乳癖
Alias乳腺增生
Traditional Chinese Medicine Definition
The condition known as Breast Mass, also referred to as Mammary Hyperplasia in traditional Chinese medicine, is believed to be caused by the stagnation of liver Qi, the intermingling of phlegm and blood stasis, and the imbalance of the Chong and Ren meridians. According to the records in "Internal Medicine of Traditional Chinese Medicine," Breast Mass primarily manifests as breast lumps and pain, often accompanied by symptoms such as emotional disturbances and exacerbation before the menstrual period.
In clinical practice of traditional Chinese medicine, the core pathogenesis of Breast Mass is the stagnation of liver Qi, the intermingling of phlegm and blood stasis, and the imbalance of the Chong and Ren meridians. Common precipitating factors include emotional disturbances, irregular diet, and irregular lifestyle. During differentiation, attention should be paid to the following key points: the syndrome of liver Qi stagnation is characterized by breast distension and pain that fluctuates with emotions, and chest and hypochondriac stuffiness; the syndrome of phlegm and blood stasis conglomeration is characterized by hard breast lumps with localized pain, exacerbating before the menstrual period; the syndrome of imbalance of the Chong and Ren meridians is characterized by breast lumps increasing before the menstrual period and decreasing after the period, along with weakness in the lower back and knees. The overall direction of treatment suggests soothing the liver and regulating Qi, activating blood and resolving stasis, and replenishing the Chong and Ren meridians to achieve the effects of resolving lumps, alleviating pain, and softening hard lumps. Traditional Chinese medicine holds that the treatment of Breast Mass should be tailored to the specific syndrome type of the patient, adopting an individualized treatment plan.
Common Syndrome Types and Key Points of Differentiation
肝郁气滞证
Main Manifestations：乳房胀痛随情绪波动,胸胁胀闷
Management Approach：疏肝理气,散结止痛
痰瘀凝结证
Main Manifestations：乳房肿块质硬,痛有定处,经前加重
Management Approach：活血化瘀,化痰散结
冲任失调证
Main Manifestations：乳房肿块经前增大经后缩小,腰膝酸软
Management Approach：调补冲任,软坚散结
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
In clinical practice, when examining patients with Breast Mass, palpation reveals hard lumps. During differentiation, attention should be given to the stagnation of liver Qi and the imbalance of the Chong and Ren meridians.
— 唐玉兰 中医执业医师（师承）
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)