FIBROCYSTIC BREAST DISEASE (FIBROIDS)

Clinical Manifestations
  • Lump(s) in the breast(s) that are of different sizes, or shapes
  • Can have pain or no pain
  • Can change in size with menstrual cycle and emotions
  • Luteal phase = larger, follicular phase = smaller
  • Patient should get mammogram, if lump is malignant it will be hard, fixed and feel like cauliflower and there may be an inverted nipple (significantly inverted- including areola), the edge of areola may not be distinct (fades to pale orangey), pink fluids may leak, check lymph nodes (axillary, 52-53 nodes).
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Slightly hard, mobile breast lumps
  • Body cold
  • Limbs icy
  • Aversion to Cold
  • White frothy sputum
  • Anorexia
  • Complexion white and shiny
  • Weak voice
  • Shortness of breath
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • Irregular menstruation
  • Clear, white vaginal discharge
  • Infertility
  • Low sex drive
  • Severe:
    Abdominal ascites
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
  • Eliminate lumps and swelling
Herb Formulas
Points
Clinical Manifestations
  • Can start in puberty
  • Can change size with cycle and/or emotions
  • The Lumps are pliable without adhesion
  • The outline of the lumps are not clearly definable
  • Breast distention and pain before and during menses
  • Pain and lumps worse with anger and depression
  • Dysmenorrhea
  • Infertility
  • Irregular menses
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe Liver
  • Clear Stagnation
  • Circulate Qi
  • Dissolve lumps
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Nausea
  • Vomiting
  • Anorexia
  • Epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Breast lumps that may feel hot
  • Can start in puberty
  • Can change size with cycle and/or emotions
  • The Lumps are pliable without adhesion
  • The outline of the lumps are not clearly definable
  • Breast distention and pain before and during menses
  • Pain and lumps worse with anger and depression
  • Dysmenorrhea
  • Infertility
  • Irregular menses
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Night sweats
  • Malar flush
  • Low-grade afternoon fever
  • Five Sole Heat
  • Thirst
  • Dark urine
  • Constipation
  • T: Red
  • C: Little or None
  • P: Thready, wiry and rapid
Treatment Principle
  • Dredge the Liver
  • Regulate Qi
  • Nourish Yin
  • Clear Fire
Herb Formulas
Points
Clinical Manifestations
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or
  • Sudden deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • In severe cases:
    Mania
    Hemoptysis
    Hematemesis
    Epistaxis
  • Liver Fire Attacks the Lungs:
    Hemoptysis
    Rib pain which is severe when coughing
  • Liver Fire Attacks the Stomach:
    Hematemesis
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
Treatment Principle
  • Clear the Liver
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Pronounced chills with light fever or
  • Chills without fever
  • Cold extremities
  • Aversion to Wind
  • Headache
  • Thirst
  • Sweating on the head
  • Irritability
  • Insomnia
  • Dry cough
  • Tuberculosis
  • Diarrhea
  • Palpitations
  • Loose stools
  • Hypochondriac pain
  • A feeling of fullness and clumping in the chest and hypochondrium
  • Rapid Heart palpitations
  • Dysuria
  • Night sweats
  • Gastric distention
  • T: Moist
  • C: White and slippery
  • P: Wiry and tight on the left or Wiry and slow on the right or Thin and rapid or Irregular
Treatment Principle
  • Harmonize and release the Shao Yang
  • Disperse clumping
  • Warm the Interior
  • Dispel Cold
  • Dispel water accumulation
  • Clear Heat
Herb Formulas
Points

Clinical Manifestations
  • Chronic, small sand/bean plentiful lumps
  • Irregular menses
  • Infertility
  • Dark eye circles
  • Weak back and knees
  • T: Red or Darkish
  • C: Little or None
  • P Thready, wiry and rapid
Treatment Principle
  • Nourish the Kidneys
  • Soothe the Liver
  • Regulate the Jing Luo
  • Dissolve lumps
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole Heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Men:
    Spermatorrhea
  • Women:
    Irregular menses or
    Scanty menses or
    Amenorrhea
    Vaginal discharge
  • T: Red
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • A sensation of oppression in the chest
  • A feeling of distention in the hypochondrium
  • The chest pain is worse just prior to and after menstruation
  • The pain is worse with emotional upset
  • Breast masses that are moderately hard and painful on palpation
  • Pale red or Blood-tinged secretions from the nipple
  • Pain that is fixed, stabbing and/or severe or
  • Pains that move around
  • Distention
  • Depression
  • Irritability
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas,
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Invigorate the Blood
  • Move Qi
  • Break up Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Noxious swellings
  • Abscesses
  • Flat abscesses
  • Red face
  • Chest pain
  • Ulceration of the tumor
  • Maybe a bloody secretion
  • Foul odor
  • Short urine
  • T: Reddish purple
  • C: Little or Yellow
  • P: Wiry and rapid or Flooding or Tight or Thin
Treatment Principle
  • Move Qi
  • Invigorate the Blood
  • Break up Stasis
  • Clear Heat
  • Resolve toxicity
Herb Formulas
Points
Clinical Manifestations
  • Slightly hard, permanent, mobile masses in the breast
  • Non-discernable outline of the masses
  • Fatigue
  • Loose stools
  • Poor appetite
  • Dizziness
  • Pale face
  • Weak voice
  • Shortness of breath
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • Slight edema of the legs
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and empty
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Drain the channels
  • Eliminate Stasis
Herb Formulas
Points
Clinical Manifestations
  • Soft lumps like a hard boiled egg (smooth)
  • No significant pain
  • Does not necessarily change with cycle
  • Usually in younger women
  • Dizziness
  • Nausea
  • Chest fullness and pain
  • Dyspnea
  • Shortness of breath
  • Severe pain radiating to the back
  • Severe wheezing
  • Severe cough
  • Disturbed sleep
  • Breast distention and pain before and during menses
  • Dysmenorrhea
  • Infertility
  • Irregular menses
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • T: Normal
  • C: White and greasy
  • P: Deep and wiry or Tight
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
  • Eliminate Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Breast distention and pain before and during menses
  • Pain in the breast and nipple
  • Dislike of having them covered
  • Small nodules
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Nausea / vomiting
  • Anorexia
  • Epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • edema
  • Aversion to Cold and Wind
  • Tendency to sigh
  • Melancholy
  • Depression
  • Insomnia
  • Dream-disturbed sleep
  • Night sweats
  • Irritability
  • Agitation
  • Inappropriate anger
  • Very irregular menses
  • Pale flow
  • Maybe scanty or copiuos menstruation
  • Dysmenorrhea
  • Maybe amenorrhea
  • Low back and knee weakness and pain
  • Maybe infertility
  • Tired spirit
  • Blurred vision
  • Tinnitus
  • Dizziness
  • T: Pink or Pale
  • C: Thin and white
  • P: Wiry and thready or Frail and deficienct
Treatment Principle
  • Harmonize the Chong and Ren
  • Soften hardness
  • Resolve lumps
Herb Formulas
Points