Hyperplasia of mammary glands is believed to be caused by disturbance of the ovary, usually seen among young women. The clinical manifestations are multiple different-sized and movable nodules in one or both breasts, distension and pain of the breasts, especially be-fore menstruation. This disease pertains to the conception of mammary stagnation in TCM due to prolonged stagna-tion of liver qi and coagulation of phlegm; or due to asthe-nia of the liver and kidney, dysfunction of the thorough-fare vessel and retention of phlegm in the stomach collaterals over the breast since the middle age.

[Syndrome differentiation]

Different-sized, round and hard nodules appear in one or both of the breasts. When the nodules become large, they appear like cysts with unclear margin, no adhesion with the skin and thoracic fascia, local distending pain and aggravation before menstruation. Sometimes the nipple discharges yellowish and greenish, brownish and bloody liquid, accompanied by aching and weakness of loins and fatigue, irregular menstruation, mental depression, dys-phoria and insomnia.

[Treatment]

1. Body acupuncture

Prescription: Tanzhong (CV 17), Wuyi (ST 15), Rugen (ST 18), Jianjing (GB 21) and Sanyinjiao (SP 6).

Modification: For irregular menstruation, Qihai (CV 6), Zusanli (ST 36) and Taichong (LR 3) are added; for mental depression, dysphoria and insomnia, Hegu (LI 4), Neiguan (PC 6) and Taichong (LR 3 ) are added; for aching and weakness of the loins, Shenshu (BL 23) and Taixi (KI 3) are added.

Performance; Tanzhong (CV 17) is needled horizon-tally toward the breast on the affected side; Wuyi (ST 15) is needled horizontally lateral; Rugen (ST 18) is needled toward the upper direction or horizontally lateral or ob-liquely. All these three acupoints are needled with rota-ting and reducing techniques. Shenshu (BL 23) and Taixi (KI 3 ) are needled with rotating and reinforcing tech-niques. The needles are retained and manipulated twice or 3 times at intervals.

2. Ear acupuncture

Prescription: Endocrine (CO18), Liver (CO12 and Kidney (CO12).

Performance: Medium and strong stimulation is re-quired, the needles are retained for 30 minutes and the needling is done once a day. Or Wangbuliuxingzi (Semen Vaccariae) is used for ear acupressure.

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