〔《大》〕累经产而无乳者,亡津液故也,须服滋益之药以动之,若虽有乳,却又不甚多者,须
服通经之药以动之,仍以羹 引之。盖妇人之乳,资于冲脉,与胃经通故也。大抵妇人素有疾在冲任经
者。乳汁少而其色带黄,所生之子,怯弱多病。
〔无〕乳汁不行,有气血盛而壅闭不行者,有血气弱涩而不行者,虚当补之,实当疏之。疏用通草、
漏芦、土瓜辈,补用钟乳粉、猪蹄、鲫鱼之属。
〔《大》〕治乳无汁。
土瓜 漏芦(各三两) 甘草(二两) 通草(四两)
上水八升,煎取二升,分温三服。
〔《集》〕下乳汁。栝蒌子淘洗控干,炒令香熟,瓦上 令白色,为末,酒调下一匕,令卧少时。
〔《产书》〕下乳汁。土瓜为末,酒服一钱,日三服。
〔《本》〕下乳汁。以京三棱三个,水二碗煎取一碗洗。取汁下为度,极妙。
〔丹〕妇人乳不行。莴苣子、糯米各一合,细研,水一碗,搅匀,入甘草末一字,煎之,温呷频与,妙。
〔云〕立效方 下乳汁。
糯米 莴苣子(各半合,并淘洗) 甘草(半两,生)
上煎汁一升,研药令细,去渣,分作三服,立下。
又方 猪蹄(一只) 通草(四两)
上以水一斗,煮作羹食之。
〔罗〕涌泉散 治妇人奶汁因气绝少。
瞿麦穗 麦门冬(去心) 龙骨 穿山甲(炮黄) 王不留行
上为细末,每服一钱,热酒调下。后吃猪蹄羹少许,又用木梳于左、右乳上各梳三二十梳,日三
服,根据前法。
又方 治奶汁少。
栝蒌根 薄荷干身(等分)
上为粗末,先吃羊蹄汁一碗,次服药,后再吃葱丝羊羹汤少许,出效。
〔《大》〕有人乳脉不行已十七日,诸药无效,遇有人送赤豆一斗,遂时常煮粥食之,当夜乳脉通行。
〔《大》〕多次生育后没有乳汁的,是因为津液耗损的缘故,必须服用滋补益气的药物来促进乳汁分泌;如果虽然有乳汁,但量却不多,必须服用通经活络的药物来促进运行,同时仍需用羹汤作为药引。大概妇女的乳汁,源于冲脉,并与胃经相通。大抵妇人如果在冲任二脉素有疾病,那么乳汁就会少且颜色发黄,所生的孩子也会怯弱多病。
〔无〕乳汁不通,有因气血旺盛而壅滞闭塞导致不行的,有因气血虚弱涩滞而不行的,虚证应当补益,实证应当疏通。疏通可用通草、漏芦、土瓜这类药物;补益可用钟乳粉、猪蹄、鲫鱼这类食物或药物。
〔《大》〕治疗乳汁全无。
土瓜、漏芦(各三两),甘草(二两),通草(四两)。
以上药材用水八升,煎煮取汁二升,分三次温服。
〔《集》〕下乳汁。将栝蒌子淘洗后控干,炒至香熟,在瓦片上焙至白色,研为细末,用酒调服一匕的量,服后躺卧片刻。
〔《产书》〕下乳汁。将土瓜研为细末,用酒送服一钱,每日服三次。
〔《本》〕下乳汁。取京三棱三个,用水二碗煎取一碗,用此汁清洗乳房。以流出乳汁为度,效果极佳。
〔丹〕妇人乳汁不通。莴苣子、糯米各一合,细细研磨,加水一碗,搅匀,加入甘草末一字,煎煮,温热时频频饮用,效果奇妙。
〔云〕立效方 下乳汁。
糯米、莴苣子(各半合,均淘洗干净),甘草(半两,生用)。
以上煎取汁液一升,将药物研细,去渣,分作三次服用,乳汁立即下行。
又一方:猪蹄(一只),通草(四两)。
以上用水一斗,煮成羹食用。
〔罗〕涌泉散 治疗妇人奶汁因气机阻滞而减少。
瞿麦穗、麦门冬(去心)、龙骨、穿山甲(炮制至黄色)、王不留行。
以上研为细末,每次服一钱,用热酒调服。之后吃少许猪蹄羹,再用木梳在左右乳房上各梳理三二十次,每日服三次,依据前述方法。
又一方 治疗奶汁少。
栝蒌根、薄荷干身(等分)。
以上研为粗末,先喝一碗羊蹄汁,再服药,然后再吃少许葱丝羊羹汤,即可见效。
〔《大》〕有人乳脉不通已十七天,各种药物无效,遇到有人送一斗赤豆,于是经常煮粥食用,当晚乳脉便通畅了。
[From *Da*] For women who have had multiple births but lack milk, the cause is the depletion of body fluids (Jin Ye). It is necessary to administer tonifying and nourishing medicines to stimulate lactation. If there is some milk but the volume is insufficient, it is necessary to administer medicines that unblock the meridians to promote flow, while still using soup as a medicinal guide. Generally speaking, a woman's milk originates from the Chong Mai (Penetrating Vessel) and connects with the Stomach Meridian. Broadly speaking, if a woman has pre-existing diseases in the Chong and Ren Mai (Conception Vessel), her milk will be scanty and yellowish in color, and the child she bears will be frail and prone to illness.
[Wu] Lactation obstruction can occur due to either an excess condition where vigorous Qi and Blood become stagnant and blocked, or a deficiency condition where weak and sluggish Qi and Blood fail to flow. Deficiency patterns should be treated by tonification, while excess patterns should be treated by dispersing and unblocking. For dispersing and unblocking, use herbs such as Tongcao (Tetrapanacis Medulla), Loulu (Euphorbiae Humifusae Herba), and Tugua (Trichosanthis Radix); for tonification, use substances such as Zhongru Fen (Gypsum Fibrosum Powder), pig trotters, and crucian carp.
[From *Da*] Treatment for complete absence of milk.
Tugua (Radix Trichosanthis) and Loulu (Herba Euphorbiae Humifusae) (each 3 liang), Gancao (Radix Glycyrrhizae) (2 liang), Tongcao (Medulla Tetrapanacis) (4 liang).
Add eight sheng of water, decoct to obtain two sheng, and divide into three warm doses.
[From *Ji*] To induce lactation. Wash Gualouzi (Semen Trichosanthis), drain well, stir-fry until fragrant and cooked, bake on a tile until white, grind into powder, mix with wine, and take one bi dose. Lie down for a short time afterward.
[From *Chan Shu*] To induce lactation. Grind Tugua (Radix Trichosanthis) into powder, take one qian with wine, three times daily.
[From *Ben*] To induce lactation. Take three Jing Sanleng (Rhizoma Sparganii), decoct in two bowls of water to obtain one bowl. Use this liquid to wash the breasts. Continue until milk flows; this is extremely effective.
[Dan] For women with obstructed lactation. Take one he of Letuzi (Semen Lactucae Sativae) and one he of Nuomi (Oryza Sativa Glutinosa Semen), grind finely, add one bowl of water, mix well, add one zi of Gancao (Radix Glycyrrhizae) powder, decoct, and drink frequently while warm. This is miraculous.
[Yun] Li Xiao Fang (Instant Effect Formula) to induce lactation.
Nuomi (Oryza Sativa Glutinosa Semen) and Letuzi (Semen Lactucae Sativae) (each half he, washed), Gancao (Radix Glycyrrhizae) (half liang, raw).
Decoct to obtain one sheng of juice, grind the remaining medicine finely, strain, and divide into three doses. Lactation will immediately commence.
Another prescription: Pig trotter (one), Tongcao (Medulla Tetrapanacis) (4 liang).
Boil in ten dou of water to make a soup and eat it.
[Luo] Yong Quan San (Surging Spring Powder) treats reduced milk flow in women due to Qi stagnation.
Qumai Sui (Spica Dianthi), Maidong (Radix Ophiopogonis) (core removed), Longgu (Os Draconis et Mammutis), Shanzhijia (Squama Manis) (pounded and fried until yellow), Wangbuliuxing (Semen Vaccariae).
Grind into fine powder. Take one qian per dose, mixed with hot wine. Afterwards, consume a small amount of pig trotter soup. Additionally, comb each breast thirty to twenty times with a wooden comb. Take three times daily, following the aforementioned methods.
Another prescription for scanty milk.
Gualougen (Radix Trichosanthis) and Bohe Qiangshen (Herba Menthae Haplocalycis Dried Stem) (equal parts).
Grind into coarse powder. First, drink one bowl of Yangti juice (juice from sheep's hoof/leg), then take the medicine, and finally consume a small amount of scallion-shred mutton soup. This will yield results.
[From *Da*] There was a case where a woman’s lactation ducts were obstructed for seventeen days, and all medicines failed. Someone gave her one dou of red beans (Vigna angularis). She began to cook and eat them as porridge regularly. That very night, her lactation ducts became patent.