Patient's question:
Detailed medical condition and consultation purpose: About one week before menstruation, one breast experienced swelling and pain, with occasional mild pain, while the other breast had slight pain. The symptoms disappeared after menstruation. I want to know the cause of the condition, whether medication treatment is needed, and precautions to take in daily life.Duration and onset of the current illness: One week before menstruation
Current general condition: One breast has swelling and pain, with occasional mild pain, while the other breast has slight pain.
Doctor's answer:
Hello, premenstrual breast tenderness is one of the symptoms of premenstrual tension syndrome. Patients with this condition often experience breast or nipple tenderness 7 to 14 days before their period, to the extent that they cannot even touch their clothes, and upon palpation, it feels as if there are hard lumps, which disappear after the period. It may also be accompanied by chest and side pain, lower abdominal pain, irritability, or menstrual disorders. This condition is more common in women over 35, especially those who have passed their childbearing years, or those with infertility or menstrual disorders. The exact cause of this condition is not yet clear, but it may be related to endocrine factors, psychological factors, or conditions such as liver disease and the retention of water and salt in the body. Abnormal release of endorphins, dysfunction of the hypothalamus-pituitary-ovary-uterus axis, or a lack of vitamin B6 in the body can all trigger this condition.Chinese medicine treats muscle weakness and muscle atrophy!
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In traditional Chinese medicine, it is believed that women are primarily governed by blood. Menstruation, pregnancy, childbirth, and lactation can all deplete blood, placing women in a state of blood deficiency and relative qi excess. During the premenstrual period, the overall deficiency of yin blood becomes more pronounced. Emotional distress, overexertion, prolonged illness, or excessive childbirth and sexual labor can lead to liver qi stagnation, causing this condition. Therefore, it is important to balance rest and activity, avoid excessive mental stress, and reduce salt intake before menstruation to prevent and alleviate symptoms.
Clinically, premenstrual breast tenderness is primarily of the liver qi stagnation type. Symptoms include breast or nipple tenderness before menstruation, chest and side fullness, depression, frequent sighing, thin white tongue, and wiry pulse. Treatment should focus on soothing the liver, resolving stagnation, regulating qi, and alleviating pain.
Formula 1: Tangerine Peel and Poria Cake
Ingredients:
- Tangerine peel: 10 grams
- Poria powder: 20 grams
- Glutinous rice flour: 300 grams
- White