论曰产后冲任不足，气血俱虚，邪热潜行，入于足阳明之脉，其直行者，从缺盆下乳内
廉，
经为
逆
治产后乳痈，欲结未结，发热肿痛。当归饮方
当归（切炒） 芍药 牡丹皮 生干地黄（焙） 人参 黄 （锉） 大黄（生） 升
麻连翘
上九味，粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓温服，不拘时。
治产后乳结核，或肿痛，渐成痈烦热，黄 汤方
黄 （锉） 生干地黄（焙） 麦门冬（去心焙） 升麻（各一两半） 人参 赤茯苓
（去黑
上一十味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓温服，不拘时。
治产后乳结痈，肿痛烦热。铁粉散方
铁粉（别研） 肉苁蓉（酒浸切焙） 桂（去粗皮） 细辛（去苗叶） 芎 人参 防
风（
上一十二味，捣罗为散，每服二钱匕，温酒调下，不拘时。
治乳痈疼痛寒热。蛇蜕皮散方
蛇蜕皮（烧灰半两） 麝香（二钱）
上二味研细，每服二钱匕，热酒调下，不拘时。
治产后乳结痈脓，败坏不散，发寒热疼痛。芍药汤方
芍药 桂（去粗皮） 黄 （锉） 赤茯苓（去黑皮） 当归（切炒） 生干地黄（焙
各一两）
上九味， 咀如麻豆大，每服五钱匕，水一盏半，入生姜一枣大切，煎至八分，去滓
下朴硝末一钱匕，再煎令沸，温服不拘时。
治产后乳痈，热痛末结脓者。甘草饮方
甘草（半两半炙半生） 栝蒌（一枚去皮用瓤）
上二味，先以酒三盏，煎甘草至二盏，入栝蒌瓤，煎至一盏，去滓温服半盏，如稠即以
温酒少许解之，未效再作。
治产后乳痈，脓溃未溃，热痛不已。栝蒌散方
栝蒌实（二两） 败酱 细辛（去苗叶） 干姜（炮） 浓朴（去粗皮生姜汁炙） 桔
梗（炒）
上八味，捣罗为散，每服三钱匕，温酒调下，水一盏，煎至八分，温服亦得，不拘时。
治乳汁不出，蕴积在内，结成痈肿，此名妒乳。蜂房散方
露蜂房（烧灰）
上一味研细，每服二钱匕，水一盏，煎至六分，温服不拘时。
治产后乳痈欲结未结，脓攻疼痛。黄 膏方
黄 （锉） 芎 当归（切炒） 黄芩（去黑心） 黄连（去须） 白蔹 芍药 防
风（
上八味，捣罗为末，用鸡子白调，随大小贴之，每日一易。
治产后乳痈肿痛，脓不消散。托外膏方
黄 （锉一两半） 白芷 大黄（锉炒各一两） 当归（切炒） 续断（各三分） 薤
白（
上一十味，将前五味捣为细末，入地黄汁，慢火煎渐稠，次入猪脂松脂薤蜡等。再煎成
膏，以新布滤过，新瓷器盛，候冷摊帛上，看大小贴之，逐日一易。
治产后乳痈破，脓血不尽。猪蹄汤洗方
猪蹄（一具） 当归（切炒） 芍药 黄芩（去黑心） 独活（去芦头） 莽草 大黄
（锉炒）
上八味捣罗七味为细末，将猪蹄锉洗令净，以水五升，煮熟去滓澄清，纳药再煎令热
通手洗乳上，令透拭干，良久又暖洗，不拘次数。
治乳痈，黄连膏方
黄连（去须） 大黄（锉炒各一分） 鼠粪末（半两）
上三味为细末，煮黍米粥饮，调如膏，于四边敷之。
治乳汁不时泄，蕴积于内，遂成痈。漏芦膏方
漏芦 黄芩（去黑心各一两） 米粉（半两）
上三味为细末，新水调如膏涂之。
治乳痈肿痛。大黄散方
大黄（锉） 楝实（各一两） 芍药（一两一分） 马蹄（炙锉一两半）
上四味，捣罗为散，每服二钱匕，空腹米饮调下，盖覆取汗，服三剂瘥。
治乳肿，初觉有异，麦门冬汤方
生麦门冬（去心） 黄 （锉） 防风（去叉） 桑寄生（各一两半） 甘草（炙三分）
木通
上八味， 咀如麻豆大，每服五钱匕，水一盏半，入枣二枚，煎至八分，去滓纳乳糖
一分，再煎一沸，去滓温服。
论述说：产后冲任二脉不足，气血俱虚，邪热潜行，侵入足阳明胃经。其直行者，从缺盆穴下行至乳内廉（乳房内侧边缘），若经脉之气逆乱，则易发病。
治疗产后乳痈，处于欲结未结阶段，出现发热、肿痛症状的方剂：当归饮方。
药材：当归（切碎炒制）、芍药、牡丹皮、生干地黄（焙干）、人参、黄芪（锉碎）、大黄（生用）、升麻、连翘。
以上九味药，粗捣筛过，每次服用五钱匕，加水一盏半，煎煮至七分满，去渣温服，不限时间。
治疗产后乳房结核，或肿痛，逐渐形成痈肿并伴有烦热的方剂：黄芪汤方。
药材：黄芪（锉碎）、生干地黄（焙干）、麦门冬（去心焙干）、升麻（各一两半）、人参、赤茯苓（去黑皮）。
以上十味药，粗捣筛过，每次服用五钱匕，加水一盏半，煎煮至一盏满，去渣温服，不限时间。
治疗产后乳结痈，出现肿痛烦热症状的方剂：铁粉散方。
药材：铁粉（单独研细）、肉苁蓉（酒浸后切碎焙干）、桂枝（去除粗皮）、细辛（去苗叶）、川芎、人参、防风。
以上十二味药，捣罗成散剂，每次服用二钱匕，用温酒调下，不限时间。
治疗乳痈疼痛伴寒热症状的方剂：蛇蜕皮散方。
药材：蛇蜕皮（烧成灰半两）、麝香（二钱）。
以上两味药研细，每次服用二钱匕，用热酒调下，不限时间。
治疗产后乳结痈化脓，败坏不散，发寒热疼痛症状的方剂：芍药汤方。
药材：芍药、桂枝（去除粗皮）、黄芪（锉碎）、赤茯苓（去黑皮）、当归（切碎炒制）、生干地黄（焙干，各一两）。
以上九味药，切碎如麻豆大小，每次服用五钱匕，加水一盏半，放入生姜一块（切大薄片），煎煮至八分满，去渣，加入朴硝末一钱匕，再煎至沸腾，温服，不限时间。
治疗产后乳痈，热痛尚未结成脓液的方剂：甘草饮方。
药材：甘草（半两，一半炙用一半生用）、栝蒌（一枚，去皮取瓤）。
以上两味药，先用酒三盏，煎甘草至二盏，加入栝蒌瓤，煎至一盏，去渣温服半盏，如果药液太稠，可加少许温酒稀释，若无效再制作。
治疗产后乳痈，脓已溃或未溃，热痛不止的方剂：栝蒌散方。
药材：栝蒌实（二两）、败酱草、细辛（去苗叶）、干姜（炮制）、厚朴（去除粗皮，用生姜汁炙烤）、桔梗（炒制）。
以上八味药，捣罗成散剂，每次服用三钱匕，用温酒调下；也可用水一盏，煎至八分满，温服亦可，不限时间。
治疗乳汁不出，蕴积在内，结成痈肿，此名为妒乳的方剂：蜂房散方。
药材：露蜂房（烧成灰）。
以上一味药研细，每次服用二钱匕，加水一盏，煎至六分满，温服，不限时间。
治疗产后乳痈欲结未结，脓气攻注疼痛的方剂：黄芪膏方。
药材：黄芪（锉碎）、川芎、当归（切碎炒制）、黄芩（去除黑心）、黄连（去须）、白蔹、芍药、防风。
以上八味药，捣罗成末，用鸡蛋清调和，根据患处大小贴敷，每日一换。
治疗产后乳痈肿痛，脓液不消散的方剂：托外膏方。
药材：黄芪（锉碎一两半）、白芷、大黄（锉碎炒制各一两）、当归（切碎炒制）、续断（各三分）、薤白。
以上十味药，将前五味药捣为细末，加入地黄汁，用慢火煎至渐稠，然后加入猪脂、松脂、薤蜡等。再煎成膏状，用新布过滤，盛于新瓷器中，冷却后摊在帛上，根据大小贴敷，每日更换一次。
治疗产后乳痈破溃，脓血不尽的方剂：猪蹄汤洗方。
药材：猪蹄（一只）、当归（切碎炒制）、芍药、黄芩（去除黑心）、独活（去芦头）、莽草、大黄（锉碎炒制）。
以上八味药，将七味药捣罗成细末，将猪蹄切碎洗净，用水五升，煮熟后去渣澄清，纳入药末再煎至温热适手，清洗乳房，令药力透入，擦干后，待稍凉再加热清洗，不限次数。
治疗乳痈的方剂：黄连膏方。
药材：黄连（去须）、大黄（锉碎炒制各一分）、鼠粪末（半两）。
以上三味药为细末，用黍米粥饮调和成膏状，敷于患处四周。
治疗乳汁不时泄漏，蕴积于内，遂成痈肿的方剂：漏芦膏方。
药材：漏芦、黄芩（去除黑心各一两）、米粉（半两）。
以上三味药为细末，用新水调和成膏状涂敷。
治疗乳痈肿痛的方剂：大黄散方。
药材：大黄（锉碎）、楝实（各一两）、芍药（一两一分）、马蹄（炙碎锉细一两半）。
以上四味药，捣罗成散剂，每次服用二钱匕，空腹用米饮调下，盖被取汗，服用三剂痊愈。
治疗乳肿，初觉有异常情况的方剂：麦门冬汤方。
药材：生麦门冬（去心）、黄芪（锉碎）、防风（去叉）、桑寄生（各一两半）、甘草（炙三分）、木通。
以上八味药，切碎如麻豆大小，每次服用五钱匕，加水一盏半，放入枣二枚，煎至八分满，去渣加入乳糖一分，再煎一沸，去渣温服。
Commentary states: Postpartum, the Chong and Ren meridians are deficient, with both Qi and Blood being insufficient. Pathogenic heat lurks and enters the Foot-Yangming Stomach Meridian. Its straight branch descends from the Quepen (ST12) acupoint to the inner margin of the breast. If the meridian Qi rebels, pathology ensues.
Formula for treating postpartum mastitis in the stage of impending abscess formation, characterized by fever, swelling, and pain: Danggui Yin Decoction.
Herbs: Radix Angelicae Sinensis (Danggui, 当归), processed by chopping and stir-frying; Radix Paeoniae Alba (Shaoyao, 芍药); Cortex Moutan (Mudanpi, 牡丹皮); Radix Rehmanniae Preparata (Sheng Gan Dihuang, 生干地黄), baked; Radix Ginseng (Renshen, 人参); Radix Astragali (Huangqi, 黄芪), chopped; Radix et Rhizoma Rhei (Dahuang, 大黄), raw; Rhizoma Cimicifugae (Shengma, 升麻); Fructus Forsythiae (Lianqiao, 连翘).
The above nine herbs are coarsely crushed and sieved. Each dose consists of five qianbi (approx. 5-7g), decocted in one dan and a half (approx. 300ml) of water until reduced to seven-tenths. Strain and take warm, at any time.
Formula for treating postpartum breast nodules, or swelling and pain that gradually develop into an abscess accompanied by vexatious heat: Huangqi Tang Decoction.
Herbs: Radix Astragali (Huangqi, 黄芪), chopped; Radix Rehmanniae Preparata (Sheng Gan Dihuang, 生干地黄), baked; Radix Ophiopogonis (Mendong, 麦门冬), heart removed and baked; Rhizoma Cimicifugae (Shengma, 升麻), each 1.5 liang; Radix Ginseng (Renshen, 人参); Poria Cocos with Red Bark (Chifuling, 赤茯苓), black skin removed.
The above ten herbs are coarsely crushed and sieved. Each dose consists of five qianbi, decocted in one dan and a half of water until reduced to one dan. Strain and take warm, at any time.
Formula for treating postpartum breast abscess with swelling, pain, and vexatious heat: Tie Fen San Powder.
Herbs: Ferrum Pulveratum (Tiefen, 铁粉), separately ground; Cortex Ephedrae (Rou Congrong is actually Cistanche, but text says Rou Congrong - Radix Cistanches, 肉苁蓉), soaked in wine, chopped and baked; Ramulus Cinnamomi (Gui, 桂), coarse bark removed; Radix Asari (Xixin, 细辛), seedlings and leaves removed; Radix Ligustici Wallichii (Xiong, 川芎); Radix Ginseng (Renshen, 人参); Radix Saposhnikoviae (Fangfeng, 防风).
The above twelve herbs are pounded and sifted into powder. Each dose consists of two qianbi, taken with warm wine, at any time.
Formula for treating mastitis with pain and alternating chills and fever: Shetui Pi San Powder.
Herbs: Dermis Serpentis (Shetui Pi, 蛇蜕皮), burned to ash, half liang; Moschus (Shexiang, 麝香), two qian.
The above two herbs are finely ground. Each dose consists of two qianbi, taken with hot wine, at any time.
Formula for treating postpartum breast abscess with pus, decay not dispersing, accompanied by chills, fever, and pain: Shaoyao Tang Decoction.
Herbs: Radix Paeoniae Alba (Shaoyao, 芍药); Ramulus Cinnamomi (Gui, 桂), coarse bark removed; Radix Astragali (Huangqi, 黄芪), chopped; Poria Cocos with Red Bark (Chifuling, 赤茯苓), black skin removed; Radix Angelicae Sinensis (Danggui, 当归), chopped and stir-fried; Radix Rehmanniae Preparata (Sheng Gan Dihuang, 生干地黄), baked, each 1 liang.
The above nine herbs are chopped like hemp or bean seeds. Each dose consists of five qianbi, decocted in one dan and a half of water with one large slice of fresh ginger. Reduce to eight-tenths, strain, add Sulfuratum Natrii (Piaoxiao, 朴硝) powder, one qianbi, boil again until bubbling, take warm, at any time.
Formula for treating postpartum mastitis with hot pain but no pus formed yet: Gancao Yin Decoction.
Herbs: Radix Glycyrrhizae (Gancao, 甘草), half liang, half roasted and half raw; Fructus Trichosanthis (Gualou, 栝蒌), one fruit, peel removed, pulp used.
The above two herbs: first decoct Gancao in three zhan of wine until reduced to two zhan, add Gualou pulp, decoct until reduced to one zhan. Strain and take half zhan warm. If too thick, dilute with a little warm wine. If ineffective, prepare again.
Formula for treating postpartum mastitis where pus has ulcerated or not, with unceasing hot pain: Gualou San Powder.
Herbs: Fructus Trichosanthis (Gualou Shi, 栝蒌实), two liang; Herba Patriniae (Baijiang Cao, 败酱); Radix Asari (Xixin, 细辛), seedlings and leaves removed; Rhizoma Zingiberis Recens (Ganjiang, 干姜), processed; Cortex Magnoliae Officinalis (N Houpo, 浓朴), coarse bark removed, roasted with ginger juice; Radix Platycodi (Jiegeng, 桔梗), stir-fried.
The above eight herbs are pounded and sifted into powder. Each dose consists of three qianbi, taken with warm wine. Alternatively, decoct one zhan of water until reduced to eight-tenths, take warm, at any time.
Formula for treating milk stasis not exiting, accumulating internally, forming an abscess, known as Du Ru (Jealousy Breast): Feng Fang San Powder.
Herbs: Nidus Vespae (Lufengfang, 露蜂房), burned to ash.
The above single herb is finely ground. Each dose consists of two qianbi, decocted in one zhan of water until reduced to six-tenths. Take warm, at any time.
Formula for treating postpartum mastitis in the stage of impending abscess formation, with pus qi attacking causing pain: Huangqi Gao Ointment.
Herbs: Radix Astragali (Huangqi, 黄芪), chopped; Radix Ligustici Wallichii (Xiong, 川芎); Radix Angelicae Sinensis (Danggui, 当归), chopped and stir-fried; Radix Scutellariae (Huangqin, 黄芩), black heart removed; Rhizoma Coptidis (Huanglian, 黄连), roots removed; Radix Ampelopsis (Bailian, 白蔹); Radix Paeoniae Alba (Shaoyao, 芍药); Radix Saposhnikoviae (Fangfeng, 防风).
The above eight herbs are pounded and sifted into powder. Mix with albumen ovii galli (egg white) to form a paste. Apply according to size, change once daily.
Formula for treating postpartum mastitis with swelling and pain, where pus does not dissipate: Tuowai Gao Ointment.
Herbs: Radix Astragali (Huangqi, 黄芪), chopped, 1.5 liang; Radix Angelicae Dahuricae (Baizhi, 白芷); Radix et Rhizoma Rhei (Dahuang, 大黄), chopped and stir-fried, 1 liang; Radix Angelicae Sinensis (Danggui, 当归), chopped and stir-fried; Radix Dipsaci (Xuduan, 续断), each 3 fen; Bulbus Allii Macrostemonis (Xiebai, 薤白).
The above ten herbs: crush the first five herbs into fine powder. Add juice of Radix Rehmanniae, slowly simmer until thickening. Then add suillum adip (pig fat), resina pini (pine resin), and xielax (scallion wax). Simmer into ointment, filter through new cloth, store in new porcelain. When cool, spread on silk, apply according to size, change daily.
Formula for treating postpartum mastitis ulceration with incomplete discharge of pus and blood: Zhu Ti Tang Washing Decoction.
Herbs: Pes Sus Scrofae Domesticae (Zhuti, 猪蹄), one piece; Radix Angelicae Sinensis (Danggui, 当归), chopped and stir-fried; Radix Paeoniae Alba (Shaoyao, 芍药); Radix Scutellariae (Huangqin, 黄芩), black heart removed; Radix Angelicae Pubescentis (Duhuo, 独活), rhizome removed; Herba Maosao (Maangcao, 莽草); Radix et Rhizoma Rhei (Dahuang, 大黄), chopped and stir-fried.
The above eight herbs: pound seven herbs into fine powder. Chop and wash the pig's trotter clean. Decoct in five sheng of water until cooked. Remove residue and clarify. Add the herb powder and re-boil until warm to hand. Wash the breast thoroughly, dry, then re-warm and wash again. Repeat as needed.
Formula for treating mastitis: Huanglian Gao Ointment.
Herbs: Rhizoma Coptidis (Huanglian, 黄连), roots removed; Radix et Rhizoma Rhei (Dahuang, 大黄), chopped and stir-fried, each 1 fen; Faeces Muscae Domesticae (Shufen Mo, 鼠粪末), half liang.
The above three herbs are made into fine powder. Mix with millet porridge drink to form a paste. Apply around the periphery of the lesion.
Formula for treating irregular milk leakage, accumulating internally, forming an abscess: Loulu Gao Ointment.
Herbs: Radix Radicis Rhizomatisque Euphorbiae Humifusae (Loulu, 漏芦); Radix Scutellariae (Huangqin, 黄芩), black heart removed, each 1 liang; Farina Orizae (Mifen, 米粉), half liang.
The above three herbs are made into fine powder. Mix with fresh water to form a paste for application.
Formula for treating mastitis with swelling and pain: Dahuang San Powder.
Herbs: Radix et Rhizoma Rhei (Dahuang, 大黄), chopped; Fructus Meliae Toosendan (Lianshi, 楝实), each 1 liang; Radix Paeoniae Alba (Shaoyao, 1.1 liang); Calcar Equi (Matih, 马蹄), roasted and chopped, 1.5 liang.
The above four herbs are pounded and sifted into powder. Each dose consists of two qianbi, taken on an empty stomach with rice drink. Cover to induce sweating. Three doses result in recovery.
Formula for treating breast swelling, perceived as abnormal initially: Mendong Tang Decoction.
Herbs: Radix Ophiopogonis (Sheng Mendong, 生麦门冬), heart removed; Radix Astragali (Huangqi, 黄芪), chopped; Radix Saposhnikoviae (Fangfeng, 防风), forked roots removed; Ramulus Taxilli (Sangjisheng, 桑寄生), each 1.5 liang; Radix Glycyrrhizae (Gancao, 甘草), roasted, 3 fen; Caulis Akebiae (Mutong, 木通).
The above eight herbs are chopped like hemp or bean seeds. Each dose consists of five qianbi, decocted in one dan and a half of water with two jujubes. Reduce to eight-tenths, strain, add Lactosum (Tangru, 乳糖), one fen, boil once more, strain, and take warm.