Breast hyperplasia is a very broad concept, I think there are two main, one is the pathological sense of breast hyperplasia (such as ductal epithelial hyperplasia, atypical hyperplasia, etc.), and the second is the Western medicine called “Mastalgia” (Mast pain) of the disease, the Chinese medicine called “breast fetish The second is what Western medicine calls “Mastalgia”, which in Chinese medicine is called “breast fetish”. What we usually mean is the latter. Of course, there are also some patients who have neither pain nor pathologically confirmed ductal epithelial hyperplasia, but only ultrasound suggests glandular disorders and small nodule formation, will also be called hyperplasia. That will not be discussed for the time being. This article will focus on Mastalgia or breast fetish. Breast pain is a common problem in patient visits, and patients often incorrectly assume that the painful symptoms are related to breast cancer, but when breast cancer is ruled out, mere reassurance and psychological conditioning 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 who were 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. The etiology of the pain is not entirely clear. Western medicine suggests 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. This 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 except breast cancer, followed by explanation and reassurance. 2. The first recommended medication for cyclic breast pain is evening primrose oil, an all-natural botanical that is also recommended for lower side effects. 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, Chinese medicine believes that there are the following. 1, emotional factors. Chinese medicine says that the cause of most diseases is external six evils and internal seven emotions. Breast fetish is also, thinking hurts the spleen, anger hurts the liver, emotional disorders, liver loss of detoxification will be stagnation of qi and blood stasis. 2, dietary factors. The old ancestors said “disease enters by the mouth”, the spleen and stomach is the source of qi and blood biochemistry, excessive dietary fat, sweet, thick and greasy, aggravate the spleen and stomach transport, transport failure, phlegm and dampness. 3. Tiredness and internal injuries. Excessive labor, whether it is physical labor, mental labor, excessive housework are depleted kidney gas. Breast 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 is prescribed proprietary Chinese medicines, how to identify the doctor knows how to use Chinese medicine? Is it a case-by-case approach? Is it possible not to use drugs? My answer is, oh, it is difficult. I exchanged meetings in Zhengzhou hospitals together specifically about breast hyperplasia standardized Chinese medicine diagnosis and treatment, teaching Western medicine how to identify the 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 modifications on your own by reading this popular science article. Most of the pain can be relieved or even cured if you can successfully manage the variable subjective factors such as diet, emotions, work habits, stress, etc. 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.