典藏书目

(Attached Discussion)
The condition known as "Du Ru" (Jealous Breast / Milk Stagnation) arises when, after recent childbirth, the infant is unable to suckle, or when breastfeeding occurs but milk drainage is incomplete, or upon weaning, residual milk is not fully expressed. All these factors cause milk accumulation, which clashes with blood and qi, resulting in high fever, extreme thirst with a desire to drink, hardness and rigidity of the breast with pulling pain, and tenderness such that the hand cannot bear to touch it. Upon initial sensation of discomfort, one should manually assist in squeezing out the milk and have an assistant help suckle and drain it. If this is not done, sores may form with pus; if the heat spreads vigorously, an abscess (Yong) will develop. The *Qianjin Fang* states: After childbirth, one should frequently express milk and not allow it to accumulate. If not removed, it will coagulate and fail to exit. Evil fluids remain inside, drawing in heat and causing warmth and fever. Coagulation leads to hardness and pulling pain, extreme thirst with a desire to drink, breast urgency and pain, and inability to touch it, forming Du Ru rather than an abscess. Urgently moxa both Yuji points (LI10) on the hands, fourteen burns each, to cut off the formation of an abscess. This way, there is no longer aversion to others approaching, and milk will naturally flow out, leading to recovery.

**Mudanpi San (Tree Peony Bark Powder)**: Treats postpartum Du Ru with stagnation and pain.
Ingredients: Radix Paeoniae Rubra (Mudanpi), Radix Cimicifugae (Weilingxian, washed and dried), Radix Scutellariae (Huangqin, sliced), Ramulus Cinnamomi (Guizhi, bark removed), Radix Angelicae Sinensis (Danggui, sliced and dried), Radix et Rhizoma Rhei (Dahuang, steamed in wine, sliced and fried, each 1 liang).
Usage: Grind into powder. Take 2 qian per dose, mixed with warm wine. Take at any time, three times daily.

**Lujiao San (Deer Horn Powder)**: Treats postpartum Du Ru.
Ingredients: Cornu Cervi (Lujiao, 1.5 liang), Old Boot Head (Guxuetou, 2 pieces).
Usage: Burn to ash and grind finely. Take 2 qian per dose, mixed with decoction of Danggui. Take at any time.

**Tiefen San (Iron Powder Powder)**: Treats postpartum Du Ru progressing to abscess.
Ingredients: Ferrum Pulveratum (Tiefen, ground), Radix Asari (Xixin, roots and leaves removed), Radix Chuanxiong (Xiong), Radix Ginseng (Renshen), Radix Saposhnikoviae (Fangfeng, cross-branches removed), Rhizoma Zingiberis Preparatum (Ganjiang, processed), Radix Scutellariae (Huangqin, black heart removed), Ramulus Cinnamomi (Guizhi, bark removed), Radix Paeoniae Alba (Shaoyao, each 1 liang), Radix Angelicae Sinensis (Danggui, sliced and dried), Radix Glycyrrhizae Preparata (Gancao, honey-fried, each 2 liang), Cortex CSPsoralae (Roucongrong, soaked in wine, sliced and dried, 1 liang).
Usage: Grind into powder. Take 3 qian per dose, mixed with wine. After 4-5 doses, if pus and blood discharge spontaneously, it indicates efficacy.

**Jishi San (Chicken Droppings Powder)**: Treats postpartum Du Ru progressing to abscess.
Ingredients: Excrementum Galli (Jishi, stir-fried until dry, 1 liang), Moschus (Shexiang, half qian, finely ground).
Usage: Grind into powder. Take 1 qian per dose, mixed with decoction of Schizonepeta (Jingjie) in wine. Take at any time.

**Erhui San (Two Ashes Powder)**: Treats postpartum non-excretion of milk, coagulation and stagnation not resolving, accompanied by hot swelling.
Ingredients: Fructus Viticis (Manjingzi, burned to retain nature), Spina Gleditsiae Sinensis (Zaojiaoci, burned to retain nature, each 1 liang), Moschus (Shexiang, half qian).
Usage: Mix and grind into powder. Take 2 qian per dose, mixed with warm wine. Take at any time.

**Furu Fang (Breast Application Formula)**: Treats postpartum Du Ru with coagulated swelling not resolving, accompanied by hot pain.
Ingredients: Radix Cimicifugae (Shengma), Lignum Aquilariae Resinatum (Muxiang), Lignum Santali Albi (Tanxiang, each half liang).
Usage: Select solid blocks of each ingredient. Place separately in a sand box, add a small amount of wine, and grind while wet. Use equal amounts of the three ingredients. Immediately apply to the breast using a goose feather brush. If dry, moisten with water, keeping it constantly moist. Apply twice daily.

**Lianqiao San (Forsythia Powder)** (from *Shenghui Fang*): Treats postpartum Du Ru with swelling, pain, and high fever, intending to form an abscess. Suitable for oral administration.
Ingredients: Fructus Forsythiae (Lianqiao, 1 liang), Radix Cimicifugae (Chuan Shengma, 1 liang), Radix Stephaniae Tetrandrae (Han Fangji, 1 liang), Radix Scutellariae (Huangqin, 1 liang), Radix et Rhizoma Rhei (Chuan Dahuang, 2 liang, sliced and lightly fried), Natrii Sulfas (Chuan Mangxiao, 1 liang), Radix Bupleuri (Chaihu, 1 liang, roots removed), Radix Paeoniae Rubra (Chishaoyao, 1 liang), Radix Glycyrrhizae Preparata (Gancao, 1 liang, honey-fried, lightly reddened, sliced), Cornu Bubali (Xijiao, 1 liang), Semen Pruni Armeniacae (Xingren, 1 liang, soaked in hot water, skin and tips removed, double-kernel, bran-fried until slightly yellow).
Usage: Crush into coarse particles, sieve into powder. Take 3 qian per dose. Add one medium bowl of water, decoct to six-tenths volume, remove dregs.

**Another Prescription** (from *Shenghui Fang*)
Take 1 liang of Abutilon seeds (Kuizi), crush finely, and sieve into powder. Take 1 qian before meals, mixed with warm water. Taking with wine is also acceptable. Another version uses unfermented wine.

**Formula for Treating Sores from Postpartum Du Ru** (from *Shenghui Fang*)
Ingredients: Nidus Vespae (Lufengfang), Soil from Cart Ruts (Chezhetuzhongtu), Soil from Pigsty (Zhujiazhongtu, all in equal parts).
Usage: Crush finely and sieve into powder. Mix with vinegar and apply topically.

**For cases where the infant does not suckle, or the mother has lost the infant and no one suckles, causing milk accumulation and non-excretion, leading to lump formation on the breast**, this formula is suitable (from *Shenghui Fang*).
Use 2 he of Red Adzuki Beans (Chixiaodou), crush and sieve into powder. Mix with egg white and apply to the breast to resolve the lump. If the infant sucks but milk does not drain, boil [some remedy] and squeeze it out. Alternatively, have an adult hold cold water in their mouth to suckle the milk out, then spit it out. If sucked without holding water, heat will arise, preferring coldness, causing sores on the nipple and blocking the milk pores.

**Formula for Small Hot Sores on Nipples Postpartum**, scratching yields yellow fluid, spreading, resistant to various treatments, named Du Ru (from *Shenghui Fang*)
Take 3 sheng of inner bark of Black Locust (Chubai), add 1 dou of water, decoct to obtain 5 sheng. Use in summer; take warm in autumn and winter. Twice daily, wash the breast and sore.

**Another Prescription** (from *Shenghui Fang*)
Take 5 sheng of Tianma Grass (Cannabis herb? Note: Text says Tianma Cao, likely distinct from Rhizoma Gastrodiae), chop, add 1 dou of water, decoct to obtain 6 sheng, remove dregs. Wash the breast while slightly warm, stopping when itching ceases. This herbal plant has leaves like hemp, grows in winter, and flowers in summer like rat-tail flowers. It can also be used to wash spreading yellow rot, hot sores, jaundice, yin erosion, and pediatric head sores, all of which heal.

**Formula for Postpartum Du Ru with Hard Breasts Intending to Form Pus** (from *Shenghui Fang*)
Grind Deer Horn (Lujiao) on a stone with water to extract white juice. Apply immediately. Reapply when dry. Also, have an adult suck out the yellow fluid from the milk, leading to recovery.

**Formula for Postpartum Du Ru with Swelling and Pain** (from *Shenghui Fang*)
Grind Sappan Wood (Zitanxiang) with thick vinegar and apply to the breast for immediate cure.

**Another Prescription** (from *Shenghui Fang*)
Grind Radix Cimicifugae (Chuan Shengma) with vinegar and apply.

**Another Prescription** (from *Shenghui Fang*)
Apply mashed fresh Radix Rehmanniae (Shengdihuang).

**Du Ru Formula** (from *Shenghui Fang*)
Ingredients: Radix Scutellariae (Huangqin), Radix Ampelopsis (Bailian), Radix Paeoniae Alba (Shaoyao, all in equal parts).
Usage: Sieve thoroughly. Take 1 qian-bi mixed with Jiangshui (fermented grain water). Three times daily. If the right breast is blocked, express milk from the left; if the left is blocked, express milk from the right. Taking the medicine will resolve the blockage.

**Another Prescription** (from *Shenghui Fang*)
Boil White Willow Bark (Liubaipi) in wine until hot. Wrap and apply as a compress to the breast to resolve swelling.

**Another Prescription**
Grind Radix Aucklandiae (Qingmuxiang) with vinegar (Ku Jiu) and rub onto the area.

**Another Prescription** (from *Shenghui Fang*)
Moschus (Shexiang), Olibanum (Xunlu Xiang / Rushing Xiang), Radix Aucklandiae (Qingmuxiang), Flos Caryophylli (Jishe Xiang), each 1 liang. Add 4 sheng of water, decoct to 2 sheng. Divide into two doses. Avoid garlic, noodles, wine, beef, horse meat, and pork. Another version makes a fine powder, taken with warm water after meals, 1 qian per dose.

**Treating Women's Du Ru Abscess**: Realgar (Xionghuang) and Chu Paste.
Ingredients: Realgar (Xionghuang), Radix Ampelopsis (Bailian), Orpiment (Cihuang), Chu (Ru/Gu Zhu - likely referring to a root or resin, context suggests Chu Su or similar, but text says Ru), Human Hair (Luankou, size of a chicken egg).
Usage: Combine with 8 liang of lard, boil three times. Remove dregs, then add human hair. When hair dissolves, the medicine is ready. Apply to the sore. Heals within ten days.

**Another Prescription** for Du Ru and Abscesses.
Take powdered Chicken Droppings (Jishi), take a square-inch measure. Three doses suffice for cure. Also treats cracked nipples.

**Mainly for sudden red swelling**, also treats women's Du Ru swelling (from *Bencao*).
Use 3 liang of fresh Ulmus bark (Sheng Yupi), crush and mix. Seal with residue from three-year-old vinegar. Change every 6-7 days.

**Treating Du Ru** (from *Bencao*)
Use dust from roof beams, mix with vinegar and apply.

**Treating Women's Du Ru Swelling** (from *Bencao*)
Grind fresh Preknowledge Root (Yuzhi Gen), mix with salt, vinegar, and fermented grain water. Decoct to get juice and wash. Do this 5-6 times.

**Treating Women's Mastitis with No Milk Discharge**, internally forming abscess named Du Ru (from *Bencao*)
Burn Vespa nest (Fengfang) to ash, grind. Take 2 qian per dose. Add one medium bowl of water, decoct to six-tenths volume, remove dregs, take warm.