乳汁不通，结核成饼不散，寒热作痛者，宜速揉散，乳汁亦通，饼核自消。如不消，结成乳痈，急用连须
葱捣成饼，搭乳上，用炭火一罐盖葱上，须臾，汗出立消。
乳汁不通者，有盛有虚也。
盛宜∶桔梗（二钱） 瞿麦 柴胡 天花粉（各一钱） 通草（七分） 青皮 白芷 木通 赤芍 连翘 甘草
上锉一剂，水煎频服，更摩乳房。
虚宜∶王不留行 木通 天花粉 当归 川芎 白芍（酒炒） 生地（各等分）
上锉一剂，用 猪蹄膀肉四两，煎汤二钟，入药同服。先将葱汤频洗乳房。
涌泉散 治乳汁不通，不问虚盛，先用木梳频刮乳房，后服药，效。
穿山甲（炒） 白僵蚕（炒） 肉豆蔻（面包煨熟。各四钱） 皂角（五钱） 胡桃仁（去皮，四两）
芝麻（外半斤）
上为细末，每服不拘多少，温酒调下，任意食之。
治乳汁不通
王不留行 天花粉 甘草（各三钱） 当归 穿山甲
上为细末，每服三钱，猪蹄汤或热酒调下，其乳即通。
乳痈发痛者，血脉凝注不散也。天花粉 金银花 皂角刺 穿山甲（土炒） 当归尾 白芷梢 栝蒌仁
贝母 甘草节
上锉，酒煎服。此方治吹乳、乳痈痛肿不可忍者。
栝蒌散 治妇人乳疽、乳痈、奶劳。
黄栝蒌（子多者，不去皮，研烂） 当归（五钱） 乳香（一钱，研碎） 没药（一钱，研） 生甘草
（五钱）
上合一剂，好酒三碗，于银、石器中，慢火熬至碗半，分为二次，食后服。如有乳劳，便服此药，杜绝病
根。如毒瓦斯已成，能化脓为黄水。毒未成，即内消。疾甚者，再合一服，以愈为度。
妇人吹乳，用黍子一合，黄酒下即散。
治妇人吹乳硬肿、身发热、憎寒、疼痛难忍、不进饮食者，服之良验。鹿角一两，炭火 存性，为末，分
作二服。先将末药五钱入锅，次下无灰酒一碗，滚数沸，倒在碗内，乘热尽饮，临卧服。汗出即安。
治吹乳仙方 用葱一大把捣成饼，一指浓摊乳上；用炭火一罐覆葱上。须臾汗出，肿痛立消。
一产妇劳役，忽乳汁如涌，昏昧吐痰，此阳气虚而厥也。灌以独参汤而苏∶更以十全大补汤而安。
（方见补益。）
一妇人血气方盛，乳房作胀，或无儿饮，胀痛、憎寒发热。用麦芽二三两炒熟，水煎服，立消。其耗散气
如此，何脾胃虚弱，饮食不消，方中多用之。
乳汁不通，乳房结块如饼状且不散开，伴有寒热疼痛症状的，应当迅速揉散，乳汁即可通畅，肿块自然消散。如果肿块不消散，进而结成乳痈（急性乳腺炎），应立即用带须葱捣烂成饼，敷在乳房上，再用一罐炭火覆盖在葱饼上方，片刻之后，汗出则肿痛立即消除。
实证适宜使用：桔梗（二钱）、瞿麦、柴胡、天花粉（各一钱）、通草（七分）、青皮、白芷、木通、赤芍、连翘、甘草。
以上药材锉碎为一剂，用水煎煮，频繁服用，同时按摩乳房。
虚证适宜使用：王不留行、木通、天花粉、当归、川芎、白芍（酒炒）、生地黄（各等分）。
以上药材锉碎为一剂，用猪蹄膀肉四两，煎取药汤二碗，将药物放入同服。服药前先用葱汤频繁清洗乳房。
涌泉散：治疗乳汁不通，无论虚实，先用木梳频繁刮拭乳房，然后服药，效果显著。
穿山甲（炒制）、白僵蚕（炒制）、肉豆蔻（面包包裹煨熟，各四钱）、皂角（五钱）、胡桃仁（去皮，四两）、芝麻（半斤）。
以上研为细末，每次服用不拘多少剂量，用温酒调服，并可随意食用。
治疗乳汁不通：
王不留行、天花粉、甘草（各三钱）、当归、穿山甲。
以上研为细末，每次服用三钱，用猪蹄汤或热酒调服，乳汁即通。
乳痈发作疼痛，是因为血脉凝滞不散所致。
天花粉、金银花、皂角刺、穿山甲（土炒）、当归尾、白芷梢、栝蒌仁、贝母、甘草节。
以上锉碎，用酒煎服。此方治疗吹乳（哺乳期因婴儿含接不当或情绪不畅导致的乳腺炎）、乳痈痛肿剧烈难以忍受者。
栝蒌散：治疗妇人乳疽、乳痈、奶劳（慢性乳腺炎或乳腺结核）。
黄栝蒌（子多者不去皮，研烂）、当归（五钱）、乳香（一钱，研碎）、没药（一钱，研）、生甘草（五钱）。
以上合为一剂，用好酒三碗，在银器或石器中，用慢火熬至剩半碗，分为两次，饭后服用。如果有奶劳，便服用此药，以杜绝病根。如果毒气已成脓，能化为黄水；毒未成脓，则内消。病情严重者，再合服一剂，以痊愈为标准。
妇人患吹乳，用黍子一合，用黄酒送下即消散。
治疗妇人吹乳导致乳房硬肿、身体发热、恶寒、疼痛难忍、无法进食者，服用此方疗效良好。鹿角一两，用炭火煅烧存性，研为细末，分作两次服用。先将药末五钱放入锅中，接着加入无灰酒一碗，煮沸数次，倒入碗中，趁热全部饮下，临睡前服用。汗出后症状即安。
治疗吹乳的仙方：用一大把葱捣成饼，厚度约一指，摊敷在乳房上；用一罐炭火覆盖在葱饼上方。片刻后汗出，肿痛立即消除。
一位产妇因劳累过度，突然乳汁如涌，神志昏昧并吐痰，这是阳气虚弱导致的厥证。灌服独参汤后苏醒，再服用十全大补汤而安定。
（方剂见补益篇。）
一位妇人血气正盛，乳房胀痛，或者因为没有婴儿吸吮，导致胀痛、恶寒发热。使用麦芽二三两炒熟，水煎服用，肿痛立即消除。其耗散气机的作用如此之大，为何脾胃虚弱、饮食不消时，方剂中多用之？
When lactation is obstructed, with nodules forming like a flat cake that do not dissipate, accompanied by alternating chills and fever and pain, it is advisable to rapidly massage and disperse them. The milk flow will then resume, and the nodular mass will naturally disappear. If the mass does not dissipate and progresses to form *Ru Yong* (Acute Mastitis), immediately crush green onions with their roots into a paste, apply it to the breast, and cover the onion paste with a pot of charcoal fire. After a short while, when sweating occurs, the swelling and pain will instantly subside.
Obstruction of lactation can be due to excess or deficiency patterns.
For excess patterns, the following is suitable: Jiegeng (Platycodon Root) (2 qian), Qumai (Dianthus Herb), Chaihu (Bupleurum Root), Tianhuafen (Trichosanthes Root) (each 1 qian), Tongcao (Tetrapanax Pith) (0.7 qian), Qingpi (Aurantii Fructus Immaturus), Baizhi (Angelicae Dahuricae Radix), Mutong (Akebia Caulis), Chishao (Paeoniae Radix Rubra), Lianqiao (Forsythiae Fructus), Gancao (Licorice Root).
Crush these ingredients for one dose, decoct in water, and take frequently. Simultaneously, massage the breasts.
For deficiency patterns, the following is suitable: Wangbuliuxing (Vaccariae Semen), Mutong (Akebia Caulis), Tianhuafen (Trichosanthes Root), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba) (stir-fried with wine), Shengdihuang (Rehmanniae Radix) (each in equal parts).
Crush these ingredients for one dose. Decoct four liang of pork trotter meat to obtain two bowls of broth, add the herbs, and take together. Before taking the medicine, frequently wash the breasts with green onion water.
Yongquan San (Surging Spring Powder): Treats obstructed lactation regardless of excess or deficiency. First, frequently scrape the breasts with a wooden comb, then administer the medicine. It is effective.
Chanshanjia (Manis Scaly Pangolin Scale) (stir-fried), Baijiangcan (Bombyx Batryticatus) (stir-fried), Roudoukou (Myristica Seed) (wrapped in flour and baked until cooked, each 4 qian), Zaojiao (Gleditsiae Fructus) (5 qian), Hutao Ren (Juglandis Semen) (peeled, 4 liang), Zhima (Sesamum Indicum Seed) (half jin).
Grind all into a fine powder. Take an unspecified amount each time, mixed with warm wine. It may be consumed at will.
Treatment for obstructed lactation:
Wangbuliuxing (Vaccariae Semen), Tianhuafen (Trichosanthes Root), Gancao (Licorice Root) (each 3 qian), Danggui (Angelicae Sinensis Radix), Chanshanjia (Manis Scaly Pangolin Scale).
Grind into a fine powder. Take 3 qian each time, mixed with pork trotter soup or hot wine. The milk flow will immediately resume.
Painful onset of *Ru Yong* (Acute Mastitis) is caused by blood stasis and stagnation that does not disperse.
Tianhuafen (Trichosanthes Root), Jinyinhua (Lonicerae Japonicae Flos), Zaojiaoci (Gleditsiae Spina) (earth-stir-fried), Chanshanjia (Manis Scaly Pangolin Scale) (earth-stir-fried), Dangguiwei (Angelicae Sinensis Radix Tail), Baizhishao (Angelicae Dahuricae Radix Tip), Gualouren (Benincasae Semen), Beimu (Fritillariae Bulbus), Gancaojie (Licorice Root Joint).
Crush these ingredients, decoct in wine, and take orally. This formula treats *Chui Ru* (Lactational Mastitis) and painful, swollen *Ru Yong* (Acute Mastitis) that is unbearable.
Gualou San (Trichosanthes Powder): Treats women's *Ru Ju* (Breast Carbuncle), *Ru Yong* (Acute Mastitis), and *Nai Lao* (Chronic Mastitis/Breast Tuberculosis).
Huanggualou (Trichosanthes Fruit) (use those with many seeds, do not remove skin, grind into paste), Danggui (Angelicae Sinensis Radix) (5 qian), Ruxiang (Olibanum) (1 qian, ground), Moyao (Myrrha) (1 qian, ground), Sheng Gancao (Raw Licorice Root) (5 qian).
Combine as one dose. Use three bowls of good wine, simmer slowly in silver or ceramic vessels until reduced to half a bowl. Divide into two doses, taken after meals. If suffering from *Nai Lao*, take this medicine to eradicate the root cause. If the pathogenic heat has already formed pus, it will transform into yellow discharge; if not yet formed, it will resolve internally. For severe cases, take another combined dose until cured.
For women suffering from *Chui Ru* (Lactational Mastitis), use one he of millet, taken down with yellow wine, which will dissipate the condition.
To treat women with *Chui Ru* causing hard and swollen breasts, body fever, aversion to cold, unbearable pain, and inability to eat, this prescription yields excellent results. Deer horn (Lu Jiao) one liang, calcined over charcoal fire until carbonized but retaining its nature, ground into powder. Divide into two doses. First, place five qian of the powder in a pot, then add one bowl of unadulterated wine. Boil for several boils, pour into a bowl, and drink completely while hot. Take before retiring to bed. Sweating will bring relief.
Immortal Formula for Treating *Chui Ru*: Crush a large bunch of green onions into a paste, spread it on the breast to a thickness of one finger. Cover the onion paste with a pot of charcoal fire. After a short while, when sweating occurs, swelling and pain instantly subside.
A postpartum woman, due to overexertion, suddenly experienced profuse lactation, mental confusion, and expectoration of phlegm. This was a *Jue* syndrome (collapse) due to deficiency of Yang Qi. She revived after being administered Dushen Tang (Single Ginseng Decoction) and stabilized after taking Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction).
(See formulas under Tonification.)
A woman with vigorous Blood and Qi experienced breast distension and pain, possibly because there was no infant to suckle, leading to distending pain, aversion to cold, and fever. Using two to three liang of stir-fried malt, decocted in water and taken orally, the swelling and pain instantly subsided. Its ability to dissipate Qi is so potent; hence, why is it widely used in formulas for Spleen and Stomach weakness and indigestion?