一论妇人素禀怯弱。血气虚耗。产后无乳。宜补养之剂。用
当归补血汤
当归身（酒洗五钱） 嫩黄 （蜜水炒一两）
上锉一剂。葱白十根煎服。
一论产后乳脉不行。身体壮热疼痛。头目昏晕。用此凉膈散热下乳。
玉露饮
当归（一钱二分） 川芎（五钱） 芍药（一钱五分） 人参 白茯苓 甘草（各二钱半） 白
芷（五钱） 桔梗（炒五钱）
上锉。水煎。临卧。温服。如烦热盛。大便结。加大黄一钱二分。乳脉不行。结成痈肿
疼痛。加黄 、蜜水炙、当归、金银花、甘草各二钱半。水煎。入酒半钟。食后。温服。
一方下乳
二母散
牡蛎 知母 贝母
为细末。以猪蹄汤调下。
一论产后乳汁绝少。用猪蹄一只。通草四两。先水煎肉汁。后同通草再煎。去渣。食后
服之。又取木梳子上头垢。须用男梳者。丸如梧子大。每服七八丸。空心。顺流水下。
一产后气血衰弱。经血不足。乳汁涩少。
猪蹄（下截四只） 通草（二两） 川芎（一钱） 穿山甲（一两炒） 甘草（一钱）
上用水五升。煮汁饮之。忌生冷。避风寒。夏月不宜失盖。更以葱汤频洗乳房。
一治乳汁不通。
通草（七分） 瞿麦 柴胡 天花粉（各一钱） 桔梗 青皮 白芷 木通 赤芍 连翘
甘草（各五分）
水煎。食远服。更摩乳房。
一治乳妇思虑滞结。乳汁不行。宜
涌泉散
王不留行（酒浸） 白丁香 漏芦 天花粉 白僵蚕（炒） 穿山甲（炒黄色各五钱）
上为细末。每服三钱。食后。以猪蹄汤调服。
一妇人产次子而无乳。服下乳药。但是作胀。予谓人乳皆气血所化。今胀而无乳。是气
血竭
而津液亡也。当补气血。自然有乳矣。乃与八珍汤倍加参、术。少加肉桂。十余剂奏效。
第一段论述：妇人平素体质虚弱，气血亏虚耗损，产后无乳汁分泌。适宜使用补养的药剂。方用当归补血汤。
当归身（酒洗五钱），嫩黄芪（蜜水炒一两）。
以上药材锉碎为一剂，用葱白十根煎煮后服用。
第二段论述：产后乳脉不通畅，身体高热疼痛，头目昏晕。使用此方凉膈散热并通乳。
玉露饮
当归（一钱二分），川芎（五钱），芍药（一钱五分），人参，白茯苓，甘草（各二钱半），白芷（五钱），桔梗（炒五钱）。
以上药材锉碎，用水煎煮。临睡前温服。如果烦热严重，大便干结，加大黄一钱二分。若乳脉不通，结成痈肿疼痛，加黄芩、蜜水炙当归、金银花、甘草各二钱半。用水煎煮，加入半钟酒，饭后温服。
第三段：另一个下乳方。
二母散
牡蛎，知母，贝母。
研为细末，用猪蹄汤调服。
第四段论述：产后乳汁极少。用一只猪蹄，四两通草。先用水煎煮肉汁，然后连同通草再煎。去渣滓，饭后服用。又取木梳子上积累的头皮屑，必须用男子的梳子，制成梧桐子大小的丸药。每次服用七八丸，空腹时，顺流水送服。
第五段：产后气血衰弱，经血不足，乳汁涩少。
猪蹄（下截四只），通草（二两），川芎（一钱），穿山甲（一两炒），甘草（一钱）。
以上用水五升，煮取汁液饮用。忌食生冷，避风寒。夏季不宜不盖被子。更应用葱汤频繁清洗乳房。
第六段：治疗乳汁不通。
通草（七分），瞿麦，柴胡，天花粉（各一钱），桔梗，青皮，白芷，木通，赤芍，连翘，甘草（各五分）。
水煎，饭后较长时间服用。同时按摩乳房。
第七段：治疗乳妇因思虑导致气滞结聚，乳汁不行。宜用涌泉散。
王不留行（酒浸），白丁香，漏芦，天花粉，白僵蚕（炒），穿山甲（炒至黄色，各五钱）。
以上研为细末。每次服用三钱，饭后用猪蹄汤调服。
第八段：一位妇人生产第二个孩子而没有乳汁，服用下乳药后，只是感到乳房胀痛。我认为人乳都是由气血所化生，现在只有胀感而无乳汁，这是气血枯竭而津液亡失的表现。应当补益气血，自然会有乳汁。于是给予八珍汤，倍加人参、白术，稍加肉桂。十余剂后见效。
Paragraph 1: Discussion on women with a constitution of inherent weakness. Deficiency and consumption of Blood and Qi result in no lactation postpartum. It is appropriate to use tonifying agents. Use Danggui Buxue Tang (Dong Quai Decoction for Replenishing Blood).
Danggui Shen (Radix Angelicae Sinensis, body part, washed with wine, 5 qian); Neng Huangqi (Astragali Radix, tender part, stir-fried with honey water, 1 liang).
The above herbs are cut into pieces for one dose. Decoct with ten stalks of Congbai (Scallion White) and take orally.
Paragraph 2: Discussion on non-functioning milk meridians postpartum. The body suffers from high fever and pain, accompanied by dizziness of the head and eyes. Use this formula to cool the膈 (Diaphragm), dissipate heat, and promote lactation.
Yulu Yin (Jade Dew Drink).
Danggui (Radix Angelicae Sinensis, 1.2 qian); Chuanxiong (Rhizoma Chuanxiong, 5 qian); Shaoyao (Radix Paeoniae Alba, 1.5 qian); Renshen (Radix Ginseng); Baifuling (Poria, 2.5 qian each); Baizhi (Radix Angelicae Dahuricae, 5 qian); Jiegeng (Radix Platycodonis, stir-fried, 5 qian).
The above herbs are cut into pieces. Decoct with water. Take warm before retiring to bed. If excessive irritability and heat occur with constipation, add Dahuang (Radix et Rhizoma Rhei, 1.2 qian). If milk meridians are blocked, forming abscesses and swelling with pain, add Huangqin (Radix Scutellariae, honey-roasted), Danggui, Jinyinhua (Flos Lonicerae Japonicae), and Gancao (Radix Glycyrrhizae, 2.5 qian each). Decoct with water, add half zhong of wine, and take warm after meals.
Another formula for promoting lactation:
Ermu San (Two Mothers Powder).
Muli (Concha Ostreae); Zhimu (Rhizoma Anemarrhenae); Beimu (Bulbus Fritillariae Cirrhosae).
Grind into fine powder. Mix with Zhu Ti Tang (Pig Trotter Soup) and take orally.
Paragraph 4: Discussion on extremely scanty lactation postpartum. Use one pig trotter and four liang of Tongcao (Medulla Tetrapanacis). First decoct the meat in water to obtain the broth. Then decoct again together with Tongcao. Strain off the dregs and take after meals. Alternatively, collect scalp scurf from a wooden comb (must be a man's comb), form pills the size of Sophora seeds. Take seven or eight pills per dose. Swallow with running water on an empty stomach.
Paragraph 5: Postpartum deficiency of Qi and Blood, insufficiency of menstrual blood, resulting in scanty and sluggish lactation.
Zhu Ti (Lower section of pig trotters, four pieces); Tongcao (Medulla Tetrapanacis, 2 liang); Chuanxiong (Rhizoma Chuanxiong, 1 qian); Chuanshanjia (Squama Manis, stir-fried, 1 liang); Gancao (Radix Glycyrrhizae, 1 qian).
Decoct the above with five sheng of water until juice is obtained. Drink. Avoid raw and cold foods. Shield against wind and cold. In summer months, do not neglect covering oneself. Furthermore, frequently wash the breasts with Congtang (Scallion Water).
Paragraph 6: Treatment for blocked lactation.
Tongcao (Medulla Tetrapanacis, 0.7 qian); Qumai (Herba Dianthi); Chaihu (Radix Bupleuri); Tianhuafen (Radix Trichosanthis, 1 qian each); Jiegeng (Radix Platycodonis); Qingpi (Pericarpium Citri Reticulatae Viride); Baizhi (Radix Angelicae Dahuricae); Mutong (Caulis Akebiae); Chishao (Radix Paeoniae Rubra); Lianqiao (Fructus Forsythiae); Gancao (Radix Glycyrrhizae, 0.5 qian each).
Decoct with water. Take well after meals. Massage the breasts additionally.
Paragraph 7: Treatment for lactating women whose lactation is obstructed due to stagnation and knotting caused by overthinking. Yongquan San (Surging Spring Powder) is suitable.
Wangbuliu Xing (Semen Viscariae, soaked in wine); Bai Dingxiang (Faeces Muscae Domesticae); Loulu (Radix Euphorbiae Humifusae); Tianhuafen (Radix Trichosanthis); Bai Jiangcan (Bombyx Batryticatus, stir-fried); Chuanshanjia (Squama Manis, stir-fried until yellow, 5 qian each).
Grind the above into fine powder. Take three qian per dose. Mix with Zhu Ti Tang (Pig Trotter Soup) and take orally after meals.
Paragraph 8: A woman had no lactation after her second child. After taking lactation-promoting medicines, she only experienced distension. I stated that human milk is transformed from Qi and Blood. Now, there is distension but no milk, indicating exhaustion of Qi and Blood and loss of Jin-Ye (Body Fluids). One should tonify Qi and Blood, and milk will naturally appear. Therefore, Ba Zhen Tang (Eight Treasure Decoction) was prescribed with doubled amounts of Renshen (Radix Ginseng) and Baizhu (Rhizoma Atractylodis Macrocephalae), plus a small amount of Rougui (Cortex Cinnamomi). After more than ten doses, efficacy was achieved.