论曰气血流行，则上为乳汁，下为月水，上下通达，不失常度，是谓平人，宜通而塞则
为痛
风
治产后乳汁不泄，结滞肿痛。连翘汤方
连翘（未开者） 射干 杏仁（汤去皮尖双仁炒） 大黄（锉炒） 柴胡（去苗） 甘
草（炙
上一十味粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，不拘时。
治产后妒乳，乳汁不泄，结成痈肿。玄参汤方
玄参 芍药 连翘（去梗） 防己 射干 升麻（锉） 芒硝 白蔹 大黄（锉炒各一
两）
上一十一味，粗捣筛，每服三钱匕，水一盏半，煎一盏，去滓温服，不拘时。
治产后妒乳汁不通。疏肿痛。漏芦散方
漏芦（去芦头） 地锦 蔓荆实（去白皮） 黄 （锉） 当归（切焙） 威灵仙（去
土各一
上六味，捣罗为散，每服二钱匕，温酒调下，不拘时服。
治产后乳汁不泄，结成痈肿热痛。升麻汤方
升麻 玄参 芍药 生干地黄（焙） 连翘 瞿麦（取穗各一两） 射干（半两） 甘
草（炙
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓不拘时温服。
治产后妒乳。涂敷方
野葛 芍药 薤白 当归 木通（各半两） 附子（一分春月不用此一味）
上六味，各细锉如豆大，用醋浸半日后，同煎沸，即先煎猪脂八分一碗，令烟出。次
入乱发一分，洗去垢，煎令消，次入松脂一两半，蜡半两，再煎沸，绵布滤去滓，瓷合盛，
冷则以
治产后妒乳，乳汁不泄，蕴结成痈。连翘汤方
连翘 大黄（略炒各半两） 黄 （一两锉） 犀角屑 芍药 木通（细锉） 升麻 黄
芩（去黑心各三分） 竹叶（一握切） 芒硝（半两）
上一十味，粗捣筛，每服三钱匕，水一盏半，煎至八分，去滓温服，不拘时。
治产后妒乳，壅结疼痛。牡丹皮散方
牡丹皮 威灵仙（洗焙） 黄 （锉） 桂（去粗皮） 大黄（酒蒸切焙） 当归（切
焙各一
上六味，捣罗为散，每服二钱匕，温酒调下，不拘时服，日三。
治产后妒乳，鹿角散方
鹿角（一两半） 故靴头（二枚）
上二味，烧灰研细，每服二钱匕，煎当归酒温调下，不拘时服。
治产后妒乳欲成痈。铁粉散方
铁粉（研） 细辛（去苗叶） 芎 人参 防风（去叉） 干姜（炮） 黄芩（去黑
心） 桂
上一十二味，捣罗为散，每服三钱匕，酒调下，日四五服，或脓血败坏自出为效。
治产后妒乳成痈，鸡屎散方
鸡屎（炒干一两） 麝香（半钱细研）
上二味，为细散，每服一钱匕，煎荆芥酒温调下。不拘时服。
治产后乳汁不泄，结滞不消热肿。二灰散方
蔓荆实（烧存性） 皂荚刺（烧存性各一两）
上二味，合研为散，每服二钱匕，温酒调下，不拘时。
治产后妒乳，结肿不消热痛。敷乳方
升麻 木香 檀香（各半两）
上三味，各取成块者，逐味就沙盆内，用酒少许带湿磨，三味相等，即用鹅羽刷敷乳上
，如干以水润之，常令湿润，一日两次敷之。
治产后妒乳，结滞成痈肿，发热疼痛。槲皮汤洗方
槲皮（三升细切）
上一味，以水一斗，煮取七升，通手便洗，不拘时，频暖洗之。
治产后妒乳成痈肿，或已破脓血未散，天麻草洗方
天麻草（五两细切）
上一味，以水一斗，煮取七升，去滓通手洗之，不拘时，频频暖洗。
论述说：气血运行通畅，向上化为乳汁，向下化为月经，上下通达，不失常度，这称为健康人。适宜通畅而受阻则产生疼痛。
治疗产后乳汁不通，结滞肿痛。连翘汤方
连翘（未开放的） 射干 杏仁（热水烫后去皮尖及双仁并炒制） 大黄（切碎炒制） 柴胡（去苗） 甘草（炙制）
以上十味药粗捣筛过，每次服用五钱匕，用水一盏半，煎至八分，去渣温服，不限时间。
治疗产后妒乳，乳汁不通，结成痈肿。玄参汤方
玄参 芍药 连翘（去梗） 防己 射干 升麻（切碎） 芒硝 白蔹 大黄（切碎炒制，各一两）
以上十一味药，粗捣筛过，每次服用三钱匕，用水一盏半，煎至一盏，去渣温服，不限时间。
治疗产后妒乳乳汁不通，疏解肿痛。漏芦散方
漏芦（去芦头） 地锦 蔓荆实（去白皮） 黄芪（切碎） 当归（切片焙干） 威灵仙（去土，各一量单位）
以上六味药，捣碎过罗成散剂，每次服用二钱匕，用温酒调下，不限时间服用。
治疗产后乳汁不通，结成痈肿热痛。升麻汤方
升麻 玄参 芍药 生干地黄（焙干） 连翘 瞿麦（取穗，各一两） 射干（半两） 甘草（炙制）
以上八味药，粗捣筛过，每次服用三钱匕，用水一盏，煎至七分，去渣不限时间温服。
治疗产后妒乳。涂敷方
野葛 芍药 薤白 当归 木通（各半两） 附子（一分，春季不用此一味）
以上六味药，各自细切如豆大，用醋浸泡半天后，同煎至沸。先煎猪脂八分一碗，令其冒烟。次入乱发一分，洗净污垢，煎至熔化，次入松脂一两半，蜡半两，再煎至沸，用绵布过滤去渣，用瓷盒盛装，冷后使用。
治疗产后妒乳，乳汁不通，蕴积结成痈。连翘汤方
连翘 大黄（略炒，各半两） 黄芪（一两切碎） 犀角屑 芍药 木通（细切） 升麻 黄芩（去黑心，各三分） 竹叶（一握切碎） 芒硝（半两）
以上十味药，粗捣筛过，每次服用三钱匕，用水一盏半，煎至八分，去渣温服，不限时间。
治疗产后妒乳，壅结疼痛。牡丹皮散方
牡丹皮 威灵仙（洗后焙干） 黄芪（切碎） 桂枝（去粗皮） 大黄（酒蒸切后焙干） 当归（切片焙干，各一量单位）
以上六味药，捣碎过罗成散剂，每次服用二钱匕，用温酒调下，不限时间服用，每日三次。
治疗产后妒乳，鹿角散方
鹿角（一两半） 故靴头（二枚）
以上二味药，烧成灰研细，每次服用二钱匕，用煎好的当归酒温调下，不限时间服用。
治疗产后妒乳欲成痈。铁粉散方
铁粉（研细） 细辛（去苗叶） 川芎 人参 防风（去叉枝） 干姜（炮制） 黄芩（去黑心） 桂枝
以上十二味药，捣碎过罗成散剂，每次服用三钱匕，用酒调下，每日四五次，或者脓血败坏自出为有效。
治疗产后妒乳成痈，鸡屎散方
鸡屎（炒干一两） 麝香（半钱研细）
以上二味药，制成细散，每次服用一钱匕，用煎好的荆芥酒温调下。不限时间服用。
治疗产后乳汁不通，结滞不消热肿。二灰散方
蔓荆实（烧存性） 皂荚刺（烧存性，各一两）
以上二味药，合研为散，每次服用二钱匕，用温酒调下，不限时间。
治疗产后妒乳，结肿不消热痛。敷乳方
升麻 木香 檀香（各半两）
以上三味药，各自取成块者，逐味在沙盆内，用少许酒带湿研磨，三味相等，即用鹅羽刷敷于乳房上，如果干了以水润之，常令湿润，一日两次敷之。
治疗产后妒乳，结滞成痈肿，发热疼痛。槲皮汤洗方
槲皮（三升细切）
以上一味药，用水一斗，煮取七升，温度适宜即可清洗，不限时间，频繁温暖清洗。
治疗产后妒乳成痈肿，或已破脓血未散，天麻草洗方
天麻草（五两细切）
以上一味药，用水一斗，煮取七升，去渣温度适宜即可清洗，不限时间，频繁温暖清洗。
Discussion states: When Qi and Blood circulate smoothly, they transform upward into breast milk and downward into menstruation. With unobstructed flow between the upper and lower parts, maintaining normal rhythm, this is termed a healthy individual. If patency is obstructed, pain ensues.
Treatment for postpartum lactation failure with stagnation, swelling, and pain. Lianqiao Tang (Forsythia Decoction)
Lianqiao (Forsythiae Fructus, 连翘 - unopened buds), Shuye (Belamcandae Rhizoma, 射干), Xingren (Armeniacae Semen Amarum, 杏仁 - blanched, skin and tip removed, double kernels stir-fried), Dahuang (Rhei Radix et Rhizoma, 大黄 - chopped and stir-fried), Chaihu (Bupleuri Radix, 柴胡 - radix removed), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草 - honey-fried).
The above ten ingredients are coarsely crushed and sieved. Each dose consists of five qianbi (approx. 15g), decocted in one dan and a half of water until reduced to eight fen (approx. 240ml). Strain and take warm, at any time.
Treatment for postpartum "Du Ru" (milk engorgement/abscess), where lactation fails and abscesses form. Xuanshen Tang (Scrophulariae Radix Decoction)
Xuanshen (Scrophulariae Radix, 玄参), Shaoyao (Paeoniae Radix Alba, 芍药), Lianqiao (Forsythiae Fructus, 连翘 - stems removed), Fangji (Stephaniae Tetrandrae Radix, 防己), Shuye (Belamcandae Rhizoma, 射干), Shengma (Cimicifugae Rhizoma, 升麻 - chopped), Mangxiao (Natrii Sulfas, 芒硝), Bailian (Iridis Rhizoma, 白蔹), Dahuang (Rhei Radix et Rhizoma, 大黄 - chopped and stir-fried, each 1 liang).
The above eleven ingredients are coarsely crushed and sieved. Each dose consists of three qianbi, decocted in one dan and a half of water until reduced to one dan. Strain and take warm, at any time.
Treatment for postpartum Du Ru with blocked lactation, to relieve swelling and pain. Loulu San (Euphorbiae Humifusae Herba Powder)
Loulu (Euphorbiae Humifusae Herba, 漏芦 - rhizome head removed), Dijin (Lygodii Spora, 地锦), Manjingzi (Viticis Semen, 蔓荆实 - white skin removed), Huangqi (Astragali Radix, 黄芪 - chopped), Danggui (Angelicae Sinensis Radix, 当归 - sliced and baked), Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma? No, usually Clematidis Radix et Rhizoma in ancient texts, but modern standard is Salvia or Clematis. WHO term for Weilingxian is Clematis Radix/Rhizoma or Salvia depending on source. Here likely Clematis based on context of moving collaterals, but let's stick to generic herbal name if uncertain. Actually, Weilingxian is traditionally Clematis chinensis. WHO: Clematis Radix et Rhizoma.), each one unit weight.
The above six ingredients are pounded and sifted into powder. Each dose consists of two qianbi, taken with warm wine, at any time.
Treatment for postpartum lactation failure forming abscesses with heat and pain. Shengma Tang (Cimicifugae Rhizoma Decoction)
Shengma (Cimicifugae Rhizoma, 升麻), Xuanshen (Scrophulariae Radix, 玄参), Shaoyao (Paeoniae Radix Alba, 芍药), Shenggan Dihuang (Rehmanniae Radix Preparata, 生干地黄 - baked), Lianqiao (Forsythiae Fructus, 连翘), Qumai (Dianthi Herba, 瞿麦 - spikes taken, each 1 liang), Shuye (Belamcandae Rhizoma, 射干 - 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草 - honey-fried).
The above eight ingredients are coarsely crushed and sieved. Each dose consists of three qianbi, decocted in one dan of water until reduced to seven fen. Strain and take warm, at any time.
Topical application formula for postpartum Du Ru.
Yege (Aconiti Radix lateralis preparata? No, Yegen is often Gelsemium or Aconite related. In Song dynasty, Yegen often refers to Gelsemium elegans or similar toxic herb. WHO: Gelsemii Radix. But historically could be Aconitum. Given "wild gecko/root", likely Gelsemium or Aconite. Let's use Gelsemii Radix as per common TCM translation for Yege in some contexts, or Aconiti Radix. Actually, Yege is often translated as Gelsemium Root. However, in some ancient texts, it might refer to Aconite. Given the presence of Fuzi separately, Yege here is likely Gelsemium or another toxic root. Let's use Gelsemii Radix (Yege, 野葛) or simply Yege. To be safe with WHO: Gelsemii Radix.)
Shaoyao (Paeoniae Radix Alba, 芍药), Xiebai (Allii Macrostemonis Bulbus, 薤白), Danggui (Angelicae Sinensis Radix, 当归), Mutong (Akebiae Caulis, 木通), each 0.5 liang; Fuzi (Aconiti Lateralis Radix Preparata, 附子 - 1 fen, not used in spring).
The above six ingredients are finely chopped to bean size. Soak in vinegar for half a day, then boil together. First, melt 8 fen of lard (pig fat) in a bowl until smoke rises. Add 1 fen of human hair (washed clean), boil until dissolved. Then add 1.5 liang of pine resin and 0.5 liang of beeswax, boil again. Filter through cotton cloth, remove dregs, store in porcelain container. Use when cold.
Treatment for postpartum Du Ru, where milk stagnates and forms abscesses. Lianqiao Tang (Forsythia Decoction)
Lianqiao (Forsythiae Fructus, 连翘), Dahuang (Rhei Radix et Rhizoma, 大黄 - slightly stir-fried, each 0.5 liang), Huangqi (Astragali Radix, 黄芪 - 1 liang, chopped), Xijiaoxie (Rhino Ceratoss, 犀角屑 - note: protected species, historically used), Shaoyao (Paeoniae Radix Alba, 芍药), Mutong (Akebiae Caulis, 木通 - finely chopped), Shengma (Cimicifugae Rhizoma, 升麻), Huangqin (Scutellariae Radix, 黄芩 - black heart removed, each 3 qian), Zhuye (Bambusae Folium, 竹叶 - one handful, chopped), Mangxiao (Natrii Sulfas, 芒硝 - 0.5 liang).
The above ten ingredients are coarsely crushed and sieved. Each dose consists of three qianbi, decocted in one dan and a half of water until reduced to eight fen. Strain and take warm, at any time.
Treatment for postpartum Du Ru with congestion and pain. Mudanpi San (Moutan Cortex Powder)
Mudanpi (Moutan Cortex, 牡丹皮), Weilingxian (Clematis Radix et Rhizoma, 威灵仙 - washed and baked), Huangqi (Astragali Radix, 黄芪 - chopped), Gui (Cinnamomi Ramulus, 桂枝 - bark removed), Dahuang (Rhei Radix et Rhizoma, 大黄 - steamed with wine, sliced and baked), Danggui (Angelicae Sinensis Radix, 当归 - sliced and baked, each one unit weight).
The above six ingredients are pounded and sifted into powder. Each dose consists of two qianbi, taken with warm wine, at any time, three times daily.
Treatment for postpartum Du Ru. Lujiao San (Deer Antler Powder)
Lujiao (Cervi Cornu Detortum, 鹿角 - 1.5 liang), Gu Xuetou (Old Boot Tip, 故靴头 - 2 pieces).
The above two ingredients are burnt to ash and ground fine. Each dose consists of two qianbi, taken with Danggui wine prepared by decoction, warm, at any time.
Treatment for postpartum Du Ru threatening to form abscess. Tiefen San (Iron Powder Powder)
Tiefen (Ferrum Pulveratum, 铁粉 - ground), Xixin (Asari Radix et Rhizoma, 细辛 - radix and leaves removed), Xiong (Ligustici Chuanxiong Rhizoma, 川芎), Renshen (Ginseng Radix, 人参), Fangfeng (Saposhnikoviae Radix, 防风 - forked parts removed), Ganjiang (Zingiberis Rhizoma, 干姜 - processed), Huangqin (Scutellariae Radix, 黄芩 - black heart removed), Gui (Cinnamomi Ramulus, 桂枝).
The above twelve ingredients are pounded and sifted into powder. Each dose consists of three qianbi, taken with wine, four to five times daily. Effectiveness is indicated by spontaneous discharge of pus, blood, and necrotic tissue.
Treatment for postpartum Du Ru forming abscess. Jishi San (Chicken Droppings Powder)
Jishi (Galli Stercus, 鸡屎 - dry-roasted, 1 liang), Shexiang (Moschus, 麝香 - 0.5 qian, finely ground).
The above two ingredients are made into a fine powder. Each dose consists of one qianbi, taken with Jingjie wine prepared by decoction, warm, at any time.
Treatment for postpartum lactation failure with persistent stagnation, heat, and swelling. Erhui San (Two Ashes Powder)
Manjingzi (Viticis Semen, 蔓荆实 - burnt to retain character), Zaojiaoci (Gleditsiae Spina, 皂荚刺 - burnt to retain character, each 1 liang).
The above two ingredients are combined and ground into powder. Each dose consists of two qianbi, taken with warm wine, at any time.
Application formula for postpartum Du Ru with persistent swelling, heat, and pain. Fulru Fang (Breast Application Formula)
Shengma (Cimicifugae Rhizoma, 升麻), Muxiang (Aucklandiae Radix, 木香), Tanxiang (Santalum Album Lignum, 檀香, each 0.5 liang).
The above three ingredients, preferably in solid blocks, are individually ground in a stone mortar with a small amount of wine while moist. Mix equal parts. Apply to the breast using a goose feather brush. Moisten with water if dry, keeping it constantly moist. Apply twice daily.
Wash formula for postpartum Du Ru forming abscesses with fever and pain. Huopi Tang Wash (Oak Bark Decoction Wash)
Huopi (Quercus Leaf/Bark, 槲皮 - 3 sheng, finely chopped).
One ingredient. Decoct in one dou of water until reduced to seven sheng. Wash when temperature is suitable. Do not limit time; wash frequently with warmth.
Wash formula for postpartum Du Ru forming abscesses, or already ruptured with pus/blood not yet cleared. Tianmacao Wash (Gastrodia Herb Wash)
Tianmacao (Gastrodiae Rhizoma? No, Tianmacao usually refers to Gastrodia elata or sometimes other herbs like Gentiana. In Song texts, Tianmacao often refers to Gastrodiae Rhizoma or sometimes specific local herbs. WHO: Gastrodiae Rhizoma is Tianma. Tianmacao might be a specific folk name. Let's assume Gastrodiae Rhizoma or similar. Actually, in some contexts, Tianmacao is Gentiana Scabra or similar. Without specific botanical ID, we translate as Tianmacao (Herb named Tianma).)
One ingredient. Decoct in one dou of water until reduced to seven sheng. Strain. Wash when temperature is suitable. Do not limit time; wash frequently with warmth.