缪仲淳云,妒乳、内外吹乳、乳岩、乳痈,不外阳明、厥阴两经之病,橘叶最妙。又用生半夏一个,
研末,生葱头一段,研裹,左右互塞鼻,神验。又于山中掘野芥菜(去叶用)根,洗净捣烂,无灰酒煎数
滚,饮一二次,即以渣罨患处。凡乳痈未成,或肿或硬、
或胀痛者,无不立消,屡次经验。野芥菜一名天芥菜,又名鹦哥草,似芥菜而略矮小,其根数出如兰根,用以
治乳,想其形似乳囊也,故用有验。(春甫附载)
活小鲫鱼一尾,剖去肠,同生山药寸许,捣烂涂之,少顷发痒即愈。屡验。无山药,即芋艿亦可。
胡桃膈瓦上焙燥研末,每服三钱,红糖调匀,温酒送下,三服,无不全愈。又方∶用玫瑰花五七朵,
干者亦可,醇酒煎服;烫酒极热,冲服亦可;并以花瓣摘散,铺贴患处,三两次可愈,即已成块硬者,亦
可消散。(曾经活验数人,陈载安附识。)
坎气,洗净切薄,焙燥研末,日吃一条,酒下。约二十条效。(此缪德仁治验,半年以内者效。)
又狗粪、东丹、独囊蒜,三味捣匀,摊布上,勿用膏药令粘。粘贴微痛,数日可愈。
沈尧封曰∶乳岩初起,坚硬不作脓;其成也,肌
肉叠起,形似山岩。病起抑郁,不治之证。方书云∶桃花开时死,出鲜血者死。余见一妇患此已四年,诊
时出鲜血盈盂,以为必死。日服人参钱许,竟不死。明年春桃花大放,仍无恙,直至秋分节候方毙。此妇抑郁
不得志,诚是肝病。然不死于春而死于秋,何哉?岂肝病有二∶其太过者死于旺时;其不及者,死于衰时耶!此
证本属肝病,缪以坎气补肾而愈,亦理之不可解者。
王孟英按∶吴鞠通云∶当归、芎 ,为产后要药,然惟血寒而滞者为宜,若血虚而热者,断不可用。盖
当归香窜异常,甚于麻、辛,急走善行,不能静守,止能运血,裒多益寡。如亡血液亏,孤阳上冒等证,而
欲望其补血,不亦愚哉!芎 有车轮纹,其性更急于当归。盖特性之偏,长于通者,必不长于守也。世人
不敢用芍药而恣用归、芎,何其颠倒哉?余谓今人血虚而热者为多,产后血液大耗,孤阳易浮。吴氏此言,
深中时弊。又论《达生编》所用方药,未可尽信。先得我心之同然者。详见《解产难》,医者宜究心焉!
缪仲淳说,妒乳、内吹乳、外吹乳、乳岩、乳痈,都不外乎是阳明经和厥阴经的病变,橘叶最为妙用。另外使用生半夏一枚,研成粉末,取生葱头一段,研磨后包裹药末,左右鼻孔交替塞入,效果神奇。又在山中挖掘野芥菜(去掉叶子只用根)的根,洗净捣烂,用不含灰的酒煎煮几滚,饮用一两次,然后将药渣敷在患处。凡是乳痈尚未化脓,或者肿胀、发硬、胀痛的情况,没有不能立即消除的,多次验证有效。野芥菜又名天芥菜,又称鹦哥草,形状像芥菜但略矮小,它的根数条丛生如同兰花的根,用来治疗乳房疾病,猜想是因为它的形状类似乳囊,所以使用有疗效。(由春甫附载)
活的小鲫鱼一条,剖开去除内脏,与长约一寸的生山药一起捣烂,涂抹患处,不久感到发痒即可痊愈。多次验证有效。如果没有山药,芋艿也可以代替。
胡桃隔膜在瓦片上焙干研成粉末,每次服用三钱,用红糖调匀,温酒送服,服用三次,没有不痊愈的。另一个方子:用玫瑰花五到七朵,干花也可以,用纯酒煎服;或者用极热的烫酒冲服也可以;并将花瓣摘散,铺贴于患处,两三次即可痊愈,即使已经形成硬块的,也能消散。(曾经亲自验证过几个人,陈载安附记。)
坎气(脐带),洗净切薄,焙干研成粉末,每天吃一条,用酒送下。大约二十条见效。(这是缪德仁的治疗经验,发病半年以内的有效。)还有狗粪、东丹(陈壁土)、独头蒜,三味药捣匀,摊在布上,不要用膏药让它粘连。粘贴后会有轻微疼痛,几天可以痊愈。
沈尧封说:乳岩初起时,坚硬但不化脓;等到形成时,肌肉层层叠起,形状像山岩。此病起因于抑郁,属于不治之症。医书说:桃花盛开时死亡,流出鲜血者死亡。我见过一位妇女患此病已四年,诊察时流出鲜血盈满盆,认为必死无疑。每天服用人参约一钱,竟然没有死。第二年春天桃花盛开时,依然安然无恙,直到秋分时节才去世。这位妇女因抑郁不得志,确实是肝病。然而不死于春季而死于秋季,为什么呢?难道肝病有两种情况:太过盛的死于旺盛之时;不足的死于衰退之时吗!此证本来属于肝病,缪氏用坎气补肾而治愈,也是道理无法解释的。
王孟英按语:吴鞠通说:当归、川芎,是产后重要的药物,然而只适合血寒而滞涩的情况,如果是血虚而有热的人,绝对不可使用。因为当归香气窜动异常,比麻黄、细辛更甚,急走善行,不能静守,只能运血,耗多补少。如亡血液亏、孤阳上冒等证候,却希望它能补血,不是太愚蠢了吗!川芎有车轮纹,其性质比当归更急迫。大概特性偏颇,长于通利的人,一定不长于固守。世人不敢用芍药而肆意使用归、芎,何其颠倒啊!我认为现在人血虚而有热的很多,产后血液大量消耗,孤阳容易上浮。吴氏这番话,深深切中时弊。又评论《达生编》所用的方药,不能完全相信。这也是与我内心认同的观点一致。详见《解产难》,医生们应该深入研究!
Miao Zhongchun stated that妒乳 (ju ru, jealousy breast), internal blowing breast, external blowing breast, breast cancer (ru yan), and breast abscess (ru yong) are all diseases of the Yangming (Stomach) and Jueyin (Liver/Pericardium) meridians. Citrus reticulata peel (Ju Ye) is most effective. Additionally, use one raw Pinellia ternata tuber (Sheng Ban Xia), grind into powder, take one segment of raw Allium fistulosum bulb (Sheng Cong Tou), grind and wrap the powder, insert alternately into left and right nostrils; this is miraculous. Also, dig up the root of wild Brassica juncea var. integrifolia (Ye Jie Cai, remove leaves, use only root), wash clean, crush, decoct with unadulterated wine for a few boils, drink one or two times, then apply the dregs to the affected area. For any breast abscess not yet suppurating, whether swollen, hard, or painful, it will disappear immediately without exception; verified repeatedly. Wild mustard is also called Tian Jie Cai or Ying Ge Cao, resembling mustard but slightly shorter; its roots grow in clusters like orchid roots. Used for treating breasts, likely because its shape resembles mammary glands, hence efficacy. (Attached by Chun Fu)
Take one live small crucian carp, gut it, mash together with about one cun of fresh Dioscorea opposita rhizome (Sheng Shan Yao), and apply externally. Itching shortly after application indicates cure. Verified repeatedly. If no yam is available, taro (Yu Niu) can be used instead.
Roast the septum of Juglans regia nut (Hu Tao Ge) on a tile until dry, grind into powder. Take 3 qian per dose, mix evenly with brown sugar, and swallow with warm wine. After three doses, complete recovery is expected. Another prescription: Use 5-7 Rosa rugosa flowers (Mei Gui Hua), dried ones are acceptable; decoct in pure wine; or dissolve in very hot wine; scatter petals and apply topically to the lesion. Two or three applications suffice for cure, even if hard masses have formed, they will dissipate. (Personally verified on several cases, recorded by Chen Zai'an.)
Clean umbilical cord (Kan Qi), slice thinly, roast dry, grind into powder. Consume one strip daily, taken with wine. Effect seen after approximately twenty strips. (This is Miao Deren's clinical experience; effective for cases within half a year.) Another method: Mix dog feces, traditional wall earth (Dong Dan), and single-clove garlic (Du Nang Suan), pound uniformly, spread on cloth, do not use adhesive plasters. Mild pain upon application resolves in a few days.
Shen Yaofeng stated: Breast cancer (Ru Yan) initially presents as hard without suppuration; when mature, muscles stack up, resembling rocky cliffs. The disease arises from depression; it is considered incurable. Medical texts state: Death occurs when peach blossoms bloom; death occurs if bright red blood is discharged. I observed a woman suffering from this for four years. Upon examination, she discharged enough bright red blood to fill a basin, leading me to believe she would certainly die. She took about one qian of Ginseng radix et rhizoma (Ren Shen) daily and did not die. The following spring, when peach blossoms bloomed profusely, she remained well, passing away only at the Autumn Equinox. This woman suffered from frustration and depression, truly indicating Liver disease. Yet why did she not die in Spring but in Autumn? Could Liver disease have two patterns: excess dying during the prosperous season; deficiency dying during the declining season? This condition belongs to Liver disease, yet Miao cured it by tonifying Kidney with Kan Qi, which is inexplicable.
Wang Mengying added: Wu Jutong said: Angelica sinensis radix (Dang Gui) and Ligusticum chuanxiong rhizome (Xiong Qiong) are essential postpartum herbs, but suitable only for blood cold with stagnation. For blood deficiency with heat, they must absolutely not be used. Dang Gui has an exceptionally pungent aroma, more so than Ephedrae Herba (Ma Huang) and Asari Radix (Xi Xin); it moves rapidly and actively, cannot remain static, only moves blood, depleting excess to supplement deficit. In cases of blood loss, deficiency, or floating solitary yang, expecting it to nourish blood is foolish! Xiong Qiong has wheel-like markings and acts more urgently than Dang Gui. Its nature is biased towards circulation; those skilled in unblocking are rarely skilled in retaining. People dare not use Paeonia lactiflora radix (Bai Shao) but recklessly use Dang Gui and Xiong Qiong; how inverted this is! I believe modern patients often have blood deficiency with heat. Postpartum, blood is greatly depleted, making solitary yang prone to floating. Wu's words hit the current medical malpractice accurately. He also criticized the prescriptions in Da Sheng Bian, stating they cannot be fully trusted. This aligns with my own views. See detailed discussion in Jie Chan Nan; physicians should study this carefully.