(附乳岩 肠痈 囊痈)
夫乳病者。乳房阳明胃经所司。乳头厥阴肝经所属。乳子之母。不善调养。以致乳汁浊
而壅滞。因恼怒所伤。气滞凝结。而成痈毒。又有忧郁伤肝。思虑伤脾。积想在心。所愿不得志
者。致于经络痞涩。聚结成核。初如豆大。渐若棋子。半年一载。二载三载。不疼不痒。
渐渐而大。始生疼痛。痛则无解。曰后肿如堆粟。或如覆粟色气秽。渐渐溃烂。深者如岩穴凸
者若泛莲。疼痛连心。出血作臭。其时五脏俱衰。四大不救。名曰乳岩。凡犯此症。百无一
生。宜清肝解郁。益气养荣。患者清心静养。无挂无碍。服药调理。苟延岁月而矣。
牛蒡子汤 治乳痈结肿。疼痛之甚。服此立散。
牛蒡子 陈皮 山栀 金银花 栝蒌仁 天花粉 黄芩 青皮(各一钱二分) 连翘 柴
胡(各一钱) 甘草(三分) 水煎。临服加酒一钟。同服。
消痈散毒饮 治乳痈。恶寒发热。 肿疼痛。服此立消。
青皮 浙贝母 天花粉(各二钱) 蒲公英(开黄花即满地金钱一握捣汁) 连翘 鹿角屑
当归(各一钱五分) 水酒各一钟煎服。
飞龙夺命丹 治一切乳痈已成未成者。(方见痈疽门)
散肿汤 治乳痈未成功。一服立消。外贴太乙神应膏。(方见痈疽门)
青皮 石膏(各二钱) 甘草节 栝蒌子 没药 蒲公英(即满地金钱) 金银花 当归尾
(各一钱五分) 青橘叶(二十片) 水酒各一钟。煎服。
乳房疾病,由足阳明胃经所主管。乳头归属于足厥阴肝经。哺乳期的母亲,如果调养不当,导致乳汁浑浊且壅滞不通。再加上因恼怒而受伤,气机阻滞凝结,从而形成痈毒。又有因忧郁损伤肝脏,思虑过度损伤脾脏,心中积存妄想,愿望无法实现的人,导致经络痞塞涩滞,聚结形成核块。起初像豆子大小,逐渐变得像棋子一样大。经过半年到一年,甚至两三年,不痛不痒,逐渐增大,才开始产生疼痛,一旦疼痛便难以缓解。后来肿胀如堆积的粟米,或者像倒扣的粟米,颜色晦暗污秽,逐渐溃烂。深的如同岩穴,凸起的若像泛水的莲花。疼痛牵连心脏,出血带有臭味。此时五脏功能都衰竭了,四肢(四大:地、水、火、风,指身体)无法挽救,名叫乳岩。凡是患上这种病症的,一百个人中没有一个是能活下来的。应当采用清肝解郁、益气养血荣身的治法。患者需清心静养,没有牵挂和障碍,通过服药调理,只能苟延残喘度过岁月罢了。
乳痈(乳腺炎)的脉象,多表现为弦紧脉。弦数脉提示郁火,弦滑脉提示郁痰。
牛蒡子汤:治疗乳痈结肿,疼痛非常剧烈。服用此方后肿块立即消散。
药材:牛蒡子、陈皮、山栀、金银花、栝蒌仁、天花粉、黄芩、青皮(各一钱二分),连翘、柴胡(各一钱),甘草(三分)。用水煎煮。临服用时加入酒一杯,一同服用。
消痈散毒饮:治疗乳痈,伴有恶寒发热、肿胀疼痛。服用此方后症状立即消除。
药材:青皮、浙贝母、天花粉(各二钱),蒲公英(开黄花即满地金钱草,取一把捣汁),连翘、鹿角屑、当归(各一钱五分)。用水和酒各一杯煎服。
散肿汤:治疗乳痈未成脓者,服用一次即可立消。外用贴敷太乙神应膏。(方剂见痈疽门)
药材:青皮、石膏(各二钱),甘草节、栝蒌子、没药、蒲公英(即满地金钱草)、金银花、当归尾(各一钱五分),青橘叶(二十片)。用水和酒各一杯煎服。
(Attached: Ru Yan [Breast Cancer], Chang Yong [Intestinal Abscess], Nang Yong [Scrotal Abscess])
Diseases of the breast are governed by the Foot-Yangming Stomach Meridian. The nipples belong to the Foot-Jueyin Liver Meridian. Mothers who are breastfeeding, if they fail to maintain proper care, may cause their milk to become turbid and stagnant. Combined with injury from anger, leading to Qi stagnation and condensation, abscess toxins form. Additionally, those injured by melancholy damaging the Liver, excessive worry damaging the Spleen, harboring obsessive thoughts in the heart, or having unfulfilled desires, may suffer from meridian obstruction and涩滞 (stagnation), causing nodules to aggregate and form lumps. Initially the size of a bean, gradually growing to the size of a chess piece. Over half a year to one year, or even two or three years, without pain or itching, they slowly enlarge. Only then does pain begin; once painful, it becomes intractable. Later, swelling resembles piled millet grains, or inverted millet, with a dark and foul complexion, gradually ulcerating. Deep lesions resemble rock caves, while protruding ones look like lotus flowers floating on water. Pain radiates to the heart, bleeding emits a foul odor. At this stage, the Five Zang Organs are all exhausted, and the Four Elements (the body) cannot be saved. This is named Ru Yan [Breast Cancer]. For anyone contracting this condition, not one in a hundred survives. Treatment should focus on clearing the Liver and resolving depression, benefiting Qi and nourishing Blood and Spirit. Patients must cultivate mental clarity and rest quietly, free from worries and hindrances. Through medicinal regulation, life can only be prolonged for a few years.
The pulse of Ru Yong [Mastitis] is often wiry and tight. A wiry and rapid pulse indicates constrained Fire; a wiry and slippery pulse indicates constrained Phlegm.
Niubangzi Tang (Burdock Seed Decoction): Treats Ru Yong [Mastitis] with induration and swelling, accompanied by severe pain. Administration of this formula causes immediate resolution.
Ingredients: Fructus Arctii (Niubangzi), Pericarpium Citri Reticulatae (Chenpi), Fructus Gardeniae (Shanzhi), Flos Lonicerae Japonicae (Jinyinhua), Semen Trichosanthis (Gualou Ren), Radix Trichosanthis (Tianhuafen), Cortex Scutellariae (Huangqin), Fructus Aurantii (Qingpi) (each 1.2 qian); Fructus Forsythiae (Lianqiao), Radix Bupleuri (Chaihu) (each 1 qian); Radix et Rhizoma Glycyrrhizae (Gancao) (0.3 qian). Decoct in water. Before taking, add one cup of wine and consume together.
Xiaoyong Sandu Yin (Abscess-Resolving and Toxin-Dispelling Drink): Treats Ru Yong [Mastitis] with aversion to cold, fever, swelling, and pain. Administration leads to immediate elimination of symptoms.
Ingredients: Fructus Aurantii (Qingpi), Bulbus Fritillariae Thunbergii (Zhe Beimu), Radix Trichosanthis (Tianhuafen) (each 2 qian); Herba Taraxaci (Gongying) (one handful of the variety with yellow flowers, known as Man Di Jin Qian, crushed for juice); Fructus Forsythiae (Lianqiao), Cornu Cervi Deglutitum (Lu Jiao Xie), Radix Angelicae Sinensis (Danggui) (each 1.5 qian). Decoct in equal parts water and wine, one cup each.
Feilong Duoming Dan (Flying Dragon Snatching Life Pill): Treats all cases of Ru Yong [Mastitis], whether formed or unformed. (Formula see in Yong Ju Men [Abscess and Carbuncle Section]).
Sanzhong Tang (Swelling-Dispersing Decoction): Treats Ru Yong [Mastitis] before suppuration occurs; one dose causes immediate resolution. Apply Taiyi Shenyin Gao externally. (Formula see in Yong Ju Men [Abscess and Carbuncle Section]).
Ingredients: Fructus Aurantii (Qingpi), Gypsum Fibrosum (Shigao) (each 2 qian); Radix et Rhizoma Glycyrrhizae (Ganjie), Semen Trichosanthis (Gualou Zi), Resina Myrrhae (Moyao), Herba Taraxaci (Gongying - i.e., Man Di Jin Qian), Flos Lonicerae Japonicae (Jinyinhua), Radix Angelicae Sinensis (Dangwei) (each 1.5 qian); Folium Citri Reticulatae Viride (Qingjuye) (20 leaves). Decoct in equal parts water and wine, one cup each.