产后乳自出，乃阳明胃气之不固，当分有火无火而治之。无火而泄不止，由气虚也，宜
八珍汤、十全大补汤。若阳明血热而溢者，宜保阴煎，或四君子汤加栀子。若肝经怒火上冲
，乳胀而溢者，宜加减一阴煎。若乳多胀痛而溢者，宜温帛熨而散之。若未产而乳自出者，
以胎元薄弱，滋溉不全而然，谓之乳泣，生子多不育。
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。
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，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，以滓罨患处。
《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，烦渴引冷，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，五心发热，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。
产后乳汁自行流出，是由于阳明胃气固摄无力所致，治疗时应区分有火和无火两种情况。若无火热之象而乳汁漏出不止，属于气虚，适宜使用八珍汤或十全大补汤。若是阳明血热导致乳汁外溢，适宜使用保阴煎，或者在四君子汤基础上加入栀子。若是肝经怒火上冲，导致乳房胀痛且乳汁溢出，适宜使用加减一阴煎。若是乳汁过多导致乳房胀痛溢出，适宜用温热的布巾熨敷以散结。若在未分娩前乳汁自行流出，是因为胎元薄弱，滋养灌溉不足所致，称为“乳泣”，此类产妇所生的孩子大多难以存活。
产后“吹乳”，是因为婴儿吃奶时，被成人口气吹入，导致乳汁不通畅，壅滞结聚并引起肿痛，如果不及时救治，多会发展成痈肿。应迅速服用栝蒌散，外用天南星粉末敷贴，并用手揉散。病情严重的，只有连翘金贝煎最为有效。
产后“妒乳”，是因为没有婴儿吸吮乳汁，或者婴儿尚不能吸吮，导致余乳蓄积结聚产生胀感；或者是妇人气血正盛，乳房胀满，从而导致肿痛、怕冷发热，若不通过吸吮使乳汁通畅排出，必然会导致成痈。如果肿胀不消退，可用麦芽二三两炒熟，水煎后服用，肿胀立消。另一方：用陈皮一两，甘草一钱，水煎服用。另一方：治疗吹乳、乳痈引起的肿痛，用萱草根研磨后加酒服用，并将药渣敷于患处。《袖珍方》使用猪牙皂角去皮，蜂蜜炙烤后研为粉末，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（薛己）的方法说：妇女乳痈，属于胆腑和胃腑的热毒，气血壅滞，所以初起时肿痛发于肌表，皮肤颜色发红，患者表现为体表发热，或寒热往来，或怕冷头痛，烦躁口渴喜冷饮，用人参败毒散、神效栝蒌散、加味逍遥散治疗，肿胀自然消散。若经过数日，脓液形成并破溃，稠厚的脓液涌出，脓液排尽后自愈。若气血虚弱，或者误用败毒药物，导致伤口久久不收敛，脓液清稀、脉象洪大则难治。乳岩（乳腺癌）属于肝脾二脏因郁怒导致的气血亏损，所以初起时在乳房内结成小核，皮肤颜色如常，患者表现为内部发热、夜间发热，五心（两手心、两脚心及心口）发热，肢体疲倦消瘦，月经不调，使用加味逍遥散、加味归脾汤、神效栝蒌散，大多可自行消散。若积聚日久逐渐变大，乳头凹陷如岩穴，颜色发红流水，内部溃烂成深洞则难以治疗，但仅使用前方的归脾汤等药物可以延长寿命。若误用攻伐药物，病情将危殆紧迫。大凡乳房疾病，若因愤怒引起，适宜疏肝清热。伴有恶寒发热，适宜发表散邪。肿痛剧烈，适宜清肝解毒，并可配合隔蒜灸。若不化脓或脓液不破溃，以补益气血为主。若不收敛或脓液清稀，以补益脾胃为主。脓液排出后反而疼痛，或出现恶寒发热，以补益气血为主。若有午后潮热或内部发热，以补血为主。若饮食减少不思食，或发生呕吐，以补胃为主。饮食难以消化，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。被婴儿口气吹入所致，必须通过吸吮和揉散来疏通，若已成痈则按前述方法治疗。潮热暮热，也主要使用前述药物。大抵男性多由房劳耗伤肝肾所致，女性多由郁怒亏损肝脾所致，治疗者需仔细审察。世间有孕妇患此病，名为“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。
Postpartum spontaneous lactation is caused by the failure of Stomach Qi (Wei Qi) in the Yangming channel to secure fluids. Treatment should distinguish between cases with fire and those without. If leakage persists without signs of fire, it is due to Qi deficiency; Ba Zhen Tang (Eight Treasure Decoction) or Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction) are appropriate. If overflow is caused by heat in the blood of the Yangming channel, Bao Yin Jian (Preserve the Yin Decoction) or Si Jun Zi Tang (Four Gentlemen Decoction) added with Gardenia (Zhi Zi) is suitable. If liver fire surges upward causing breast distension and overflow, Jia Jian Yi Yin Jian (Modified One-Yin Decoction) is indicated. If excessive milk causes painful distension and overflow, warm compresses should be applied to dissipate the stagnation. Lactation occurring before childbirth, known as Ru Qi (Weeping Breast), results from weak fetal origin and insufficient nourishment; children born to such mothers often fail to survive.
"Chui Ru" (Blown Breast) postpartum occurs when infant feeding is interrupted by air blown into the breast, obstructing milk flow, leading to congestion, swelling, and pain. If not treated promptly, it often develops into an abscess (Yong Zhong). Immediately administer Gua Lou San (Trichosanthes Powder) and apply Arisaematis Rhizoma (Nan Xing) powder externally, while manually massaging to disperse the blockage. For severe cases, Lian Qiao Jin Bei Jian (Forsythia and Fritillaria Decoction) is most effective.
"Du Ru" (Jealous Breast) postpartum arises when there is no infant to suckle, or the infant cannot suckle, causing residual milk to accumulate and swell. Alternatively, it may result from vigorous Qi and blood in the woman, causing breast distension, swelling, pain, aversion to cold, and fever. Failure to clear the milk through suckling will inevitably lead to an abscess. If swelling does not subside, stir-fried Malt (Mai Ya) two to three liang, decocted in water and taken orally, will rapidly resolve it. Another prescription: Chen Pi (Tangerine Peel) one liang and Gan Cao (Licorice Root) one qian, decocted in water. Another method for treating Chui Ru and breast abscess swelling/pain: use Daylily Root (Xuan Cao Gen) ground with wine for oral administration, and apply the dregs to the affected area. *Xiu Zhen Fang* recommends using Pericarpium Sophorae Flavescentis (Zhu Ya Zao Jiao), peeled, honey-roasted, powdered, and taken with wine, one qian per dose. A poem states: "How to treat blown breast? Burn soap pod to ash, mix with clam powder, blend with a cup of hot wine, and laughter will return within moments."
For severe swelling and pain with excess heat-toxin, Lian Qiao Jin Bei Jian should be used first for excellent results.
Lizhai (Xue Ji) states: Female breast abscesses belong to heat-toxins in the Gallbladder and Stomach fu-organs, causing Qi and blood stagnation. Initially, swelling and pain appear on the body surface with red skin. The patient exhibits exterior fever, alternating chills and fever, or aversion to cold with headache, irritability, thirst, and preference for cold drinks. Ren Shen Bai Du San (Ginseng Detoxification Powder), Shen Xiao Gua Lou San (Miraculous Trichanthes Powder), and Jia Xiao Yao San (Modified Free Wanderer Powder) are used to resolve the swelling. After several days, if pus forms and ruptures, thick pus flows out, and self-healing occurs once the pus is exhausted. If Qi and blood are deficient, or if detoxifying herbs were mistakenly used, preventing wound closure, and the pus is thin with a large pulse, the condition is difficult to treat. Breast cancer (Ru Yan) belongs to depression and anger affecting the Liver and Spleen zang-organs, causing Qi and blood depletion. Initially, small nodules form inside the breast with normal skin color. The patient experiences internal heat, night fevers, heat in the five centers (palms, soles, and chest), fatigue, emaciation, and irregular menstruation. Jia Xiao Yao San, Jia Gui Pi Tang (Modified Restore the Spleen Decoction), and Shen Xiao Gua Lou San are used, often resolving the condition spontaneously. If accumulated over time and growing larger, with nipple retraction resembling a rock cavity, redness, and discharge, and deep internal ulceration, it is difficult to cure. However, using Gui Pi Tang and similar formulas can prolong life. Mistaken use of attacking/draining herbs leads to critical 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 dispel pathogens; for severe swelling and pain, clear the Liver and detoxify, combined with Garlic-separated moxibustion; if no pus forms or pus does not rupture, tonify Qi and blood; if non-converging or thin pus, tonify the Spleen and Stomach; if pain recurs after pus drainage or chills/fever appear, tonify Qi and blood; if afternoon tidal fever or internal heat occurs, nourish blood; if poor appetite or vomiting occurs, tonify the Stomach; if indigestion or diarrhea occurs, tonify the Spleen; if swelling/pain follows exertion, tonify Qi and blood; if swelling/pain follows anger, nourish Liver blood. For obstruction by infant breath, suckling and massage are required; if an abscess forms, treat as above. Tidal and evening fevers also respond to the aforementioned formulas. Generally, male cases stem from kidney and liver depletion due to sexual excess, while female cases stem from Liver and Spleen damage due to emotional depression. Practitioners must examine carefully. Pregnant women suffering from this are termed "Nei Chui" (Internal Blowing). Although the etiology is the same, medications must avoid harming the fetus.