Question

Dear Doctor: My two-and-a-half-year-old daughter recently discovered a lump in her breast area, slightly larger than a peanut. A hospital examination revealed an estradiol level of 30, and the lump is not painful. Is this a sign of precocious puberty? How should we handle and treat this?

Answer

The situation with your child should be indicative of estradiol overload (30), which is considered a sign of precocious puberty. Traditional Chinese medicine views this as an imbalance of the ‘Shang Xiang’ (superior fire). Here are some recommended handling and treatment methods:

  1. Consult a traditional Chinese medicine practitioner for diagnosis and choose herbal treatments based on the doctor’s differential diagnosis. Consider using Zhibai Dihuang Wan.
  2. Choose appropriate cosmetics and cleaning products for children, avoiding those intended for adults.
  3. Ensure timely supplementation of various nutrients needed for your child’s growth and development. Consider using Longmu (Oyster Shell and Calcium Carbonate) preparations.