The traditional Chinese medicine syndrome differentiation and treatment of breast hyperplasia mainly include liver stagnation and qi stagnation type, phlegm blood stasis type, Chong Ren imbalance type, Qi and blood deficiency type, spleen kidney yang deficiency type and other syndrome types. Mammary gland hyperplasia belongs to the category of traditional Chinese medicine lactophilia, which is mostly related to factors such as emotional distress, eating disorders, and congenital endowment deficiency. It is necessary to choose the appropriate prescription or acupuncture and moxibustion therapy through syndrome differentiation.

1. Liver stagnation and qi stagnation type
is characterized by increased breast swelling and pain with emotional fluctuations, accompanied by rib distension and excessive relaxation. The treatment mainly focuses on soothing the liver and relieving depression, commonly using modified Chaihu Shugan San, which contains medicinal herbs such as Chaihu, Xiangfu, and Baishao. Can be combined with acupuncture at acupoints such as Tianmen and Taichong. Maintain emotional stability in daily life, avoid anger and liver damage, and drink tea substitutes such as roses and tangerine peel appropriately.
II. Phlegm stasis type
Common breast lumps are hard, painful and fixed, and the tongue is dark purple or has bruising. The treatment requires resolving phlegm, dispersing nodules, promoting blood circulation, and removing blood stasis. The formula is Taohong Siwu Tang combined with Erchen Tang, which contains ingredients such as peach kernels, safflower, and Pinellia ternata. External application of saltpeter or combined with acupuncture and cupping to improve local qi and blood circulation. Avoid fatty, sweet, and rich flavors in your diet. You can consume appropriate amounts of blood activating ingredients such as hawthorn and black fungus.
Thirdly, the type of Chong Ren imbalance
is often accompanied by menstrual irregularities, soreness and weakness in the waist and knees, breast swelling and pain, and is related to the menstrual cycle. The treatment focuses on regulating the Chong Ren function, using Xiaoyao San combined with Er Zhi Wan, which contains ingredients such as Angelica sinensis, Ligustrum lucidum, and Houttuynia cordata. Moxibustion at acupoints such as Guan Yuan and San Yin Jiao can warm and nourish the uterus. Pay attention to avoiding staying up late and fatigue, and avoid eating raw and cold food during menstruation.

Type 4: Deficiency of Qi and Blood
Symptoms include dull breast pain, soft lumps, pale complexion, and fatigue. It is recommended to nourish qi and blood, strengthen the spleen and stomach. Choose Guipi Tang or Bazhen Tang, which contains medicinal herbs such as Huangqi, Codonopsis pilosula, and Rehmannia glutinosa. Red dates and longan stewed chicken soup can be used for dietary therapy. Avoid excessive dieting and practice gentle exercises such as Ba Duan Jin appropriately.
Fifth, spleen and kidney yang deficiency type
is characterized by cold and painful breasts, cold limbs, and frequent nocturia. The treatment method requires warming and tonifying the spleen and kidneys. The formula selected is Yougui Wan combined with Fuzi Lizhong Tang, which contains Fuzi, cinnamon, Eucommia ulmoides, etc. Moxibusting the Shenque and Mingmen acupoints with ginger can help Yang transform Qi. Daily shelter from the cold, moderate consumption of lamb, walnuts and other warm tonics. Traditional Chinese medicine treatment for breast hyperplasia requires a course of 3-6 months, during which regular follow-up visits are needed to adjust the prescription. Cooperate with emotional management, moderate exercise, and dietary regulation to avoid wearing tight underwear. If there are sudden enlargement of the lump, nipple bleeding, or other abnormalities, medical attention should be sought promptly to rule out malignant lesions. During the treatment period, avoid spicy and stimulating foods that contain estrogen, and maintain a regular daily routine to help balance qi and blood.

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