@Pengwei Lu, Department of Mammography, discusses breast hyperplasia Breast hyperplasia is a very broad concept, and I think there are two main types of breast hyperplasia: the first one is breast hyperplasia in the sense of pathology (e.g., ductal epithelial hyperplasia, atypical hyperplasia, etc.), and the second one is the disease known as “Mastalgia” in Western medicine, and “Breast Fetish” in Chinese medicine. “Mastalgia” in Chinese medicine. It is the latter that we usually refer to. Of course, there are some patients who have neither pain nor pathologically proven ductal epithelial hyperplasia, but only ultrasound suggests glandular disorders and small nodule formation, which may also be called hyperplasia. That will not be discussed for the time being. This article will focus on Mastalgia or breast fetish. Lv Pengwei, Department of Breast Surgery, First Affiliated Hospital of Zhengzhou University Breast pain is a common problem in patients’ visits to the clinic, and patients often wrongly believe that painful symptoms are related to breast cancer, but when breast cancer is ruled out, comfort and psychological adjustment alone can relieve more than 80% of mild pain. A community-based epidemiologic study in the United States found that 68% of 874 women aged 18-44 years surveyed had varying degrees of cyclical breast pain, with 22% of the pain described as moderate to severe. So breast pain is a common problem for women of childbearing age. Sometimes breast pain is accompanied by pain in the armpits and shoulders. Regarding the pain, the etiology is not entirely clear. Western medicine believes that the main cause is a disturbance in sex hormone levels, but there are studies that show that many people with pain have normal hormone levels, so the exact mechanism is not clear. Of course, Western medicine also recognizes the relevance of psychosocial factors to breast pain. There are also doctrines regarding water retention, caffeine, and prostaglandins regarding the etiology, although these doctrines also have no fixed conclusions, and even different studies have come to opposite conclusions. So, here comes the important question. Does breast pain elevate the risk of breast cancer or not? From the literature currently available, there are several small samples of data that suggest a relationship. The relationship can be based on increased estradiol and prolactin in some of those with pain, but this trend isn’t enough for me to go overboard with the science because there are still most studies that have found that pain is present in less than 10% of all diagnosed breast cancer patients. So folks, don’t worry unduly. Western medicine has medical evidence-based medicine in the treatment of breast pain. There are different drug trial data based on different etiologic doctrines. The general treatment recommendations are: 1. Regardless of any pain, the first treatment is to exclude breast cancer, followed by explanation and reassurance. 2. The first recommended medication for cyclical breast pain is evening primrose oil, which is pictured on the cover of this article, an all-natural botanical, and the recommended medication with fewer side effects. 3. The next most recommended medications are danazol, bromocriptine, and tamoxifen. Also, limiting caffeine intake is one way to improve symptoms. In conclusion, there are many Western medical doctrines regarding breast pain disorder, but they are also highly controversial. The first priority before treatment is to rule out breast cancer, lung and pleural disease, and musculoskeletal pain in the chest wall. Well, if you are a TCM black or reject TCM herbal medicine, you can stop here and don’t need to read the following. Here’s what TCM knows about breast fetish. The name of breast fetish is found in Hua Tuo’s “Zhongzangjing”: “The internal knot in the hidden seclusion, the external invisible.” Therefore, it is called fetish. Gong Jiuzhong “surgical living fixed book”: “breast fetish, this disease was born on the breast, is the syncopated yin, yangming meridian belongs to.” Surgery: “Breast Fetish is a tuberculosis in the breast …… or fall heavy pain, or no pain, the skin color is unchanged, the nucleus with the joy and anger and fade.” The ancients clearly articulated that the symptoms of breast fetish are periodic pains related to emotions and feelings. Regarding the etiology, TCM believes that there are the following.1. Emotional factors. Chinese medicine says that the cause of most diseases is the external six evils and the internal seven emotions. Breast fetish is also, thinking hurts the spleen, anger hurts the liver, emotional disorders, the liver is not detoxification, then stagnation of qi and blood stasis. 2. dietary factors. As the old ancestors said, “illness enters by the mouth”, the spleen and stomach are the source of qi and blood biochemistry, excessive dietary fat, sweet, thick and greasy, aggravate the spleen and stomach transportation, transportation failure, phlegm and dampness arise. 3.Excessive labor. Excessive labor, whether it is physical labor, mental labor, excessive housework are depleted kidney gas. Breasts in Chinese medicine, although the foot syncope Yin liver meridian, but “although the cloud liver disease, its origin in the kidney.” If the innate kidney yang is insufficient, and then overworked, it will be more serious breast fetish. Therefore, in my clinical practice, I often reuse kidney tonic herbs. In Chinese medicine, different practitioners have different classifications for the types of breast fetish, including liver qi stagnation, Chong Ren imbalance, cold and blood stasis, etc. The treatment plan is also based on the identification of these symptoms. The treatment plan is also based on the identification of these symptoms and the use of medicines. Now the question arises again, the breast department is now really the worst hit by pCms. Many patients go to Western hospitals, but the breast department prescribes proprietary Chinese medicines, how can we tell if the doctor knows Chinese medicine? How can we tell whether the doctor knows Chinese medicine or not? Is it possible to use medicines according to the evidence? Is it possible to dispense with medication? My answer is, oh, it’s hard. I exchanged meetings in Zhengzhou hospitals together specifically about breast hyperplasia standardized Chinese medicine diagnosis and treatment, teaching Western doctors how to identify evidence through diagnosis. But some professors 2 minutes per patient is really difficult to identify in detail. Either they don’t know it very well or they don’t have the time. Detailed diagnosis of breast fetish requires asking about pain patterns, menstruation, looking at the tongue and pulse, eating and resting habits, work and life stress, etc. If you are asking for an internet consultation, I think answering this is harder than answering the treatment of breast cancer. However, you can still do some conditioning on your own by reading this popular science article. I’ve previously published an article in a magazine, “Breast Hyperplasia: 7 parts regulation, 3 parts treatment”, you can search on Baidu to take a look. Most of the pain can be relieved or even cured if you can successfully adjust your diet, emotions, work habits, stress, and other variable subjective factors. In conclusion, Chinese medicine and Western medicine have different theories, but they also have some common points on the mechanism and treatment of breast enlargement. For example, the influence of diet and emotion. If self-conditioning does not improve the pain, it is recommended to go to a regular hospital for treatment. Remember, before all treatments, ruling out breast tumors is the first priority. The First Affiliated Hospital of Zhengzhou University @Mammography Lvpengwei More breast science, follow Sina microblogging @Mammography Lvpengwei WeChat public number: lvpengwei2015