Introduction
Hyperplasia of mammary glands is believed to be caused by disturbance of the ovary, usually seen among young women. The clinical manifestations are multiple different-sized and movable nodules in one or both breasts, distension and pain of the breasts, especially before menstruation. This disease pertains to the conception of mammary stagnation in TCM due to prolonged stagnation of liver qi and coagulation of phlegm; or due to asthenia of the liver and kidney, dysfunction of the thoroughfare vessel and retention of phlegm in the stomach collaterals over the breast since the middle age.

Syndrome Differentiation
Different-sized, round and hard nodules appear in one or both of the breasts. When the nodules become large, they appear like cysts with unclear margin, no adhesion with the skin and thoracic fascia, local distending pain and aggravation before menstruation. Sometimes the nipple discharges yellowish and greenish, brownish and bloody liquid, accompanied by aching and weakness of loins and fatigue, irregular menstruation, mental depression, dysphoria and insomnia.

Treatment
1. Body Acupuncture
Prescription: Tanzhong (CV 17), Wuyi (ST 15), Rugen (ST 18), Jianjing (GB 21) and Sanyinjiao (SP 6).

Modification: For irregular menstruation, Qihai (CV 6), Zusanli (ST 36) and Taichong (LR 3) are added; for mental depression, dysphoria and insomnia, Hegu (LI 4), Neiguan (PC 6) and Taichong (LR 3 ) are added; for aching and weakness of the loins, Shenshu (BL 23) and Taixi (KI 3) are added.

Performance: Tanzhong (CV 17) is needled horizontally toward the breast on the affected side; Wuyi (ST 15) is needled horizontally lateral; Rugen (ST 18) is needled toward the upper direction or horizontally lateral or obliquely. All these three acupoints are needled with rotating and reducing techniques. Shenshu (BL 23) and Taixi (KI 3) are needled with rotating and reinforcing techniques. The needles are retained and manipulated twice or 3 times at intervals.

2. Ear Acupuncture
Prescription: Endocrine (CO18), Liver (CO12) and Kidney (CO10).

Performance: Medium and strong stimulation is required, the needles are retained for 30 minutes and the needling is done once a day. Or Wangbuliuxingzi (Semen Vaccariae) is used for ear acupressure.