Acute Mastitis

Question 1

What are the main patterns of Acute Mastitis?

Answer 1

LR Qi Stagnation + ST Heat

Question 2

The following are S/sx of _____________ causing Acute Mastitis?

Local: swelling, burning pain, yellow-thick discharge
Accompanied by chills, fever, thirst and prefers to drink, scanty and dark urine
T: white or yellow coating
P: Floating + Rapid or Wiry + Rapid

Answer 2

LR Qi Stagnation + ST Heat

Question 3

What is the pathogenesis of Acute Mastitis?

Answer 3

Qi stagnation & ST heat Qi/Blood/Milk obstructing breast collaterals

Question 4

What is the disease characterized by redness, swelling, and pain in the breasts?

Answer 4

It is an acute suppurative disease occurring in the breasts.

Question 5

What general symptoms accompany the acute suppurative disease of the breasts?

Answer 5

Chills and fever.

Question 6

What are the initial symptoms of the acute suppurative disease in the breasts?

Answer 6

Redness, swelling, and pain; some may not have skin discoloration at the beginning.

Question 7

What are the etiologies and pathogenesis of Acute Mastitis?

Answer 7

External toxins:
External toxins invading the breasts through breast collaterals

Breast milk stagnation:
Breast milk is not completely sucked by babies

LR Qi stagnation, ST heat:
Emotions, improper diet LR Qi stagnation, ST heat

Question 8

Acute Mastitis usually occurs during _______.

Answer 8

Breast Feeding

Question 9

After delivery of baby, _____ or _______ can invade which congeals Blood causing Blood stasis + Qi Stagnation

Answer 9

Cold or Heat

Question 10

What are the 3 stages of Acute Mastitis?

Answer 10

Initial Stage
Suppuration Stage
After rupture

Question 11

The following are S/sx in the ______ stage of Acute Mastitis.

Swollen, distending, and painful
breasts, slightly red or no discoloration,
unsmooth breast milk flow, chills, fever, headache, stuffy chest
T: Thin-white or thin-yellow coating
P: Rapid + Wiry

Answer 11

Initial

Question 12

What are the treatment points to treat Acute Mastitis in the Initial Stage?

Answer 12

Soothe LR-
LI4 + LR3

Clear Heat-
LR-2 + ST-44 + LI-11

Cool Blood-
SP10

Move Qi + Blood (local points)-
Ren-17
ST-18
Ashi

Pain-
ST-34: Xi-cleft to relieve pain

Question 13

The following are S/sx in the ______ stage of Acute Mastitis.

Swelling enlarging, red skin, burning sensation, severe pain, continuous high fever, sense of fluctuation in S/sx
T: Red w/ yellow coating
P: Rapid + Wiry

Answer 13

Suppuration Stage

Question 14

The following are S/sx in the ______ stage of Acute Mastitis.

Fever is relieved, swelling is reduced, wound is healing

Answer 14

After rupture stage

Question 15

What are the treatment points to treat Acute Mastitis in the Suppuration Stage?

Answer 15

Soothe LR-
4 Gates

Move Qi-
PC-6: Unbinds the chest + Regulates Qi
REN-17
ST-18

Clear Heat-
LR-2
ST-44
LI-11

Nourish + Cools Blood-
SP-10

Ashi points

Question 16

What are the treatment points + accompanying S/sx to treat Acute Mastitis after Rupture Stage?

Answer 16

ST-36 + LR-14 + REN-17 + PC-6 + GB-21

Liver Qi Stagnation-
LR-3

ST Heat-
LI-11
ST-44

Fire Toxin- Bloodletting
LR-1
ST-45

Severe pain-
SI-1
ST-34

Fever + aversion to cold-
LI-4 + LI-11

Bitter taste in mouth + irritability-
LR-2