In various breast specialist clinics, the vast majority of patients are seen for lobular hyperplasia, a highly prevalent chronic disease with a prevalence rate of about 60%. Although benign, it causes great distress to the majority of women. Whether medication is needed. And how to treat is a widely controversial topic, not only patients, and even in the medical staff is not very unified. First, the theory of the uselessness of medication and the wrong view of long-term medication theory There are two concepts prevalent: one is the theory of the uselessness of medication, that lobular hyperplasia medication is not good anyway, can not break the root of the so-called not to eat, that the pain before menstruation is a normal phenomenon, even if the pain is serious, but also survive, as long as the regular review will be able to once the signs of malignant changes in a timely manner surgery. Many of those who adhere to this concept are those who have been taking the medicine for a long time, and after spending a lot of money, they still have pain when they stop taking the medicine or it is not effective at all, and they even end up with tumors. This kind of patients actually have a large element of complaint in it. The other is the theory of long-term medication, taking medication for more than one year, some also take medication for life, no matter whether there are symptoms or not, and even happy to do so, mostly seen in those who take medication for pain and stop taking medication, or “fans” who believe in traditional Chinese medicine fervently. Second, my point of view First of all, we need to know the name of the lobular hyperplasia is a clinical diagnosis, is a large class of diseases collectively, specific to a body, should be given a specific degree of lobular hyperplasia (mild/moderate/severe), the period (stationary period/active period), type (simple type/complex cystic hyperplasia/complex nodular hyperplasia/complex fibrosclerosis type, etc.) and evidence (liver and qi stagnation/qi stagnation blood stasis/ Chong Ren Dysregulation / Phlegm Congealment and Stasis, etc.), so that a more detailed and complete diagnosis can be made. This is just as the diagnosis of a specific patient with breast cancer cannot be just the word breast cancer, but should require information about the specific pathologic type (e.g., invasive ductal carcinoma), stage, grading, and molecular typing. Detailed consultation and examination by the physician, as well as ancillary tests such as ultrasound and molybdenum targets, play a major role in the interpretation of the degree of evidence of lobular hyperplasia. This has important implications for individualized treatment decisions. The determination of whether it is an active or quiescent stage is particularly important in deciding whether to use medication. Lobular hyperplasia is a chronic disease, and its course, like other chronic diseases, is sometimes relatively active and sometimes relatively quiescent. In the stationary phase, there is really no need to take medication, drugs can not make the root of the disease or reduce the degree of significant, regular review can be. But the degree of lobular hyperplasia will gradually aggravate the active period, it is necessary to take medication to make it static, otherwise lobular hyperplasia is inevitable gradual aggravation of serious lobular hyperplasia will increase the risk of benign and malignant tumors, which has been confirmed. Third, the basis of judgment of the active period What is the active period? Let’s first think about a series of questions: why do different individuals have pain and some do not? Why the same individual sometimes pain, sometimes no pain? Why the same body at the same time some parts of the pain, some parts do not hurt? What causes these differences? There is always a reason for everything. This is a basic point of philosophy and logic. My analysis suggests that increased pressure within the tissue due to progressive hyperplasia and/or local production of some active substances that irritate the nerves are the main causes of pain. Therefore, in most cases, the presence or absence of pain is the main basis for determining whether the lobular hyperplasia is active or not, when the patient’s lobular hyperplasia is proliferating. The degree of pain should be easy to detect and interfere with life, and generally speaking, the severity of pain reflects the speed of hyperplasia. If left unattended, the severity of the lobular hyperplasia will gradually increase. The degree of pain and the degree of hyperplasia are different concepts, equivalent to the speed of an automobile and the distance it has traveled. Clinically, some patients listen to the doctor’s palpation said that their hyperplasia is serious, will retort that the pain is not serious. It is not clear these two concepts. In addition, nipple itching, overflow and breast tingling, after excluding eczema, intraductal papillary tumors and paget’s disease and other causes, can also be considered to have a similar mechanism with pain, but also has the value of knowing whether the disease is in the active stage. In addition, some people have a high pain threshold that is only manifested as a rise, such as an increase in the number of cysts and nodules on ultrasound compared to the previous increase in size, and so on. It can also be regarded as a sign of active stage. Fourth, the principle of drug selection and course of treatment Almost all of the domestic treatment with pCms, since the essence is still Chinese medicine, in the selection of drugs should be the same as the use of herbal formulas, follow the principle of evidence-based treatment. It is important to have an understanding of the medicinal properties of proprietary Chinese medicines and an awareness of the patient’s dialectical evidence (evidence of lobular hyperplasia). Even for Western doctors, having basic knowledge of Chinese medicine is a must. It is not appropriate to choose drugs such as lots, arbitrary, or even a drug “cure” all patients, or a drug “eternal” suitable for the same patient. Try to “use drugs like soldiers, the disease of all changes in the drug also all changes”. As a patient, this should also have some understanding, do not hear what other people with what medicine is good, outpatient clinic will pester the doctor to prescribe this drug. This is not only people cloud, and is “people eat also eat”. What is suitable for others may not be suitable for you, and what was suitable for you in the past may not be suitable for you now. Western medicine mainly refers to estrogen antagonists such as triamcinolone acetonide or toremifene this category, because of the side effects of larger, more should not be used for a long time. Don’t be afraid to use them when you have to. Once you take the medicine, you have to do to eat a full course of treatment, eat a few days pain disappears that throw the pill box is not desirable, China is mostly proprietary Chinese medicines, generally 2 to 3 months, the extent of the serious (the degree of lobular hyperplasia) or compound hyperplasia nodules and cysts (lobular hyperplasia type) may need to eat to 3 to 6 months or so. Specifically how to grasp vary from person to person, to achieve individualized treatment, the need for individualized accurate and detailed diagnosis, can not be detailed here. Fifth, lifestyle adjustments usually do not eat a greasy diet (animal and human adipose tissue involved in estrogen synthesis), eat less beans (containing phytoestrogens), eat less coffee cola chocolate (containing methylxanthines), do not eat honey (containing insect estrogen), do not mess with the health care products containing estrogen and progesterone (such as confusing, there is a rough rule: to make the skin better or / and alleviate the menopausal Symptoms of health products, as well as reduce osteoporosis calcium supplements part of the health products need to be careful), can make the body’s sex hormone levels have been reduced, is conducive to make the lobular hyperplasia static. Detailed dietary attention for specific patients vary from person to person, but also individualized, to be determined after the clinic combined with the condition. Adjust the mood, do not often in irritation and anger or forbearance and repression, lobular hyperplasia is a typical physical and mental diseases, cheerful mood is very necessary. Sixth, the harm of the useless theory of taking medicine “useless theory of taking medicine” situation, first of all, we should know whether to choose the right drugs? Whether to use the full course of treatment? Whether the expectation is too high hope to eat a “completely normal breast”? If the pain is very serious for a long time and you insist on not taking medication, not only will your quality of life be seriously affected, but the lobular hyperplasia will continue to worsen, and the risk of atypical hyperplasia and even cancer will accumulate. Perhaps some people think that although the lobular hyperplasia is aggravated before menstruation, but after menstruation will be reduced, but in fact, this is a step forward and a half step back, it is impossible to return to the premenstrual state, that is, the so-called degeneration is incomplete. This is how the lobular hyperplasia accumulates half-step by half-step, “three feet of ice, not a day’s cold”, sit back and watch the lobular hyperplasia disease progress to a serious stage or even to the formation of tumors and then treatment, will be regretted. As with mild chronic gastritis do not care, such as the seriousness of the disease into gastric cancer, the regret is too late. “It is not too late to dig a well when you are thirsty, or to cast a cone when you are in a fight”? Chinese medicine also emphasizes on “treating the disease before the disease”. It must be known that the follow-up is only passive observation, the natural course of lobular hyperplasia is not any delay or prevent the role. Seventh, the harm of long-term drug theory “long-term drug theory” misunderstanding is too much faith in the efficacy of the current drugs, the current level of medical science, we can not do to eat the root. Some cases of good response to the drug, the mass may become smaller, thinner hyperplasia, but this is still not the root of the problem, smaller and thinner to the complete disappearance of the impossible, the degree of lobular hyperplasia is originally fluctuating with the menstrual cycle, the increase or decrease of intertissue fluid and cellular swelling by the endocrine environment and the influence of the drug is not surprisingly, but let the proliferation of the cells to completely apoptosis, the distortion of the structure of the complete However, to make the proliferating cells completely apoptosis, the distorted structure completely “twisted”, the fibrosis completely subside, the cyst completely disappear, etc., is really the current medical level can not do. Long-term medication, the cost is very large, but also may be due to the accumulation of side effects of traditional Chinese medicine and liver and kidney damage will not be worth it. Eight, conclusion lobular hyperplasia because it is benign and not by the breast professional too much attention, but its ultra-high prevalence is really plagued by quite a lot of women, especially in the eat too good to live too tired now (by eating and drinking these “treatment” too hungry method to “treatment” too tired is widely available). “Too tired is a widely held misconception, too tired need to relax and rest or Chinese medicine dialectical conditioning. Excessive food fat, sweet and thick taste and abuse of nutritional supplements on the elimination of fatigue useless. Extremely unfavorable to the lobular hyperplasia! Also increase the risk of coronary heart disease diabetes and other serious chronic diseases), is increasingly becoming a prominent clinical problem. And the severity of lobular hyperplasia increases the risk of breast cancer, and is also often confused to interfere with the diagnosis of breast cancer. It is clear that doctors need to pay attention to this disease, but also need to give the majority of patients some knowledge.