First, the causes of breast hyperplasia Breast hyperplasia is breast epithelial and fibrous tissue hyperplasia, breast tissue ducts and lobules in the structure of the degenerative lesions and progressive connective tissue growth, the cause of its pathogenesis is mainly due to endocrine hormone imbalance. The classical etiological theory is that estrogen and progesterone imbalance, manifested as a decrease in progesterone secretion during the luteal phase and a relative increase in the amount of estrogen, resulting in the long-term stimulation of breast tissue by estrogen and the lack of progesterone’s restraining and protective effects, the ducts and lobules of the breast in the cycle of menstruation, hyperplasia and the incomplete restoration of the old, which leads to the occurrence of mastoproliferative disease. In recent years, many scholars believe that elevated prolactin is also an important factor in causing breast hyperplasia. In addition, some studies have shown that hormone receptors also play an important role in the pathogenesis of breast hyperplasia. So what exactly causes endocrine hormone disruption? It is generally believed that a variety of factors, such as nerves, immunity and trace elements, can cause an imbalance of various endocrine hormones in the body. The external environment of human existence, working and living conditions, interpersonal relationships, various stresses caused by neuropsychological factors can make the body’s internal environment change, thus affecting the function of the endocrine system, which in turn makes the secretion of a certain kind of hormone or several kinds of hormones appear abnormal. For example, in a state of long-term tension and anxiety, opioid energy tension increases, the neurotransmitter mediator environment changes, estrogen/dopamine incongruity occurs, which leads to an increase in PRL secretion, which may cause or aggravate mammary hyperplasia. Chinese medicine believes that the liver and kidney meridians have the closest relationship with the breast, followed by the Chong Ren meridians. Liver depression and qi stagnation, emotional and internal injuries have an important influence in the pathogenesis of breast fetishism. Plain depression, gas stagnation uncomfortable, qi and blood circumference loss degree, embedded in the breast of the stomach, breast meridian blockage, not through the pain caused by breast pain; liver gas against the stomach, the spleen is not healthy, phlegm and turbidity within the birth of qi stagnation and blood stasis hostage phlegm agglomeration of the nucleus, via the stay in the breast, so the breast lumps. Liver and kidney insufficiency, Chong Ren imbalance is also an important cause of breast fetish. Kidney is the basis of the five organs, the kidney gas is born in the sky, the sky is inspired by the decadal, the decadal stimulation of the Chong Ren, the Chong Ren under the uterus, the upper even the breast, the Chong Ren of the blood and gas, the upper behavior of the breast, the lower behavior of the menstruation. If the kidney qi is insufficient, the Chong Ren disorder, qi and blood stagnation, accumulation of stagnation in the breast, the uterus, or breast pain and lumps, or menstrual disorders disorder. Second, the degree of breast hyperplasia staging In order to identify the severity of breast hyperplasia and guide the treatment, according to the clinical manifestations of breast hyperplasia, experts divided breast hyperplasia into the following phases: 1, lobular hyperplasia of the breast (Ⅰ stage of breast hyperplasia): it is the initial stage of breast hyperplasia, mostly occurring in the age of 25-35 years old, with milder symptomatic manifestations, belonging to the Ⅰ stage of breast hyperplasia. It accounts for more than 70% of the prevalence of breast hyperplasia, and is often not taken seriously and left to develop without active treatment. 2, mammary gland adenopathy (mammary ductal dilatation, stage II breast hyperplasia): is the further development of the initial hyperplasia of the breast, from the lobular hyperplasia to the development of mammary ductal dilatation, known as mammary gland adenopathy, most commonly in the 30-45 years of age, with severe symptoms, belonging to the stage II of mammary gland hyperplasia. It is easy to pay attention to, and often it is more difficult to cure, and the prolonged treatment causes mental depression, which leads to the aggravation of the symptoms. Serious endocrine disorders, the body appears a series of disease symptoms, such as irregular menstruation, insomnia and sleeplessness, skin color dark and other series of reactions. 3, cystic hyperplasia (mammary ductal dilatation combined with epithelial cell hyperplasia, stage III breast hyperplasia): it is the further development of stage II breast hyperplasia, which occurs mostly at the age of 40-55 years old, and the symptoms are very serious, which belongs to stage III breast hyperplasia. The malignant rate of stage III hyperplasia is more than 70%, active treatment and regular examination is very necessary, stage III breast hyperplasia will often bring mental depression and fear to the patient. 4.Mammary cystic disease (Stage IV breast hyperplasia): The cells of breast ducts and epithelial cells accumulate and die in large quantities, forming cystic masses, with a cancer rate of over 90%. Under the joint action of disease factors and sex hormones, ductal or follicular epithelial cells proliferate, and the structure, function and metabolic characteristics of the proliferating epithelial cells change, and develop into atypical proliferating cells and overexpression of genes, resulting in the formation of abnormal hyperplasia and the possibility of cancer. The chance of breast hyperplasia developing into breast cancer is 1-3%, so breast hyperplasia must be alerted and treated in time. Third, the clinical manifestations of breast hyperplasia Breast pain and lumps are the main clinical manifestations of this disease. 1, breast pain: often for the swelling or stinging pain, can be involved in one or both breasts, to one side of the heavier common, the pain is serious untouchable, and even affect the daily life and work. The pain is mainly at the breast lump, and can also radiate to the affected armpit, chest or back of the shoulder; in some cases, nipple pain or itching is manifested. Breast pain often occurs a few days before menstruation or aggravated, after menstruation pain significantly reduced or disappeared; pain can also fluctuate with emotional changes. This kind of pain related to the menstrual cycle and emotional changes is the main feature of the clinical manifestation of breast hyperplasia. 2, breast lumps: lumps can occur in one or both breasts, single or multiple, preferably in the upper outer quadrant of the breast, can also be seen in other quadrants. The shape of the lumps can be lumpy, nodular, striated, granular, etc., in which lumpy is more common. The border of the mass is not obvious, the texture is medium or slightly hard and tough, with good movement, no adhesion with the surrounding tissues, and often with tenderness. The size of the lump varies, the small ones are as big as a grain of corn, and the big ones can be more than 3-4cm. breast lumps also have the characteristic of changing with the menstrual cycle, the lumps increase in size and become hard before menstruation, and the lumps decrease in size and become softer after the menstruation. 3, nipple discharge: a small number of patients may appear nipple discharge, spontaneous discharge, straw yellow or brown plasma discharge. 4, menstrual disorders: patients with this disease may also see irregular menstruation before and after, small amount or pale color, may be accompanied by dysmenorrhea. 5, emotional changes: patients often feel upset or irritable, every angry, nervous or tired after aggravation. Fourth, how to prevent breast hyperplasia Generally speaking, when the symptoms of breast hyperplasia are mild, only mild premenstrual breast swelling and pain, scattered small granular nodules in the breast, its condition does not affect the work and life, the available bra to support the breast to relieve breast swelling and pain, do not have to take any medication, only to its clinical observation can be, if there is no significant change, can be every six months to one year to the specialist to check a doctor. When the symptoms are more serious and affect the work or life, different treatments should be given to different situations. Commonly used treatments are: Chinese medicine, such as Chinese medicine, external treatment, acupuncture, etc.; Western medicine, such as oral hormone drugs, iodine preparations and other symptomatic drugs; surgical treatment, such as mastectomy, mastectomy, and so on.