产后吹乳，因儿饮乳为口气所吹，致令乳汁不通，壅结肿痛。不急治之，多成痈肿。速服栝蒌散，外以南
星末敷之，更以手揉散之。势甚者，惟连翘金贝煎最妙。
栝蒌散（见《妇人规古方》）治吹乳肿痛。
栝蒌（一个） 乳香（二钱）
上用酒煎服。外用南星为末，以温汤调涂。
连翘金贝煎（见《新方八阵·因阵》）治阳分痈毒，或在脏腑肺膈胸乳之间者，此方最佳。甚者连
用数服，无有不愈。
金银花 贝母（土者更佳） 蒲公英 夏枯草（各三钱） 红藤（七、八钱） 连翘（一两或五七钱）
用好酒二碗，煎一碗服，服后暖卧片时。火盛烦渴乳肿者，加天花粉。若阳毒内热，或在颈项之间者，用
水煎亦可。
产后妒乳，因无儿饮乳或儿未能饮，余乳蓄结作胀；或妇人血气方盛，乳房作胀，以致肿痛，增（通“憎”）
寒发热。不吮通之，必致成痈。若肿不消，用麦芽二、三两炒熟，水煎服，立消。
一方∶用陈皮一两、甘草一钱，水煎服。
一方∶治吹乳、乳痈肿痛。用萱草根，擂，酒服之，以滓 患处。
袖珍方∶用猪牙皂角去皮，蜜炙为末，酒服一钱。又诗云∶妇人吹奶法如何？皂角烧灰蛤粉和，热酒一杯
调八字，管教时刻笑呵呵。
肿痛势甚，热毒有余者，宜以连翘金贝煎先治之，甚妙。
立斋法曰∶妇人乳痈，属胆胃二腑热毒，气血壅滞，故初起肿痛发于肌表，肉色 赤，其人表热发热，
或发寒热，或憎寒头痛，烦渴引饮，用人参败毒散、神效栝蒌散、加味逍遥散治之，肿
自消散。若至数日之间，脓成溃窍，稠脓涌出，脓尽自愈。若气血虚弱，或误用败毒，久不收敛，脓清脉大，
则难治。乳岩属肝脾二脏，郁怒气血亏损，故初起小核，结于乳内，肉色如故，其人内热、夜热，五心烦热，
肢体倦瘦，月经不调。用加味逍遥散、加味归脾汤、神效栝蒌散，多自消散。若积久渐大， 岩色赤，出水，
内溃深洞，为难疗。但用前归脾汤等药，可延岁月。若误用攻伐，危殆迫矣。大凡乳证，若因恚怒，宜疏肝清
热； 痛寒热，宜发表散邪； 肿痛甚，宜清肝消毒并隔蒜灸。不作脓或脓不溃，补气血为主；不收敛或脓
稀，补脾胃为主；脓出反痛或发寒热，补气血为主，或晡热内热，补血为主。若饮食少思或作呕吐，补胃为
主；饮食难化或作泄泻，补脾为主；劳碌肿痛，补气血为主；怒气肿痛，养肝血为主。儿口所吹，须吮通揉
散，成痈治以前法。潮热暮热，亦主前药。大抵男子多由房劳耗伤肝肾，妇人郁怒亏损肝脾，治者审之，世有
孕妇患
此，名曰内吹，然其所致之因则一，惟用药不可犯其胎耳。
连翘金贝煎（见吹乳）
人参败毒散（见《古方八阵·散阵》）亦名败毒散。治四时伤寒瘟疫，憎寒壮热，风湿、风眩，项
强，身体疼痛。不问老少皆可服。或岭南烟瘴之地，疫疠时行，或处卑湿，香港脚痿弱等证，此药不可缺，日
三服，以效为度。
人参 茯苓 枳壳 甘草 川芎 羌活 独活 前胡 柴胡 桔梗（各等分）
水一钟半，姜三片，煎服。或为细末，沸汤点服。
神效栝蒌散（见《外科钤古方》）治乳痈及一切痈疽初起。肿痛即消，脓成即溃，脓出即愈。治痈
之方甚多，独此方神效。瘰 、疮毒尤效。凡一切痈疽余毒，皆宜用之。
栝蒌（一个烂研） 当归（酒洗） 生甘草（各半两） 乳香 没药（各一钱）
上用酒煎服，良久再服，如不能饮，以酒水各半煎之，如数剂不效，宜以补气血之药兼服之。若肝经血
虚，结核不消，佐以四物、柴胡、升麻、白术、茯苓。若肝脾气血虚弱，佐以四君、芎、归、柴胡、升麻。若
忧郁伤脾，气血亏损，佐以归脾汤。
加味逍遥散（见经不调）
加味归脾汤（见胎漏）
产后吹乳，是因为婴儿吃奶时，口气吹入乳房，导致乳汁不通畅，淤积结块并引起肿痛。如果不及时医治，大多会发展成痈肿。应迅速服用栝蒌散，外用南星粉末敷贴，并用手揉散结节。病情严重的，使用连翘金贝煎最为巧妙。
栝蒌散（见《妇人规古方》）治疗吹乳引起的肿痛。
栝蒌（一个） 乳香（二钱）
以上药材用酒煎煮后服用。外用南星研成粉末，用温水调匀后涂抹。
连翘金贝煎（见《新方八阵·因阵》）治疗阳分的热毒痈肿，无论病变在脏腑、肺膈、胸部还是乳房之间，此方效果最佳。病情严重者连续服用数剂，没有不痊愈的。
金银花 贝母（土贝母更佳） 蒲公英 夏枯草（各三钱） 红藤（七、八钱） 连翘（一两或五至七钱）
用好酒两碗，煎剩一碗服用，服后保暖卧床片刻。若火盛、烦渴、乳房肿胀者，加天花粉。若是阳毒内热，或者病变在颈项之间者，用水煎煮也可以。
产后妒乳，是因为没有婴儿吃奶或婴儿未能吸吮，余下的乳汁蓄积结块导致胀痛；或者是妇女气血正旺盛，乳房胀痛，以致肿痛，并伴有憎寒发热。若不通过吸吮使乳汁通畅排出，必定会导致形成痈肿。如果肿块不消退，可用麦芽二至三两炒熟，水煎服用，肿块立即消散。
另一方法：治疗吹乳、乳痈引起的肿痛。用萱草根，捣烂，用酒送服，并将药渣敷于患处。
袖珍方：用猪牙皂角去皮，用蜜炙烤后研成粉末，用酒送服一钱。又有诗云：妇人吹奶法如何？皂角烧灰蛤粉和，热酒一杯调八字，管教时刻笑呵呵。
立斋法说：妇女乳痈，属于胆胃二腑的热毒，气血壅滞，所以初起时肿痛发于肌表，皮肤颜色发红，病人表现为体表发热，或出现寒热往来，或憎寒头痛，烦渴想喝水，用人参败毒散、神效栝蒌散、加味逍遥散治疗，肿块自然消散。如果到了几天之后，脓液形成并破溃，稠厚的脓液涌出，脓液排尽后自愈。如果气血虚弱，或者误用了攻伐解毒的药物，久不收敛，脓液清稀脉象大，则难以治疗。乳岩属于肝脾二脏，因郁怒导致气血亏损，所以初起时有小核，结在乳房内部，皮肤颜色如常，病人表现为内热、夜间发热，五心烦热，肢体疲倦消瘦，月经不调。用加味逍遥散、加味归脾汤、神效栝蒌散，大多能自行消散。如果积聚日久逐渐变大，岩石般的硬块变红，流出液体，内部溃烂成深洞，就难治疗了。只要使用前方的归脾汤等药物，可以延长寿命。如果误用攻伐药物，危险迫在眉睫。大凡乳房疾病，如果是因愤怒引起，应当疏肝清热；如果有寒热症状，应当发表散邪；如果肿痛严重，应当清肝消毒并配合隔蒜灸。如果不化脓或脓不溃破，以补益气血为主；如果不收敛或脓液稀薄，以补益脾胃为主；脓出反而疼痛或出现寒热，以补益气血为主，或者有午后潮热、内热，以补血为主。如果饮食减少不想进食或发生呕吐，以补胃为主；饮食难消化或发生泄泻，以补脾为主；劳累后肿痛，以补益气血为主；愤怒后肿痛，以养肝血为主。婴儿口中所吹之气，必须通过吸吮使乳汁通畅并揉散，若已形成痈肿则按前述方法治疗。潮热暮热，也主要使用上述药物。大体上男子多由房劳耗伤肝肾，妇女多由郁怒亏损肝脾，治疗者需仔细审察。世间有孕妇患此病，名叫“内吹”，然而其致病原因是一样的，只是用药不可触犯胎儿罢了。
人参败毒散（见《古方八阵·散阵》）又名败毒散。治疗四季伤寒瘟疫，憎寒壮热，风湿、风眩，项强，身体疼痛。不论老少皆可服用。或是岭南烟瘴之地，疫疠流行，或者处于卑湿环境，脚气痿弱等症状，此药不可或缺，每日服用三次，以见效为度。
人参 茯苓 枳壳 甘草 川芎 羌活 独活 前胡 柴胡 桔梗（各等分）
用水一钟半，生姜三片，煎煮服用。或者研成细末，用沸水冲服。
神效栝蒌散（见《外科钤古方》）治疗乳痈及一切痈疽初起。肿痛即消，脓成即溃，脓出即愈。治疗痈肿的方剂很多，唯独此方神效。治疗瘰疬、疮毒尤其有效。凡是各种痈疽余毒，都适宜使用。
栝蒌（一个烂研） 当归（酒洗） 生甘草（各半两） 乳香 没药（各一钱）
以上药材用酒煎煮服用，过一会儿再服，如果不能饮酒，可以用酒和水各一半煎煮，如果服用几剂无效，适宜兼服补益气血的药物。如果是肝经血虚，结核不消，佐以四物汤、柴胡、升麻、白术、茯苓。如果是肝脾气血虚弱，佐以四君子汤、川芎、当归、柴胡、升麻。如果是忧郁伤脾，气血亏损，佐以归脾汤。
Postpartum "Blowing Milk" (Chui Ru) occurs when a baby's breath enters the breast during nursing, causing milk stasis, accumulation, and resulting in swelling and pain. If not treated promptly, it often develops into an abscess. One should quickly administer Gualou San (Trichosanthes Powder), apply powder of Arisaema Cum Bile (Nanxing) externally, and massage the area to disperse the nodules. In severe cases, Lianqiao Jinbei Jian (Forsythia and Fritillaria Decoction) is most effective.
Gualou San (see *Ancient Formulas of Furen Gui*) treats swelling and pain caused by Blowing Milk.
Trichosanthis Fructus (Gualou, one fruit)
Boswelliae Carthartici Resina (Ruxiang, two qian)
Decoct these with wine for oral administration. Externally, grind Nanxing into powder, mix with warm water, and apply.
Lianqiao Jinbei Jian (see *New Formulas Eight Arrays · Yin Array*) treats heat-toxin abscesses in the Yang aspect, whether located in the zang-fu organs, lungs/diaphragm, chest, or breasts; this formula is optimal. For severe cases, continuous administration over several doses ensures recovery without exception.
Lonicerae Japonicae Flos (Jinyinhua)
Fritillariae Cirrhosae Bulbus (Beimu, earth-grown is better)
Taraxaci Herba (Pugongying)
Prunellae Spica (Xiakucao) [Each: three qian]
Spatholobi Caulis (Hongteng) [Seven to eight qian]
Forsythiae Fructus (Lianqiao) [One liang or five to seven qian]
Decoct two bowls of good wine until one bowl remains, then drink. Rest warmly for a short period after ingestion. If there is excessive fire, irritability, thirst, and breast swelling, add Trichosanthis Radix (Tianhuafen). If there is yang-toxin with internal heat, or lesions on the neck, decocting with water is also acceptable.
Postpartum "Jealous Milk" (Du Ru) occurs due to lack of infant suckling or inability of the infant to nurse, causing residual milk to accumulate and swell; or because the woman's qi and blood are vigorous, leading to breast distension, swelling, pain, accompanied by aversion to cold and fever. If not relieved by suckling to unblock the flow, it will inevitably lead to abscess formation. If the swelling does not subside, stir-fried Malta (Maiya) two to three liang can be decocted in water and taken orally, causing immediate resolution.
Another prescription: Use Chenpi (Citri Reticulatae Pericarpium) one liang and Gancao (Glycyrrhizae Radix et Rhizoma) one qian, decoct in water and take.
Another prescription: Treats swelling and pain from Blowing Milk and Breast Carbuncle. Use Hemerocallis Radix (Xuancgen), mash it, take with wine, and apply the dregs to the affected area.
Xiu Zhen Fang: Remove skin from Gleditsiae Sinensis Fructus (Zhuya Zaojiao), honey-roast and powder it, take one qian with wine. There is also a poem: "How to treat blowing milk? Mix soot from burnt soap pod with clam powder, blend with a cup of hot wine, and you shall laugh within moments."
If swelling and pain are severe with excess heat-toxin, it is advisable to first treat with Lianqiao Jinbei Jian, which is excellent.
Li Zhai's method states: Women's breast carbuncles belong to heat-toxin in the Gallbladder and Stomach fu-organs, with qi and blood stagnation. Thus, initially, swelling and pain appear on the body surface, with redness of the skin. The patient exhibits exterior fever, alternating chills and fever, aversion to cold with headache, irritability, and thirst requiring drinking. Treat with Renshen Baidu San (Ginseng Detoxification Powder), Shenxiao Gualou San (Miraculous Efficacy Trichosanthes Powder), or Jiawei Xiaoyao San (Modified Free Wanderer Powder); the swelling will naturally dissipate. If after several days pus forms and ruptures, thick pus flows out, and self-healing occurs once the pus is exhausted. However, if qi and blood are deficient, or if detoxifying/clearing drugs were mistakenly used, leading to non-convergence, thin pus, and a large pulse, it is difficult to treat. Breast cancer (Ru Yan) belongs to the Liver and Spleen zang-organs, caused by depression and anger leading to qi and blood deficiency. Initially, small nodules form inside the breast, with normal skin color. The patient experiences internal heat, night fever, heat in the five centers, limb fatigue and emaciation, and irregular menstruation. Treat with Jiawei Xiaoyao San, Jiawei Guipi Tang (Modified Restore the Spleen Decoction), or Shenxiao Gualou San; they often dissipate spontaneously. If accumulated over time and gradually enlarging, becoming red like rock, weeping fluid, and internally ulcerating into deep cavities, it becomes hard to treat. Using the aforementioned Guipi Tang and other medicines can prolong life. Mistaken use of attacking/draining methods leads to imminent danger. Generally, for breast conditions: if caused by anger, soothe the Liver and clear heat; if accompanied by chills and fever, release the exterior and scatter pathogens; if swelling and pain are severe, clear Liver heat, resolve toxicity, and apply garlic-separated moxibustion. If no pus forms or pus does not rupture, tonify qi and blood as the primary approach; if non-converging or pus is thin, tonify the Spleen and Stomach as the primary approach; if pain recurs after pus discharge or chills/fever appear, tonify qi and blood as the primary approach; if afternoon tidal fever or internal heat occurs, nourish blood as the primary approach. If appetite is poor or vomiting occurs, tonify the Stomach as the primary approach; if food is hard to digest or diarrhea occurs, tonify the Spleen as the primary approach; if swelling and pain result from overwork, tonify qi and blood as the primary approach; if swelling and pain result from anger, nourish Liver blood as the primary approach. For milk blocked by infant breath, suckling and massage are required to unblock and disperse; if an abscess forms, treat according to previous methods. Tidal fever and evening fever are also primarily treated with the aforementioned medicines. Generally, men suffer from Kidney and Liver depletion due to sexual exhaustion, while women suffer from Liver and Spleen damage due to depression and anger; practitioners must examine this carefully. Pregnant women may suffer from this condition, termed "Internal Blowing"; although the cause is the same, medications must not harm the fetus.
Lianqiao Jinbei Jian (see Blowing Milk section)
Renshen Baidu San (see *Ancient Formulas Eight Arrays · San Array*), also known as Baidu San. Treats seasonal cold damage and epidemics, aversion to cold with high fever, wind-dampness, wind vertigo, stiff neck, and body pain. Suitable for all ages. Essential for regions like Lingnan with miasma, during epidemic outbreaks, in damp environments, or for symptoms like jiaogong (foot weakness) and atrophy. Take three times daily until effective.
Panax Ginseng (Renshen)
Poria (Fuling)
Aurantii Fructus Immaturus (Zhiqiao)
Glycyrrhizae Radix et Rhizoma (Gancao)
Chuanxiong Rhizoma (Chuanxiong)
Notopterygii Rhizoma et Radix (Qianghuo)
Angelicae Pubescentis Radix (Duhuo)
Peucedani Radix (Qianhu)
Bupleuri Radix (Chaihu)
Platycodonis Radix (Jiegeng) [Equal parts]
Decoct with one and a half zhong of water and three slices of ginger. Alternatively, make into fine powder and take with boiling water.
Shenxiao Gualou San (see *Ancient Formulas of Waike Qian*) treats breast carbuncles and all initial-stage carbuncles and sores. Swelling and pain disappear immediately; upon pus formation, it ruptures; upon pus discharge, healing occurs. Many formulas treat carbuncles, but only this one is miraculous. It is especially effective for scrofula (Luoli) and toxic sores. Suitable for all residual toxins from carbuncles and sores.
Trichosanthis Fructus (Gualou, one fruit, mashed)
Angelicae Sinensis Radix (Danggui, washed with wine)
Raw Glycyrrhizae Radix et Rhizoma (Sheng Gancao) [Each: half liang]
Boswelliae Carthartici Resina (Ruxiang)
Myrrha (Moyao) [Each: one qian]
Decoct with wine and take. Wait a while and take again. If unable to drink alcohol, decoct with half wine and half water. If ineffective after several doses, combine with qi- and blood-tonifying medicines. If Liver channel blood deficiency causes nodules that do not dissipate, assist with Siwu Tang (Four Substances Decoction), Chaihu, Shengma, Baizhu, and Fuling. If Liver and Spleen qi and blood are weak, assist with Sijunzi Tang (Four Gentlemen Decoction), Xiong, Danggui, Chaihu, and Shengma. If melancholy injures the Spleen causing qi and blood deficiency, assist with Guipi Tang.
Jiawei Xiaoyao San (see Irregular Menstruation section)
Jiawei Guipi Tang (see Fetal Leakage section)