1.Overview.
Breast cancer – refers to the disease in which the ductal epithelial cells of the breast lose their normal characteristics and proliferate abnormally under the action of various internal and external pathogenic factors, so that they exceed the limits of self-repair and become cancerous.
Dou Hanqing of the Jin Dynasty: “Breast rock, this poisonous yin pole and yang decay …… twist within like a mountain rock, so the name of the”.
The symptoms of breast rock were described in Chen Shigong’s “Surgical Orthodoxy” in the Ming Dynasty: “Initially as large as a bean, gradually like a chess piece; half a year, two or three years without pain, gradually and large. Deep as a rock cave, convex as a pan lotus, pain even the heart, bleeding is smelly, when the five organs are all weakened, the four do not save, the name is called breast rock”.
2, the etiology of the pathogenesis.
Depression and anger injure the liver – the woman with the liver as the innate, the liver is the main drainage, the nature of the liver likes to be organized and not depressed, the liver is wood, grasping the spleen earth, the mood is not smooth, the wish is not fulfilled, the liver is not organized, the qi is not smooth, qi depression is stasis.
Loss of spleen transportation and transformation – thought injures the spleen or liver depression for a long time offends the spleen and earth, failure of transportation and transformation results in internal growth of phlegm and turbidity, liver and spleen are injured, meridians are blocked, phlegm and stagnation are intertwined in the breast and develop.
Dysregulation of the Punch and Ren – Punch is the sea of blood, Ren is the main twin, and the Punch and Ren veins belong to the liver and kidneys. If the Qi and blood are not in harmony, menstruation will not occur, the Qi and blood stasis will block the meridians, and the knots will form in the breast.
3.Diagnosis based on
Color ultrasound
Mammogram
Cytological examination of bloody nipple secretions
Fine needle aspiration biopsy
Paraffin pathology
4.Pre-operative Chinese medicine treatment.
Liver depression and phlegm coagulation evidence
Main symptoms: breast lump, breast swelling and pain with menstrual cycle, depression or anxious temperament, chest tightness, dysthymia, pale tongue, thin white fur, string pulse.
Treatment: Diversify liver and Qi, resolve phlegm and disperse nodules
Treatment: Diversify the liver and Qi, resolve phlegm and disperse nodules.
Commonly used herbs: Radix Bupleurum, Radix Paeoniae Alba, Eucommia Ulmoides, Pericarpium, Poria, Rhizoma Atractylodis Macrocephalae, Citrus Aurantium, Chuan Hou Pu, Psidium, Psidium, Psidium
Add and subtract according to the symptoms: for obvious breast swelling and pain, add Chuanxiong, Orange Kernel, Green Peel, etc. For depression and emotional disorders, add Buddha’s Hand, Mullein, and for insomnia, add Hedychium Bark and Nightshade.
Phlegm and stasis intertwined evidence
Symptomatic features: hard breast lumps, tingling pain in the breasts, purple tongue or petechiae, astringent or stringent pulse. Menstruation is dark or with stasis, thickened veins at the base of the tongue and greasy coating.
Treatment: Promote blood circulation and eliminate blood stasis, resolve phlegm and disperse nodules
Treatment: Promote blood stasis and eliminate stasis by combining with Prosperous Lou Bei San and adding reduction.
Commonly used herbs: Radix et Rhizoma Chai Hu, Radix Angelicae Sinensis, Radix Salviae Sinensis, Radix Curcumae Miltiorrhizae, Radix Eucommiae, Radix et Rhizoma Gastrodiae, Pericarpium Citri Reticulatae, Psidium zerumbium, Peach kernel
Dysregulation of the sphincter
Symptomatic features: breast lumps, mostly accompanied by irregular menstruation, dull complexion, chloasma, history of multiple miscarriages or old age, taking endocrine medication. The tongue is light red, with thin white coating and thin string pulse.
Treatment: Nourishing the liver and kidneys, regulating the flushing and the rejuvenation.
Remedies: Erxian Tang with added flavor
Commonly used herbs: Xian Mao, Xian Ling Spleen, Cistanche, Radix Shou Wu, Cuscuta, Curcuma, Wang Bu Li Xing, Yu Jin, Zhi Mu, Huang Bai, Qing Pi.
Add and subtract according to symptoms: for those with lumbago and heel pain, add Eucommia nobilis, Mulberry, Chuan Xuan Guan; for those with frequent nocturnal urination, add Tai Wu Yao and Puzzle Ren; for hot flushes and excessive sweating, add Yin Chai Hu.
Positive deficiency of toxicity or positive deficiency of toxicity
Symptomatic features: rapid enlargement of breast lumps, localized skin fever or intermittent redness and swelling, or ulceration of breast lumps in the shape of a flower or a foul-smelling wound that is difficult to close. Poor mental health, dull or pale face, purple tongue or petechiae, yellow moss, weak pulse or fine pulse.
Treatment; Strengthening the spleen and tonifying the kidney, adjuvant with clearing heat and detoxifying; strengthening the spleen and tonifying the kidney, adjuvant with detoxifying and dispersing nodules.
Prescription: Liu Wei Di Huang Wan, Si Jun Zi Tang combined with Wu Wei Disinfectant Drink
Commonly used herbs: Radix et Rhizoma Huaiyang, Rhizoma Zelenia, Cornu Cervi Pei, Radix Rehmanniae, Poria, Radix Codonopsis, Rhizoma Atractylodis Macrocephala, Rhizoma Serpentis, Radix et Rhizoma Leucodendron
Add and subtract according to the symptoms: add rehmannia root and dongguaren; add fatty sea, millipedium and maitong if the stool is obstructed; add astragalus if weakness and mental discomfort.
This evidence is locally advanced, neoadjuvant chemotherapy is needed, and should be combined with the chemotherapy period to identify and treat the evidence.