Gynecomastia

General

Clinical Manifestations	Gynecomastia is a benign enlargement of the male breast resulting from a proliferation of the glandular component of the breast. Gynecomastia is defined clinically by the presence of a rubbery or firm mass extending concentrically from the nipples. Fat deposition without glandular proliferation is termed pseudogyne-comastia. Although gynecomastia is usually bilateral, it can be unilateral.
Treatment Principle
Herb Formulas	Ge Gen Tang
Points

Kidney Yang Deficiency

Clinical Manifestations	Aversion to Cold Cold extremities Scanty urination Abdominal distention Edema of the legs Cold sensations in the lower body Sensory numbness Low back pain Severe pitting edema Fatigue Urinary difficulties T: Pale and swollen with teeth marks C: White and slippery P: Deep and wiry
Treatment Principle	Warm Yang Tonify the Kidneys Aid water transformation Promote urination Reduce edema
Herb Formulas	Jin Gui Shen Qi Wan
Points	Moxa KI-3, REN-3, UB-23, UB-28

Yin And Blood Deficiency With Qi , Blood And Phlegm Stagnation

Clinical Manifestations	Gynecomastia is a benign enlargement of the male breast resulting from a proliferation of the glandular component of the breast. Gynecomastia is defined clinically by the presence of a rubbery or firm mass extending concentrically from the nipples. Fat deposition without glandular proliferation is termed pseudo-gynecomastia. Although gynecomastia is usually bilateral, it can be unilateral.
Treatment Principle	Nourish Yin and Blood Invigorate Qi and Blood Resolve Phlegm
Herb Formulas	Gynecomastia #1
Points

Upper Jiao Qi Stagnation With Phlegm Obstruction

Clinical Manifestations	An irritable, stifling sensation in the chest and diaphragm Labored breathing Wheezing Epigastric distention and fullness Anorexia Hurried breathing T: Normal C: White P: Wiry
Treatment Principle	Promote the movement of Qi Descend Rebellious Qi Expand the chest Disperse Stagnation
Herb Formulas	Si Mo Tang With constipation, belching and abdominal distention and pain: Liu Mo Tang
Points