Case 1 :
Clinical manifestations: for 5 days, symptoms as hard and pain in right breast, in red colour and pervading swelling, aversion to cold , fever. Poor appetite, dysphoria, but normal urination and bowel movement.
Pattern : Ruyong/liver fire with spleen deficiency
Treatment principle: Soothe liver and regulate qi, stop pain and clear heat
Formula : Apply the meaning of Xiao yao san
Chaihu 6g, jixueteng gao 9g, chishao 6g, xiangfu 6g, yujin 6g, shengdihuang 6g, pugongying 15g, niubangzi 6g, gancaojie 3g
Second visit: after 2 days dosage, hardness of the breast became softer, pain reduced too, appetite improved, happy feeling on her face. Modification of formula as: – chaihu, yujin, +ruxiang, moyao, beimu, jiazhu, lianqiao.
After 2 more days, all the symptoms gone.
Case 2 :
Clinical manifestations: one month after delivery, pain and break on left nipple initially, then the breast pain with swelling. Accompanied symptoms as cold and fever, headache, chest distension, nauseas, day month, thin-yellow coating, floating-rapid pulse.
Pattern : exterior toxin invade, disharmony of breast collaterals
Treatment principle: disperse toxin, regulate collaterals.
Chaihu 6g, huangqin 10g, pugongying 30g, banbianlian 15g, niubangzi 10g, jinjie 5g, fangfeng 5g, bohe 5g, quangualou 12g, loulu 10g, qingpi 5g, chenpi 5g, dangguiwei 10g, shengcao 3g
For 2 packs
Exterior application: sesame oil on nipple, jinghuangsan 金黄散 on the pain area of breast.
Second visit: cold and heat gone, pain,swelling of left breast reduced, left nipple break improved. Modify the formula: -jinjie, bohe, +lulutong 10g , for 3 packs
Third visit: still chest distension, poor appetite. Apply clear liver heat, regulate stomach method.
from : Case study in TCM history