鹿角散 连翘散
8.妒乳甘草鹿角散, 鸡子黄调炙敷之, 连翘散防升元芍, 敛射消黄
甘杏宜. 瘀血上攻乳悬证, 芎归汤饮更熏鼻, 不应萆麻贴顶上, 乳收
即去莫迟迟.
【注】乳头生疮, 谓之妒乳, 宜鹿角散敷之, 即鹿角, 甘草为末, 鸡
子黄调铜器内, 炙敷之. 内服连翘散, 即防风, 升麻, 元参, 白芍,
白敛, 射干, 芒硝, 大黄, 甘草, 杏仁也. 若产后瘀血上攻, 两乳细
长,下垂过腹者, 谓之乳悬, 宜浓煎芎归汤, 不时饮之, 以其余药熏
鼻,则瘀散乳即上升. 如不上者, 更以萆麻仁捣, 贴顶心, 收即去之
.
芎归饮即佛手散 方见首卷
1.消毒饮
青皮 白芷 当归 柴胡 淅贝母 僵蚕 花粉 金银花 甘草节各
等分, 上锉, 水煎服.
2.栝蒌散
栝蒌 乳香 没药 当归 甘草各等分, 上为末. 酒煎服. 加皂角刺
,名立效散.
3.十六味流气饮
当归 白芍 人参 黄耆各二钱 川芎 防风 苏叶 白芷 枳壳
桔梗各一钱 甘草 槟榔各五分 乌药 厚朴 官桂 木通各八分,
上锉, 每服五钱, 水煎服.
4.青皮甘草散
青皮 甘草各一钱, 上为末, 煎浓姜汤调服.
5.鹿角散
鹿角 甘草各等分, 上为末, 鸡子黄调铜器内, 炙敷之.
6.连翘散
防风 元参各二钱 白敛 芒硝 大黄 射干各一钱 升麻五分 白
芍一钱 甘草五分 杏仁二十粒, 上锉, 姜水煎服.
7.加味四物汤
当归 白芍 熟地 川芎 花粉 王不留行 ( 炒 ) 木通各二钱,
以上猪蹄熬汤, 煎药服.
8.涌泉散
白丁香 王不留行 花粉 漏芦各一钱, 上猪蹄汤煎服.
9.兔怀散
红花 赤芍 归尾 牛膝各二钱, 上锉, 水煎服
10. 麦芽煎
麦芽三两, 上一味, 水煎作茶饮.
8. 治疗妒乳（产后乳头破裂生疮）用甘草鹿角散，用鸡蛋黄调和后在铜器中加热敷贴；连翘散由防风、升麻、玄参、白芍、白敛、射干、芒硝、大黄、甘草、杏仁组成。若因瘀血上攻导致乳悬证（产后乳房下垂过长），宜饮用芎归汤（川芎当归汤），并用药气熏蒸鼻腔；若无效，再用蓖麻仁捣烂敷贴于头顶百会穴处，待乳房收回后立即去除，不可拖延。
【注释】乳头生疮，称为妒乳，适宜用鹿角散外敷，即鹿角、甘草研为细末，用鸡蛋黄调和，置于铜器中加热后敷贴。内服连翘散，即包含防风、升麻、玄参、白芍、白敛、射干、芒硝、大黄、甘草、杏仁。若是产后瘀血上攻，导致两乳房细长，下垂超过腹部者，称为乳悬，适宜浓煎芎归汤，不时饮用，并利用余药蒸汽熏鼻，则瘀血消散，乳房即可回升。如果仍未回升，再将蓖麻仁捣烂，敷贴于头顶心，乳房收回后即去掉药物。
芎归饮即佛手散，方剂见首卷。
1. 消毒饮
青皮、白芷、当归、柴胡、浙贝母、僵蚕、天花粉、金银花、甘草节各等分，以上药材切碎，用水煎煮服用。
2. 栝蒌散
栝楼、乳香、没药、当归、甘草各等分，以上药材研为细末。用酒煎煮服用。加入皂角刺，名为立效散。
3. 十六味流气饮
当归、白芍、人参、黄芪各二钱，川芎、防风、苏叶、白芷、枳壳、桔梗各一钱，甘草、槟榔各五分，乌药、厚朴、官桂、木通各八分，以上药材切碎，每次服用五钱，用水煎煮服用。
4. 青皮甘草散
青皮、甘草各一钱，以上药材研为细末，用浓姜汤调服。
5. 鹿角散
鹿角、甘草各等分，以上药材研为细末，用鸡蛋黄调和，置于铜器中加热后敷贴。
6. 连翘散
防风、玄参各二钱，白敛、芒硝、大黄、射干各一钱，升麻五分，白芍一钱，甘草五分，杏仁二十粒，以上药材切碎，用姜水煎煮服用。
7. 加味四物汤
当归、白芍、熟地黄、川芎、天花粉、王不留行（炒制）、木通各二钱，以上药材用猪蹄熬制的汤来煎煮服用。
8. 涌泉散
白丁香、王不留行、天花粉、漏芦各一钱，以上药材用猪蹄汤煎煮服用。
Lujiao San (Deer Horn Powder), Lianqiao San (Forsythia Powder)
8. For Du Ru (cracked nipples with sores postpartum), use Gancao Lujiao San (Licorice and Deer Horn Powder), mixed with egg yolk and applied after heating in a copper vessel. Lianqiao San consists of Fangfeng (Saposhnikovia Root), Shengma (Cimicifugae Rhizoma), Yuan Shen (Scrophulariae Radix), Baishao (White Peony Root), Bailian (Moutan Cortex), Shegan (Belamcandae Rhizoma), Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), Gancao (Licorice Root), and Xingren (Prunus Seed). If the condition is Ru Xuan (sagging breasts due to blood stasis attacking upward from postpartum blood stasis), where the breasts become elongated and hang below the abdomen, one should drink Xiong Gui Tang (Chuanxiong and Angelica Decoction) frequently and fumigate the nose with the steam of the remaining herbs; this will dissipate the stasis and cause the breasts to rise. If there is no improvement, apply mashed Bi Ma Ren (Ricinus Seed) to the Baihui acupoint on the top of the head, and remove it immediately once the breasts retract; do not delay.
[Note] Sores on the nipple are called Du Ru, which should be treated with external application of Lujiao San. This involves grinding Deer Horn and Licorice into powder, mixing with egg yolk, heating in a copper vessel, and applying. Internally, take Lianqiao San, which contains Saposhnikovia Root, Cimicifugae Rhizoma, Scrophulariae Radix, White Peony Root, Moutan Cortex, Belamcandae Rhizoma, Natrii Sulfas, Rhei Radix et Rhizoma, Licorice Root, and Prunus Seed. If postpartum blood stasis attacks upward, causing the breasts to become slender and hang below the abdomen, it is called Ru Xuan. One should decoct Xiong Gui Tang (Chuanxiong and Angelica Decoction) strongly and drink it intermittently, using the residual herb steam to fumigate the nose, thereby dissipating stasis and raising the breasts. If they do not rise, mash Ricinus Seeds and apply them to the center of the vertex; remove immediately upon retraction.
Xiong Gui Yin is identical to Foshou San, see the first volume for the formula.
1. Xiaodu Yin (Detoxification Decoction)
Qingpi (Citri Reticulatae Pericarpium Viride), Baizhi (Angelicae Dahuricae Radix), Danggui (Angelicae Sinensis Radix), Chaihu (Bupleuri Radix), Zhe Beimu (Fritillariae Thunbergii Bulbus), Jiangcan (Bombyx Batryticatus), Huafen (Trichosanthis Radix), Jinyinhua (Lonicerae Japonicae Flos), Gancao Jie (Licorice Root Nodes) in equal parts. Cut the herbs, decoct in water, and take orally.
2. Gualou San (Trichosanthes Powder)
Gualou (Trichosanthis Fructus), Ruxiang (Olibanum), Moyao (Myrrha), Danggui (Angelicae Sinensis Radix), Gancao (Licorice Root) in equal parts. Grind into powder. Decoct in wine and take orally. Adding Zaocis Spina (Gleditsiae Sinensis Spina) makes it Li Xiao San (Instant Effect Powder).
3. Shi Liu Wei Liu Qi Yin (Sixteen-Ingredient Flow-Qi Decoction)
Danggui (Angelicae Sinensis Radix), Baishao (White Peony Root), Renshen (Ginseng Radix), Huangqi (Astragali Radix) each 2 qian; Chuanxiong (Chuanxiong Rhizoma), Fangfeng (Saposhnikovia Root), Ziye (Perilla Leaf), Baizhi (Angelicae Dahuricae Radix), Zhike (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix) each 1 qian; Gancao (Licorice Root), Binglang (Areca Seed) each 5 fen; Wuyao (Tso-wu-yao Rhizome), Houpo (Magnoliae Officinalis Cortex), Guigui (Cinnamomi Cortex), Mutong (Akebiae Caulis) each 8 fen. Cut the herbs, take 5 qian per dose, decoct in water, and take orally.
4. Qingpi Gancao San (Citri Reticulatae Pericarpium Viride and Licorice Powder)
Qingpi (Citri Reticulatae Pericarpium Viride), Gancao (Licorice Root) each 1 qian. Grind into powder, mix with strong ginger soup, and take orally.
5. Lujiao San (Deer Horn Powder)
Deer Horn, Gancao (Licorice Root) in equal parts. Grind into powder, mix with egg yolk, heat in a copper vessel, and apply externally.
6. Lianqiao San (Forsythia Powder)
Fangfeng (Saposhnikovia Root), Yuanshen (Scrophulariae Radix) each 2 qian; Bailian (Moutan Cortex), Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), Shegan (Belamcandae Rhizoma) each 1 qian; Shengma (Cimicifugae Rhizoma) 5 fen; Baishao (White Peony Root) 1 qian; Gancao (Licorice Root) 5 fen; Xingren (Prunus Seed) 20 grains. Cut the herbs, decoct in ginger water, and take orally.
7. Jiawei Siwu Tang (Modified Four Substances Decoction)
Danggui (Angelicae Sinensis Radix), Baishao (White Peony Root), Shudi (Rehmanniae Radix Praeparata), Chuanxiong (Chuanxiong Rhizoma), Huafen (Trichosanthis Radix), Wangbuliuxing (Vaccariae Semen [Stir-baked]), Mutong (Akebiae Caulis) each 2 qian. Decoct these herbs in broth made from pig trotters and take orally.
8. Yongquan San (Yongquan Powder)
Baodingxiang (Vomeris Os), Wangbuliuxing (Vaccariae Semen), Huafen (Trichosanthis Radix), Loulu (Euphorbiae Humifusae Radix) each 1 qian. Decoct in pig trotter broth and take orally.
9. Huai San (Rabbit Pregnancy Powder - *Note: Name likely refers to dispersing milk retention*)
Honghua (Carthami Flos), Chishao (Red Peony Root), Guiwei (Angelicae Sinensis Radix Tail), Niuxi (Achyranthis Bidentatae Radix) each 2 qian. Cut the herbs, decoct in water, and take orally.
10. Maiya Jian (Malt Decoction)
Maiya (Hordei Fructus Germinatus) 3 liang. Single ingredient, decoct in water and drink as tea.