Traditional Chinese Medicine Diagnosis and Treatment of Breast Hyperplasia

The traditional Chinese medicine diagnosis and treatment of breast hyperplasia requires the selection of treatment methods such as soothing the liver and relieving depression, resolving phlegm and dispersing nodules, and regulating the balance of qi and meridians according to the syndrome type. Common syndrome types mainly include liver stagnation and qi stagnation type, phlegm blood stasis type, imbalance of qi and meridians type, spleen deficiency and dampness excess type, and liver and kidney yin deficiency type.

1. Liver stagnation type

Liver stagnation type is characterized by breast swelling and pain that fluctuate with emotions, accompanied by rib distension. The treatment is based on Chaihu Shugan San, and commonly used drugs include Chaihu Shugan San, Xiaoyao Wan, Rupixiao tablets, etc. Chaihu Shugan San can relieve chest and rib pain, Xiaoyao Wan helps to harmonize the liver and spleen, and Rupi Xiao Pian targets breast lumps. Maintain a relaxed mood in daily life and avoid liver damage caused by anger and frustration.

II. Phlegm stasis type

Phlegm stasis type is more common in breast lumps with hard texture and dark purple tongue texture. The combination of Taohong Siwu Tang and Erchen Tang with modifications is commonly used, including Xuefu Zhuyu Capsules, Guizhi Fuling Pills, Xiaojin Pills, etc. Xuefu Zhuyu Capsules promote blood circulation and remove blood stasis, Guizhi Fuling Pills warm meridians and unblock collaterals, and Xiaojin Pills disperse nodules and reduce swelling. Reduce the intake of fat, sweet, and rich flavors, and engage in appropriate exercise to promote the circulation of qi and blood.

III. Imbalance between Chong and Ren

Imbalance between Chong and Ren is commonly characterized by worsening premenstrual breast pain and menstrual disorders. The treatment uses Er Xian Tang and Si Wu Tang, with medications such as Ding Kun Dan, Wu Ji Bai Feng Wan, Kun Bao Wan, etc. Dingkun Pill regulates Chong Ren, Wuji Baifeng Pill nourishes Qi and blood, and Kunbao Pill improves menopausal symptoms. Pay attention to keeping warm during menstruation to avoid invasion of cold pathogens.

4. Spleen deficiency and dampness excess type

Spleen deficiency and dampness excess type accompanied by fatigue and weakness, and white and greasy tongue coating. The formula can be modified with Shenling Baizhu San, and can be selected from Xiangsha Liujun Wan, Jianpi Wan, Pingwei San, etc. Xiangsha Liujun Pills can invigorate the spleen and dispel dampness, while Jianpi Pills can enhance the function of transportation and digestion. Pingwei Powder can harmonize the spleen and stomach. The diet should be light and easy to digest, avoiding raw, cold, and greasy foods.

Fifth, liver and kidney yin deficiency type

Liver and kidney yin deficiency type with dull breast pain accompanied by soreness and weakness in the waist and knees. The commonly used formula is Zuogui Wan or Liuwei Dihuang Wan, combined with Qiju Dihuang Wan, Maiwei Dihuang Oral Liquid, Zhibai Dihuang Wan, etc. Qiju Dihuang Pill nourishes the liver and kidneys, Maiwei Dihuang Oral Liquid generates fluid and moistens dryness, and Zhibai Dihuang Pill clears deficiency and heat. Avoid staying up late and damaging vaginal fluids.

Traditional Chinese medicine treatment for breast hyperplasia requires adherence to a 3-6 month cycle, combined with emotional regulation and regular sleep patterns. Patients with liver depression and qi stagnation can practice the Eight Section Brocade to unblock qi, while those with phlegm and blood stasis are recommended to tap the gallbladder meridian daily. All types of symptoms should avoid spicy and stimulating foods and undergo regular breast ultrasound examinations. If the lump enlarges or abnormal conditions such as nipple discharge occur in the short term, timely medical attention should be sought to rule out malignant lesions.