乳房，阳明所经；乳头，厥阴所属。乳子之母，不知调养，怒忿所逆，郁闷所遏，浓味所酿，以致厥阴之气不行，
故窍不得通，而汁不得出。阳明之血沸腾，故热甚而化脓。亦有所乳之子，膈有滞痰，口气 热，含乳而睡，热气所吹，
遂生结核。于初起时，便须忍痛，揉令稍软，吮令汁透，自可消散。失此不治，必成痈疖。治法∶疏厥阴之滞，以青皮；
清阳明之热，细研石膏；行污浊之血，以生甘草之节；消肿导毒，以栝蒌子，或加没药、青橘叶、皂角刺、金银花、当
归。或汤或散，或加减随意消息。然须以少酒佐之，若加以艾火两三壮于肿处，其效尤捷。彼庸工喜于自炫，便用针刀
引惹拙痛，良可哀悯！若夫不得于夫，不得于舅姑，忧怒郁闷，昕夕累积，脾气消阻，肝气横逆，遂成隐核，如大棋子，
不痛不痒，数十年后，方为疮陷，名曰奶岩。以其疮形嵌凹似岩穴也，不可治矣。若于始生之际，便能消释病根，使心
清神安，然后施之以治法，亦有可安之理。予族侄妇年十八时，曾得此病，察其形脉稍实，但性躁急，伉俪自谐，所难
者后姑耳！遂以本草单方青皮汤，间以加减四物汤，行以经络之剂，两月而安。
成胎以精血之后，先分男女者，褚澄之论，愚切惑焉。后阅李东垣之方，有曰经水断后一二日，血海始净，精胜其
血，感者成男；四五日后血脉已旺，精不胜血，感者成女。此确论也。《易》曰∶干道成男，坤道成女。夫乾坤，阴阳之
情性也；左右，阴阳之道路也；男女，阴阳之仪象也。父精母血因感而会，精之施也。血能摄精成其子，此万物资始于
干元也；血成其胞，此万物资生于坤元也。阴阳交媾，胎孕乃凝，所藏之处，名曰子宫。一系在下，上有两岐，一达于
左，一达于右。精胜其血，则阳为之主，受气于左子宫而男形成；精不胜血，则阴为之主，受气于右子宫而女形成。或
曰∶分男分女，吾知之矣。男不可为父，女不可为母，与男女之兼形者，又若何而分之耶？余曰∶男不可为父，得阳气
之亏者也；女不可为母，得阴气之塞者也。兼形者，由阴为驳气所乘而成，其类不一。以女函男有二∶一则遇男为妻，
遇女为夫；一则可妻而不可夫。其有女具男之全者，此又驳之甚者。或曰∶驳气所乘，独见于阴，而所乘之形，又若是
之不同耶？予曰∶阴体虚，驳气易于乘也。驳气所乘，阴阳相混，无所为主，不可属左，不可属右，受气于两岐之间，
随所得驳气之轻重而成形。故所兼之形，有不可得而同也。
乳房，是足阳明胃经所经过的部位；乳头，归属于足厥阴肝经。哺乳期的母亲，如果不懂得调养，因愤怒导致气机逆乱，因郁闷导致气机郁结，因食用浓腻厚味的食物导致湿热酿生，致使厥阴肝经的气血运行不畅，所以乳窍不能通畅，乳汁无法排出。阳明胃经的血分沸腾，所以热势严重而化脓成痈。也有因为哺乳的婴儿，胸膈间有停滞的痰饮，口中气息发热，含着乳头睡觉时，将热气吹入乳窍，从而形成结核（硬块）。在初起阶段，就必须忍受疼痛，揉按使其稍微变软，吮吸使乳汁通透，自然可以消散。如果错过这个时机不治疗，必定会发展成痈疖。治疗方法：疏解厥阴肝经的郁滞，使用青皮；清泻阳明胃经的热邪，细研石膏；行散污浊之血，使用生甘草节；消肿排毒，使用栝蒌子，或者加入没药、青橘叶、皂角刺、金银花、当归。无论是汤剂还是散剂，都可以随意加减斟酌。但是必须用少量酒来送服，如果在肿处施灸两三壮艾火，疗效尤其迅速。那些平庸的医生喜欢自我炫耀，便使用针刀切开引流，引发剧烈的疼痛，实在令人哀悯！至于那些在家庭中不得志于丈夫，不得志于公婆，忧愁愤怒郁闷，早晚累积，导致脾气消减阻滞，肝气横逆，于是形成隐伏的硬核，像大棋子一样，不痛不痒，几十年后才溃烂成疮陷，名叫“奶岩”。因为疮形嵌凹似岩穴，所以无法治愈。如果在刚产生之际，就能消除病根，使心境清明、神志安宁，然后施加治疗手段，也还有安愈的道理。我的族侄媳妇十八岁时，曾得过这种病，观察她的形体脉象稍显实盛，只是性格急躁，夫妻和睦，难以相处的是婆婆！于是使用本草单方青皮汤，间杂使用加减四物汤，配合经络调理的药物，两个月后痊愈。
胎儿的形成是在精血结合之后，先区分男女的说法，褚澄的理论，我感到非常困惑。后来阅读李东垣的方论，其中有说：月经结束后一两天，血海刚刚干净，精气胜过血，受孕则成男胎；四五天后血脉已经旺盛，精气不胜过血，受孕则成女胎。这是确切的论述。《易经》说：乾道成就男性，坤道成就女性。乾坤，是阴阳的情性；左右，是阴阳的道路；男女，是阴阳的仪象。父亲的精与母亲的血因感应而交会，精是施予者。血能摄持精液形成胎儿，这是万物资始于乾元；血形成胞宫，这是万物资生于坤元。阴阳交媾，胎孕才凝结，藏胎的地方，名叫子宫。有一条系带在下，上面有两个分支，一个通达左边，一个通达右边。精气胜过血，则阳气为主宰，受气于左边的子宫，男胎形成；精气不胜过血，则阴气为主宰，受气于右边的子宫，女胎形成。有人说：区分男女，我知道了。但男子不能做父亲，女子不能做母亲，以及男女兼形的人，又怎么区分呢？我说：男子不能做父亲，是得到了亏虚的阳气；女子不能做母亲，是得到了闭塞的阴气。兼形的人，是由阴体被驳杂之气侵袭而成，种类不一。以女性具有男性特征为例有两种：一种遇到男人可以做妻子，遇到女人可以做丈夫；一种可以做妻子但不能做丈夫。有的女性具备男性的全部特征，这又是驳杂之气严重的表现。有人说：驳杂之气侵袭，唯独见于阴体，而形成的形态，又是如此不同吗？我说：阴体虚弱，驳杂之气容易侵袭。驳杂之气侵袭，阴阳相混，没有主宰，不能属于左，也不能属于右，受气于两个分支之间，随着所得驳杂之气的轻重而形成不同的形态。所以兼有的形态，有不可相同的。
The breast is the pathway of the Foot-Yangming Stomach Meridian; the nipple belongs to the Foot-Jueyin Liver Meridian. Nursing mothers who do not know how to regulate their lifestyle may experience qi rebellion due to anger, qi stagnation due to depression, and damp-heat accumulation from consuming rich and greasy foods. This leads to the failure of Jueyin (Liver) qi to circulate freely, causing the orifices to be blocked and milk to fail to flow out. The blood in the Yangming (Stomach) meridian boils with heat, leading to severe heat and suppuration (formation of pus). There are also cases where the nursing infant has phlegm-stagnation in the chest-diaphragm area and has hot breath. When the infant falls asleep while suckling, blowing hot air into the breast orifice, nodules (hard lumps) may form. At the initial stage, one must endure the pain, massage the area until it softens slightly, and suckle to ensure milk flows through, which will naturally cause the nodule to dissipate. If this opportunity for treatment is missed, it will inevitably develop into a carbuncle or boil. Treatment method: Disperse the stagnation of the Jueyin (Liver) meridian using Qingpi (Exocarpium Citri Reticulatae); clear the heat of the Yangming (Stomach) meridian by finely grinding Shigao (Gypsum Fibrosum); move turbid blood using the nodes of raw Gancao (Radix Glycyrrhizae Preparata); reduce swelling and guide out toxicity using Gualouzi (Semen Trichosanthis), or add Moyao (Resina Olibani), Qingjuye (Folium Citri Reticulatae Viride), Zaojiaoci (Spina Gleditsiae Sinensis), Jinyinhua (Flos Lonicerae Japonicae), and Danggui (Radix Angelicae Sinensis). Whether used as a decoction or powder, modifications can be made at will. However, it must be taken with a small amount of wine. If two or three moxa cones are applied to the swollen area, the effect will be even more rapid. Mediocre physicians, eager to show off, often use needles and knives to incise, causing excruciating pain, which is truly pitiable! As for those who feel unappreciated by their husbands or in-laws, accumulating sorrow, anger, and depression day and night, leading to the decline and obstruction of Spleen qi and the horizontal rebellion of Liver qi, hidden nodules may form, resembling large chess pieces, without pain or itching. Decades later, they ulcerate into sunken sores, named "Naiyan" (Breast Rock Cancer). Because the sore's shape is indented like a rock cave, it is incurable. However, if at the very beginning, the root of the disease can be resolved by clearing the mind and calming the spirit, followed by appropriate treatment, recovery is possible. My clan niece-in-law suffered from this disease at age eighteen. Her physical condition and pulse were slightly excess, but her temperament was irritable. Although she had a harmonious marriage, she struggled with her mother-in-law. I prescribed Qingpi Tang (Citrus Exocarp Decoction) from herbal classics, interspersed with Jiawei Siwu Tang (Modified Four Substances Decoction), combined with channel-regulating formulas. She recovered within two months.
Conception occurs after the union of essence and blood. Chu Cheng’s theory that gender is determined first puzzled me. Later, I read Li Dongyuan’s writings, which state: One or two days after menstruation ends, the Blood Sea is just cleared; essence exceeds blood, and conception results in a male fetus; four or five days later, blood vessels are vigorous, essence does not exceed blood, and conception results in a female fetus. This is an accurate discussion. The *I Ching* states: The Dao of Qian forms males, the Dao of Kun forms females. Qian and Kun represent the nature of Yin and Yang; left and right represent the pathways of Yin and Yang; male and female represent the manifestations of Yin and Yang. The father’s essence and the mother’s blood meet through mutual influence; essence is the active agent. Blood captures the essence to form the child, reflecting that all things originate from Qianyuan (Heavenly Origin); blood forms the uterus, reflecting that all things are nourished by Kunyuan (Earthly Origin). Through the interaction of Yin and Yang, pregnancy condenses. The place where the fetus is stored is called the Zi Gong (Uterus). It has a stalk below and two branches above, one reaching to the left and one to the right. When essence exceeds blood, Yang becomes dominant, receiving Qi in the left uterus, forming a male fetus; when essence does not exceed blood, Yin becomes dominant, receiving Qi in the right uterus, forming a female fetus. Some ask: I understand the distinction between males and females. But what about men who cannot be fathers, women who cannot be mothers, and individuals with both male and female characteristics? How should these be classified? I reply: Men who cannot be fathers suffer from deficient Yang Qi; women who cannot be mothers suffer from obstructed Yin Qi. Individuals with dual characteristics are formed because Yin body is invaded by mixed/impure Qi, resulting in various types. For example, females with male characteristics include two types: one can be a wife to a man and a husband to a woman; another can be a wife but not a husband. Some females possess complete male characteristics, which represents a severe case of impure Qi invasion. Someone asks: Does impure Qi invasion only occur in the Yin body, and why are the resulting forms so different? I say: The Yin body is deficient, making it susceptible to impure Qi invasion. When impure Qi invades, Yin and Yang mix without a clear dominance, unable to belong strictly to the left or right. Qi is received between the two branches, and the form develops according to the severity of the impure Qi received. Therefore, the combined characteristics vary and cannot be uniform.