（附论）
产后冲任不足。气血俱虚。潜行入于足阳明之脉。其直行者。从缺盆下乳内廉下。侠脐
入气冲中。冲脉者起于气冲并足阳明之经。夹脐上行。至胸中而散也。其经为邪热冲则血为
之击搏。气为之留滞。击搏则痛作。留滞则肿生。内经所谓营气不从。逆于肉理。乃生痈肿。
此疾者。乳汁蕴积。与气相搏故也。
方
当归饮 治产后乳痈欲结。发热肿痛。
当归（切焙） 芍药 牡丹皮 生干地黄（焙） 人参 黄 （锉） 大黄（生） 升
麻连翘
（各
黄 汤 治产后乳结核。或肿痛渐成痈烦热。
黄 （锉） 生干地黄（焙） 麦门冬（去心焙） 升麻（各一两半） 人参 赤茯苓
（去黑皮
各一两） 当归（切焙） 芍药 远志（去心） 甘草（生各半两） 上粗捣筛。每服五钱。
水一
盏半。去滓温服。不拘时候。
蛇蜕皮散 治乳痈疼痛。寒热发渴。昼夜不可忍。
蛇蜕皮（烧灰半两） 麝香（二钱） 上研细。每服二钱。熟酒调下。不拘时。
芍药汤 治产后乳结痈脓。败坏不散。发热疼痛。
芍药 桂（去粗皮） 黄 （锉） 赤茯苓（去黑皮） 当归（切焙） 生干地黄（焙
各一两）
甘草（炙锉） 麦门冬（去心焙） 人参（各一两） 上 咀如麻豆大。每服五钱。水一盏
半。再
入生姜一枣大切。煎至八分。去滓下朴硝末一钱。再煎令沸。温服不拘时。
甘草饮 治产后乳痈热痛未结脓者。
甘草（半两半生半炙） 栝蒌（一枚去皮用瓤） 上先以酒三盏。煎甘草至二盏。入栝
蒌瓤
煎至一盏。去滓温服半盏。如稠。即以酒少许解之。未效再服。
栝蒌散 治产后乳痈脓溃。未溃热痛不已。
栝蒌实（二两） 败酱 细辛（去苗叶） 干姜（炮） 桔梗（炒） 浓朴（去粗皮姜
汁炙） 防
风（去叉） 人参（各半两） 上为散。每服三钱。温酒调下。水一盏。煎至八分。温服亦
得。
不
黄 膏 治产后乳痈欲结未结脓攻痛。
黄 （锉） 芎 当归（切炒） 黄芩（去黑心） 黄连（去须） 白蔹 芍药 防
风（去叉
各一两） 上为末。用鸡子白调。随大小贴之。每日一易。
猪蹄汤洗方 治产后乳痈破后。脓血不尽。
猪蹄（一具） 当归（切炒） 芍药 黄芩（去黑心） 独活（去芦头） 莽草 大黄
（锉炒）
芎（各半两） 上捣罗七味为末。将猪蹄锉洗令净。以水五升。煮熟去滓澄清。内药再煎。
令热。通水手洗乳上。令透拭干。良久又暖洗。不拘次数。
漏芦膏 治乳汁不时泄。蕴积于内。遂成痈。
漏芦 黄芩（去黑心各一两） 米粉（半两） 上为细末。新水调如膏涂之。
麦门冬汤 治乳肿初觉有异。
生麦门冬（去心） 黄 （锉） 防风（去叉各一两半） 甘草（炙三分） 桑寄生（一
两半）
木通（一两半） 黄芩（去黑心） 赤芍药（各一两） 上 咀如麻豆大。每服五钱。水一
盏半。
入枣二枚。煎至八分。去滓内乳糖一分。再煎一沸。去滓温服。
芍药散 疗乳痈肿消核。
芍药 通草 桂心 昆布 白薇 附子（炮） 黄 人参 海藻 木占斯（各一两） 上
捣散。以清酒服一钱。日三。当先食。并疗颐下气结瘰 。
柏皮膏 乳痈众医不能疗。
上猪膏年多者佳。柏皮三斤去黑皮。以猪膏煎之。当稍稍煎柏皮熟黑。便漉出更煎余柏
皮。如初尽。以涂疮。取余者膏。令淹没柏皮而已。甚验。
三物桂心贴 治乳痈。
桂心 乌头 甘草（各二分） 上捣散。以苦酒和涂肿上。以小纸覆濡其上。将乳居其
中。
以干布置乳下。须臾布当濡。有脓水为佳。
又方
研末捶二枚。煮令热。以絮布巾覆乳上。用二捶更互熨肿数十过瘥止。已用大验。
治乳痈坚硬痛不可忍。
上莨菪子半大匙。当年新者。服时不得嚼破。以清水一大盏和顿服。痛即止。
治妇人乳痈。
觉痈色未变时。以饲猪米研汁饮之。即瘥。仍取猪槽木浓如匙面。火炙数熨。
治妇人乳痈疼痛宜熏方。（十便良方）
露蜂房（半斤细研） 上件药。以醋五升。煮令热。相和。倾于瓶中。热熏乳上。三五
度即瘥。冷即再煎之效。
又方（十便良方）
大黄（一分） 灶上黄土（一分） 生姜（二分） 上三味。捣罗为末。醋和涂乳痛即
止。极验。刘涓子不用生姜。用生鱼三味等分。鱼必用鲫鱼妙。
三能散（十便良方）治奶痈。
绵黄 皂角刺（烧存性各一两） 上捣罗为散。以酒调二钱服。能穿能散。
香螯散（杨氏家藏方）治妇人奶痈才觉作痛气欲结者。便服此。奶令内消。
车螯壳（火 一两） 乳香（半两另研） 甘草（一两炙锉） 腻粉（半钱） 上件为
细末。每服一钱。用乳香温酒送下。食后日进三服。
圣枣散（杨氏家藏方）治乳痈。
上枣四十九枚烧灰留性。不拘痈大小。尽用枣灰及粪堆下土。研细三四钱和匀。以新汲
水调敷。
治奶痈结聚成块。疼痛难忍。（护命方）
好肥皂角（二条） 香葱（十枚） 上先捶皂角碎。水一碗。揉取汁。炼成膏。即碎揉
葱入
内。更煎三二沸。纸摊贴痛处。露奶头令清水出。只初痛一两日可使。已成脓者便不可使。
通和汤（卫生家宝）治妇人乳痈疼痛不可忍者。亦治吹奶疼痛不可忍。
穿山甲（一两炮黄） 木通（锉一两） 自然铜（半两醋淬七次） 上为细末。每服二
钱。热酒调下。食远服之。
又方（卫生宝鉴） 治奶痈疮。
凡未成疮。才觉肿硬作痛。以葱枣熨之。其法用中样小瓷瓶。瓶口宽者。以炭火入瓶内。
上以热灰填满瓶口。葱叶及葱白。捶损令遍覆瓶口。以手帕子裹定。倒热将瓶口向肿处。任
意轻轻熨之有验。
治产后忽然乳痛坚硬成块。将欲成痈肿。先吃此方。但脏腑热忽得乳痛。先吃此方。
麻黄（去根） 连翘子（各半两） 知母 射干 当归 蔓荆子 大黄 芍药 荆芥穗 牡
丹皮（去心各一分） 半夏（二钱） 木通（四铢） 上为细末。每服三钱。水一盏。生姜
三片。同煎取九分。食后临卧去滓吃。须再煎连吃。以大腑通为度。
治吹奶痈肿疼痛热发渴。昼晚呻吟。
蛇蜕皮（一两烧灰） 赤小豆（一两） 上件药捣罗为散。以鸡子白和调敷之。
治乳痈结硬欲作痈。（十便良方）
用真桦皮温熨肿处自即消。
又方（永类钤方）
用萱草根。同射干。研烂生酒滤过。以滓贴疮。久患此。腐烂见骨膜。垂死者用。萱草
根。其叶柔。其根如麦门冬。射干根如僵蚕。叶硬如剑者。敷之神效。
治产后不自乳儿。蓄积乳汁。结作痈。（肘后方）
取蒲公草捣敷肿上。日四度易之。俗呼为蒲公英。语讹为蒲公明缶是也。火煮汁服亦得。
治产后妒乳痈肿胀后。产后不见乳汁。结作痈。
用蒲黄炒热杵敷肿上。日三度易之。又以井花水煎叶汁饮之亦佳。食之亦得。妒乳及痈
并瘥。
又方（千金方）
用皂角十条。以酒一升。揉取汁。硝石半两。煎成膏敷之。
连翘汤（拔粹疗方）产后妒乳并痈。
连翘 升麻 芒硝（各十分） 玄参 芍药 白蔹 防己 射干（各二分） 大黄（十
二分）
甘草（六分） 杏仁（八十枚去皮尖） 上以水九升。煎取三升。大黄次下硝。分三服。
复元通气散（永类钤方）治乳痈。
栝蒌 青皮 乌药 白芷（各等分） 初发甚服效。病已半。勿多服。穿山甲角有惟专
发散也。悬痈通用。
治乳痈（本草）
取人齿烧灰细研酥。调贴痈上。
治乳痈（本草）
以乌骨雌鸡胆汁敷之。日三。
疗乳痈痛寒热者。（本草）
取蔓青根并叶净择去。上不用水洗。以盐捣敷乳上。如热即换。不过三五易之即瘥。冬
月无叶。但用根亦可。切须避风耳。
（附论）
产后冲任二脉气血不足。气血均虚弱。邪气潜行进入足阳明胃经。该经脉的直行部分，从缺盆穴向下经过乳房内侧，沿腹部两侧下行至气冲穴。冲脉起始于气冲穴，并伴行于足阳明经，夹脐上行，至胸中分散。若经脉受邪热冲击，则血液为之激荡搏动，气机为之留滞不行。激荡搏动则产生疼痛，留滞不行则形成肿胀。《内经》所说的“营气不循常道，逆乱于肌肉纹理之间，就会发生痈肿”，就是这个道理。这种疾病，是由于乳汁蕴积，与气机相互搏结所致。
方剂
当归饮：治疗产后乳痈即将结聚，伴有发热、肿痛。
配方：当归（切片焙干）、芍药、牡丹皮、生干地黄（焙干）、人参、黄芪（锉碎）、大黄（生用）、升麻、连翘。（各药用量未详列，依古法通常等分或视病情调整，此处原文仅列药名及炮制要求，隐含各等分或随证加减之意，但根据后文格式，此处可能漏印剂量，按原文直译即可，注：原文“黄”后缺字，结合语境应为黄芪，“升/麻连翘”前可能有剂量缺失，依原文结构处理）。
黄芪汤：治疗产后乳房结核，或肿痛逐渐形成痈肿，烦热。
配方：黄芪（锉碎）、生干地黄（焙干）、麦门冬（去心焙干）、升麻（各一两半）、人参、赤茯苓（去黑皮，各一两）、当归（切片焙干）、芍药、远志（去心）、甘草（生用，各半两）。以上药材粗捣筛过。每次服用五钱。加水一盏半，煎煮后去渣，温服。不限时间。
蛇蜕皮散：治疗乳痈疼痛，寒热交替，口渴，昼夜难以忍受。
配方：蛇蜕皮（烧成灰，半两）、麝香（二钱）。以上研细。每次服用二钱。用熟酒调服。不限时间。
芍药汤：治疗产后乳结痈化脓，脓液败坏不散，发热疼痛。
配方：芍药、桂枝（去粗皮）、黄芪（锉碎）、赤茯苓（去黑皮）、当归（切片焙干）、生干地黄（焙干，各一两）、甘草（炙后锉碎）、麦门冬（去心焙干）、人参（各一两）。以上切碎如麻豆大小。每次服用五钱。加水一盏半，再加入生姜一片（切大枣大小），煎至八分满，去渣，加入朴硝末一钱，再煎至沸腾。温服，不限时间。
甘草饮：治疗产后乳痈热痛但未化脓者。
配方：甘草（半两，一半生用，一半炙用）、栝蒌（一枚，去皮取瓤）。先用酒三盏，煎甘草至二盏，加入栝蒌瓤，煎至一盏。去渣，温服半盏。如果药液太稠，可加少许酒稀释。若无效，再次服用。
栝蒌散：治疗产后乳痈已溃破或未溃破但热痛不止。
配方：栝蒌实（二两）、败酱草、细辛（去苗叶）、干姜（炮制）、桔梗（炒）、厚朴（去粗皮，姜汁炙）、防风（去叉）、人参（各半两）。以上制成散剂。每次服用三钱。用温酒调服，也可用水一盏，煎至八分，温服亦可。
黄芪膏：治疗产后乳痈即将结聚但未化脓，攻痛。
配方：黄芪（锉碎）、川芎、当归（切片炒）、黄芩（去黑心）、黄连（去须）、白蔹、芍药、防风（去叉，各一两）。以上制成粉末，用鸡蛋清调和。根据患处大小贴敷。每日一换。
猪蹄汤洗方：治疗产后乳痈破溃后，脓血未尽。
配方：猪蹄（一只）、当归（切片炒）、芍药、黄芩（去黑心）、独活（去芦头）、莽草、大黄（锉碎炒）、川芎（各半两）。以上七味药捣罗成末。将猪蹄切碎洗净，用水五升，煮熟后去渣澄清。放入药末再煎，使药液变热。用手蘸药液清洗乳房，令药力透入，拭干。稍后再用温热的药液清洗，不限次数。
漏芦膏：治疗乳汁不时外泄，蕴积于内，遂成痈肿。
配方：漏芦、黄芩（去黑心，各一两）、米粉（半两）。以上制成细末，用新汲水调成膏状涂敷。
麦门冬汤：治疗乳房肿胀初觉异常。
配方：生麦门冬（去心）、黄芪（锉碎）、防风（去叉，各一两半）、甘草（炙，三分）、桑寄生（一两半）、木通（一两半）、黄芩（去黑心）、赤芍药（各一两）。以上切碎如麻豆大小。每次服用五钱。加水一盏半，加入大枣二枚，煎至八分，去渣，加入乳糖一分，再煎一沸。去渣温服。
芍药散：治疗乳痈消肿散核。
配方：芍药、通草、桂心、昆布、白薇、附子（炮制）、黄芪、人参、海藻、木占斯（各一两）。以上捣碎成散剂。用清酒送服一钱。每日三次。应在饭前服用。同时治疗下颌部气结瘰疬。
柏皮膏：治疗乳痈，众医无法治愈的情况。
配方：选用存放多年的猪脂为佳。柏树皮三斤，去黑皮。用猪脂煎柏皮。慢慢煎至柏皮熟透变黑，滤出柏皮，再煎剩余的柏皮。如此反复直至柏皮尽。用此膏涂抹疮口。效果显著。
三物桂心贴：治疗乳痈。
配方：桂心、乌头、甘草（各二分）。以上捣碎成散剂，用醋调和涂于肿胀处。用小纸覆盖湿润其上，将乳头置于其中。在乳房下方垫干布。片刻后布会变湿，若有脓水流出为最佳。
又方：
取杏仁二枚，研末捶打，煮热。用棉布巾覆盖乳房，用两个锤子交替熨烫肿胀处数十次，病愈即止。此方已验证非常有效。
治疗乳痈坚硬疼痛难忍。
配方：莨菪子半大匙，必须是当年新鲜的。服用时不得嚼破，用一大盏清水和顿服。疼痛立即停止。
治疗妇人乳痈。
感觉痈色尚未改变时，用喂猪的米研汁饮用，即痊愈。仍取猪槽木，浓如匙面大小，用火炙热熨烫。
治疗妇人乳痈疼痛宜熏方。（出自《十便良方》）
配方：露蜂房（半斤，细研）。以上药物，用醋五升，煮热，混合。倒入瓶中，趁热熏蒸乳房。三五次即愈。冷了再煎热熏，有效。
又方（出自《十便良方》）
配方：大黄（一分）、灶上黄土（一分）、生姜（二分）。以上三味，捣罗成末，用醋调和涂于乳痛处，疼痛即止，极验。刘涓子不用生姜，用生鱼三味等分，鱼必用鲫鱼为好。
三能散（出自《十便良方》）：治疗奶痈。
配方：绵黄芪、皂角刺（烧存性，各一两）。以上捣罗成散剂，用酒调服二钱。能穿透消散。
香螯散（出自《杨氏家藏方》）：治疗妇人奶痈刚觉作痛，气欲结聚者。立即服用此方，可使奶液内消。
配方：车螯壳（火煅，一两）、乳香（半两，另研）、甘草（一两，炙锉）、腻粉（半钱）。以上制成细末。每次服用一钱，用乳香温酒送下。饭后日进三服。
圣枣散（出自《杨氏家藏方》）：治疗乳痈。
配方：取枣四十九枚烧成灰，保留药性。不论痈大小，全部使用枣灰及粪堆下的土，研细三四钱和匀，用新汲水调敷。
治疗奶痈结聚成块，疼痛难忍。（出自《护命方》）
配方：好肥皂角（二条）、香葱（十枚）。先将皂角捶碎，用水一碗，揉取汁。炼成膏，即把碎葱揉入内，再煎两三沸。用纸摊开贴于痛处，露出奶头令清水流出。仅在初痛一两日内可使用。已成脓者便不可使用。
通和汤（出自《卫生家宝》）：治疗妇人乳痈疼痛不可忍者。也治疗吹奶疼痛不可忍。
配方：穿山甲（一两，炮黄）、木通（锉，一两）、自然铜（半两，醋淬七次）。以上制成细末。每次服用二钱，热酒调下。食远服之。
又方（出自《卫生宝鉴》）：治疗奶痈疮。
凡未成疮，刚觉肿硬作痛，用葱枣熨之。方法是用中等大小的瓷瓶，瓶口宽的，将炭火放入瓶内，上面用热灰填满瓶口。葱叶及葱白，捶损令遍覆瓶口，用手帕裹定，倒热将瓶口向肿处，任意轻轻熨之，有验。
治产后忽然乳痛坚硬成块，将欲成痈肿。先吃此方。但脏腑热忽得乳痛，先吃此方。
配方：麻黄（去根）、连翘子（各半两）、知母、射干、当归、蔓荆子、大黄、芍药、荆芥穗、牡丹皮（去心，各一分）、半夏（二钱）、木通（四铢）。以上制成细末。每次服用三钱，水一盏，生姜三片，同煎取九分。食后临卧去滓吃。须再煎连吃，以大腑通为度。
治吹奶痈肿疼痛热发渴，昼晚呻吟。
配方：蛇蜕皮（一两，烧灰）、赤小豆（一两）。以上药物捣罗为散，以鸡子白和调敷之。
治乳痈结硬欲作痈。（出自《十便良方》）
用真桦皮温熨肿处自即消。
又方（出自《永类钤方》）
用萱草根，同射干，研烂生酒滤过，以滓贴疮。久患此，腐烂见骨膜，垂死者用。萱草根，其叶柔，其根如麦门冬，射干根如僵蚕，叶硬如剑者，敷之神效。
治产后不自乳儿，蓄积乳汁，结作痈。（出自《肘后方》）
取蒲公草捣敷肿上，日四度易之。俗呼为蒲公英，语讹为蒲公明缶是也。火煮汁服亦得。
治产后妒乳痈肿胀后，产后不见乳汁，结作痈。
用蒲黄炒热杵敷肿上，日三度易之。又以井花水煎叶汁饮之亦佳。食之亦得。妒乳及痈并瘥。
又方（出自《千金方》）
用皂角十条，以酒一升，揉取汁，硝石半两，煎成膏敷之。
连翘汤（出自《拔粹疗方》）：产后妒乳并痈。
配方：连翘、升麻、芒硝（各十分）、玄参、芍药、白蔹、防己、射干（各二分）、大黄（十二分）、甘草（六分）、杏仁（八十枚，去皮尖）。以上用水九升，煎取三升。大黄次下硝。分三服。
复元通气散（出自《永类钤方》）：治疗乳痈。
配方：栝蒌、青皮、乌药、白芷（各等分）。初发甚服效。病已半，勿多服。穿山甲角有惟专发散也。悬痈通用。
疗乳痈痛寒热者。（出自《本草》）
取蔓青根并叶净择去，上不用水洗，以盐捣敷乳上。如热即换，不过三五易之即瘥。冬月无叶，但用根亦可。切须避风耳。
(Attached Discussion)
Postpartum, the Chong and Ren meridians lack sufficient Qi and Blood. Both Qi and Blood are deficient. Pathogenic factors stealthily enter the Foot-Yangming Stomach Meridian. The straight branch of this meridian descends from the Quepen (ST12) acupoint, passes along the medial aspect of the breast, runs alongside the umbilicus, and enters the Qichong (ST30) area. The Chong Mai (Penetrating Vessel) originates at Qichong (ST30), runs parallel to the Foot-Yangming Meridian, ascends alongside the umbilicus, and disperses in the chest. If the meridian is struck by pathogenic heat, blood becomes agitated and turbulent, and Qi stagnates. Turbulence causes pain; stagnation causes swelling. As stated in the *Neijing* (Inner Canon): "When Ying Qi (Nutritive Qi) does not follow its proper course and reverses into the muscle tissue, abscesses and swellings arise." This disease occurs because milk stasis interacts and combats with Qi.
Formulas
Danggui Yin (Angelica Decoction): Treats postpartum mastitis impending condensation, accompanied by fever, swelling, and pain.
Ingredients: Danggui (Radix Angelicae Sinensis, sliced and roasted), Shaoyao (Radix Paeoniae Alba/Lactiflorae), Mudanpi (Cortex Moutan), Sheng Gan Dihuang (Radix Rehmanniae Preparata, roasted), Renshen (Radix Ginseng), Huangqi (Radix Astragali, crushed), Dahuang (Radix et Rhizoma Rhei, raw), Shengma (Rhizoma Cimicifugae), Lianqiao (Fructus Forsythiae). [Dosages implied equal or adjusted per condition].
Huangqi Tang (Astragalus Decoction): Treats postpartum breast nodules, or swelling and pain gradually forming an abscess with irritability and fever.
Ingredients: Huangqi (Radix Astragali, crushed), Sheng Gan Dihuang (Radix Rehmanniae Preparata, roasted), Maidong (Radix Ophiopogonis, heart removed and roasted), Shengma (Rhizoma Cimicifugae, each 1.5 liang), Renshen (Radix Ginseng), Chi Fuling (Poria with Red Skin, black skin removed, each 1 liang), Danggui (Radix Angelicae Sinensis, sliced and roasted), Shaoyao (Radix Paeoniae), Yuanzhi (Radix Polygalae, heart removed), Gancao (Radix Glycyrrhizae, raw, each 0.5 liang). Coarsely grind and sieve the above herbs. Take 5 qian per dose. Add 1.5 zhan of water, decoct, remove dregs, and take warm. No specific time restriction.
Shetupi San (Snake Slime Powder): Treats mastitis pain, alternating chills and fever, thirst, unbearable day and night.
Ingredients: Shetupi (Ophibolus carinatus skin, burned to ash, 0.5 liang), Shexiang (Moschus, 2 qian). Grind finely. Take 2 qian per dose, mixed with cooked wine. No specific time restriction.
Shaoyao Tang (Peony Decoction): Treats postpartum breast abscess with pus formation, decayed pus not dispersing, fever, and pain.
Ingredients: Shaoyao (Radix Paeoniae), Guizhi (Ramulus Cinnamomi, coarse bark removed), Huangqi (Radix Astragali, crushed), Chi Fuling (Poria with Red Skin, black skin removed), Danggui (Radix Angelicae Sinensis, sliced and roasted), Sheng Gan Dihuang (Radix Rehmanniae Preparata, roasted, each 1 liang), Gancao (Radix Glycyrrhizae, roasted and crushed), Maidong (Radix Ophiopogonis, heart removed and roasted), Renshen (Radix Ginseng, each 1 liang). Cut into sizes similar to hemp seeds. Take 5 qian per dose. Add 1.5 zhan of water and one large date-sized slice of Shengjiang (Rhizoma Zingiberis Recens). Decoct to 80% volume, remove dregs, add 1 qian of Xiaokuniao (Natrii Sulfas), boil again until boiling. Take warm. No specific time restriction.
Gancao Yin (Licorice Drink): Treats postpartum mastitis with hot pain but no pus formation.
Ingredients: Gancao (Radix Glycyrrhizae, 0.5 liang, half raw, half roasted), Gualou (Fructus Trichosanthis, one fruit, peel removed, use pulp). First, decoct Gancao in 3 zhan of wine until reduced to 2 zhan. Add Gualou pulp and decoct until reduced to 1 zhan. Remove dregs and take 0.5 zhan warm. If too thick, dilute with a little wine. If ineffective, take again.
Gualou San (Trichosanthes Powder): Treats postpartum mastitis whether ruptured or not, with persistent hot pain.
Ingredients: Gualoushi (Fructus Trichosanthis, 2 liang), Baijiangcao (Herba Patriniae), Xixin (Herba Asari, seedlings and leaves removed), Ganjiang (Rhizoma Zingiberis Secatus, processed), Jiegeng (Radix Platycodonis, stir-fried), Houpo (Cortex Magnoliae Officinalis, coarse bark removed, ginger juice processed), Fangfeng (Radix Saposhnikoviae, twigs removed), Renshen (Radix Ginseng, each 0.5 liang). Make into powder. Take 3 qian per dose, mixed with warm wine. Alternatively, decoct 1 zhan of water to 80%, take warm.
Huangqi Gao (Astragalus Ointment): Treats postpartum mastitis impending condensation but not yet purulent, with attacking pain.
Ingredients: Huangqi (Radix Astragali, crushed), Xiong (Radix Chuanxiong), Danggui (Radix Angelicae Sinensis, sliced and stir-fried), Huangqin (Radix Scutellariae, black heart removed), Huanglian (Rhizoma Coptidis, roots removed), Bailian (Radix Ampelopsis), Shaoyao (Radix Paeoniae), Fangfeng (Radix Saposhnikoviae, twigs removed, each 1 liang). Make into powder. Mix with egg white. Apply according to the size of the lesion. Change once daily.
Zhuti Tang Wash Formula: Treats postpartum mastitis after rupture, with incomplete discharge of pus and blood.
Ingredients: Zhuti (Porcine Trotter, one piece), Danggui (Radix Angelicae Sinensis, sliced and stir-fried), Shaoyao (Radix Paeoniae), Huangqin (Radix Scutellariae, black heart removed), Duhuo (Radix Angelicae Pubescentis, rhizome removed), Mangcao (Herba Siegesbeckiae), Dahuang (Radix et Rhizoma Rhei, crushed and stir-fried), Xiong (Radix Chuanxiong, each 0.5 liang). Grind the seven herbs into powder. Chop and clean the trotter. Add 5 sheng of water, cook until done, remove dregs and clarify. Add herb powder and decoct again until hot. Wash the breast with hands dipped in the liquid, ensuring penetration. Dry off. Warm wash again later. No frequency limit.
Loulu Gao (Lousewort Ointment): Treats irregular milk secretion, accumulation inside, leading to abscess.
Ingredients: Loulu (Radix Radix Euphorbiae Humifusae), Huangqin (Radix Scutellariae, black heart removed, each 1 liang), Mixianfen (Rizoma Dioscoreae Hypoglaucae, 0.5 liang). Make into fine powder. Mix with fresh water to form an ointment for application.
Maidong Tang (Ophiopogon Decoction): Treats initial abnormal breast swelling.
Ingredients: Sheng Maidong (Radix Ophiopogonis, heart removed), Huangqi (Radix Astragali, crushed), Fangfeng (Radix Saposhnikoviae, twigs removed, each 1.5 liang), Gancao (Radix Glycyrrhizae, roasted, 3 fen), Sangjisheng (Ramulus Taxilli, 1.5 liang), Mutong (Caulis Akebiae, 1.5 liang), Huangqin (Radix Scutellariae, black heart removed), Chi Shaoyao (Radix Paeoniae Rubra, each 1 liang). Cut into sizes similar to hemp seeds. Take 5 qian per dose. Add 1.5 zhan of water and two dates. Decoct to 80%, remove dregs, add 1 fen of Rutang (Brown Sugar), boil once more. Remove dregs and take warm.
Shaoyao San (Peony Powder): Treats mastitis swelling reduction and nodule resolution.
Ingredients: Shaoyao (Radix Paeoniae), Tongcao (Medulla Tetrapanacis), Guixin (Cortex Cinnamomi), Kunbu (Thallus Laminariae), Baiwei (Radix Cynanchi Atrati), Fuzi (Radix Aconiti Lateralis Preparata, processed), Huangqi (Radix Astragali), Renshen (Radix Ginseng), Haizao (Thallus Sargassii), Muzhansi (Rhizoma Smilacis Chinae, each 1 liang). Grind into powder. Take 1 qian with clear wine. Three times daily. Take before meals. Also treats submandibular qi knot scrofula.
Bapi Gao (Phellodendron Bark Ointment): Treats mastitis refractory to other treatments.
Ingredients: Prefer aged pig fat. Bapi (Cortex Phellodendri Amurensis, 3 jin, remove black skin). Fry Bapi in pig fat. Slowly fry until Bapi is cooked and dark. Strain out Bapi, then fry remaining Bapi. Repeat until all Bapi is used. Apply this ointment to the sore. Highly effective.
Sanwu Guixin Tie (Three-Ingredient Cinnamon Heart Paste): Treats mastitis.
Ingredients: Guixin (Cortex Cinnamomi), Wutou (Radix Aconiti Kusnezoffii), Gancao (Radix Glycyrrhizae, each 2 fen). Grind into powder. Mix with Kujiu (bitter wine) and apply to the swelling. Cover with small paper to keep moist. Place nipple in the center. Place dry cloth under the breast. The cloth will become damp shortly; discharge of pus/water is ideal.
Another Prescription:
Grind two apricot kernels, cook until hot. Cover breast with cotton cloth. Use two hammers to alternately compress the swelling dozens of times until cured. Verified effective.
Treat hard, unbearable pain of mastitis.
Ingredients: Langdangzi (Semen Hyoscyami, half large spoon, fresh from current year). Do not chew when taking. Swallow with one large zhan of clear water. Pain stops immediately.
Treat female mastitis.
When abscess color has not changed, drink juice made from rice fed to pigs. Cures immediately. Also, take wood from the pig trough, thick as a spoon face, roast with fire and compress.
Treatment for Female Mastitis Pain with Fumigation (from *Shibian Liangfang*):
Ingredients: Lubofang (Nidus Vespae, 0.5 jin, finely ground). Boil with 5 sheng of vinegar until hot. Mix and pour into a bottle. Fumigate breast while hot. Three to five times cures. Reheat if cold. Effective.
Another Prescription (from *Shibian Liangfang*):
Ingredients: Dahuang (Radix et Rhizoma Rhei, 1 fen), Zaoshang Huangtu (Yellow earth from stove top, 1 fen), Shengjiang (Rhizoma Zingiberis Recens, 2 fen). Grind three ingredients into powder. Mix with vinegar and apply to painful breast. Stops pain. Very effective. Liu Juanzi did not use ginger; instead used three parts raw fish equally, preferably Crucian Carp.
Sanneng San (Three-Efficacy Powder) (from *Shibian Liangfang*): Treats milk abscess.
Ingredients: Mian Huangqi (Radix Astragali), Zaojiaoci (Spina Gleditsiae Sinensis, burned to retain nature, each 1 liang). Grind into powder. Take 2 qian mixed with wine. Penetrates and dissipates.
Xiang'ao San (Fragrant Clam Powder) (from *Yangshi Jiacang Fang*): Treats female milk abscess just starting pain and qi condensation. Take immediately to dissolve milk internally.
Ingredients: Che'aoke (Shell of Venus Clam, fired, 1 liang), Rushen (Resina Frankincense, 0.5 liang, separately ground), Gancao (Radix Glycyrrhizae, roasted and crushed, 1 liang), Nifen (Calomelas, 0.5 qian). Make into fine powder. Take 1 qian per dose, delivered with Rushen and warm wine. Three doses daily after meals.
Shengzao San (Holy Date Powder) (from *Yangshi Jiacang Fang*): Treats mastitis.
Ingredients: Forty-nine dates, burned to ash retaining nature. Regardless of abscess size, use all date ash and soil from manure piles. Grind 3-4 qian together evenly. Mix with fresh well water and apply.
Treat milk abscess condensing into lumps, unbearable pain (from *Huming Fang*):
Ingredients: Good soap pods (two strips), Fragrant green onion (ten pieces). Crush soap pods first. Add one bowl of water, rub to extract juice. Refine into paste. Add crushed onions, boil two or three times. Spread on paper and apply to painful area. Expose nipple to let clear fluid out. Only usable in first one or two days of pain. Not for formed pus.
Tonghe Tang (Harmonizing Decoction) (from *Weisheng Jiabao*): Treats unbearable pain of female mastitis. Also treats unbearable pain of "blown milk".
Ingredients: Chuanshanjia (Squama Manis, 1 liang, roasted yellow), Mutong (Caulis Akebiae, crushed, 1 liang), Ziran Tong (Pyritum, 0.5 liang, quenched in vinegar seven times). Make into fine powder. Take 2 qian, mixed with hot wine. Take far from meals.
Another Prescription (from *Weisheng Baojian*): Treats milk abscess sores.
For sores not yet formed, feeling swelling/hardness/pain: Compress with green onion and dates. Method: Use medium small porcelain bottle. Put charcoal fire inside. Fill mouth with hot ash. Crush green onion leaves/whites, cover bottle mouth. Wrap with handkerchief. Invert hot bottle mouth towards swelling. Gently compress as desired. Effective.
Treat sudden postpartum breast pain, hard lump, impending abscess. Take this formula first. Also for visceral heat causing sudden breast pain.
Ingredients: Mahuang (Herba Ephedrae, roots removed), Lianqiao Zi (Fructus Forsythiae, each 0.5 liang), Zhimu (Rhizoma Anemarrhenae), Shegan (Rhizoma Belamcandae), Danggui (Radix Angelicae Sinensis), Manjingzi (Fructus Viticis Negundo), Dahuang (Radix et Rhizoma Rhei), Shaoyao (Radix Paeoniae), Jingjie Sui (Herba Schizonepetae Spica), Mudanpi (Cortex Moutan, heart removed, each 1 fen), Banxia (Rhizoma Pinelliae, 2 qian), Mutong (Caulis Akebiae, 4 zhu). Make into fine powder. Take 3 qian per dose. Add 1 zhan of water and three slices of Shengjiang. Decoct to 90%. Take after meal and before sleep, removing dregs. Must continue decocting and taking until bowel movement is achieved.
Treat blown milk abscess swelling, pain, fever, thirst, groaning day and night.
Ingredients: Shetupi (Ophibolus carinatus skin, 1 liang, burned to ash), Chixiaodou (Semen Phaseoli Uradis, 1 liang). Grind into powder. Mix with egg white and apply.
Treat mastitis hardening, impending abscess (from *Shibian Liangfang*):
Use real birch bark to warm compress swelling; it will dissipate naturally.
Another Prescription (from *Yonglei Qianfang*):
Use Xuanshao Gen (Radix Hemerocallis), mix with Shegan, grind with raw wine, filter. Apply residue to sore. For chronic cases with bone exposure/dying patients. Xuanshao leaf is soft, root like Maidong. Shegan root like silkworm pupa, leaf hard like sword. Application is miraculous.
Treat postpartum failure to nurse, accumulated milk condensing into abscess (from *Zhouhou Fang*):
Take Pugong Cao (Herba Taraxaci), grind and apply to swelling. Change four times daily. Commonly known as Pugongying (Dandelion). Mispronounced as Pugong Ming Fou. Boiling juice to drink is also acceptable.
Treat postpartum jealous milk abscess swelling, no milk secretion, condensing into abscess.
Chao Re Pu Huang (Pollinis Typhae, stir-fried hot), pound and apply to swelling. Change three times daily. Also decoct leaf juice in well water to drink. Eating it is also good. Cures jealous milk and abscess.
Another Prescription (from *Qianjin Fang*):
Ten soap pods, rub with one sheng of wine to extract juice. Add 0.5 liang of Xiaoshi (Natrii Nitras). Decoct into paste and apply.
Lianqiao Tang (Forsythia Decoction) (from *Bacui Liao Fang*): Postpartum jealous milk and abscess.
Ingredients: Lianqiao (Fructus Forsythiae), Shengma (Rhizoma Cimicifugae), Mangxiao (Natrii Sulfas, each 10 fen), Xuanshen (Radix Scrophulariae), Shaoyao (Radix Paeoniae), Bailian (Radix Ampelopsis), Fangji (Radix Stephaniae Tetrandrae), Shegan (Rhizoma Belamcandae, each 2 fen), Dahuang (Radix et Rhizoma Rhei, 12 fen), Gancao (Radix Glycyrrhizae, 6 fen), Xingren (Semen Pruni Armeniacae, 80 pieces, peel and tip removed). Add 9 sheng of water, decoct to 3 sheng. Add Dahuang and Xiao next. Divide into three doses.
Fuyuan Tongqi San (Restoring Origin and Promoting Qi Powder) (from *Yonglei Qianfang*): Treats mastitis.
Ingredients: Gualou (Fructus Trichosanthis), Qingpi (Pericarpium Citri Reticulatae Viride), Wuyao (Rhizoma Linderae), Baizhi (Radix Angelicae Dahuricae, equal parts). Effective for early onset. If illness is half gone, do not take much. Chuanshanjia horn has unique dispersing power. General use for hanging abscess.
Treat mastitis (from *Bencao*):
Burn human teeth to ash, grind finely with butter, apply to abscess.
Treat mastitis (from *Bencao*):
Apply bile from black-boned hen. Three times daily.
Treat mastitis with pain, chills, and fever (from *Bencao*):
Select clean Turnip root and leaves, do not wash with water. Pound with salt and apply to breast. Change if hot. Change 3-5 times to cure. In winter without leaves, use root only. Avoid wind strictly.