夫产后吹奶者，因儿吃奶之次，儿忽自睡，呼气不通，乳不时泄，蓄积在内，遂成肿
硬。壅闭乳道，津液不通，腐结疼痛；亦有不痒不痛，肿硬如石，名曰吹奶。若不急治，肿
甚成痈。产后吹奶，最宜急治，不尔结痈逮至死者，速与服皂角散、栝蒌散，敷以天南星
散，以手揉之则散矣。（出《指迷方》）
乳香（一钱，研） 栝蒌根末（一两）
上研令均，温酒调二钱服。
天南星为末，用温汤调，以鹅翎涂之。
歌曰∶妇人吹奶意如何？皂角烧灰蛤粉和；热酒一杯调八字，须臾揉散笑呵呵。
治奶结硬疼痛，（出《经验方》）
百药煎为细末，每服三钱。酒一盏，煎数沸，热服。
疗乳硬作痛∶嫩桑叶生采、研，以米饮调，摊纸花贴病处。
（妇人、女子乳头生小浅热疮，搔黄汁出方附）
夫妒乳者，由新产后儿未能饮之，及乳不泄；或乳胀，捏其汁不尽，皆令乳汁蓄结，与
血气相搏，即壮热大渴引饮，牢强掣痛，手不得近是也。初觉便以手助捏去汁，更令旁人助
吮引之。不尔或作疮有脓，其热势盛，必成痈也。
吹奶、妒乳、乳痈，其实则一，只分轻重而已。轻则为吹奶、妒乳，重则为痈。虽有专
门，不可不录。
疗产后吹奶作痈。
葵茎及子
上捣筛为散，酒服方寸匕，即愈。
又方皂荚十条，以酒一升，揉取汁，硝石半两，煎成膏敷之。
又方鸡屎为末，酒服方寸匕，须臾三服愈。
疗产妇乳初结胀不消，令败乳自退方。
栝蒌（一个，半生半炒） 大粉草（一寸，半生半炙） 生姜（一块，半生半煨）
上同锉，用酒一碗，煮取一盏，去滓服之。其痛一会不可忍，即搜去败乳。临卧再一服
。顺所患处乳侧卧于床上，令其药行故也。
疗乳肿，次第结成痈方。
上以马溺涂之，立愈。
妇人、女子乳头生小浅热疮，搔之黄汁出方附。
《集验》论曰∶凡妇人、女子乳头生小浅热疮，搔之黄汁出，浸淫为长，百种疗不差者
，动经年月，名为妒乳病。妇人饮儿者，乳皆欲断，世论苟抄乳是也。宜以赤龙皮汤及天麻
汤洗之。敷二物飞乌膏及飞乌散佳。始作者，可敷以黄芩漏芦散及黄连胡粉散并佳。
产后吹奶，是因为婴儿在吃奶时突然自行睡着，导致呼气不畅（此处指乳汁排出受阻），乳汁未能及时排出而蓄积在乳房内，从而形成肿胀和硬块。乳汁壅塞闭阻乳道，津液运行不通，腐败凝结引起疼痛；也有不痒不痛、肿胀坚硬如石头一样的情况，称为“吹奶”。如果不紧急治疗，肿胀严重会发展成痈疽。产后吹奶，最适宜紧急治疗，否则结痈甚至会导致死亡。应迅速服用皂角散、栝蒌散，并外敷天南星散，用手揉搓使其消散。（出自《指迷方》）
乳香（一钱，研碎），栝蒌根末（一两）。
将上述药物研磨均匀，用温酒调服二钱。
天南星研成粉末，用温水调和，用鹅毛管涂抹患处。
歌诀说：妇人患吹奶是怎么回事？将皂角烧成灰与蛤粉混合；用一杯热酒调服八字量（约二钱），片刻后揉散即可欢笑如初。
治疗乳汁结聚坚硬疼痛，（出自《经验方》）
将百药煎研成细末，每次服用三钱。用一盏酒，煮沸数次，趁热服用。
治疗乳房坚硬作痛：新鲜采摘嫩桑叶，研碎，用米汤调和，摊在纸花上贴敷于患处。
（附：妇女、女子乳头生小浅表热疮，搔抓后流出黄汁的方子）
所谓妒乳，是由于新产后婴儿尚不能吸吮乳汁，以及乳汁无法排出；或者乳房胀满，挤压时乳汁未排尽，这些都导致乳汁蓄积凝结，与血气相互搏结，从而出现高热、大渴引饮、乳房牢固强直掣痛、手不可触碰等症状。刚发觉时就应用手帮助挤出乳汁，再让旁人协助吸吮引出。否则可能会生出疮疡化脓，若热势旺盛，必定形成痈疽。
吹奶、妒乳、乳痈，其实本质相同，只是轻重程度不同而已。轻的称为吹奶、妒乳，重的称为痈。虽然各有专门论述，但不可不记录在此。
治疗产后吹奶发展成痈。
葵茎及葵子。
捣碎筛成散剂，用酒送服一方寸匕的量，即可痊愈。
又一方：皂荚十条，用一升酒，揉取汁液，加入半两硝石，煎制成膏状外敷。
又一方：鸡屎研成粉末，用酒送服一方寸匕的量，短时间内分三次服用即可痊愈。
治疗产妇乳汁初起结聚胀满不消，使败乳自然退去的方子。
栝蒌（一个，一半生用一半炒制），大粉草（一寸，一半生用一半炙烤），生姜（一块，一半生用一半煨制）。
一同切碎，用一碗酒，煮取一盏的量，去渣服用。如果疼痛一时难以忍受，就搜刮去除败乳。临睡前再服一次。顺从患病乳房的侧卧在床上，以便药力运行所致。
妇女、女子乳头生小浅表热疮，搔抓后流出黄汁的方子附后。
《集验方》论说道：凡是妇女、女子乳头生小浅表热疮，搔抓后流出黄汁，浸淫蔓延生长，各种疗法都不见效的，往往经过年月，称为妒乳病。哺乳妇人的乳汁都想要断绝，世俗言论认为这是抄掠乳汁所致。适宜用赤龙皮汤及天麻汤清洗。外敷二物飞乌膏及飞乌散较好。刚开始发作时，可敷以黄芩漏芦散及黄连胡粉散也都很好。
Postpartum "Chui Nai" (Blown Milk) occurs when the infant falls asleep suddenly while breastfeeding, causing obstruction to milk flow. The milk accumulates internally, leading to swelling and induration. The blockage of the lactiferous ducts prevents the flow of body fluids, resulting in putrefaction, condensation, and pain. In some cases, there is no itching or pain, but the breast becomes swollen and hard as stone, a condition named "Chui Nai". If not treated urgently, severe swelling may develop into an abscess. Postpartum Chui Nai requires immediate treatment; otherwise, the formation of an abscess can lead to death. One should promptly administer Zao Jiao San (Gleditsia Sinensis Powder) or Gua Lou San (Trichosanthes Root Powder), apply Tian Nan Xing San (Arisaema Cum Bile Powder) externally, and massage the area with hands to dissipate the accumulation. (From *Zhi Mi Fang*)
*Prescription:*
Ru Xiang (Frankincense, 1 qian, crushed), Gua Lou Gen Mo (Trichosanthes Radix powder, 1 liang).
Grind the ingredients uniformly, mix with warm wine, and take 2 qian orally.
*Tian Nan Xing San Application:*
Tian Nan Xing (Arisaema Cum Bile) ground into powder, mixed with warm water, and applied to the affected area using a goose feather.
*Verse:*
"What is the matter with postpartum blown milk?
Burn Gleditsia sinensis to ash and mix with Halitum (Ga Fen);
Mix eight characters' worth (approx. 2 qian) with a cup of hot wine,
Massage until dissipated shortly, and laugh with relief."
*To treat milk stasis, hardness, and pain (From *Jing Yan Fang*):*
Bai Yao Jian (Pyrus Sinensis Fermented Cake) ground into fine powder. Take 3 qian per dose. Boil one zhan of wine for several boils, and take it hot.
*To treat breast hardness and pain:*
Freshly picked tender mulberry leaves, crushed, mixed with rice water, spread on paper flowers, and applied to the lesion.
*(Appendix: Prescription for small superficial heat sores on the nipples of women and girls, which discharge yellow fluid upon scratching)*
"Du Ru" (Jealous Milk) is caused by the newborn's inability to suckle immediately after birth, or by incomplete emptying of the breasts due to squeezing without full evacuation. This leads to the accumulation and condensation of milk, which contends with Qi and Blood, resulting in high fever, intense thirst with desire to drink, firm and rigid pulling pain, and tenderness to touch. Upon initial detection, one should manually express the milk and have others assist in suction to draw it out. Otherwise, sores with pus may form, and if the heat pathogen is strong, an abscess will certainly develop.
Chui Nai, Du Ru, and Ru Yong (Breast Abscess) are essentially the same condition, differing only in severity. Mild cases are termed Chui Nai or Du Ru, while severe cases are termed Yong. Although specialized treatments exist, they must be recorded here.
*To treat postpartum Chui Nai developing into an abscess:*
Kui Jing (Malva verticillata stem) and Kui Zi (Malva verticillata seed).
Crush and sieve into a powder. Take one fang cun bi (square-inch spoonful) with wine for cure.
*Another prescription:*
Ten stalks of Zao Jia (Gleditsia sinensis fruit), soaked in one sheng of wine, squeezed to extract juice, mixed with half a liang of Xiao Shi (Niter), and boiled into a paste for external application.
*Another prescription:*
Ji Shi (Chicken droppings) ground into powder. Take one fang cun bi with wine. Three doses within a short period will result in recovery.
*To treat early-stage postpartum breast distension and stasis, allowing stale milk to recede naturally:*
Gua Lou (Trichosanthes fruit, one piece, half raw and half stir-fried), Da Fen Cao (Liquorice root, one inch, half raw and half honey-fried), Sheng Jiang (Fresh ginger, one piece, half raw and half roasted).
Chop together, boil in one bowl of wine until reduced to one zhan. Strain and drink. If pain becomes unbearable momentarily, manually evacuate the stale milk. Take another dose before sleep. Lie on the side of the affected breast to facilitate the distribution of the medicinal action.
*To treat breast swelling progressing to abscess:*
Apply horse urine to the area; recovery is immediate.
*(Appendix: Prescription for small superficial heat sores on the nipples of women and girls, discharging yellow fluid upon scratching)*
The *Ji Yan Fang* states: Whenever women or girls develop small superficial heat sores on the nipples that discharge yellow fluid upon scratching, spreading and growing over time, and resisting various treatments for months or years, it is called "Du Ru Disease". In nursing mothers, milk secretion tends to cease; worldly theories attribute this to the 'plundering' of milk. It is advisable to wash with Chi Long Pi Tang (Red Dragon Bark Decoction) and Tian Ma Tang (Gastrodia Decoction). Applying Er Wu Fei Wu Gao (Two-Ingredient Flying Bird Ointment) and Fei Wu San (Flying Bird Powder) is excellent. At the onset, applying Huang Qin Lu Lu San (Scutellaria and Rhaponticum Powder) and Huang Lian Hu Fen San (Coptis and Lead White Powder) is also beneficial.