What is the TCM treatment for acne-causing mastitis?

Comedonal mastitis is a disease term in traditional Chinese medicine. It is a relatively serious breast disease that occurs in women. Generally, women before puberty will not suffer from this disease, but they may get the disease after puberty. The patient will have lumps, nipple discharge, etc. So what are the traditional Chinese medicine treatments for this disease?

Traditional Chinese medicine treatment of acne-related mastitis:

Treatment principles

This disease is mainly treated with internal treatment, supplemented by external treatment. For patients with nipple discharge, it is advisable to find the cause and treat the symptoms appropriately. Promote the disappearance of breast lumps before they become pus. For those with suppuration and fistula, external treatment can be used.

1. Liver meridian stagnation and heat syndrome

Main symptoms: inverted nipple, redness, swelling and pain in the areola; accompanied by fever, headache, dry stool, yellow urine; yellow and greasy tongue, stringy or slippery pulse.

Treatment method: Soothe the liver and clear away heat, promote blood circulation and reduce swelling.

Representative prescription: Chaihu Qinggan Decoction plus Houttuynia cordata and Crataegus pinnatifida.

Commonly used medicines: Chuanxiong, Angelica sinensis, White Peony Root, Rehmannia glutinosa, Bupleurum chinense, Scutellaria baicalensis, Gardenia jasminoides, Radix Trichosanthis, Saposhnikovia divaricata, Burdock Fruit, Forsythia suspensa, and Licorice.

2. Syndrome of deficiency of body fluid and stagnation of pathogenic factors

Main symptoms: Abscess bursts spontaneously or does not heal for a long time after incision, pus oozes out, forming milk leakage, which heals and recurs from time to time, and there are local hard lumps; the tongue is pale red or red, the tongue coating is thin yellow, and the pulse is stringy.

Treatment method: Strengthen the body and support the body.

Prescription: Toli Xiaodu Powder with modifications.

Commonly used medicines: ginseng, astragalus (fried with salt water), angelica, chuanxiong, peony (fried), atractylodes, poria, honeysuckle, angelica dahurica, and licorice.

Outcome

The course of this disease is long. If the condition is mild, early diagnosis and treatment are given, the prognosis is generally good. If the condition is severe, the course of the disease may last for months or even years.

Related tests

1. Mammographic X-ray: There is a uniform and dense mass shadow in the subareolar area with unclear edges and irregular shapes, and occasionally flaky calcification foci are seen.

2. Nipple discharge smear: In the purulent and milky discharge smears, a large number of white blood cells, macrophages, histiocytes, lymphocytes and plasma cells can be seen. The glandular epithelial cells may have morphological changes due to inflammation.

3. Fine needle aspiration cytology examination of breast lumps: a variety of cells can be found mixed, with plasma cells being more common, as well as other inflammatory cells.