28kg / m² or higher for breakfast, lunch, and dinner is 2101-2400kcal, and the protein is 84-130g; of which, medium chain triglycerides are 10-15g, 10-20g, and 10-20g in breakfast, lunch, and dinner, respectively.

[0012] Preferably, the medium-chain triglyceride is one or more of hexanoic acid glyceride, caprylic acid glyceride, and decanoic acid glyceride.

[0013] Preferably, the medium-chain triglyceride is caprylic acid glyceride.

[0014] Preferably, the protein-rich food that does not contain added oil and has a fat content of less than 2g / 100g is selected from low-fat meats, specifically low-fat cuts of various low-fat poultry, livestock and aquatic products, such as tenderloin, breast, and leg meat. Visible fat, skin, tendons, cartilage, fat, roe, seeds, brain and internal organs must be removed with a knife or scissors. The meat is then blanched in water for 5-30 minutes to further remove the fat, drained, and then cooked again.

[0015] Preferably, the protein-rich food, which is free of added oil and has a fat content of less than 2g / 100g, is a cooked egg white made from pure egg white separated from raw eggs. Alternatively, it is the egg white remaining after the yolk and yolk membrane have been discarded from a whole boiled egg.

[0016] Preferably, the protein-rich food that does not contain added oil and has a fat content of less than 2g / 100g is a skimmed dairy product with the oil film removed.

[0017] Preferably, the food provided for patients with lymphatic vessel injury is directly used for patients undergoing thoracic surgery with a daily drainage volume of less than 500ml, patients undergoing abdominopelvic surgery with a daily drainage volume of less than 300ml, and patients undergoing cervical surgery with a daily drainage volume of less than 100ml.

[0018] Preferably, for patients undergoing thoracic surgery with a daily drainage volume exceeding 500 ml, patients undergoing abdominopelvic surgery with a daily drainage volume exceeding 300 ml, and patients undergoing cervical surgery with a daily drainage volume exceeding 100 ml, after fasting or consuming liquids for 2-5 days until the drainage volume decreases, the aforementioned food for patients with lymphatic vessel injury (breakfast, lunch, and dinner) can be gradually introduced.

[0019] The food for patients with lymphatic vessel injury in this invention ensures sufficient energy and protein in breakfast, lunch and dinner, and contains a complete range of micronutrients that help with postoperative recovery and wound healing, such as zinc, vitamin A, vitamin D, magnesium, calcium and vitamin C. It also ensures a good effect on promoting lymphatic vessel healing, helps patients recover their overall functional status after surgery, reduces the incidence of postoperative malnutrition and hypoproteinemia, and promotes rapid lymphatic vessel healing.

[0020] In particular, the dietary supplements for patients with lymphatic vessel injury of the present invention are suitable for all patients with lymphatic vessel injury. To date, among patients in our hospital who have consumed the dietary supplements for patients with lymphatic vessel injury of the present invention, more than 95% have experienced improved lymphatic vessel healing. Detailed Implementation

[0021] The present invention provides a dietary combination for promoting lymphatic vessel healing, which consists of staple food, protein foods, vegetables, fruits, medium-chain triglycerides, and seasonings, but does not contain oils.

[0022] Among them, staple foods are those without added oil, such as rice, steamed buns, mixed grain rice, special buns, dumplings, etc. Staple foods containing oil or animal fat, such as traditional buns, dumplings, meat rolls, fried dough sticks, fried pancakes, and flatbreads, are not allowed.

[0023] Protein-rich foods should be those without added oil and with a fat content of less than 2g / 100g, such as lean beef tenderloin, chicken breast without tendons, shrimp with shrimp paste and vein removed, sole fillet, basa fillet, red snapper fillet, abalone, sea cucumber, etc. Eggs should have the yolk and yolk membrane removed, and dairy products should be skim milk.

[0024] Vegetables and fruits should be low in fat, and should not be high in fat such as avocado, durian, or coconut meat. Suitable vegetables and fruits include romaine lettuce, rapeseed, baby bok choy, wood ear fungus, mushrooms, radishes, tomatoes, bok choy, cucumbers, and zucchini.

[0025] Medium-chain triglycerides can be MCT oil or MCT powder, such as glyceryl caproate, glyceryl caprylate, glyceryl decanoate, etc., with glyceryl caprylate being preferred.

[0026] Seasonings can include non-fat condiments such as scallions, ginger, garlic, Sichuan peppercorns, star anise, chili peppers, cumin, soy sauce, salt, chicken bouillon, MSG, vinegar, and white sugar.

[0027] Cooking methods include steaming, boiling, cold salad, and blanching, but no cooking oil or animal fat should be added. For blanching, use an oil-free blanching sauce. Garlic paste must be boiled in water, not stir-fried in oil. All pots and utensils must be clean and free of grease. Do not add any oils such as sesame oil or olive oil.

[0028] Specifically, to meet the needs of most patients, the diet is divided into No. 1, No. 2, No. 3 and No. 4 according to the differences in energy and protein, with different energy and protein content in each No. 4.

[0029] Diet #1 provides 1400-1600 kcal of energy and 55-83g of protein, and is generally suitable for patients under 165cm in height. The recommended amounts of staple foods for the three meals are 50g, 50-75g, and 50-75g respectively. Recommended protein sources are: Breakfast - 1-3 egg whites, 150-250ml skim milk; Lunch - 75-100g lean meat or fish / shrimp or 4-6 egg whites; Dinner - 75-100g lean meat or fish / shrimp or 4-6 egg whites. Recommended vegetable sources are 0-200g, 100-300g, and 100-300g respectively. The recommended amounts for the three meals of MCT are 7-10g, 7-10g, and 7-10g respectively.

[0030] Dietary Recommendation 2 provides 1601-1800 kcal of energy and 60-100g of protein, generally suitable for patients 160-170cm tall. The recommended amounts of staple foods for the three meals are 50-75g, 75-100g, and 75-100g respectively. Recommended protein sources are: Breakfast - 2-3 egg whites, 150-250ml skim milk, 25-50g lean meat or fish / shrimp; Lunch - 75-125g lean meat or fish / shrimp or 4-7 egg whites; Dinner - 75-125g lean meat or fish / shrimp or 4-7 egg whites. Recommended vegetable sources are 0-200g, 100-300g, and 100-300g respectively. Recommended amounts of MCT (Multi-Cut Protein) for the three meals are 7-10g, 10-15g, and 10-15g respectively.

[0031] Diet #3 provides 1801-2100 kcal of energy and 75-110g of protein, generally suitable for individuals 165-175cm tall. The recommended amounts of staple foods for each meal should be 75-100g, 75-100g, and 75-100g respectively. Recommended protein sources for each meal are: Breakfast - 2-3 egg whites, 150-250ml skim milk, 25-50g lean meat or fish / shrimp; Lunch - 100-125g lean meat or fish / shrimp or 6-8 egg whites; Dinner - 100-125g lean meat or fish / shrimp or 6-8 egg whites. Recommended vegetable sources for each meal are 0-200g, 100-300g, and 100-300g respectively. Recommended amounts of MCT (Multi-Cost Tolerance) for each meal are 10-15g, 10-15g, and 10-15g respectively.

[0032] Dietary Recommendation 4 provides 2101-2400 kcal of energy and 84-130g of protein, and is generally suitable for obese patients who are over 175cm tall or have a body mass index (BMI) of over 28kg / m². The recommended amounts of staple foods for the three meals are 75-100g, 100-125g, and 100-125g respectively. Recommended protein sources for the three meals are: Breakfast - 2-3 egg whites, 150-250ml skim milk, 50-75g lean meat or fish / shrimp; Lunch - 100-150g lean meat or fish / shrimp or 6-9 egg whites; Dinner - 100-150g lean meat or fish / shrimp or 6-9 egg whites. Recommended vegetables for the three meals are 0-200g, 150-400g, and 150-400g respectively. Recommended amounts of MCT (Multi-Cost Acid) for the three meals are 10-15g, 10-20g, and 10-20g respectively.

[0033] The food preparation steps are as follows: ① Staple foods without added oil, such as rice, steamed buns, mixed grain rice, special buns, dumplings, etc., are made by directly adding water to flour and kneading the dough, or by adding water to rice and cooking it. The selection of ingredients for the fillings of buns and dumplings should refer to the specific requirements of protein foods and vegetables. Soy sauce and other seasonings that meet the requirements can be added, but no additional oily seasonings are added. They are ready by steaming or boiling.

[0034] ② Protein foods with no added oil and a fat content of less than 2g / 100g: Select low-fat meats, and use a knife or scissors to remove visible fat, skin, tendons, cartilage, etc. Blanch in water for 5-30 minutes to further remove the oil from the meat. After draining, boil it again in water or marinate or sauce it without oil-based seasonings or spices, and avoid adding extra oil-containing seasonings; Separate egg whites and yolks when eggs are raw, discard the yolks, beat the egg whites evenly and steam pure egg white custard, or boil whole eggs and remove the yolks and yolk membranes before eating. They can be dipped in soy sauce or other oil-free seasonings; Dairy products must be skim milk, and can be heated as needed to further remove the oil film floating on the surface.

[0035] ③ Low-fat vegetables and fruits: Select low-fat vegetables and fruits, boil, blanch, or eat them raw with no oil or seasonings.

[0036] ④ Medium-chain triglycerides can be MCT oil or MCT powder, etc., and must be 100% pure (referring to the proportion of MCT in all lipids, not the proportion of MCT in the entire product). Suitable ingredients include glyceryl caproate, glyceryl caprylate, glyceryl caprylate, etc., with glyceryl caprylate being preferred.

[0037] This dietary regimen is primarily intended for patients suspected or confirmed to have lymphatic vessel injury following neck, thoracic, abdominal, or pelvic surgeries. For patients undergoing thoracic surgery with a daily drainage volume of less than 500ml, abdominal / pelvic surgery with a daily drainage volume of less than 300ml, and neck surgery with a daily drainage volume of less than 100ml, this dietary therapy can be considered directly. For patients with daily drainage volumes exceeding these ranges, a fasting or liquid diet for 2-5 days is recommended until the drainage volume decreases. Then, the amount of food in this diet can be gradually increased, while controlling fluid intake. For the first 2-3 days after resuming normal eating, each meal should include small amounts of vegetables, staple foods, egg whites, skim milk, fish, and shrimp from this dietary regimen. If the drainage volume continues to decrease as expected, other meats can be gradually added over 3-5 days until the full amount of the dietary regimen is reached. This dietary regimen should be continued for 5-14 days after the drainage tube is removed, once the treatment is confirmed to be effective, to ensure complete healing of the lymphatic vessel injury wound, i.e., full-thickness healing of the lymphatic vessel wall. For the next month, a low-fat diet should be maintained, with a daily fat intake of no more than 50g, which is roughly equivalent to no more than 20g of cooking oil. Fried foods should be strictly avoided to prevent increasing lymphatic vessel pressure and wall tension, which could lead to recurrence of chylothorax and chylous abdomen due to lymphatic vessel rupture.

[0038] Specific recipes (MCT diet recipes) are shown below:

[0039] Nutritional therapy for lymphatic vessel injury includes total parenteral nutrition (fasting), low-fat diets, vegetarian diets, and MCT (medium-chain triglyceride) diets. MCT diets have gained increasing attention due to their advantages such as sufficient energy and protein, allowing for normal meals, better maintenance of patient nutritional status, and faster postoperative recovery. However, there is no universally accepted recipe for MCT diets, and most regions and hospitals have not truly implemented them, remaining largely conceptual. Furthermore, literature on MCT diets often restricts daily fat intake to no more than 30g or 50g, with additional MCT supplementation. However, this approach is not feasible in actual clinical practice. Therefore, our hospital has independently designed its own MCT diet, ensuring sufficient energy and protein, a complete range of micronutrients that aid postoperative recovery and wound healing, such as zinc, vitamin A, vitamin D, magnesium, calcium, and vitamin C, while also ensuring a good effect on promoting lymphatic vessel healing. This helps patients recover their overall postoperative functional status, reduces the incidence of postoperative malnutrition and hypoproteinemia, and simultaneously promotes rapid lymphatic vessel healing. This special therapeutic diet has been applied clinically and has received positive feedback from doctors and patients in relevant surgical departments over the past three years. However, due to the low incidence of complications such as lymphatic vessel damage during this type of surgery, the number of patients benefiting is small, and awareness remains low.

[0040] This invention controls fat intake to less than 10g per day and minimizes it as much as possible. At the same time, it considers the richness of ingredients, maximizing the variety of ingredients without affecting the treatment effect, providing high-quality ingredients, and enriching the types of seasonings within the prescribed limits. This improves the patient's poor appetite after surgery, increases nutrient and protein intake, and accelerates lymphatic vessel healing.

[0041] The MCT diet plan of a certain top-tier hospital only contains three ingredients: cabbage, white rice, and egg whites. When combined with MCT powder, it is difficult to meet the needs of patients in terms of energy, protein, and micronutrients. The monotonous diet and continuous consumption for 1 to 2 weeks will lead to decreased appetite or even nausea in patients, resulting in low actual user satisfaction.

[0042] To demonstrate the effectiveness, postoperative chylothorax patients hospitalized in the Department of Thoracic Surgery at Peking University First Hospital between January 2020 and December 2023 were divided into a low-fat / fat-free diet group and an MCT diet group.

[0043] Primary endpoint: Treatment effectiveness for chylothorax. Various treatment modalities for chylothorax were ranked according to the five-step nutritional therapy ladder: switching from a low-fat diet or MCT diet to total parenteral nutrition was considered ascending the ladder; switching from a low-fat diet or MCT diet to a regular diet or a higher-fat diet was considered descending the ladder. Ascending the ladder was considered treatment failure, and descending the ladder or extubation and discharge were considered treatment effectiveness.

[0044] A total of 42 patients were enrolled, including 33 males and 9 females, with a mean age of 61.8 ± 8.9 years and a BMI of 24.8 ± 3.1 kg / m². 35 patients had undergone lobectomy, 4 had undergone pneumonectomy, 3 had undergone segmentectomy, and 2 had undergone wedge resection. Two patients underwent a combination of lobectomy and wedge resection of another lobe. 28 patients underwent surgery on the right side, and 14 underwent surgery on the left side.

[0045] Treatment options for chylothorax included fasting plus total parenteral nutrition (36 cases), the MCT diet (10 cases), a low-fat / fat-free diet (21 cases), and thoracoscopic thoracic duct ligation (2 cases). There was overlap among the different treatment methods. Six patients switched to the MCT diet after fasting, and eight patients switched to a low-fat / fat-free diet after fasting.

[0046] The low-fat diet group included 21 patients, of whom 9 underwent step-up therapy and 12 underwent step-down therapy, with a median chest tube duration of 9 (7, 12). Eight patients transitioned to the MCT diet after fasting. The MCT diet group included 0 patients underwent step-up therapy and 10 underwent step-down therapy, with a median chest tube duration of 13 (9, 20). Six patients transitioned to the MCT diet after fasting. Compared with the low-fat or fat-free diet groups, the MCT diet group did not undergo subsequent step-up therapy, and the difference between the two groups was statistically significant.

[0047] Comparison of treatment effects between the low-fat diet group and the MCT diet group

[0048] In summary, this invention discloses a dietary combination to promote lymphatic vessel healing, comprising the following foods for patients with lymphatic vessel injury for breakfast, lunch, and dinner: staple foods including rice and steamed buns without added oil; protein foods without added oil and with a fat content of less than 2g / 100g; low-fat vegetables and fruits; and 100% pure medium-chain triglycerides.

[0049] For patients with lymphatic vessel damage who are under 165cm tall, the dietary energy for breakfast, lunch and dinner should be 1400-1600kcal and the protein should be 55-83g. Among them, medium chain triglycerides should be 7-10g, 7-10g and 7-10g in breakfast, lunch and dinner respectively.

[0050] For patients with lymphatic vessel damage who are 160-170cm tall, the dietary energy for breakfast, lunch and dinner should be 1601-1800kcal and protein 60-100g; among them, medium chain triglycerides should be 7-10g, 10-15g and 10-15g in breakfast, lunch and dinner respectively.

[0051] For patients with lymphatic vessel damage who are 165-175cm tall, the dietary energy for breakfast, lunch and dinner should be 1801-2100kcal and the protein should be 75-110g. Among them, the medium chain triglycerides should be 10-15g, 10-15g and 10-15g in breakfast, lunch and dinner respectively.

[0052] For patients with lymphatic vessel damage who are 175cm or taller or have a body mass index of 28kg / m² or higher, the recommended dietary energy intake for breakfast, lunch, and dinner is 2101-2400kcal and protein intake is 84-130g. Among these, medium-chain triglycerides should be 10-15g, 10-20g, and 10-20g in breakfast, lunch, and dinner, respectively.

[0053] Among them, medium-chain triglycerides are one or more of hexanoic acid glycerides, caprylic acid glycerides, and decanoic acid glycerides.

[0054] Among them, medium-chain triglycerides are caprylic acid glycerides.

[0055] Among them, protein foods that do not contain added oil and have a fat content of less than 2g / 100g are selected from low-fat meats. Low-fat meats are made by removing visible fat, skin, tendons, and cartilage with a knife or scissors, blanching in water for 5 to 30 minutes to further remove the oil from the meat, draining the water, and then cooking it again.

[0056] In this category, protein-rich foods that do not contain added oil and have a fat content of less than 2g / 100g include shrimp meat (with the head, roe, and vein removed), crab meat, and abalone.

[0057] Among them, protein foods that do not contain added oil and have a fat content of less than 2g / 100g are cooked egg whites made from pure egg whites separated from raw eggs.

[0058] Among them, protein foods that do not contain added oil and have a fat content of less than 2g / 100g are skimmed dairy products with the oil film removed.

[0059] Among them, the food used for the three meals of the day for patients with lymphatic vessel injury is directly used for patients undergoing thoracic surgery with a daily drainage volume of less than 500ml, patients undergoing abdominal and pelvic surgery with a daily drainage volume of less than 300ml, and patients undergoing cervical surgery with a daily drainage volume of less than 100ml.

[0060] For patients undergoing thoracic surgery with a daily drainage volume of less than 500ml, abdominal and pelvic surgery with a daily drainage volume of less than 300ml, and neck surgery with a daily drainage volume of less than 100ml, after fasting or drinking liquid food for 2-5 days and waiting for the drainage volume to decrease, they can gradually start using the foods for breakfast, lunch and dinner that are suitable for patients with lymphatic vessel damage.

[0061] Although the present invention has been described in detail above, it is not limited thereto, and those skilled in the art can make various modifications based on the principles of the present invention. Therefore, all modifications made in accordance with the principles of the present invention should be understood to fall within the protection scope of the present invention.

Claims

1. A dietary combination to promote lymphatic vessel healing, comprising the following foods for breakfast, lunch, and dinner for patients with lymphatic vessel injury: Staple foods without added oil include rice and steamed buns; Protein foods that do not contain added oil and have a fat content of less than 2g / 100g; Low-fat vegetables and fruits; Oil or powder of 100% pure medium-chain triglycerides; Condiments that contain little or no fat.

2. According to the dietary combination for promoting lymphatic vessel healing as described in claim 1, the dietary energy of the three meals (breakfast, lunch, and dinner) for patients with lymphatic vessel injury whose height is below 165cm is 1400-1600kcal and the protein is 55-83g; wherein, Medium-chain triglycerides should be consumed at 7-10g each in the breakfast, lunch, and dinner meals.

3. According to the dietary combination for promoting lymphatic vessel healing as described in claim 1 or 2, the dietary energy of the three meals (breakfast, lunch, and dinner) for patients with lymphatic vessel injury who are 160-170cm tall is 1601-1800kcal, and the protein is 60-100g; wherein, Medium-chain triglycerides should be consumed at 7-10g, 10-15g, and 10-15g in the breakfast, lunch, and dinner meals, respectively.

4. According to the dietary combination for promoting lymphatic vessel healing as described in claim 1 or 3, the dietary energy of the three meals (breakfast, lunch, and dinner) for patients with lymphatic vessel injury who are 165-175cm tall is 1801-2100kcal, and the protein is 75-110g; wherein, The recommended intake of medium-chain triglycerides is 10-15g for breakfast, 10-15g for lunch, and 10-15g for dinner.

5. According to claim 1 or 4, the dietary combination for promoting lymphatic vessel healing, for patients with lymphatic vessel injury who are 175cm or taller or have a body mass index of 28kg / m² or higher, the dietary energy for breakfast, lunch, and dinner is 2101-2400kcal, and the protein is 84-130g; wherein, The recommended intake of medium-chain triglycerides is 10-15g, 10-20g, and 10-20g for breakfast, lunch, and dinner, respectively.

6. The dietary combination for promoting lymphatic vessel healing according to any one of claims 1-5, wherein the medium-chain triglyceride is one or more of hexanoic acid glyceride, caprylic acid glyceride, and decanoic acid glyceride.

7. The dietary combination for promoting lymphatic vessel healing according to claim 1 or 6, wherein the protein food without added oil and with a fat content of less than 2g / 100g is selected from low-fat meat, wherein the low-fat meat is prepared by removing visible fat, skin, fascia, cartilage, and bone containing marrow, blanching in water for 5-30 minutes to further remove the oil from the meat, draining the water, and then cooking it again.

8. The dietary combination for promoting lymphatic vessel healing according to claim 1 or 6, wherein the protein-rich foods that do not contain added oil and have a fat content of less than 2g / 100g include shrimp meat, crab meat, and abalone with the shrimp head, shrimp roe, and shrimp vein removed.

9. The dietary combination for promoting lymphatic vessel healing according to claim 1 or 6, wherein the protein food containing no added oil and with a fat content of less than 2g / 100g is a cooked egg white food made from pure egg white separated from raw eggs.

10. The dietary combination for promoting lymphatic vessel healing according to claim 1 or 6, wherein the protein food that is free of added oil and has a fat content of less than 2g / 100g is a skimmed dairy product with the oil film removed.

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