大全云∶产后乳汁自出者，乃是胃气虚所致，宜服补药以止之，若乳多溢满急痛者，温
帛熨之（当观人勇怯及乳汁浓淡，以论虚实，为有涌溢故也）。《产宝》有是论，却无方以治
之。若有此证，但以漏芦散亦可。
有未产前乳汁自出者，谓之乳泣，生子多不育，经书未尝论及。（予曾诊一内，气盛脉
旺，患乳泣，其生子长而游痒，其不育之说，亦未必尽然也）
薛氏曰∶前证气血俱虚，用十全大补汤；肝经血热，用加味逍遥散；肝经怒火，用四物
柴栀芩连；肝脾郁怒，用加味归脾汤。
一产妇劳役，忽乳汁如涌，昏昧吐痰，此阳气虚而厥也，灌以独参汤而苏，更以十全大
补汤数剂而安。若妇人气血方盛，乳房作胀，或无儿饮胀痛，憎寒发热，用麦芽二三两炒
熟，水煎服，立消。其耗散血气如此，何脾胃虚弱，饮食不消方中多用之。
漏芦散
方见前。
免怀汤 欲摘乳者，用此方通其月经，则乳汁不行。
当归尾 赤芍药 红花（酒浸） 牛膝（酒浸各五钱）
上锉，水煎服。
一方 治归人血气方盛，乳房作胀，或无儿食乳，要消者，服此立消。麦芽二两炒熟，水
煎服。一方炒为末，煎四物汤调服，即止。
大全云∶产后吹奶者，因儿吃奶之次忽自睡着，为儿口气所吹，令乳汁不通，蓄积在内，
遂成肿硬，壅闭乳道，伤结疼痛，亦有不疼下痛，肿硬如石者，总名曰吹奶。若不急治，肿甚
成痈，逮有至死者，连服皂角散、栝蒌散，敷以天南星散，更以手揉之则散。
薛氏曰∶前证用药，切不可损其气血。
丹溪云∶乳房阳明所经，乳头厥阴所属。乳子之母不知调养，或为忿怒所逆，郁闷所
遏。浓味所酿，以致厥阴之气不行，故窍不通，而汁不得出，阳明之热沸腾，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，自可消散矣，此不治必成痈疖。治法疏厥阴之滞，以青皮清阳明之
热，以细研石膏行污浊之血，以生甘草节治肿导毒，以栝蒌子或加没药、青橘叶、皂角刺、金
银花、当归头，或汤或散，加减随意消息，然须少酒佐之，若加以艾火两三壮于肿处，其效尤
捷（立方有法，用药有诀，不可不达）。彼村工喜于自衔，便妄目针刀，引惹拙病，良可哀悯。
李氏曰∶妇人之乳，男子之肾，皆性命根也。
初起烦渴呕吐者，胆胃风热也，甚则毒瓦斯上冲，咽膈妨碍。寒热者，肝邪也。此皆表证，
宜不换金正气散加天花粉，能止渴呕，定寒
热。咽膈有碍者，甘桔汤加生姜，或护心散。如溃后见此四证为虚。
饮食浓味，忿怒忧郁，以致胃火上蒸，乳房乳汁化为浊脓，肝经气滞，乳头窍塞不通，
致令结核不散，痛不可忍。初起便宜隔蒜灸法，切忌针刀，能饮者一醉膏加芎、归各一分
一服，两服即效，不能饮者栝蒌散。
结核亦有因气血虚弱，被外感内伤，以致痰瘀凝滞而成核者，俱以芷贝散为主。血虚合
四物汤，更加参、术、柴胡、升麻；气虚合四君子汤，更加芎、归、柴胡、升麻；忧思伤脾者，归
脾汤加栝蒌根、贝母、白芷、连翘、甘草节，水酒各半煎服。
有肝火结核肿痛甚者，清肝解郁汤。
吹乳，因乳子膈上有痰，口气 热，含乳而睡，热气吹入乳房，凝滞不散，作痛。初起须
忍痛揉令稍软，吸令汁透，自可消散。不散宜益元散，冷姜汤或井水调，一日一夜服三五十
次自解。重者解毒汤顿服之，挟气者芷贝散、单青皮汤，外用漏芦为末，水调敷之。又有乳
汁不行，奶乳胀痛者，涌泉散。
核久内胀作痛，外肿坚硬，手足不近，谓之乳痈。未溃者，仍服栝蒌散、内托升麻汤，或
复元通气散加漏芦；虚者，托里消毒散；将溃，两乳间出黑头，疮顶陷下作黑眼者，内托升麻
汤；已溃寒热者，内托十宣散；少食口干者，补中益气汤；晡热内热者，八物汤加五味子；胃
虚呕者，六君子汤加香附、砂仁；胃寒呕吐或泻者，六君子汤加干姜、藿香；遇劳肿痛者，八
物汤倍参、 、归、术；遇怒肿痛者，八物汤加山栀。
王损庵曰∶隆庆庚午，予自秋闱归，则妹已病。盖自七月乳肿痛不散，八月用火针取
脓，医以十全大补汤与之，外敷铁箍散，不效，反加喘闷。九月产一女，溃势益大，而乳房烂
尽，乃及胸腋，脓水稠粘，出脓几六七升，略无
敛势。十一月始归就医，改用解毒和平中剂，外掺生肌散、龙骨、寒水石等剂，脓出不止，流
溅所及，即肿泡溃脓，两旁紫黑，疮口十数，胸前腋下皆肿溃，不可动侧，其势可畏。余谓产
后毒瓦斯乘虚而炽，宜多服黄 解毒补血益气生肌，而医不敢用。十二月中旬后益甚，疮口
念余，诸药及试不效，始改用予药。时脓秽粘滞，煎楮叶猪蹄汤沃之，顿爽。乃治一方，名黄
托里汤，黄 之甘温，以排脓益气生肌为君，甘草补胃气解毒，当归身和血生血为臣，
升麻、葛根、漏芦为足阳明本经药，及连翘、防风，皆散结疏经，栝蒌仁、鼠粘子解毒去肿，皂
角刺引至溃处，白芷入阳明，排脓长肌，又用川芎三分，及肉桂炒柏为引用，每剂入酒一
盏，煎送白玉霜丸，疏脓解毒。时脓水稠粘，方盛未已，不可遽用收涩之药，理宜追之，以翠
青锭子外掺，明日脓水顿稀，痛定秽解，始有向安之势，至辛未新正，患处皆生新肉，有紫
肿处俱用葱熨法，随手消散。但近腋足少阳分尚未敛，乃加柴胡一钱，青皮三分，及倍川芎，
脓水将净者，即用搜脓散掺之，元宵后遂全安。
康祖为广德宰，事张王甚谨，后授温 ，左乳生痈，继又胸臆间结核，大如拳，坚
如石，荏苒半载，百疗莫效，已而牵掣臂腋，彻于肩，痛楚特甚，急祷王祠下，梦闻语曰∶若要
安，但用生姜自然汁、制香附服之、觉呼其子，检本草视之，二物治证相符，访医者亦云有
理，遂用香附子去毛，姜汁浸一宿，为末二钱，米饮调，方数服，疮脓流出，肿硬渐消，自是获愈。
一妇人禀实性躁，怀抱久郁，左乳内结一核，按之微痛，以连翘饮子二十余剂，少退，更
以八珍加青皮、香附、桔梗、贝母二十余剂而消。
消毒饮 治吹乳吹痈并便毒，如憎寒壮热，或头痛者，先服人参败毒散一二剂，方可
服此药，如无前证，即服此二三剂，或肿不消，
宜服托里药。
当归 白芷 青皮（去皮） 贝母 柴胡 天花粉 僵蚕（炒） 金银花（各三钱）
上锉一剂，水煎服。便毒，加大黄煨一钱，空心服。（白芷为阳明经，排脓止痛，青皮、柴
胡行厥阴经气滞，当归行血，天花粉通血脉，僵蚕散结痰，贝母开郁痰，金银花味甘，总解
诸毒，其加大黄以治便毒者，亦行厥阴污浊之血也）
连翘饮子 治乳痈。（此专行厥阴气血凝滞之药）
连翘（结热） 栝蒌仁（涤痰缓肝） 川芎（血） 皂荚刺 橘叶（气） 青皮（气） 甘草节
（血） 桃仁（各二钱，血）
上作一服，水煎，食远服，如已破者，加参、 、当归；未破者，加柴胡、升麻。
一方 治血脉凝注不散，结成吹乳乳痈，痛肿不可忍者。
天花粉 金银花 皂角刺 穿山甲 当归尾 白芷梢 栝蒌仁 贝母（去心） 甘草节
上锉，酒煎眼。（以凝注不散，故用天花角刺山甲归尾）
又方 治妇人乳中结核。
升麻 连翘 青皮 甘草节（各二钱） 栝蒌仁（三钱）
上作一服，水煎，食后细细呷之。（以乳房结核，故用升麻、青皮，而连翘散结热，甘草、
栝蒌缓肝润燥也）
内托升麻汤 治妇人两乳间出黑头，疮顶陷下作黑眼，并乳痈初起亦治。
升麻 当归身 葛根 连翘 黄柏（各二钱） 黄 （三钱） 牛蒡子 甘草（炙，各一钱） 肉桂
（五分）
上作一服，水一盅，酒半钟煎，食后服。（治黑陷妙剂。而黄柏之用，所以济陷也；肉桂
之用，所以发毒也）
清肝解郁汤 治肝经血虚风热，或肝经郁火伤血，乳内结核，或为肿溃不愈，凡肝胆
经血气不和之证，宜用此药。
人参（去芦） 茯苓 熟地黄 芍药（炒） 贝母（去心） 山栀（炒，各一钱） 白术 当归（各一钱半）
柴胡 牡丹皮 川芎 陈皮（各八分） 甘草（五分）
上水煎服。（风热即肝热生风，言热则火在其中矣，治以逍遥散加山栀、四物，养肝血
清胆热也，治热即治风，养血即清火也，人参同白术，非气虚者不宜轻用）
一方 乳栗破则少有生者，必大补，或庶几耳。（此方重在破字上）
人参 黄 白术 当归 川芎 连翘 白芍 甘草节
上锉，水煎服。
一方有青皮、栝蒌，无白术。乳岩小破，加柴胡。（以乳栗有青皮、栝蒌，无白术，此方中
之窍须得之，小破二字亦一窍也）
一方 治乳硬痛。（硬字上讨好）
当归 甘草（各三钱） 没药（一钱）
上锉作一服，水煎，入酒少许，热饮。
金银花散 治乳脉不行，结成痈肿，疼痛不可忍者。
金银花 当归 黄 （蜜炙）（以乳脉不行而用黄 ，宜详之） 甘草（各二钱半）
上作一服，水煎，入酒半钟，食后温服。
丹溪方 治乳肿痛。
青皮 石膏（ ） 连翘 皂角刺（炒） 黄药子（黄药子解热毒要药，而所要配诸药又极
当，非丹溪论中语也） 当归头 木通（各一钱） 生甘草（三分）
上作一帖，水煎，入好酒些少，同煎服。
一方 治乳痈奶劳 肿。
石膏（ ） 桦叶（烧） 栝蒌子 青皮（石膏、青皮是一套子，而配法差别） 甘草节
上锉，水煎服。
一方 治乳有核。（在核字上看）
南星 贝母 甘草节 栝蒌（各一两） 连
翘（半两）
上以水煎，入酒服。
复元通气散 治妇人乳痈及一切肿毒。（通气二字妙）
木香 茴香 青皮 穿山甲（酥） 陈皮 白芷 甘草 漏芦 贝母（去心，姜制，各等分）
上为细末，每服三钱，好酒调下。
治乳痈方（行结气结血，其加参 ，又是一法）
青皮 栝蒌子 橘叶 连翘 桃仁（留尖） 皂角刺 甘草节
上水煎服，如破多加参、 。
神效栝蒌散 治妇人乳痈乳岩，神效。
黄栝蒌（子多者，不去皮，焙干研烂） 当归（酒洗） 生甘草（各五钱） 乳香 没药（各别研，
二钱半）（用乳没法始此）
上作一剂，用好酒三碗，于瓷石器中慢火熬至碗半，分为三次，食后服。如有乳岩，便服
此药，可杜绝病根。如毒瓦斯已成，能化脓为黄水，毒未成则内消。疾甚者，再合一服，以愈为
度。立效散与此间服神效，但于栝蒌散方减去当归，加紫色皂角刺一两六钱是也。
究源五物汤 治痈疽发背，乳痈通用。
栝蒌（炒，一枚） 皂角刺（半烧带生） 没药 乳香 甘草（各半两）
上锉，用淳酒三升煎取二升，时时饮之，痛不可忍，立止。
栝蒌散 治吹乳。
乳香（一钱，研） 栝蒌（一个，一方用根一两）
上锉，用酒煎服，或为末，温酒服二钱，外用南星末，温汤调涂。
橘香散 治乳痈未结即散，已结即溃，极痛不可忍者，药下即不疼，神验，因小儿吹乳，
变成斯疾者，并皆治之。
陈皮（去白，干面炒黄，为末，一两） 麝香（一分）
上研匀，酒调下二钱，被盖汗出即愈。
补遗方 治吹乳结实肿痛。
陈皮（二两）（陈皮亦厥阴药） 甘草（一钱）
上锉，水煎，分两次服，用荆芥、羌活、独活煎汤，熏洗即散。
一方 治乳痈。
夜明砂 栝蒌（炒） 阿魏
上为末，饭丸，酒吞下。（此方无分两，大都以夜明砂为君，以破结血也，栝蒌为臣，以
润结痰也，阿魏为佐，软坚破滞也）
通和汤 治妇人乳痈，疼痛不可忍者。
穿山甲（炮黄） 木通（各一两） 自然铜（半两，醋淬七次）（自然铜其通壅滞者欤）
上为末，每服二钱，热酒调下，食远服。
二灰散 治产后乳汁不泄，结滞不消，热毒。
蔓荆子（烧） 皂角刺（烧，各等分）
上为末，每服二钱，温酒调下，无时。
夜阴散 治吹乳乳痈。
蜘蛛（三个） 红枣（三枚，去核）
上每枣一枚入蜘蛛一个，夹于内炒熟，口嚼吃，用烧酒送下，未成者立消，已成者立溃。
独胜散 治妇人吹奶初觉，身热头疼，寒热及胸乳肿硬，是其候也，服之能令下乳汁，
通血脉，立能自消。
白丁香（真者）
上为末，每服二钱，酒调服，肿硬立消，甚者不过三服。
一方 治妇人吹乳硬肿，身发热憎寒，疼痛难忍，不进饮食者，服之良验。
鹿角一两（此药行厥阴经） 炭火 存性，研细，分作二服，先将末药五钱入锅，次下
无灰酒一碗，滚数沸倒在碗内，乘热尽饮，卧覆汗出即安。
一方 用鹿角锉为细末，酒调二三钱服，亦效。
一方 用鹿角于粗石上磨取白汁涂之（磨者更妙），干又涂。
胜金丹 治吹乳结核不散肿痛者，神效，亦治乳岩。
百齿霜（即梳齿上头垢）
《大全》说：产后乳汁自行流出，是由于胃气虚弱所致，应当服用补益药物来止住它。如果乳房因乳汁过多而胀满急痛，可用温热的布巾熨敷（应当观察人的体质强弱及乳汁的浓稠程度，以此判断虚实，这是因为有乳汁涌溢的缘故）。《产宝》中有这方面的论述，却没有治疗方剂。如果有这种症状，使用漏芦散也可以。
有在分娩前乳汁就自行流出的，称为“乳泣”，生下的孩子大多难以养活，医书中未曾讨论过这一点。（我曾诊治一位内人，她气血旺盛，脉象有力，患有乳泣，但她生下的孩子长大后活泼健康，所谓“不育”的说法，也未必完全正确。）
薛己说：上述症状是气血两虚，用十全大补汤；肝经血热，用加味逍遥散；肝经怒火，用四物柴胡栀子黄芩黄连汤；肝脾郁怒，用加味归脾汤。
有一位产妇因劳累过度，突然乳汁如涌出，神志昏昧并呕吐痰涎，这是阳气虚衰导致的厥证，灌服独参汤后苏醒，又连续服用数剂十全大补汤才安定下来。如果妇女气血正盛，乳房胀痛，或者因为没有婴儿吸吮而胀痛，怕冷发热，可用麦芽二三两炒熟，水煎服，立刻消散。麦芽耗散气血的作用如此之大，为什么脾胃虚弱、饮食不消化时方剂中多用它呢？
漏芦散
方剂见前文。
免怀汤 想要断奶的人，用此方疏通月经，乳汁就会停止分泌。
当归尾 赤芍药 红花（酒浸） 牛膝（酒浸，各五钱）
以上药材切碎，水煎服。
另一方法 治疗产妇气血正盛，乳房胀痛，或没有婴儿吃奶，想要消除胀痛的，服用此方立刻见效。麦芽二两炒熟，水煎服。另一法是将麦芽炒成粉末，用四物汤煎煮调服，即可停止。
《大全》说：产后吹奶，是因为婴儿吃奶时忽然睡着，被婴儿呼出的口气吹到，导致乳汁不通，积聚在体内，于是形成肿胀坚硬，壅塞闭塞乳道，受伤结聚疼痛，也有不疼但下坠痛，肿硬如石头的，总名叫吹奶。如果不紧急治疗，肿胀严重会形成痈疽，甚至导致死亡，连续服用皂角散、栝蒌散，外敷天南星散，再用手揉搓使其消散。
朱丹溪说：乳房属于阳明经所经过的部位，乳头属于厥阴经所属。哺乳的母亲不懂得调养，或因愤怒而气逆，因郁闷而气机阻滞，因厚味饮食酿生湿热，导致厥阴之气运行不畅，所以乳窍不通，乳汁无法排出，阳明经的热气沸腾，所以热势严重而化脓。也有因为哺乳的孩子胸膈有停滞的痰饮，口中有热气，含着乳头睡觉，热气吹入，从而产生结核。在初起时，就必须忍着痛揉捏使其稍软，吸吮使乳汁通畅，自然可以消散，否则不治必成痈疖。治疗方法是疏解厥阴经的气滞，用青皮清泄阳明经的热，用细研的石膏行污浊之血，用生甘草节治疗肿胀引导毒邪，用栝蒌子或加没药、青橘叶、皂角刺、金银花、当归头，无论汤剂或散剂，根据情况加减，但必须用少量酒辅助。如果在肿胀处艾灸两三壮，效果尤其迅速（立方有法则，用药有诀窍，不可不明白）。那些乡村医生喜欢自以为是，随意使用针刀，引发更严重的疾病，实在令人哀悯。
初起时烦躁口渴、呕吐的，是胆胃风热，严重时毒瓦斯上冲，咽喉膈部受阻。发寒热的，是肝邪侵犯。这些都属于表证，宜用不换金正气散加天花粉，能止渴止呕，平息寒热。咽喉膈部有阻碍的，用甘桔汤加生姜，或护心散。如果溃烂后出现这四种症状，属于虚证。
饮食厚味，愤怒忧郁，导致胃火上蒸，乳房乳汁化为浑浊脓液，肝经气机阻滞，乳头窍塞不通，导致结核不散，疼痛难忍。初起适宜隔蒜灸法，切忌使用针刀，能饮酒者服用一醉膏加川芎、当归各一分，一服药，两服药即见效，不能饮酒者服用栝蒌散。
结核也有因气血虚弱，遭受外感内伤，导致痰瘀凝滞而成核的，都以芷贝散为主治方。血虚配合四物汤，再加人参、白术、柴胡、升麻；气虚配合四君子汤，再加川芎、当归、柴胡、升麻；忧思伤脾的，用归脾汤加栝蒌根、贝母、白芷、连翘、甘草节，水和酒各半煎服。
吹奶，是因为哺乳的孩子胸膈上有痰，口中有热气，含着乳头睡觉，热气吹入乳房，凝滞不散，引起疼痛。初起须忍着痛揉捏使其稍软，吸吮使乳汁通畅，自然可以消散。若不消散，宜用益元散，用冷姜汤或井水调服，一日一夜服用三五十次自然解除。重症者顿服解毒汤，兼有气滞的用芷贝散、单青皮汤，外用漏芦为末，水调敷。又有乳汁不行，乳房胀痛者，用涌泉散。
结核日久，内部胀作痛，外部肿硬，手不敢触碰，称为乳痈。未溃破的，仍服用栝蒌散、内托升麻汤，或复元通气散加漏芦；体虚的用托里消毒散；即将溃破的，两乳间出现黑头，疮顶凹陷呈黑眼状的，用内托升麻汤；已溃破且发寒热的，用内托十宣散；食欲少、口干舌燥的，用补中益气汤；傍晚发热、内热的，用八物汤加五味子；胃虚呕吐的，用六君子汤加香附、砂仁；胃寒呕吐或腹泻的，用六君子汤加干姜、藿香；遇劳累肿痛加重的，用八物汤倍用人参、黄芪、当归、白术；遇愤怒肿痛加重的，用八物汤加山栀。
王损庵说：隆庆庚午年，我从秋闱归来，妹妹已经病了。大概从七月开始乳房肿痛不消散，八月用火针排脓，医生给她服用十全大补汤，外敷铁箍散，无效，反而加重了喘闷。九月生下一个女儿，溃烂之势更加严重，乳房烂尽，蔓延至胸腋，脓水稠粘，排出脓液几乎六七升，完全没有收敛的迹象。十一月才开始回来就医，改用解毒和平的中剂，外掺生肌散、龙骨、寒水石等药剂，脓液不止，流溅到的地方，都肿胀起泡溃烂，两旁紫黑，疮口十几个，胸前腋下皆肿胀溃烂，不可移动侧身，形势可怕。我认为产后毒瓦斯乘虚炽盛，应该多服用黄芪解毒补血益气生肌，但医生不敢用。十二月中旬后病情更加严重，疮口剩余很多，各种药物尝试均无效，才改用我的药。当时脓秽粘滞，煎煮楮叶猪蹄汤冲洗，顿时清爽。于是开一方，名为黄芪托里汤，以黄芪的甘温，作为排脓益气生肌的主药，甘草补胃气解毒，当归身和血生血作为辅药，升麻、葛根、漏芦是足阳明本经的药物，以及连翘、防风，都是散结疏经的药，栝蒌仁、鼠粘子解毒去肿，皂角刺引导药力至溃处，白芷入阳明经，排脓长肉，又用川芎三分，以及肉桂炒柏作为引经药，每剂加入酒一盏，煎送白玉霜丸，疏脓解毒。当时脓水稠粘，病势正盛未止，不可立即使用收敛涩滞的药物，理应追逐毒邪，外掺翠青锭子，第二天脓水顿时变稀，疼痛定息秽气解，才有向好的趋势，到了辛未年新正，患处都长出新肉，有紫肿的地方都用葱熨法，随手消散。只是靠近腋下的足少阳部位尚未收敛，于是加柴胡一钱，青皮三分，以及倍量川芎，脓水将净时，即用搜脓散外掺，元宵节后就完全安康。
康祖担任广德县令，侍奉张王非常恭敬，后来授职温地，左乳生痈，随后胸臆间出现结核，大如拳头，坚如石头，拖延半年，各种疗法无效，继而牵扯臂腋，直达肩部，疼痛特别剧烈，急忙祈祷于王祠之下，梦中听到声音说：若要平安，只用生姜自然汁、制香附服用。醒来叫来儿子，检查本草，发现这两种药治疗的症状相符，访求医生也说有理，于是用香附子去毛，用姜汁浸泡一夜，研成粉末二钱，米饮调服，才服几剂，疮脓流出，肿硬逐渐消退，从此痊愈。
一位妇人禀赋实性急躁，怀抱久郁，左乳内结成一核，按压微痛，用连翘饮子二十余剂，稍退，再用八珍汤加青皮、香附、桔梗、贝母二十余剂而消散。
消毒饮 治疗吹乳、吹痈并便毒，如果出现憎寒壮热，或头痛的，先服人参败毒散一二剂，才可以服此药，如果没有前证，即服此药二三剂，如果肿不消，宜服用托里药。
当归 白芷 青皮（去皮） 贝母 柴胡 天花粉 僵蚕（炒） 金银花（各三钱）
以上药材切碎一剂，水煎服。便毒，加大黄煨一钱，空腹服。（白芷为阳明经药，排脓止痛，青皮、柴胡行厥阴经气滞，当归行血，天花粉通血脉，僵蚕散结痰，贝母开郁痰，金银花味甘，总解诸毒，其中加大黄以治便毒的，也是行厥阴污浊之血的意思）
连翘饮子 治疗乳痈。（这是专门行厥阴气血凝滞的药）
连翘（结热） 栝蒌仁（涤痰缓肝） 川芎（血） 皂荚刺 橘叶（气） 青皮（气） 甘草节（血） 桃仁（各二钱，血）
以上作一服，水煎，饭后服，如果已破的，加人参、黄芪、当归；未破的，加柴胡、升麻。
另一方 治疗血脉凝注不散，结成吹乳乳痈，痛肿不可忍受的。
天花粉 金银花 皂角刺 穿山甲 当归尾 白芷梢 栝蒌仁 贝母（去心） 甘草节
以上切碎，酒煎服。（因为凝注不散，所以用天花粉、皂角刺、穿山甲、当归尾）
又一方 治疗妇人乳中结核。
升麻 连翘 青皮 甘草节（各二钱） 栝蒌仁（三钱）
以上作一服，水煎，饭后细细呷服。（因为乳房结核，所以用升麻、青皮，而连翘散结热，甘草、栝蒌缓肝润燥）
内托升麻汤 治疗妇人两乳间出黑头，疮顶陷下作黑眼，以及乳痈初起也治疗。
升麻 当归身 葛根 连翘 黄柏（各二钱） 黄芪（三钱） 牛蒡子 甘草（炙，各一钱） 肉桂（五分）
以上作一服，用水一盅，酒半钟煎，饭后服。（治疗黑陷的妙剂。而黄柏的使用，是为了济助陷下；肉桂的使用，是为了发散毒邪）
清肝解郁汤 治疗肝经血虚风热，或肝经郁火伤血，乳内结核，或为肿溃不愈，凡是肝胆经血气不和的症状，宜用此药。
人参（去芦） 茯苓 熟地黄 芍药（炒） 贝母（去心） 山栀（炒，各一钱） 白术 当归（各钱半） 柴胡 牡丹皮 川芎 陈皮（各八分） 甘草（五分）
以上水煎服。（风热即肝热生风，言热则火在其中矣，治疗用逍遥散加山栀、四物汤，养肝血清胆热，治热即治风，养血即清火，人参同白术，非气虚者不宜轻用）
另一方 乳栗破溃则少有存活的，必须大补，或许还有一线生机。（此方重在“破”字上）
人参 黄芪 白术 当归 川芎 连翘 白芍 甘草节
以上切碎，水煎服。
另一方有青皮、栝蒌，无白术。乳岩小破，加柴胡。（因为乳栗有青皮、栝蒌，无白术，此方中的窍门在于此，“小破”二字也是一个窍门）
另一方 治疗乳硬痛。（在“硬”字上讨好）
当归 甘草（各三钱） 没药（一钱）
以上切碎作一服，水煎，入少许酒，热饮。
金银花散 治疗乳脉不行，结成痈肿，疼痛不可忍受的。
金银花 当归 黄芪（蜜炙）（因为乳脉不行而用黄芪，应当详察） 甘草（各二钱半）
以上作一服，水煎，入酒半钟，食后温服。
丹溪方 治疗乳肿痛。
青皮 石膏（煅） 连翘 皂角刺（炒） 黄药子（黄药子是解热毒的要药，而且配伍其他药也非常恰当，这不是丹溪论中的话） 当归头 木通（各一钱） 生甘草（三分）
以上作一帖，水煎，入好酒少许，同煎服。
另一方 治疗乳痈奶劳肿。
石膏（煅） 桦叶（烧） 栝蒌子 青皮（石膏、青皮是一套子，而配法差别） 甘草节
以上切碎，水煎服。
另一方 治疗乳有核。（在“核”字上看）
南星 贝母 甘草节 栝蒌（各一两） 连翘（半两）
以上用水煎，入酒服。
复元通气散 治疗妇人乳痈及一切肿毒。（“通气”二字妙）
木香 茴香 青皮 穿山甲（酥） 陈皮 白芷 甘草 漏芦 贝母（去心，姜制，各等分）
以上为细末，每服三钱，好酒调下。
治乳痈方（行结气结血，其加参、芪，又是一法）
青皮 栝蒌子 橘叶 连翘 桃仁（留尖） 皂角刺 甘草节
以上水煎服，如果破溃多加参、芪。
神效栝蒌散 治疗妇人乳痈乳岩，神效。
黄芪 栝蒌（子多者，不去皮，焙干研烂） 当归（酒洗） 生甘草（各五钱） 乳香 没药（各别研，二钱半）（用乳香没药始于此）
以上作一剂，用好酒三碗，在瓷石器中慢火熬至碗半，分为三次，食后服。如果有乳岩，便服此药，可杜绝病根。如果毒瓦斯已成，能化脓为黄水，毒未成则内消。疾甚者，再合一服，以愈为度。立效散与此间服神效，但于栝蒌散方减去当归，加紫色皂角刺一两六钱是也。
究源五物汤 治疗痈疽发背，乳痈通用。
栝蒌（炒，一枚） 皂角刺（半烧带生） 没药 乳香 甘草（各半两）
以上切碎，用淳酒三升煎取二升，时时饮之，痛不可忍，立止。
栝蒌散 治疗吹乳。
乳香（一钱，研） 栝蒌（一个，一方用根一两）
以上切碎，用酒煎服，或为末，温酒服二钱，外用南星末，温汤调涂。
橘香散 治疗乳痈未结即散，已结即溃，极痛不可忍者，药下即不疼，神验，因小儿吹乳，变成斯疾者，并皆治之。
陈皮（去白，干面炒黄，为末，一两） 麝香（一分）
以上研匀，酒调下二钱，盖被汗出即愈。
补遗方 治疗吹乳结实肿痛。
陈皮（二两）（陈皮亦厥阴药） 甘草（一钱）
以上切碎，水煎，分两次服，用荆芥、羌活、独活煎汤，熏洗即散。
另一方 治疗乳痈。
夜明砂 栝蒌（炒） 阿魏
以上为末，饭丸，酒吞下。（此方无分两，大都以夜明砂为君，以破结血也，栝蒌为臣，以润结痰也，阿魏为佐，软坚破滞也）
通和汤 治疗妇人乳痈，疼痛不可忍受的。
穿山甲（炮黄） 木通（各一两） 自然铜（半两，醋淬七次）（自然铜其通壅滞者欤）
以上为末，每服二钱，热酒调下，食远服。
二灰散 治疗产后乳汁不泄，结滞不消，热毒。
蔓荆子（烧） 皂角刺（烧，各等分）
以上为末，每服二钱，温酒调下，无时。
夜阴散 治疗吹乳乳痈。
蜘蛛（三个） 红枣（三枚，去核）
以上每枣一枚入蜘蛛一个，夹于内炒熟，口嚼吃，用烧酒送下，未成者立消，已成者立溃。
独胜散 治疗妇人吹奶初觉，身热头疼，寒热及胸乳肿硬，是其候也，服之能令下乳汁，通血脉，立能自消。
白丁香（真者）
以上为末，每服二钱，酒调服，肿硬立消，甚者不过三服。
另一方 治疗妇人吹乳硬肿，身发热憎寒，疼痛难忍，不进饮食者，服之良验。
鹿角一两（此药行厥阴经） 炭火 存性，研细，分作二服，先将末药五钱入锅，次下无灰酒一碗，滚数沸倒在碗内，乘热尽饮，卧覆汗出即安。
另一方 用鹿角于粗石上磨取白汁涂之（磨者更妙），干又涂。
The *Daquan* states: Postpartum spontaneous lactation is caused by deficiency of Stomach Qi. It should be treated with tonifying medicines to stop it. If the breasts are overly full, urgent, and painful due to excessive milk, apply warm cloth compresses (one should observe the patient's constitution—strong or weak—and the thickness of the milk—to determine excess or deficiency, as this occurs due to milk overflow). The *Chanbao* discusses this condition but provides no formula for treatment. If these symptoms occur, the Loulu San may also be used.
Spontaneous lactation before childbirth is called "Ruqi" (Breast Weeping). Children born under such conditions are often unable to survive, a topic not discussed in classical texts. (I once diagnosed a female patient whose Qi was abundant and pulse vigorous, suffering from Ruqi. Her child grew up healthy and active. Thus, the claim that such children cannot survive is not entirely accurate.)
Xue Ji stated: For the aforementioned symptoms, if both Qi and Blood are deficient, use Shiquan Dabu Tang; if there is Blood Heat in the Liver Meridian, use Jiawei Xiaoyao San; if there is Fire Anger in the Liver Meridian, use Siwu Chaihu Zhizi Huangqin Lian Decoction; if there is Depression and Anger affecting the Liver and Spleen, use Jiaweigui Pi Tang.
A postpartum woman, due to overexertion, suddenly experienced milk gushing out, became unconscious, and vomited phlegm. This was a Jue syndrome caused by Yang Qi deficiency. She revived after being administered Dushen Tang and stabilized after several doses of Shiquan Dabu Tang. If a woman’s Qi and Blood are robust, and her breasts are distended and painful due to lack of infant suckling, accompanied by aversion to cold and fever, she should take two to three liang of fried malt, decocted in water, which will dissipate immediately. Malt has such a strong effect of dispersing Qi and Blood; why is it frequently used in formulas for Spleen-Stomach weakness and indigestion?
Loulu San
See formula above.
Mianhuai Tang: For those wishing to wean, use this formula to regulate menstruation, which will stop lactation.
Danggui Wei (Tail of Angelica Sinensis), Chishao Yao (Red Peony Root), Honghua (Safflower, soaked in wine), Niuxi (Achyranthes Bidentata, soaked in wine) [each 5 qian].
Crush the herbs, decoct in water, and take orally.
Another method: For postpartum women with robust Qi and Blood, breast distension, or pain due to lack of infant suckling, who wish to eliminate swelling, taking this formula brings immediate relief. Take two liang of fried malt, decocted in water. Alternatively, grind the fried malt into powder and mix with Siwu Tang decoction to stop lactation.
The *Daquan* states: Postpartum "Chuan Nai" (Blown Milk) occurs when an infant falls asleep while nursing, and the breath blown by the infant obstructs milk flow. The milk accumulates internally, causing swelling and hardness, blocking the milk ducts, leading to injury, knotting, and pain. Some cases present with downward pain without tenderness, or hardness like stone. This is collectively called "Chuan Nai." If not treated urgently, severe swelling can lead to carbuncles and even death. Continuously administer Zaojiao San and Gualou San, apply Tiannanxing San externally, and massage with hands to dissipate the swelling.
Xue Ji stated: When treating the aforementioned condition, one must absolutely avoid damaging Qi and Blood.
Zhu Danxi stated: The breasts belong to the Yangming Meridian, and the nipples belong to the Jueyin Meridian. Nursing mothers who fail to maintain proper regulation may suffer from qi reversal due to anger, qi stagnation due to depression, or damp-heat accumulation due to rich foods. This causes Jueyin Qi to fail to circulate, resulting in blocked orifices and inability to excrete milk. Meanwhile, Yangming Heat boils vigorously, leading to severe heat and suppuration. There are also cases where the nursing child has stagnant phlegm in the chest/diaphragm and hot breath; while sleeping with the nipple in the mouth, the hot breath blows into the breast, forming nodules. At the initial stage, one must endure the pain, massage until slightly soft, and suckle to ensure milk flow, allowing natural dissipation. Otherwise, untreated, it will become a carbuncle or boil. The treatment method involves unblocking Jueyin stagnation with Qingpi, clearing Yangming heat with gypsum, moving turbid blood with finely ground gypsum, treating swelling and guiding out toxins with raw Gancao Jie (Licorice nodes), and using Gualou Zi or adding Moyao, Qingjie Ye (Green Tangerine Leaf), Zaojiao Ci (Gleditsia Spine), Jinyinhua (Honeysuckle), and Danggui Tou (Angelica Head). Whether in decoction or powder form, adjust according to circumstances, but always assist with a small amount of wine. Applying moxibustion (two to three moxa cones) on the swelling yields especially rapid results (Formulation has laws, medication has principles, which must be understood). It is pitiable that village practitioners act presumptuously, recklessly using needles and knives, aggravating the disease.
Li Shi stated: Women’s milk and men’s kidney essence are both roots of life.
If initially accompanied by irritability, thirst, and vomiting, it is Wind-Heat in the Gallbladder and Stomach. Severe cases involve toxic vapors rushing upward, obstructing the throat and diaphragm. Chills and fever indicate Liver pathogen invasion. These are exterior syndromes, best treated with Buhuanjin Zhengqi San plus Tianhuafen, which stops thirst/vomiting and regulates chills/fever. For obstruction in the throat/diaphragm, use Ganjie Tang plus fresh ginger, or Huxin San. If these four symptoms appear after ulceration, it indicates deficiency.
Rich diet, anger, and depression cause Stomach Fire to steam upward, transforming breast milk into turbid pus. Liver Qi stagnation blocks the nipple orifice, preventing nodule dissipation and causing unbearable pain. Initially, garlic-separated moxibustion is suitable; needles and knives are strictly contraindicated. Those who can drink alcohol should take Yizui Gao with Chuanxiong and Danggui (1 fen each); one dose, effective within two doses. Those who cannot drink alcohol should take Gualou San.
Nodules can also form due to Qi and Blood deficiency combined with external contraction and internal injury, leading to phlegm-blood stasis. Zhibei San is the primary formula. For Blood deficiency, combine with Siwu Tang plus Renshen, Baizhu, Chaihu, and Shengma; for Qi deficiency, combine with Sijunzi Tang plus Chuanxiong, Danggui, Chaihu, and Shengma; for Spleen injury due to worry/thought, use Guipi Tang plus Gualou Gen, Beimu, Baizhu, Lianqiao, and Gancao Jie, decocted with half water and half wine.
For severe swelling and pain due to Liver Fire nodules, use Qinggan Jieyu Tang.
"Chuan Nai" (Blown Milk) occurs when the nursing child has phlegm in the chest/diaphragm and hot breath; sleeping with the nipple allows hot breath to enter the breast, causing stagnation and pain. Initially, endure pain, massage until soft, and suckle to ensure flow for natural dissipation. If it does not dissipate, use Yiyuan San, mixed with cold ginger soup or well water, taken 30-50 times daily. For severe cases, take Dujiexiang Tang in one dose. For accompanying Qi stagnation, use Zhibei San or Danqingpi Tang. Externally, apply Loulu powder mixed with water. For non-flowing milk with breast distension/pain, use Yongquan San.
Long-standing nodules with internal distending pain and external hardness, untouchable by hand, are called "Ruyong" (Breast Carbuncle). If unulcerated, continue Gualou San or Neituo Shengma Tang, or Fuyuan Tongqi San plus Loulu. For deficiency, use Tuoli Xiaodu San. For impending ulceration (black heads between breasts, sunken black center), use Neituo Shengma Tang. For ulcerated cases with chills/fever, use Neituo Shixuan San. For poor appetite and dry mouth, use Buzhong Yiqi Tang. For afternoon/internal fever, use Bawu Tang plus Wuweizi. For Stomach deficiency with vomiting, use Liujunzi Tang plus Xiangfu and Sharen. For Stomach Cold with vomiting/diarrhea, use Liujunzi Tang plus Ganjiang and Huoxiang. For worsening pain/swelling upon exertion, use Bawu Tang with doubled Renshen, Huangqi, Danggui, and Baizhu. For worsening pain/swelling upon anger, use Bawu Tang plus Zhizi.
Wang Sun’an stated: In the year Gengwu of Longqing, I returned from the provincial exams to find my sister ill. Since July, her breast swelling and pain had not subsided. In August, fire needles were used to drain pus. The doctor prescribed Shiquan Dabu Tang and applied Tiegu San externally, but it was ineffective, and she developed wheezing and oppression. In September, she gave birth to a daughter, and the ulceration worsened, rotting the entire breast and spreading to the chest and axilla. The pus was thick and sticky, totaling nearly six to seven sheng, with no sign of healing. In November, she came to me for treatment. I switched to moderate detoxifying and harmonizing agents, applying Shengji San, Longgu, and Hanshuishi externally. Pus continued to flow profusely, causing surrounding swelling and blistering, turning purple-black on both sides, with numerous open sores. The chest and axilla were swollen and ulcerated, making movement impossible; the situation was terrifying. I reasoned that postpartum toxic vapors flared due to deficiency, and she needed large doses of Huangqi for detoxification, blood tonification, Qi supplementation, and flesh regeneration, but the doctors dared not use it. After mid-December, the condition worsened further, with many remaining sores unresponsive to various drugs. Only then did they use my prescription. The pus was foul and sticky. I boiled Zhumuye (Broussonetia leaves) and pig trotter soup to wash the area, providing immediate relief. I then prescribed Huangqi Tuoli Tang, using Huangqi (sweet and warm) as the sovereign herb to expel pus, tonify Qi, and regenerate flesh; Gancao to tonify Stomach Qi and detoxify; Danggui Shen to harmonize and generate blood as ministerial herbs; Shengma, Gegen, and Loulu as foot-Yangming meridian specific herbs; Lianqiao and Fangfeng to dissipate knots and unblock meridians; Gualou Ren and Niubangzi to detoxify and reduce swelling; Zaojiao Ci to guide medicine to the ulcer site; Baizhu entering the Yangming meridian to expel pus and grow tissue; Chuanxiong (3 fen) and Rougui fried with Baipiao as guiding herbs. Each dose was taken with one cup of wine and Baiyu Shuan Wan to drain pus and detoxify. Since the pus was thick and the disease vigorous, astringents were contraindicated; instead, Cuiqing Dingzi was applied externally. The next day, pus thinned significantly, pain ceased, and foulness resolved, indicating improvement. By the New Year of Xinwei, new flesh had grown over the affected areas. Purple-swollen areas were treated with Congxi (Scallion moxibustion), dissipating instantly. However, the Shaoyang area near the axilla had not yet healed, so I added Chaihu (1 qian), Qingpi (3 fen), and doubled Chuanxiong. As pus cleared, Sou Nong San was applied externally. She fully recovered after the Lantern Festival.
Kang Zu, magistrate of Guangde, served Zhang Wang devoutly. Later appointed to Wendi, he developed a carbuncle in the left breast, followed by a nodule in the chest/epigastrium, fist-sized and stone-hard, persisting for half a year despite all treatments. Pain radiated to the arm, axilla, and shoulder. Desperate, he prayed at the Wang Shrine and dreamed of a voice saying: "To be safe, use fresh ginger juice and processed Xiangfu." He woke, instructed his son to check the Materia Medica, found the indications matched, and consulted doctors who agreed. He used Xiangfu (dehulled, soaked overnight in ginger juice), powdered (2 qian), taken with rice drink. After a few doses, pus drained, and swelling/hardness subsided, leading to recovery.
A woman with a robust constitution and irritable temperament, suffering from long-term emotional depression, had a nodule in the left breast, slightly painful on pressure. After more than twenty doses of Lianqiao Yinzi, it receded slightly. Then, twenty doses of Bazhen Tang plus Qingpi, Xiangfu, Jiegeng, and Beimu dissolved it completely.
Xiaodu Yin: Treats Chuan Nai, Chuan Yong, and genital sores. If accompanied by aversion to cold, high fever, or headache, first take Renshen Baidu San for one to two doses before using this. If no prior symptoms, take this for two to three doses. If swelling persists, use interior-tonifying medicines.
Danggui, Baizhi, Qingpi (peeled), Beimu, Chaihu, Tianhuafen, Jiangcan (fried), Jinyinhua [each 3 qian].
Crush one dose, decoct in water, and take orally. For genital sores, add Huanglian (roasted, 1 qian), taken on an empty stomach. (Baizhi enters Yangming meridian to expel pus and relieve pain; Qingpi and Chaihu move Jueyin Qi stagnation; Danggui moves blood; Tianhuafen unblocks vessels; Jiangcan dissipates phlegm knots; Beimu opens depressed phlegm; Jinyinhua is sweet and resolves all toxins. Adding Huanglian treats genital sores by moving turbid blood in the Jueyin meridian.)
Lianqiao Yinzi: Treats Ruyong. (This specifically moves Jueyin Qi and Blood stagnation.)
Lianqiao (clears knot-heat), Gualou Ren (purges phlegm, soothes Liver), Chuanxiong (blood), Zaojiao Ci, Ju Ye (Qi), Qingpi (Qi), Gancao Jie (blood), Taoren [each 2 qian, blood].
Make one dose, decoct in water, take after meals. If ulcerated, add Renshen, Huangqi, Danggui; if unulcerated, add Chaihu, Shengma.
Another formula: Treats blood vessel stagnation and condensation forming Chuan Nai/Ruyong with unbearable pain/swelling.
Tianhuafen, Jinyinhua, Zaojiao Ci, Chuanshanjia, Danggui Wei, Baizhi Shao, Gualou Ren, Beimu (core removed), Gancao Jie.
Crush, decoct in wine, and take. (Due to stagnation, Tianhuafen, Zaojiao Ci, Chuanshanjia, and Danggui Wei are used.)
Another formula: Treats breast nodules in women.
Shengma, Lianqiao, Qingpi, Gancao Jie [each 2 qian], Gualou Ren (3 qian).
Make one dose, decoct in water, sip slowly after meals. (Shengma and Qingpi address breast nodules; Lianqiao clears knot-heat; Gancao and Gualou soothe Liver and moisten dryness.)
Neituo Shengma Tang: Treats black heads appearing between breasts, sunken black centers in ulcers, and early-stage Ruyong.
Shengma, Danggui Shen, Gegen, Lianqiao, Huangbai [each 2 qian], Huangqi (3 qian), Niubangzi, Gancao (honey-fried) [each 1 qian], Rougui (5 fen).
Make one dose, decoct with one cup water and half cup wine, take after meals. (An excellent formula for sinking lesions. Huangbai assists in lifting sinking Qi; Rougui promotes toxin expulsion.)
Qingan Jieyu Tang: Treats Liver Blood deficiency with Wind-Heat, or Liver Depression-Fire injuring Blood, causing breast nodules, or persistent swelling/ulceration. Suitable for any disharmony of Qi and Blood in the Liver/Gallbladder meridians.
Renshen (rhizome removed), Fuling, Shudihuang, Shaoyao (fried), Beimu (core removed), Zhizi (fried) [each 1 qian], Baizhu, Danggui [each 1.5 qian], Chaihu, Mudanpi, Chuanxiong, Chenpi [each 8 fen], Gancao (5 fen).
Decoct in water and take. (Wind-Heat implies Liver Heat generating Wind; Heat implies Fire within. Treatment uses Xiaoyao San plus Zhizi and Siwu Tang to nourish Liver Blood and clear Gallbladder Heat. Treating Heat is treating Wind; nourishing Blood is clearing Fire. Renshen and Baizhu should not be used lightly unless Qi is deficient.)
Another formula: Breast abscesses that rupture rarely heal without major tonification. (This formula emphasizes the "rupture" aspect.)
Renshen, Huangqi, Baizhu, Danggui, Chuanxiong, Lianqiao, Baishao, Gancao Jie.
Crush, decoct in water, and take.
Another formula contains Qingpi and Gualou, but no Baizhu. For minor rupture of Ruyan, add Chaihu. (The presence of Qingpi and Gualou without Baizhu is the key; "minor rupture" is another clue.)
Another formula: Treats hard, painful breasts.
Danggui, Gancao [each 3 qian], Moyao (1 qian).
Crush, make one dose, decoct in water with a little wine, drink hot.
Jinyinhua San: Treats blocked milk channels forming carbuncles with unbearable pain.
Jinyinhua, Danggui, Huangqi (honey-fried) [each 2.5 qian], Gancao (2.5 qian). (Using Huangqi for blocked channels requires careful consideration.)
Make one dose, decoct in water with half cup wine, take warm after meals.
Danxi Formula: Treats breast swelling and pain.
Qingpi, Shigao (calcined), Lianqiao, Zaojiao Ci (fried), Huangyaozi, Danggui Tou, Mutong [each 1 qian], Sheng Gancao (3 fen). (Huangyaozi is a key herb for clearing heat-toxin, and its combination here is appropriate, though likely not from Danxi’s own writings.)
Make one dose, decoct in water with a little good wine, take together.
Another formula: Treats Ruyong and "Nailao" swelling.
Shigao (calcined), Hua Ye (burnt), Gualou Zi, Qingpi [each ?], Gancao Jie. (Shigao and Qingpi are a pair, but the preparation differs.)
Crush, decoct in water, and take.
Another formula: Treats breast nodules.
Tiannanxing, Beimu, Gancao Jie, Gualou [each 1 liang], Lianqiao (0.5 liang).
Decoct in water, add wine, and take.
Fuyuan Tongqi San: Treats female Ruyong and all types of swelling/toxins. ("Tongqi" is excellent.)
Muxiang, Huixiang, Qingpi, Chuanshanjia (prepared with butter), Chenpi, Baizhi, Gancao, Loulu, Beimu (core removed, ginger-processed) [equal parts].
Grind into fine powder. Take 3 qian per dose, mixed with good wine.
Formula for Ruyong (Moves stagnant Qi and Blood; adding Renshen/Huangqi is another approach).
Qingpi, Gualou Zi, Ju Ye, Lianqiao, Taoren (keep tips), Zaojiao Ci, Gancao Jie.
Decoct in water and take. Add Renshen and Huangqi if ulcerated.
Shenxiao Gualou San: Extremely effective for female Ruyong and Ruyan.
Huangqi, Gualou (if many seeds, do not remove skin, bake dry and grind), Danggui (wine-washed), Sheng Gancao [each 5 qian], Ruxiang, Moyao (separately ground, 2.5 qian each). (Use of Ruxiang/Moyao originates here.)
Make one dose, simmer in three bowls of good wine in ceramic/stoneware over slow fire until reduced to half a bowl. Divide into three doses, take after meals. For Ruyan, taking this can prevent recurrence. If toxin is formed, it converts pus to yellow fluid; if not formed, it dissipates internally. For severe cases, take another dose until cured. Lixiao San is similarly effective but differs by removing Danggui and adding 1.6 liang of purple Zaojiao Ci to the Gualou San formula.
Jiuyuan Wuwu Tang: General formula for carbuncles, back sores, and Ruyong.
Gualou (fried, one piece), Zaojiao Ci (half burnt, half raw), Moyao, Ruxiang, Gancao [each 0.5 liang].
Crush, decoct in three sheng of pure wine to yield two sheng. Drink frequently. Stops unbearable pain immediately.
Gualou San: Treats Chuan Nai.
Ruxiang (1 qian, ground), Gualou (one piece; alternative: root 1 liang).
Crush, decoct in wine and take. Or grind into powder, take 2 qian with warm wine. Externally, apply Tiannanxing powder mixed with warm water.
Juxiang San: Treats Ruyong that dissipates if not knotted, or ulcerates if knotted, with extreme pain relieved immediately by the medicine. Highly effective. Also treats diseases arising from infant "blown milk."
Chenpi (white part removed, fried in dry flour until yellow, powdered, 1 liang), Shexiang (1 fen).
Grind uniformly, take 2 qian mixed with wine. Cover with blanket to induce sweating for cure.
Supplemental Formula: Treats solid, swollen, painful Chuan Nai.
Chenpi (2 liang) (Chenpi also enters Jueyin), Gancao (1 qian).
Crush, decoct in water, divide into two doses. Use Jingjie, Qianghuo, and Duhuo decoction to fumigate and wash, causing dissipation.
Another formula: Treats Ruyong.
Yeming Sha, Gualou (fried), Awei.
Grind into powder, make pills with rice paste, swallow with wine. (No specific dosages given; generally, Yeming Sha is sovereign to break blood knots, Gualou is minister to moisten phlegm knots, and Awei is assistant to soften hardness and break stagnation.)
Tonghe Tang: Treats female Ruyong with unbearable pain.
Chuanshanjia (fried yellow), Mutong [each 1 liang], Ziran Tong (0.5 liang, quenched in vinegar seven times). (Does Ziran Tong unblock stagnation?)
Grind into powder. Take 2 qian per dose, mixed with hot wine, taken away from meals.
Erhui San: Treats postpartum failure of milk ejection, stagnant knots not dissipating, and heat-toxin.
Manjingzi (burnt), Zaojiao Ci (burnt) [equal parts].
Grind into powder. Take 2 qian per dose, mixed with warm wine, anytime.
Yeyin San: Treats Chuan Nai and Ruyong.
Spider (three), Red Dates (three, pitted).
Place one spider inside each date, roast until cooked, chew and swallow with liquor. Unformed nodules dissipate immediately; formed ones ulcerate immediately.
Dusheng San: Treats early signs of female Chuan Nai: body heat, headache, chills/fever, and chest/breast hardness. Taking this promotes milk flow, unblocks vessels, and causes immediate self-dissipation.
Baidingxiang (authentic).
Grind into powder. Take 2 qian per dose, mixed with wine. Hardness/swelling dissipates immediately; severe cases resolve within three doses.
Another formula: Excellent for female Chuan Nai with hardness/swelling, fever/chills, unbearable pain, and loss of appetite.
Deer Antler (1 liang) (enters Jueyin Meridian). Calcine until charred but retain nature, grind fine. Divide into two doses. Put 5 qian of powder in pot, add one bowl of pure wine, boil briefly, pour into bowl, drink hot while covered to induce sweat for relief.
Another formula: Deer antler ground to fine powder, mixed with wine (2-3 qian), is also effective.
Another formula: Grind deer antler on rough stone to extract white juice, apply topically (grinding is better). Reapply when dry.
Shengjin Dan: Extremely effective for Chuan Nai nodules that do not dissipate, causing swelling/pain; also treats Ruyan.
Baichi Shuang (scum from hairbrush teeth).