Breast hyperplasia is the most common breast disease, with complex etiology and many types, mostly seen in middle-aged women aged 30-50. It accounts for about 40% of women of childbearing age and 75% of all breast diseases, and its nature is neither inflammation nor tumor, but physiological hyperplasia and incomplete regeneration resulting in the disturbance of normal structure of the mammary glands. However, due to the fact that a small number of them, especially those accompanied by high-risk factors for breast cancer, may become cancerous during the continuous and gradual process of evolution (accounting for about 2-3%), it undoubtedly poses a threat to women’s physical and mental health in the recent decade or so. In recent years, with the changes of living environment, life style and living conditions in the world and in China, the incidence rate of breast hyperplasia has been increasing year by year and tends to be younger, and the incidence rate of corresponding breast cancer tends to be higher, for this reason, the World Health Organization (WHO) put forward the strategic idea of “intervening in advance for breast hyperplasia” at the beginning of the 21st century, and this has attracted extensive concern and attention from the medical profession. This has attracted widespread attention and focus in the medical field. Causes and classification of breast hyperplasia The mammary gland is the target organ for the hormones of the pituitary-ovarian axis. Numerous studies in Chinese and Western medicine have shown that the pathogenesis of mammary hyperplasia is multifactorial, and although the mechanism is not completely clear, it is mainly related to the dysfunction of the ovarian endocrine function, the decrease of luteinizing hormone secretion and the relative increase of estrogen, which causes different degrees of hyperplasia of the epithelium of the mammary gland ducts and fibrous tissues, and the formation of the terminal ducts or follicular cysts. According to the motherland medicine, breast hyperplasia belongs to the category of “breast fetish”, the etiology of which is liver-qi stagnation, and the imbalance of Chong Ren leads to stagnation of qi and blood stagnation, blocking the meridians and becoming. Clinically, most of the mammary gland hyperplasia is closely related to emotional communication, mood depression, excessive sadness, long-term depression is the cause of mammary gland hyperplasia, usually can be divided into three types. First, breast pain: short duration of the disease, often accompanied by menstrual disorders, characterized by cyclic pain in the breast, preferred in women aged 20-40 years old, pain before menstruation is obvious, relieved after menstruation, usually in the breast can not feel the lump, only manifested as a local thickening of the glands or accompanied by mild granularity, which is mostly a physiological change; the second is the type of mammary gland adenopathy: 35 years old or older, the disease duration of about 2 years. It is often a limited lump or pain in one or both breasts, related to menstrual cycle, with unclear boundary with surrounding tissues, which is mostly lobular hyperplasia tumor-like change of the breast, and will not be cancerous in general except for very few cases; Third, cystic hyperplasia of the breast: middle-aged women around 40 years old, with a disease duration of 3 to 5 years. Breast can appear a single larger lump, garden ball shape, smooth surface, cystic in solid sense, can also be manifested as multiple breast cystic nodules of different sizes or with nipple overflow, about 1/3 of the patients have pain and tenderness in the early stage, the rate of carcinoma is slightly higher, mostly in the breast duct epithelial hyperplasia to atypical hyperplasia on the basis of the occurrence of the disease, it should be attached great importance to. Reasons for the increase in the incidence of breast hyperplasia According to the literature, breast hyperplasia is increasing at a rate of 3% per year, and breast cancer has risen to the top of the list of female malignant tumors, with an incidence rate of 18.4/100,000 in 1982, 24.3/100,000 in 1991, 36.3/100,000 in 2001, 52/100,000 in 2003, and 56.2/ 10 in 2004; the incidence rate of breast cancer has been increasing at an average of 2.4/100,000 per year in the past three years. Research has shown that the increase of cancer rate is closely related to the high protein and high fat diet, and the incidence rate increases in both rural and urban areas. Experts analyze that this is related to bad life habits, endocrine disorders, hormone ratio imbalance in the body, reduced immune function and genetic factors. 1, the dietary structure is inappropriate, like to eat barbecue, smoked and salted products and high-fat diet. 2, endocrine disorders, early menarche, marriage and childbearing late, abortion, childbearing after not feeding, feeding and insufficient, thyroid insufficiency, etc., easy to cause ovarian dysfunction. 3, the “sex” environment to expand the ears and eyes to expand the “sex” environment, prompted by the “kinetic hormone” secretion, resulting in a relative reduction of progesterone, estrogen increase. 4, exogenous hormone intake in order to prevent aging and skin beauty, long-term use of estrogen drugs or cosmetics containing estrogen, so that the level of estrogen in the body out of balance. 5, mental stimulation of modern life, high competition, fast-paced stress increase, some women due to work pressure, family marriage and other emotional instability, depression or paranoia, estrogen, luteinizing hormone levels and glandular structure disorders, resulting in decreased immunity. 6.Other Genetic factors, especially with a family history of breast cancer, the relative risk of developing this disease increases. Diagnostic methods of breast hyperplasia Diagnosis of breast hyperplasia, in addition to medical history and clinical examination, the following diagnostic methods are commonly used, which can be used in different situations. 1, breast near-infrared scanning examination is one of the auxiliary methods for the initial screening of breast disease examination, which mainly uses the intensity of infrared light through the breast to visually distinguish the gray shadow of breast nodules or lumps from the change of blood vessel shadow. 2.Molybdenum-Rhodium target film of breast soft tissue or X-ray mammography is the best method to diagnose benign and malignant diseases of breast, which can show the soft tissue shadow with different microdensity of breast, intraductal lesions and small calcified foci. 3.B-mode ultrasound tomography can clearly determine the cystic, substantial or mixed lesions in the breast, identify whether the lesions are isolated or diffuse, and follow up to track the effect of treatment. 4, fine needle aspiration cytology or smear cytology of nipple overflow This method has the advantages of easy operation, rapid diagnosis, less damage than cutting and coarse needle biopsy, etc. Smear cytology is adopted for those with nipple overflow, and visual observation under endoscopy of the breast duct or bite biopsy will help to understand the nature of the lesion. 5.Suspicious breast lesion excision or frozen section pathology examination Lesion excision not only achieves the purpose of biopsy, but also a treatment method, if frozen diagnosis is malignant, radical surgery can be chosen. In the above examinations, the methods should be chosen as far as possible to be non-invasive or less invasive, and this is the trend of future development. Treatment of breast hyperplasia Mere breast hyperplasia can be treated without treatment if the symptoms are mild, and lobular hyperplasia lesions of breast pain can be observed, and generally will not be cancerous, and some of the patients can be restored with ovarian dysfunction, and the symptoms will be relieved and disappeared after a few months to 1~2 years, or after pregnancy or breastfeeding, which belong to physiological category, and do not need to be dealt with. Serious symptoms, diffuse hyperplasia of the breast with pain should be under the guidance of the doctor from the regulation of endocrine start. At present, the commonly used drugs are progesterone (5-10mg/1 time/day, stop using it one week before menstruation), bromocriptine (5mg/day for three months), triamcinolone acetonide (20mg/day for 2-3 months), danazol (100-400mg/day for 3-6 months), which have some effect on the localized pain of the mammary glands, reduction of the lumps, reduction of the density of the glands, and reduction of the size of the lumps. It can reduce local pain, reduce the size of the lump, reduce the density of the gland, and soften the glandular tissue. The efficacy of this treatment can be improved by combining it with estrogen measurement of the breast tissue. In addition, methyltestosterone, small amount of iodine preparation (5% potassium iodide 5ml/3 times/day), sedatives and vitamin E, B1, B6, A can achieve the purpose of adjuvant therapy, and have a certain effect of lowering estrogen in the body. The motherland medicine takes activating blood circulation and removing blood stasis, regulating qi and stopping pain, and regulating Chong Ren as the main principle of treatment, such as the Chinese medicine products, such as Free and Easy San, Pingxiao Tablet, Swelling Jiefeng, New Pientzehuang Tablet, Breast Kang Tablet, Breast Enlargement Ning, Breast Fetish Consumption, Xiaojin Pill, Elimination of Nuclear Tablet, Breast Ning Punch, Pain Relieving and Chemical Disease Capsules, Wuji Baifeng Pill, Gui Zhi Poria Capsules, etc., can all play the role of leveling the liver and dispersing the qi, softening the firmness and removing the nodules, regulating menstruation and reducing the pain and enhancing the luteal body function, etc., while The newest product Manji magnetic patch on the lobular hyperplasia, cystic hyperplasia have better efficacy, which is characterized by percutaneous drug delivery, sustained penetration, internal and external treatment, no stains, no pain, no toxic side effects, the use of qidu, danzhong, breast root, the period of the door, the foot Sanli acupoints and paste the paste and the pain point of the point of the a is. 48 hours to replace the one-week course of treatment. In western medical treatment, generally do not advocate surgical excision, but when the lump is specific, persistent, no cyclical changes in the breast nodules, single or multiple calcification, gland thickening, the disease period of more than half a year or have a tendency to expand, especially at the age of 40 years old and above, accompanied by breast cancer susceptibility factors, cytological manifestations of heterogeneous cellular epithelial atypical hyperplasia, the possibility of malignant transformation or danger should be given to the surgical treatment, which includes the lump excision, zone These include lumpectomy, segmental excision, ductal excision, subcutaneous glandular excision, total mastectomy, removal of most of the glands of the breast plus mammoplasty, modified radical mastectomy, and breast-conserving surgery. Self-regulation of breast hyperplasia Through a large number of epidemiological studies, it has been understood that this disease is related to endocrine disorders and mental factors, and at the same time, it has been recognized that this disease belongs to the category of benign diseases and has a tendency of self-healing. In daily life, strengthen self-regulation, maintain a relaxed mood, treatment of menstrual irregularities, adjust the ovarian function is an important part of the prevention of this disease, and for its causes, put forward some measures to reduce breast hyperplasia disease is also feasible. 1, women should pay attention to breast health care during puberty, do not bind the breast. They should wear loose cotton bras to facilitate the normal development of the breasts. 2, to correctly understand the self, set up a good outlook on life, scientific and reasonable, regular and healthy life, including women’s menstruation, gestation period, menopause physiological health protection, in order to avoid ovarian dysfunction, progesterone reduction, estrogen increase and lead to breast hyperplasia. Avoid using estrogen creams or taking estrogen-containing medicines to reduce the loss of hormone balance in the body, which may lead to breast hyperplasia. 4, general breast self-examination once a month, 4-7 days after menstruation, the breast tissue is soft and thin, lesions are easy to be detected, every 3-6 months but also regular breast specialist examination, in order to achieve early detection, early diagnosis, early treatment. Timely marriage and breastfeeding is a physiological regulation of the function of the mammary glands, which can prevent the development of breast hyperplasia. 5, maintain harmony between husband and wife, live a stable life, consciously resist the influence of the expansion of the “sexual” environment, in order to eliminate factors that are not conducive to health. 6, active prevention and treatment of gynecological diseases, such as menstrual disorders, adnexitis, uterine fibroids, etc., is undoubtedly an important link to reduce the incidence of breast hyperplasia. 7, advocate a reasonable diet, low-fat and high-vitamin diet, try to eat vegetables, cereals, fruits, soy products, kelp, fish, yogurt and intake of adequate amount of protein and trace elements and other substances, to prevent breast hyperplasia and cancer is helpful. 8, exercise, improve immune function and disease resistance, consciously regulate emotions, control anger first, learn to relieve, maintain emotional well-being, to achieve contentment. Undoubtedly, only a correct understanding of self, do not lose control of reason, to enhance their strengths and avoid weaknesses, perfect themselves, in order to reduce and avoid the occurrence of breast hyperplasia, so as to achieve the “spirit of the internal guard”, “the disease safe from the” purpose.