气热、气虚、血热、血虚。气热者，黄芩（条子者）六两，升麻一两为末，曲丸；气虚者，补气用人参、黄 、
川芎、当归、升麻之类；血虚，四物汤；血热者，凉血，以四物汤加炒黄柏。一方，治脱肛用五倍为末，托而上之。
一次未收，至五七次必收，乃止。
先须断浓味，用海藻一两二钱，黄连一两，上为末，以少许置掌中；时时舐之，津液咽下，如消三分之二，
须止后服。
已破入风者，不可治。搜风汤吐之，出《医垒元戎》，本方止有搜脓汤方。收敛疮口，同合欢皮并饮白蔹浓汤。
肺痿者，服人参平肺散。治肺痿，专在养肺、养气、养血、清金。尝治一妇人，年二十余，胸膺间溃一窍，于口
中所咳脓血与窍相应而出，以人参、黄 、当归补气血剂，加退热排脓等药。
作湿热食积治，大肠有痰积，死血流注，用桃仁承气汤加连翘、秦艽。近肛门破者，入风难治，用防风之类
主之。
入方∶青皮、栝蒌、橘叶、连翘、桃仁留尖、皂角刺、甘草节，破，多参、 。乳栗破，少有生者，必大补，人
参、黄 、川芎、当归、青皮、白术、连翘、白芍药、甘草。一方有栝蒌。乳岩未破，加柴胡、台芎。治乳有小
核∶南星 贝母 甘草节 栝蒌（以上各一两） 连翘 青皮（以上各五钱）。乳痈、奶劳、 肿， 石膏、烧桦皮、
栝蒌子、甘草节、青皮。治吹奶，金银花、天荞麦、紫葛藤，各等分，上以醋煎洗，或以金银花一味亦可。乳痈，用生
地黄汁敷，热即易之，无不效。又方，老栝蒌一个捣，酒一斗煮四升，日三服。又方，诗曰∶女人吹奶是如何，皂角烧
灰蛤粉和，热酒将灰调一字，须臾拍手笑呵呵。又方，益母草捣 之，或干末水调涂。又方，浓磨鹿角汁涂之。又
方，栝蒌子炒为末，临睡酒服二钱。乳头裂破，丁香末敷，如燥以津调。妇人产后患乳痈∶白芷 当归须 连翘
赤芍药 荆芥穗 青皮（各五分） 贝母 天花粉 桔梗（各一钱） 栝蒌（半个） 甘草节（一钱半） 上水煎，半
饥半饱服，细细呷之。有热加柴胡、黄芩，忌酒肉椒料。敷药用南星、寒水石、皂角、贝母、白芷、草乌、大黄为末，
醋调涂。乳房阳明所经，乳头厥阴所属，乳子之母，或浓味，或忿怒，以致气不流行，而窍不得通，汁不得出，阳明之
血，热而化脓。亦有儿之口气 热，吹而结核，于初起时，便须忍痛揉令软，气通自可消散。失此不治，必成痈节。若
疏厥阴之滞，以青皮清阳明之热，以石膏行去污血，以生甘草节消肿毒，以栝蒌子或加青橘叶、没药、皂角刺、金银花、
当归头，或散或汤加减，佐以少酒，仍加艾火三二壮于肿处，甚效，勿妄用针刀引惹拙病。又有积忧，结成隐核，有如
鳖棋子，不痛不痒，十数年方为疮陷，名曰奶岩，以其凹似岩穴也，不可治矣。若于生时便消释病根，使心清神安，施
以治法，亦有可安之理。予侄妇，年十八时得此证，性急、脉实，所难者后故耳。遂以青皮单煮汤与之，间以加减四物
汤，两月而安。
气热、气虚、血热、血虚。气热证，用条状黄芩六两、升麻一两研为细末，以神曲糊丸服用；气虚证，补气用人参、黄芪、川芎、当归、升麻等药；血虚证，用四物汤；血热证，凉血，在四物汤中加入炒黄柏。另一方法，治疗脱肛用五倍子研为细末，用手托举使其复位。一次未收回，至五到七次必定能收回，然后停止。
首先必须断绝浓味饮食，用海藻一两二钱、黄连一两，研为细末，取少量置于掌心；时常舔食，让津液咽下，如果症状消减三分之二，就必须停止后续服药。
已经破溃并受风邪侵袭的，不可治愈。用搜风汤催吐，此方出自《医垒元戎》，原方只有搜脓汤的配方。收敛疮口，同合欢皮一起饮用白蔹浓汤。肺痿患者，服用人参平肺散。治疗肺痿，关键在于养肺、养气、养血、清金（清肃肺气）。曾治疗一位二十多岁的妇人，胸膺间溃烂出一个孔窍，口中咳出的脓血与该孔窍相应而出，用人参、黄芪、当归补气血的药物，加上退热排脓等药。
按湿热食积治疗，大肠有痰积，死血流注，用桃仁承气汤加连翘、秦艽。靠近肛门处破溃的，入风难治，用防风等药为主进行治疗。
处方：青皮、栝蒌、橘叶、连翘、桃仁留尖、皂角刺、甘草节，若已破溃，多加人参、黄芪。乳栗破溃，少有生还者，必须大补，用人参、黄芪、川芎、当归、青皮、白术、连翘、白芍药、甘草。另一方中有栝蒌。乳岩未破溃，加柴胡、台芎。治疗乳房有小核：南星、贝母、甘草节、栝蒌（以上各一两），连翘、青皮（以上各五钱）。治疗乳痈、奶劳、肿胀，用石膏、烧桦皮、栝蒌子、甘草节、青皮。治疗吹奶（哺乳期乳腺炎），用金银花、天荞麦、紫葛藤，各等分，上方用醋煎洗患处，或者单用金银花也可以。乳痈，用生地黄汁外敷，发热即更换，没有不有效的。又一方，老栝蒌一个捣碎，酒一斗煮取四升，每日三次服用。又一方，诗曰：“女人吹奶是如何，皂角烧灰蛤粉和，热酒将灰调一字，须臾拍手笑呵呵。”又一方，益母草捣烂，或用干末水调涂。又一方，浓磨鹿角汁涂抹。又一方，栝蒌子炒为细末，临睡前用酒送服二钱。乳头裂破，用丁香末外敷，如干燥则以唾液调和。妇人产后患乳痈：白芷、当归须、连翘、赤芍药、荆芥穗、青皮（各五分），贝母、天花粉、桔梗（各一钱），栝蒌（半个），甘草节（一钱半），上方用水煎，在半饥半饱时服用，细细呷饮。有热象加柴胡、黄芩，忌酒肉椒料。外敷药用南星、寒水石、皂角、贝母、白芷、草乌、大黄研为细末，醋调涂。乳房属阳明经所过，乳头属厥阴经所属，哺乳的母亲，或因浓味饮食，或因愤怒，导致气机不流通，而孔窍不得通畅，乳汁不得排出，阳明之血，受热而化脓。也有因婴儿口气热，吹入而结成结核，在初起时，便须忍痛揉捏令其变软，气通自然可以消散。错过此时不治疗，必成痈节。若疏解厥阴之滞，用青皮清阳明之热，用石膏行去污血，用生甘草节消肿毒，用栝蒌子或加青橘叶、没药、皂角刺、金银花、当归头，或散剂或汤剂加减，佐以少量酒，仍在肿处施灸二三壮，非常有效，不要妄用针刀以免招致拙病。又有因积忧，结成隐核，有如鳖棋子，不痛不痒，十数年才成为疮陷，名叫奶岩，因其凹陷似岩穴也，不可治愈了。如果在生成时就消除病根，使心清神安，施以治疗方法，也有可安的道理。我侄女媳妇，十八岁时得此证，性急、脉实，所难的是后来病情恶化罢了。于是用青皮单煮汤给她喝，间以加减四物汤，两个月而安定。
Qi Heat, Qi Deficiency, Blood Heat, Blood Deficiency. For Qi Heat syndrome, use six liang of Huangqin (Scutellariae Radix) in strip form and one liang of Shengma (Cimicifugae Rhizoma), grind into powder, and make pills with Qu (Medicated Leaven); for Qi Deficiency, tonify Qi using Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shengma, etc.; for Blood Deficiency, use Siwu Tang (Four Substances Decoction); for Blood Heat, cool the blood by adding Chao Huangbai (Fried Phellodendri Cortex) to Siwu Tang. Another method for treating rectal prolapse uses Wubeizi (Galae Fructus) ground into powder, manually pushing it back into place. If not reduced after one attempt, it will certainly be reduced after five to seven attempts, then stop.
First, one must abstain from rich and strong-flavored foods. Use one liang two qian of Haizao (Sargassum Thallus) and one liang of Huanglian (Coptidis Rhizoma), grind into powder, take a small amount on the palm; lick it frequently and swallow with saliva. When symptoms reduce by two-thirds, stop subsequent doses.
Use Heixi (Black Tin) roasted to ash, mixed with Binglang (Arecae Semen) powder, taken with rice water.
If already ulcerated and exposed to Wind pathogen, it is incurable. Use Soufeng Tang (Search Wind Decoction) to induce vomiting; this source is from *Yilei Yuanrong*, which originally only contained the Sounong Tang (Search Pus Decoction). To contract the wound, drink a strong decoction of Baiyan (Ampelopsis Radix) together with Hehuanpi (Albiziae Cortex). For Feiwu (Flaccid Lung), administer Renping Pingfei San (Ginseng-Lung-Pacifying Powder). Treating Flaccid Lung focuses on nourishing the Lung, Qi, Blood, and clearing Metal (clearing Lung heat). I once treated a woman in her twenties who had an ulcerated opening between her chest and ribs; pus and blood coughed up from her mouth corresponded with this opening. She was treated with a Qi and Blood tonifying formula containing Renshen, Huangqi, and Danggui, plus herbs for reducing fever and expelling pus.
Treat as Damp-Heat and Food Stagnation. There is Phlegm accumulation in the Large Intestine, with dead blood flowing and pooling; use Taoren Chengqi Tang (Peach Kernel Draining the Interior Decoction) added with Lianqiao (Forsythiae Fructus) and Qinjiao (Gentianae Macrophyllae Radix). Ulcerations near the anus are difficult to treat due to Wind invasion; use Fangfeng (Saposhnikoviae Radix) as the main herb.
Prescription: Qingpi (Citri Reticulatae Pericarpium Viride), Gualou (Trichosanthis Fructus), Juye (Citri Reticulatae Folium), Lianqiao, Taoren (Prunus Persica Seed) keeping the tip, Zaojiaoci (Gleditsiae Spina), Gancao Jie (Licorice Joint). If ulcerated, add more Renshen and Huangqi. For Ru Li (Breast Nodule) that has ulcerated, survival is rare; massive tonification is required using Renshen, Huangqi, Chuanxiong, Danggui, Qingpi, Baizhu (Atractylodis Macrocephalae Rhizoma), Lianqiao, Baishao (Paeoniae Radix Alba), and Gancao. Another prescription includes Gualou. For Ru Yan (Breast Cancer) before ulceration, add Chaihu (Bupleuri Radix) and Taixiong (Chuanxiong). For treating small nodules in the breast: Nanxing (Arisaematis Rhizoma), Beimu (Fritillariae Cirrhosae Bulbus), Gancao Jie, Gualou (one liang each above); Lianqiao, Qingpi (five qian each above). For Ru Yong (Breast Abscess), Nai Lao (Nursing Labor), and swelling: Shigao (Gypsum Fibrosum), Shao Huapi (Burned Betula Bark), Gualouzi (Trichosanthis Semen), Gancao Jie, Qingpi. For Chuinai (Blowing Milk/Lactational Mastitis): Jinyinhua (Lonicerae Japonicae Flos), Tianqiaomai (Polygoni Multiflori Herba), Zigeteng (Calystegiae Hederacea Caulis), equal parts; decoct with vinegar for washing the area, or use Jinyinhua alone. For Breast Abscess, apply fresh Shengdihuang (Rehmanniae Radix) juice externally, changing it when hot; this is invariably effective. Another prescription: crush one old Gualou, boil in ten dou of wine to obtain four sheng, take three times daily. Another prescription, a poem says: "How to treat blowing milk in women? Burn Gleditsia spina to ash, mix with clam powder, blend ash with hot wine, clap hands shortly and laugh." Another prescription: crush Yimucacao (Leonuri Herba) or use dry powder mixed with water for application. Another prescription: apply thickly ground Lujiiao (Cornu Cervi Degelatinatum) juice. Another prescription: roast Gualouzi into powder, take two qian with wine before sleep. For cracked nipples, apply Dingxiang (Caryophylli Flos) powder; if dry, mix with saliva. For postpartum Breast Abscess in women: Baizhi (Angelicae Dahuricae Radix), Danggui Xu (Angelicae Sinensis Radix Tip), Lianqiao, Chishao (Paeoniae Radix Rubra), Jingjie Sui (Schizonepetae Spica), Qingpi (five fen each); Beimu, Tianhuafen (Trichosanthis Radix), Jiegeng (Platycodonis Radix) (one qian each); Gualou (half); Gancao Jie (one qian half). Decoct in water, take slowly while half-hungry or half-full. Add Chaihu and Huangqin if there is heat; avoid alcohol, meat, and pepper/spices. For external application: Nanxing, Hanshuishi (Calcitum), Zaojiao, Beimu, Baizhi, Caowu (Aconiti Kusnezoffii Radix), Dahuang (Rhei Radix et Rhizoma) ground into powder, mixed with vinegar for application. The breast is the pathway of the Yangming Meridian; the nipple belongs to the Jueyin Meridian. Nursing mothers, due to rich food or anger, may experience stagnant Qi, blocked orifices, and retained milk. Yangming blood becomes hot and transforms into pus. It can also result from the infant's hot breath blowing into the breast, forming nodules. At the initial stage, one must endure pain and massage until soft; if Qi flows freely, it will dissipate naturally. Missing this window without treatment will lead to abscess formation. To disperse Jueyin stagnation, use Qingpi to clear Yangming heat, Shigao to remove turbid blood, raw Gancao Jie to reduce swelling and toxicity, Gualouzi, or add Qing Juye, Moyao (Myrrha), Zaojiaoci, Jinyinhua, Danggui Tou (Angelicae Sinensis Radix Head). Modify as powder or decoction, aided by a little wine. Apply moxibustion (two or three moxa cones) on the swollen area; this is very effective. Do not recklessly use needles or knives to provoke complications. There is also Yinhe (Hidden Nodule) formed by accumulated sorrow, resembling a turtle egg, painless and non-itchy, becoming an ulcerous depression after ten years, named Nai Yan (Breast Rock/Cancer) because its concavity resembles a rock cave; this is incurable. However, if the root cause is eliminated at the onset, calming the mind and spirit, and applying treatment, there is a possibility of stabilization. My niece-in-law developed this condition at eighteen, with an impatient temperament and solid pulse; the difficulty lay in the later progression. Thus, I gave her a decoction of single Qingpi, alternating with Modified Siwu Tang, and she stabilized within two months.