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9/18/16
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Breast Health in Chinese Medicine
Jill Blakeway, DACM, L.Ac.
Biomedicine : Breast Anatomy
Reproductive Cancers
“The Perfect Storm”
Deficiency Blood
Qi Yin & Yang
Stagnation Blood
Phlegm Damp Toxicity/
Heat External Internal
Chinese Medicine: Breast Anatomy
The Six Stagnations of Zhu Dan-xi
Stagnations“10,000 illnesses all start with Yu”
Qi
Blood
Damp
Phlegm
Food
Fire
Common Breast Disorders
• Premenstrual breast distention & pain• Fibrocystic breasts• Fibroadenomas• Mastitis• Breast cancer
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Symptoms of low progesterone & relative estrogen dominance
• Breast swelling and tenderness • Mood swings • “Fuzzy thinking”• Irritability • Trouble sleeping • Water retention • PMS • Weight gain• Thickening of endometrial lining, clotted
menses
Estrogen Dominance: The most common patterns of disharmony
Deficiency of yang or qiLeads to stagnation of qi
Which leads to stagnation of blood or fluids. Or
Stagnation of qi and/ or bloodLeads to weak yang or qi
Leading to fluid accumulation.
Deficiency of KI yang or
SP qi
Leads to stagnation
of LIV qi
stagnation of blood or
fluids
Stagnation of LIV Qi and
or Blood
Leads to weak KI
yang or SP qi
fluid accumulation
or
Acupuncture
Ren17, SI1, GB21, LI4, LV3, LV8 & ST36, Ren6
PC6 & SP4 (chong), ST30
SI11(B), PC6(R), SP4 (L), HT7(L), GB34(R), KI7(B)
SI1 and breast ashi point (w/ ion pumping chords)
GB41, SJ5 (dai)
Ren17, ST18 and ST34
Qing Shu Yi Qi Tang (Clear summerheat & Boost the Qi Decoction)
Huang Qi (Radix Astragali Membranacei) Ren Shen (Radix Panacis Ginseng) Cang Zhu (Rhizoma Atractylodis) Bai Zhu (Rhizoma Atractylodis Macrocephalae) Gan Cao (Mix-fried Radix Glycyrrhizae) Mai Men Dong (Tuber Ophiopogonis Japonici) Ge Gen (Radix Puerariae)Wu Wei Zi (Fructus Schisandrae Chinensis) Dang Gui (Radix Angelicae Sinensis)Chen Pi (Pericarpium Citri Reticulatae) Qing Pi (Pericarpium Citri Reticulatae Viride) Sheng Ma (Rhizoma Cimicifugae) Huang Bai (Cortex Phellodendri) Ze Xie (Rhizoma Alismatis)Shen Qu (Massa Medica Fermentata)
Self-Help Advice to Combat Estrogen Dominance
• Take care of your liver.• Follow a hormone balancing diet by eating
plenty of vegetables, adequate protein and some healthy fats.
• Make sure you eat enough fiber so that your bowels are able to eliminate excess estrogen.
• Eat cruciferous vegetables• Avoid endocrine-disrupting chemical exposure• Talk to your doctor about progesterone
supplementation. • Lose any excess weight and get regular exercise
Premenstrual Breast Pain
• Elevated estrogen• Estrogen/progesterone imbalance • Elevated prolactin• Hormone allergy• Hypoglycemia• Vitamin B6 deficiency• Lowered neurotransmitters• Stress• Family history of PMS
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Xiao Yao Wan (Free Wanderer Powder)
Chai Hu (Bupleuri Radix) Dang Gui (Angelicae Sinensis Radix) Bai Shao (Paeoniae Radix Alba) Bai Zhu (Atractylodis Macrocephalae Rh) Fu Ling (Poria) Bo He (Mentha H)Sheng Jiang (Zingiberis RH)Gan Cao (Glycyrrhizae Radix)
Dao Shui Fu Ling Tang (Poria Decoction to Drain Water)
Fu ling (Poria Rubra)Ze Xie (Rz. Alismatis)Bai Zhu (Rz. Atractylodis)Mu Gua (Fr. Chaenomelis)Bing Lang (Sm. Arecae)Mai Men Dong
(Rx. Ophiopogonis)
Zi Su Ye (Fol. Perillae)Deng Xin Cao (Medulla Junci)Chen Pi (Per. Citri Reticulatae)Mu Xiang (Rx. Aucklandiae)Sha Ren (Fr. Amomi)Sang Bai Pi (Cx. Mori)Da Fu Pi (Per. Arecae)
Fibrocystic Breasts
When examined under a microscope, fibrocystic breast tissue includes distinct components such as:• Fluid-filled round or oval sacs (cysts)• A prominence of scar-like fibrous tissue
(fibrosis)• Overgrowth of cells (hyperplasia) lining the
milk ducts or milk-producing tissues (lobules) of the breast
• Enlarged breast lobules (adenosis)
Wen Dan Tang (Warm the Gallbladder Decoction)
Ban Xia (Rhizoma Pinelliae Ternatae)Chen Pi (Pericarpium Citri Reticulatae)Fu Ling (Sclerotium Poriae Cocos)Zhu Ru (Caulis Bambusae in Taeniis) Zhi Shi (Fructus Citri seu Ponciri Immaturus) Sheng Jiang (Rhizoma Zingiberis) Gan Cao (Radix Glycyrrhizae Uralensis) Da Zao (Fructus Zizyphi Jujubae)
Herbal combination to add to a formula to treat breast pain and
benign lumps.
Qing Pi (P. Citri Viride)Gua Lou (Fr. Trichosanthus) Jie Geng (Rx. Platycodonis)Pu Gong Ying (H. Taraxaci)
Self-help suggestions to disperse benign breast lumps
• Fig Poultice• Self-Massage• Time without a bra• Limit alcohol, coffee and chocolate• Limit dairy products• High fiber diet• Eat cruciferous vegetables or take a DIM
supplement• Supplement with vitamin D if necessary• Exercise
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Topical wash for benign breast lumps
Bai Zhi (Rx. Angelicae Dahuricae) 10gAi Ye (Fol. Artemisiae Argyi) 10gChi Shao (Rx. Paeoniae Rubra) 10gChuan Jiao (Fr. Zanthoxyli) 10gCong Bai (Bul. Allii) 3 pieces
"By eating too much thick, heavy foods or by bearing grudges, the portals (of the breast) will become blocked. As a cumulative effect of worry (which damages the spleen and liver by knotting or binding of the qi), a dormant node may develop, hard like a turtle shell (but) with no pain or itching. It takes more than 10 years to become a sunken sore, called suckling breast rock because it forms a depression like a rock cave.”
Zhu Dan-xi
Etiology of Breast Cancer: Zhu Dan-xi
Phytoestrogens
Whole grains rye, oats, barley,
millet, rice, wheat, corn
Seeds buckwheat, sesame, sunflower, pumpkin, amaranth, quinoa
Beans yellow split peas, black
turtle beans, baby limas, anasazi beans,
kidney beans, soybeans
Fruits olives, cherries,
grapes, apples, pears, peaches, plums,
strawberries
Breast Health in Chinese Medicine
Jill Blakeway, DACM, L.Ac.