以蒲横度口,以度从乳上行,灸度头二七壮。
论曰∶产后不自饮儿,并失儿无儿饮乳,乳蓄结痈,不饮儿令乳上肿者,以鸡子白和小
豆散敷乳房,令消结也。若饮儿不泄者,数捻去之,亦可令大孩子含水使口中冷,为嗍取滞
乳汁吐去之,不含水漱去热,喜令乳头作疮,乳孔塞也。
凡妇人多患乳痈,年四十以下治之多瘥,年五十以上慎勿治,治之多死,不治自得终天
年。
治妒乳乳痈方。
连翘 芒硝(各二两) 芍药 射干 升麻 防已 杏仁 黄芩 大黄 柴胡 甘草(各
三
上十一味, 咀,以水九升,煮取二升五合,分三服。
治乳痈方∶
麦门冬(一升) 黄芩 芍药 茯苓(各二两) 桑寄生 人参 黄 防风 甘草(各
三
两) 饴糖(八两) 大枣(五枚)
上十一味, 咀,以水一斗,煮取三升,去滓,纳糖,一沸,分四服。
又方 先服前汤,五日后服此丸即愈方。
天门冬(五两) 泽兰(五分) 大黄(十分) 升麻(六分) 羌活 桑寄生 防风 人
参
黄 干地黄 白芷 通草(各二分) 黄芩 枳实 五味子 茯神 天雄 芎 当归(各
一分)
上十九味为末,蜜丸,酒服二十丸,日二,加至四十丸。
治乳痈始作方(《广济方》云∶治乳痈大坚硬,赤紫色,衣不得近,痛不可忍者)∶
大黄 楝实 芍药 马蹄(各等分)
上四味,治下筛,饮服方寸匕,取汁出瘥。(《广济方》云∶酒服方寸匕,覆取汗,当
睡
又方 黄芩 白蔹 芍药(等分)
上三味,为末,以浆水饮服半钱匕,日三。若左乳汁结者,即捋去右乳汁,若右乳汁结
者,可捋去左乳汁。(《短剧》云∶治妒乳。)
又方 鹿角治下筛,以猪脂上清汁,服方寸匕,不过,再服,亦可醋浆水服。
用蒲草横放在口中测量宽度,以此宽度为尺度,从乳头向上量取长度,在量取的末端处施灸十四壮。
论述说:产后母亲不亲自哺乳婴儿,或者因失去婴儿而无人哺乳,导致乳汁淤积结成痈肿;如果不让婴儿吸吮,会导致乳房肿胀。此时可用鸡蛋清调和赤小豆散敷于乳房,以使结块消散。如果让婴儿吸吮但乳汁仍不能排出,可多次用手捻挤排出;也可以让较大的孩子含一口冷水在口中,通过吸吮将滞留的乳汁吐出。如果不让大孩子含水漱口降温,容易使乳头生疮,导致乳孔堵塞。
凡是妇女多患乳痈(乳腺炎),四十岁以下治疗大多痊愈,五十岁以上切勿治疗,治疗往往致死,不治疗反而能安享天年。
治疗妒乳(乳汁郁积)和乳痈的方剂:
连翘、芒硝(各二两)、芍药、射干、升麻、防己、杏仁、黄芩、大黄、柴胡、甘草(各三两)。
以上十一味药,切碎,用水九升,煎煮至二升五合,分三次服用。
治疗乳痈的方剂:
麦门冬(一升)、黄芩、芍药、茯苓(各二两)、桑寄生、人参、黄芪、防风、甘草(各三两)、饴糖(八两)、大枣(五枚)。
以上十一味药,切碎,用水一斗,煎煮至三升,去渣,加入糖,煮沸一次,分四次服用。
又一方:先服用前面的汤剂,五日后服用此丸剂即可痊愈。
天门冬(五两)、泽兰(五分)、大黄(十分)、升麻(六分)、羌活、桑寄生、防风、人参、黄芪、干地黄、白芷、通草(各二分)、黄芩、枳实、五味子、茯神、天雄、川芎、当归(各一分)。
以上十九味药研成细末,用蜂蜜制成丸药,用酒送服二十丸,每日两次,逐渐加量至四十丸。
治疗乳痈初起的方法(《广济方》记载:治疗乳房痈肿坚硬,呈赤紫色,衣物不可触碰,疼痛难以忍受):
大黄、楝实、芍药、马蹄(各等分)。
以上四味药,捣碎过筛,用温水送服一方寸匕的药粉,促使毒汁排出即愈。(《广济方》记载:用酒送服一方寸匕,覆盖身体取汗,应当睡一觉。)
又一方:黄芩、白蔹、芍药(等分)。
以上三味药,研成细末,用浆水送服半钱匕的药粉,每日三次。如果左侧乳汁结聚,就挤出右侧的乳汁;如果右侧乳汁结聚,就挤出左侧的乳汁。(《短剧》记载:治疗妒乳。)
又一方:鹿角捣碎过筛,用猪脂熬制的澄清汁液,送服一方寸匕的药粉,不超过两次服药,也可以用醋和浆水送服。
Place a rush horizontally across the mouth to measure its width. Using this width as a scale, measure upwards from the nipple to the end of the scale. Apply moxibustion with fourteen moxa cones (moxa balls) at the measured endpoint.
Discussion: If a postpartum mother does not breastfeed her infant herself, or if she has lost her infant and no one is available to breastfeed, milk may accumulate and form an abscess. If the infant is not allowed to suckle, breast swelling will occur. In such cases, apply a mixture of egg white and *Vigna radiata* powder (Adzuki Bean Powder) to the breast to resolve the accumulation. If the infant suckles but the milk remains unemptied, repeatedly squeeze it out by hand. Alternatively, have an older child hold cold water in their mouth and suckle to expel the stagnant milk. If the older child does not rinse their mouth with cold water, it may cause sores on the nipple and block the milk ducts.
Women frequently suffer from Ru Yong (Breast Abscess). For those under forty years old, treatment usually leads to recovery. For those over fifty, treatment should be avoided; aggressive treatment often results in death, whereas leaving it untreated allows them to live out their natural lifespan.
Formula for treating Du Ru (Milk Stagnation) and Ru Yong (Breast Abscess):
Qiaoshao (*Forsythiae Fructus*, Forsythia Fruit), Mangxiao (*Natrii Sulfas*, Mirabilite) (each 2 liang); Shaoyao (*Paeoniae Radix Alba*, White Peony Root), Shegan (*Belamcandae Rhizoma*, Blackberry Lily Rhizome), Shengma (*Cimicifugae Rhizoma*, Black Cohosh Rhizome), Fangji (*Stephaniae Tetrandrae Radix*, Stephania Root), Xingren (*Armeniacae Semen Amarum*, Bitter Apricot Seed), Huangqin (*Scutellariae Radix*, Scutellaria Root), Dahuang (*Rhei Radix et Rhizoma*, Rhubarb Root), Chaihu (*Bupleuri Radix*, Bupleurum Root), Gancao (*Glycyrrhizae Radix et Rhizoma*, Licorice Root) (each 3 liang).
The above eleven ingredients are cut into small pieces. Decoct in 9 sheng of water until 2.5 sheng remains. Divide into three doses.
Formula for treating Ru Yong (Breast Abscess):
Mendong (*Ophiopogonis Radix*, Ophiopogon Root) (1 sheng); Huangqin (*Scutellariae Radix*, Scutellaria Root), Shaoyao (*Paeoniae Radix Alba*, White Peony Root), Fuling (*Poria*, Poria Cocos) (each 2 liang); Sangjisheng (*Taxilli Herba*, Loranthus Herb), Renshen (*Ginseng Radix*, Ginseng Root), Huangqi (*Astragali Radix*, Astragalus Root), Fangfeng (*Saposhnikoviae Radix*, Saposhnikovia Root), Gancao (*Glycyrrhizae Radix et Rhizoma*, Licorice Root) (each 3 liang); Yitang (*Maltose*, Malt Sugar) (8 liang), Dazao (*Zizyphi Fructus*, Jujube Fruit) (5 pieces).
The above eleven ingredients are cut into small pieces. Decoct in 10 dou of water until 3 sheng remains. Strain, add sugar, boil once, and divide into four doses.
Another Formula: First administer the preceding decoction. After five days, administer this pill formula for cure.
Tianmendong (*Asparagi Radix*, Asparagus Root) (5 liang), Zelan (*Lycopus Herba*, Bugleweed Herb), Dahuang (*Rhei Radix et Rhizoma*, Rhubarb Root) (10 fen), Shengma (*Cimicifugae Rhizoma*, Black Cohosh Rhizome) (6 fen), Qianghuo (*Notopterygii Rhizoma et Radix*, Notopterygium Rhizome), Sangjisheng (*Taxilli Herba*, Loranthus Herb), Fangfeng (*Saposhnikoviae Radix*, Saposhnikovia Root), Renshen (*Ginseng Radix*, Ginseng Root), Huangqi (*Astragali Radix*, Astragalus Root), Dihuang (*Rehmanniae Radix Preparata*, Prepared Rehmannia Root), Baizhi (*Angelicae Dahuricae Radix*, Angelica Root), Tongcao (*Tetrapanacis Medulla*, Tetrapanax Pith) (each 2 fen), Huangqin (*Scutellariae Radix*, Scutellaria Root), Zhishi (*Aurantii Fructus Immaturus*, Immature Bitter Orange), Wuweizi (*Schisandrae Chinensis Fructus*, Schisandra Fruit), Fushen (*Poria cum Radix Pinelli*, Poria with Pinellia Root), Tianxiong (*Aconiti Lateralis Radix Preparata*, Prepared Lateral Root of Aconite), Xiong (*Chuanxiong Rhizoma*, Szechwan Lovage Rhizome), Danggui (*Angelicae Sinensis Radix*, Dong Quai Root) (each 1 fen).
The above nineteen ingredients are ground into powder. Form pills with honey. Take 20 pills with wine, twice daily. Increase gradually to 40 pills.
Method for treating early-stage Ru Yong (Breast Abscess) (Recorded in *Guangji Fang*: Treats breast abscess that is hard, purple-red, intolerable to touch by clothing, and extremely painful):
Dahuang (*Rhei Radix et Rhizoma*, Rhubarb Root), Lianshi (*Meliae Fructus*, Melia Fruit), Shaoyao (*Paeoniae Radix Alba*, White Peony Root), Matihou (*Hippocampi Spina*, Sea Horse) (equal parts).
The above four ingredients are processed and sifted. Take one fangcun bi (approx. 1 cubic inch spoonful) of powder with warm water to induce discharge of pus/toxins for cure. (*Guangji Fang* records: Take with wine, cover to induce sweating, and sleep.)
Another Formula: Huangqin (*Scutellariae Radix*, Scutellaria Root), Bailian (*Pseudostellariae Radix*, Psuedostellaria Root), Shaoyao (*Paeoniae Radix Alba*, White Peony Root) (equal parts).
The above three ingredients are ground into powder. Take half a qianbi (approx. 1/2 gram spoonful) of powder with Jiangshui (fermented rice water), three times daily. If milk stagnation occurs on the left side, express milk from the right side; if on the right side, express milk from the left side. (*Duanju* records: Treats Du Ru/Milk Stagnation.)
Another Formula: Lu Jiao (Deer Antler) processed and sifted. Take one fangcun bi of powder mixed with clarified lard (pig fat juice). Do not exceed two doses. It can also be taken with vinegar and Jiangshui (fermented rice water).