Fibroadenoma and Hyperplasia of Mammary Gland - Ru Pi
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Fibroadenoma
Diagnosis
- Young female (less than 35 years)
- Mostly one breast and a single nodule sized 1-5 cm in diameter
- Upper-outer quarter > upper-inner quarter > lower inner quarter
- Round, hard, normal skin colour
- Smooth surface, clear border, no adhesion with fascia or skin and very movable
- Growing very slowly (could be years and no change in size)
- No pain or very little pain
- Can have symptoms of Liver Qi Stagnation
Treatment
- Mostly Liver Qi Stagnation with Phlegm accumulation
- Soothe the Liver to relieve Qi Stagnation and resolve Phlegm to remove the nodule
- Formula: Xiao Yao San plus Bei Mu, Mu Li and Gua Lou
Hyperplasia of mammary gland
Diagnosis
- Middle-aged female
- One or both sides, one or several nodules, various sizes
- Tenacious and cyst-like
- Unclear border but movable
- Sizes related to emotion and menstruation (anger and pre-menstrual: larger)
- Slight pain and more painful before menstruation
- Normal skin colour but can have bruise if cyst breaks
- Sometimes green, yellow, brown or bloody discharges from the nipple
- Can have symptoms of Liver Qi Stagnation, or
- Symptoms of Chong Ren weakness (Kidney Yang Deficiency and menstruation irregularities)
Treatment
- Liver Qi Stagnation: Soothe the Liver to relieve Qi Stagnation and resolve Phlegm to remove the nodule. Use Xiao Yao San plus Bei Mu, Mu Li and Gua Lou
- Chong Ren weakness: warm Kidney Yang and regulate Chong Ren. Use You Gui Wan.
References
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