What method is the best and fastest for treating gynecomastia in men?

Patient's question:

Patient Gender: Male
I have not been to the hospital since I started middle school. Recently, after a check-up, it was found that my estrogen levels are high, and there is hyperplasia detected in the ultrasound. What treatment is both effective and fast?

Doctor's answer:

Hello, since you know it's a hormonal imbalance, you can adjust it accordingly! It's okay, it can be cured! Chinese medicine combined is also fine: How is it treated? What is the prognosis? Physiological gynecomastia generally does not require treatment. Pathological gynecomastia should be treated by targeting its cause, actively treating the primary disease, regulating endocrine, and simultaneously conducting symptomatic treatment. More importantly, it is essential to have a correct understanding of this disease from a psychological and emotional perspective. Let go of your mental burden, actively cooperate with treatment, and this will help the condition improve quickly. If long-term conservative treatment is ineffective, the breasts are excessively large, there is severe, or there is suspicion of cancer, surgery can be performed.
Chinese medicine adopts the principle of syndrome differentiation and treatment from a macro and holistic perspective, comprehensively adjusting the body's functions according to the pathogenesis. The main pathogenesis of this disease is the deficiency of liver and kidney yin, lack of nourishment, stagnation of qi and blood, as well as qi stagnation, phlegm coagulation, and blood stasis blocking meridians. Therefore, the main treatment focuses on soothing the liver, resolving depression, resolving phlegm, and dispersing nodules; tonifying the liver and kidney for deficiency syndromes; and promoting blood circulation and unblocking meridians for blood stasis.
Commonly used herbs include:
- For soothing the liver and regulating qi: Chai hu (Bupleurum), Xiang fu (Cyperus), Chuan lian zi (Aristolochia).
- For harmonizing the stomach and resolving phlegm: Fu ling (Poria), Chen pi (Tangerine Peel), Ban xia (Pinellia).
- For softening hardness and resolving nodules: Bei mu (Fritillaria), Pu gong ying (Dandelion).
- For tonifying the liver and kidney: Gou qi zi (Goji Berry).
- For promoting blood circulation: Wang bu liu xing (Prickly Pear).
Classic formulas include:
- For qi stagnation and phlegm coagulation: Qing gan jie you tang (Liver-Clearing Decoction), Xiao Yao san (Free and Easy Wanderer).
- For liver and kidney yin deficiency: Yi guan jian (Uninterrupted Decoction), Liu wei di huang wan (Six-Ingredient Rehmannia).
- For qi stagnation and blood stasis: Dan qi pian (Dan Qi Tablet), Wu jin wan (Black Gold Pill).
- For yin deficiency and phlegm coagulation: You gui yin (Right Returning Decoction), Er xian tang (Two Herbs Decoction).
Additionally, topical ointments, ear acupuncture, and body acupuncture can be used.