Experience in the Treatment of Breast Distending Pain During Menstruation

LI Qingjun; WANG Dongmei

Abstract：Breast distending pain during menstruation is a common disease of department of gynecology. Traditional Chinese medicine holds that the deficiency of liver blood and liver failing to regulate cause un-smooth circulation of qi and blood and blockage of breast collaterals,manifesting as pain. The cause and mechanism of breast pain include:internal injury due to emotional disorder leading to stagnation of liver qi;yin deficiency of liver and kidneys causing deficiency of qi and blood;stagnation of liver qi and spleen de-ficiency leading to retention of water and dampness;blood stasis obstructing the collaterals leading to ob-struction of collaterals. The disease should be treated based on syndrome differentiation. The syndrome of stagnation of liver qi should be treated with Chaihu Shugan powder to disperse stagnated liver qi,relieve qi stagnation,regulate qi-flowing,and remove distention;the syndrome of stagnation of liver qi and blood defi-ciency should be treated with Xiaoyao powder to soothe the liver,resolve constraint,promote qi circulation, and nourish blood;the syndrome of yin deficiency of liver and kidney should be treated with Yiguan decoc-tion to nourish kidneys and liver,resolve constratint and unblock the collaterals;the syndrome of liver qi and spleen deficiency should be treated with Shugan Jianpi formula to soothe the liver,strengthen the spleen,and harmonize stomach. The syndrome of qi stagnation and blood stasis should be treated with Xuefu Zhuyu de-coction to promote blood circulation,resolve blood stasis,regulate qi movement and relieve pain.