Syndrome of Masses

　　1. Qi stasis and blood stasis:Injury to the mind and internal organs, liver Qi depression, blocking the meridians and collaterals, blood flow is obstructed, Qi gathers and blood coagulates, accumulate into masses; or during menstruation and childbirth, the blood room is open, attacked by wind and cold, blood vessels become thick and immobile, evil Qi and residual blood fight and coagulate, accumulate into masses, gradually increasing into hundred masses.

　　2. Phlegm dampness stasis:Spleen Yang deficiency, irregular diet, spleen loses its healthy function, dampness and dampness do not transform. Condense into phlegm, phlegm turbidity fights with Qi and blood, coagulate Qi and blood, phlegm dampness stasis, accumulate and not disperse, gradually produce hundred masses over time.

　　3. Damp-heat stasis:After menstruation and childbirth, the meridians and collaterals are空虚, the healthy Qi is insufficient, the pathogenic damp-heat invades internally, combines with residual blood, lingers in the Chong and Ren Channels and uterus, obstructing the circulation of Qi and blood, damp-heat stasis does not dissolve, and gradually produces hundred masses over time.

　　4. Kidney deficiency and blood stasis:The kidney stores essence, is responsible for reproduction, and women take blood as the root, and the root of Qi and blood lies in the kidney. If there is insufficient kidney Qi due to congenital deficiency or postnatal injury to the kidney, kidney deficiency leads to Qi and blood stasis, which is kidney deficiency and blood stasis; or blood stasis accumulates for a long time, the source of essence is depleted, and it can also become kidney deficiency and blood stasis, blocking the Chong and Ren Channels and uterus, gradually forming hundred masses over time.

　　Syndrome of masses covers various types of gynecological benign tumors, with a large number of diseases, and is a common and difficult gynecological disease. Therefore, it can be complicated with:

　　1. Masses in the lower abdomen, with tenderness on palpation.

　　2. Abnormal menstrual volume, severe pain during menstruation, purple and dark menstrual blood with clots, infertility for a long time, or repeated abortions.

　　3. Low back pain, weak knees, dizziness, and tinnitus.

　　4. Tongue dark, pulse wiry-thin.

　　5. Protein and nutritional deficiency.

　　6. Mental tension, prone to fatigue, easy to be stimulated.

　　Gynecological examination finds masses in the pelvic cavity, which may be in the uterus, adnexa, or between paracervical tissues. It may also be accompanied by symptoms such as pain, swelling, and fullness, or abnormal menstrual bleeding or bleeding outside the menstrual period.

　　If necessary, use B-ultrasound examination or Crr scan, or magnetic resonance imaging to understand the location, size, and nature of the mass.

　　In the case of new diseases, it is advisable to attack and break; for those with long-standing illness or postoperative conditions, it is mainly to invigorate Qi and blood to restore the body's healthy Qi. If Qi is restored but the mass is not removed, it is mainly to attack and break again. If there is blood stasis after surgery, it can be assisted with Qi and blood circulation products during the period of invigorating Qi and blood, and attention should be paid to adjusting the diet, increasing appetite, and improving the function of the spleen and stomach.

　　Masses in the womb of women, accompanied by pain, swelling, fullness, or bleeding, are called syndrome of masses. Syndrome refers to hardness that does not move, with pain in a fixed location; while masses can be moved and pain is not fixed. Generally, syndrome belongs to blood disease, while masses belong to Qi disease. However, Qi and blood are closely related, and syndrome of masses is also difficult to separate, so it is collectively called syndrome of masses.

　　The female reproductive organ tumors referred to by Western medicine belong to syndrome of masses. In addition, masses caused by endometriosis, old ectopic pregnancy masses, and inflammatory masses also fall within the scope of traditional Chinese medicine syndrome of masses. Tumors have benign and malignant differences, with a higher incidence in uterine and ovarian tumors. This section discusses benign syndrome of masses.

　　Gynecological examination, assisted by B-ultrasound, hysteroscopy, laparoscopy, hysterosalpingography, and other examinations to assist in diagnosis. Pay attention to combine related tumor marker tests, etc., to exclude malignant tumors.

　　If the mass is large, there may be a bulge in the lower abdomen, or the mass may be palpable on the abdominal wall: for smaller masses, it is often necessary to use the Western double- and triple-examination to confirm the location, size, hardness, tenderness, and other characteristics of the mass to assist in diagnosis.

　　Gynecological masses encompass various types of benign gynecological tumors, with a large number of diseases, and are common diseases and difficult-to-diagnose diseases in gynecology.

　　Dietary suggestions for gynecological tumor patients

　　Gynecological tumors are a common type of disease that has a very serious impact on the physical and mental health of women. If there are some signs indicating the presence of gynecological tumors, it is necessary to cooperate with treatment in all aspects, including diet and lifestyle. Below, we will explain the dietary suggestions for gynecological tumor patients.

　　1. The diet should include sufficient nutrition, mainly plant foods, and choose vegetables, fruits, beans, and other foods to occupy more than two-thirds of the entire meal.

　　2. Maintain an appropriate weight, with an average BMI between 18.5 and 25, and a balanced weight is beneficial for the control of gynecological tumors.

　　3. Do not drink alcohol, especially excessive drinking, pregnant women, children, and adolescents should not drink alcohol.

　　4. The daily intake of meat should be less than 80g, with fish being the best choice. Fat and oil should be limited, and vegetable oil should also be consumed in moderation.

　　5. Limit the intake of salt. The daily salt intake should not exceed 6g. The total energy of carbohydrates should be less than 10%.

　　In addition, pay attention to consistently engaging in physical exercise in daily life, choose appropriate exercise projects based on your physical condition, and persist in them. You should feel warm and slightly sweaty after exercising, with moderate intensity. Avoid overly tense and intense sports projects.

　　1. Qi stasis and blood stasis type

　　Symptoms include masses in the uterus, soft masses that can be moved, or hard masses that are fixed and not movable. Abdominal distension or pain, or irregular menstruation, or lumbar pain; dark complexion, dry skin.瘀斑 on the tip of the tongue, thin white fur, wiry or涩脉.

　　Treatment method: promote Qi and blood circulation, dissipate masses and resolve lumps.

　　Prescription

　　1. Modify the Xiangling pill (from Yan Yonghe's 'Jisheng Fang') and Guizhi Fuling pill (from Zhang Zhongjing's 'Jinkui Yaolei').

　　Prescription: Moschus 10 grams, Trapa 12 grams, Curcuma 12 grams, Citrus reticulata 15 grams, Melia toosendan 12 grams, Citrus reticulata var. tangerina 9 grams, Cinnamomum cassia 9 grams, Paeonia lactiflora 15 grams, Paeonia lactiflora alba 15 grams, Prunus persica 15 grams, Poria 20 grams, and Geotrupes stercorarius 12 grams. Decoct and take the medicine.

　　If it is a uterine fibroid, add lychee seed, seaweed, Zhebei mother, pearl mother, and adjust the dosage according to the influence of the fibroid on the menstrual cycle during normal times and during menstruation. If it is endometriosis nodules or adenomyosis of the uterus, it is advisable to strengthen the efficacy of removing blood stasis, softening hard lumps, and relieving pain, remove green peel, Chinese toon fruit, poria, and select to add leeches, chicken gizzards, Sanqi powder, angelica sinensis, Asarum sieboldii, and others. If it is a mass in chronic pelvic inflammatory disease, it can be added with Patrinia scabiosaefolia, Ilex pubescens, Taraxacum mongolicum, Forsythia suspensa, and others. If it is a hydrosalpinx mass, it is advisable to assist with diuretic, liver-relieving, and collaterals-relieving, add Poria, bone-breaking herb, unblocker, Alisma orientale, and others.

　　2, Single Formula and Recipe

　　(1) JuLi Sanjie Pill (Luo Yuankai's formula, see New Chinese Medicine, 1990.8)

　　Prescription: Tangerine kernel, lychee kernel,续断、Fennel, Wu Yao, Prunus serrulata, sargassum, Gangren root, Curcuma, prepared Polygonum multiflorum, Codonopsis, Sheng牡蛎，风栗壳，益母草。Decocted for oral administration.

　　(2) Muxue Nixiao Pill (Wang Yaoheng, Journal of Chinese Medicine and Chinese Materia Medica, 1990.2)

　　Prescription: Chinese bellflower, summer grass, scutellaria, sargassum, Polygonum multiflorum, Polygala tenuifolia, equal parts of the above medicine. Grind into fine powder, refine honey into pills, each pill weighing 9 grams. Take 1 pill each time, three times a day, 3 months as a course of treatment, usually 1-3 courses of treatment.

　　(3) Gongsyng Decoction (Wu Dingxin, Chinese Journal of Traditional Chinese Medicine, 1981.1)

　　Prescription: Angelica sinensis, prepared Borneol, peach kernel, Curcuma, Cyperus rotundus,续断、夏枯草、牛膝各12克，王不留行、三棱各9克，昆布15克，薏苡仁30克。Decocted for oral administration.

　　Second, the type of phlegm and blood stasis

　　Symptoms include palpable mass in the lower abdomen, or pain, palpation is not hard or slightly hard but not firm. Profuse leukorrhea, white and thick in color; delayed menstruation, or amenorrhea. Most are overweight, chest and epigastric stuffiness, phlegm. Pale and dark tongue, thin white fur, fine and slippery pulse.

　　Therapeutic method: resolve phlegm and remove blood stasis, soften hard lumps and disperse nodules.

　　Prescription

　　Main prescription Three-angled Decoction (Chen Ziming, Complete Recipe for Women) with modification

　　Prescription: Three-angled spike 12 grams, Curcuma 12 grams, Green Tangerine peel 9 grams, Prepared Pinellia 12 grams, Barley 30 grams, Zhebei Mother 15 grams, Peach kernel 15 grams, Salvia miltiorrhiza 20 grams, Sargassum 15 grams, Red Peony 15 grams, Chinese bellflower 15 grams,皂角刺12克。Decocted for oral administration.

　　For those with obesity and qi deficiency, add North Astragalus and Codonopsis to invigorate the spleen and benefit the qi. For those with delayed menstruation or amenorrhea, it should be配合 with regulating the menstrual products.