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Breast Pain (Mastalgia)

How Chinese medicine differentiates breast pain, the five patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. A new breast lump, skin dimpling/redness, nipple discharge, or pain that doesn't follow the menstrual cycle needs medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for breast pain — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
LR-3Subdues Liver Yang, soothes Liver Qi.
ST-18Local point, benefits the breasts, reduces swelling.
L.I.-4Regulates Qi throughout the body.
LR-2Clears Liver Fire.
G.B.-21Removes obstructions, clears heat, promotes lactation.
L.I.-10Clears heat and toxin.
ST-36Tonifies Qi and Blood, strengthens Spleen and Stomach.
SP-6Tonifies Spleen, nourishes Blood and Yin.
BL-23Tonifies Kidney Yin, anchors empty-heat.
KI-3Tonifies Kidney Yin and Yang.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Qi Stagnation View full pattern →

Clinical manifestations: Distending and tender breasts before periods, irritability and mood swings, frequent sighing, rib-side distension or tightness, worse with emotional stress and premenstrual phase.
Tongue: Normal or slightly dark body with red or slightly purplish sides, thin white coat. Pulse: Wiry, especially at left middle.
Treatment principle: Course the Liver and resolve constraint, nourish Blood and soften the Liver.
Note: no moxa. Direct match on the core distension/irritability/sighing picture.

2. Liver Qi Stagnation that Transforms into Heat View full pattern →

Clinical manifestations: Burning or hot sensation in breasts, bitter taste in mouth, irritability and explosive anger, constipation with dry stools, dark yellow urine.
Tongue: Red body with redder sides and yellow coating. Pulse: Wiry and rapid.
Treatment principle: Course the Liver and resolve constraint, invigorate Blood and dispel stasis.
Note: no moxa. Direct match with this site's own Stagnant-Liver-Qi-turning-into-Heat slide.

3. Toxic-Heat

Clinical manifestations: Severe, throbbing, burning breast pain; fiery red, hot, swollen breast skin; localized abscess with pus formation; high fever and chills; often tied to milk stagnation.
Tongue: Red body with prickly thorns and dry yellow coating. Pulse: Rapid and forceful, often slippery.
Treatment principle: Clear Heat and resolve toxicity, disperse swelling.
Note: no moxa — an active infection stage, medical evaluation takes priority (this presentation overlaps with Mastitis, already covered on this site). No standalone Toxic-Heat slide exists on this site, so no pattern link is given here.

4. Qi and Blood Deficiency

Clinical manifestations: Dull, lingering breast pain feeling better with rest, exertion or prolonged standing worsens pain, persistent fatigue, pale or sallow complexion and pale lips, breasts feel soft, not hard or distended.
Tongue: Pale body, possibly thin with teeth marks, thin white coating. Pulse: Fine and weak.
Treatment principle: Tonify Qi, nourish Blood, strengthen the Spleen.
Note: moxa applicable on the tonifying points. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

5. Empty-Heat Caused by Yin Deficiency View full pattern →

Clinical manifestations: Low-grade burning or dull ache in breast, worse in afternoon or evening, night sweats, heat in palms/soles/chest, dry mouth and throat, flushed cheekbones.
Tongue: Red, thin, and dry with cracks and little or no coating. Pulse: Fine and rapid, weak or hollow on deep pressure.
Treatment principle: Nourish Yin, clear deficiency heat.
Note: no moxa. Direct match, reusing the well-established Kidney-Yin/Empty-Heat slide.
Related conditions

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