BREAST TENDERNESS

Clinical Manifestations	Around the period the breasts feel tender, sore, distended, or have itchy pain in the nipples Differentiate between tenderness, tumor or cyst. Tumor: Generally has an inverted nipple Breast skin looks like an orange peel The areola border is not clear. Cyst: Can be big or small Changes with the cycle hormone levels May be many T they are fluid filled sacs
Treatment Principle
Herb Formulas
Points

Clinical Manifestations	Premenstrual tenderness Itchy Distended Hypochondriac pain and distention Alternating fever and chills Depression Easily angered Chest fullness Bitter taste in mouth Fidgeting Abdominal pain and cramps Breast distention and pain Irritability Dysmenorrhea Irregular menstruation Amenorrhea T: Pink C: Thin and white P: Wiry or Tight
Treatment Principle	Soothe the Liver Relieve Stagnation
Herb Formulas	Chai Hu Shu Gan Tang Xiao Yao San
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18

Clinical Manifestations	Tenderness in last few days of menstruation Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus, deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish Liver and Kidney Yin
Herb Formulas	Yi Guan Jian Zi Shui Qing Gan Yin
Points	KI-3, LIV-3, SP-6, UB-18, UB-23