冯鲁瞻曰∶乳汁不行有二∶有气血盛而壅闭不行，有气血虚而燥涩不行。虚者
补之，如十全、八珍之类是也；盛者疏之，如麦门冬、栝蒌仁、葵子、猪胰、木通、漏芦、猪蹄之类是也。（《锦囊》）
产妇冲任血旺，脾胃气壮，饮食调匀，则乳足而浓，以生化之源旺也。若脾胃气
弱，饮食少进，冲任素亏，则乳少而薄，所乳之子，亦怯弱而多病。其乳以浓白光彩，
入盏中上面莹然如玉为上，黄色清薄为下，不可哺儿。乳母宜择肥瘦适中，无病经调
善食者佳，太肥则多痰，太瘦则多火，儿饮其乳亦复如是。如一儿昏睡，竟日不醒，
举家惊惶，求医投药罔效，一高医诊之曰∶此儿中酒，得乳母曾痛饮乎，询之果然，停
药而醒，可见利害相关明矣。然李时珍曰∶人乳无定性，随饮食性气而变。故饮食调摄乳母，不可不慎也。
通脉汤 治乳少或无乳。
生黄 （一两） 当归 白芷（各五钱）
七孔猪蹄一对煮汤，吹去浮油煎药一大碗服之。覆面睡，即有乳。或未效，再一服，无不通矣。
如新产无乳者，不用猪蹄，只用酒水
各一半煎服，体壮者加好红花三五分，以消恶露。
乳少 红豆煮熟连汤吃。乳如涌泉。
下乳天浆饮
当归 白芍药 川芎 麦门冬 通草 穿山甲（炒） 漏芦 天花粉 甘草 白茯苓 熟地 王不留行（各一钱） 白
水煎。
又方 通草煨猪前蹄连汤食之。
又方
穿山甲 王不留行（各等分）
研细末热酒调服三钱
催乳。
穿山甲（ 赤色五钱） 陈皮（酒制三钱）
研细末分三服，米泔水调下，一日夜服完。
产后乳脉不行身体壮热宜玉露散（《良方》）
桔梗 川芎 白芷 赤芍 人参 赤茯苓 当归 甘草 水煎服。
又方 莴苣子、糯米各一半，细研，水一碗搅匀，入甘草末一钱煎，频频呷服。
催乳。
当归 生黄 通草（各二钱） 木通（一钱） 穿山甲（炒研） 瞿麦（各一钱五分） 王不留行（一钱二分）
雄猪七星蹄酒煮连汤饮。
产后无乳。
穿山甲七片炒研，王不留行三钱，犍猪蹄七星者一只，同煮汁饮之，其乳如泉。
乳少 雄猪外肾一具，阴阳瓦焙存性研末，无灰酒冲服，乳汁必多。
乳汁清稀 产妇初生三日，用炭灰少许和粥内食之，乳汁自稠。
下乳 莴苣五根煎汤服。
下乳 穿山甲五钱烧存性，研细末酒调服。
冯鲁瞻说：乳汁不通有两种情况：一种是气血旺盛但经络壅塞导致乳汁不行，另一种是气血虚弱导致乳汁干燥涩滞不行。对于虚证应当补益，如十全大补汤、八珍汤之类的方剂；对于实证应当疏通，如麦门冬、瓜蒌仁、冬葵子、猪胰脏、木通、漏芦、猪蹄之类的药物或食物。（出自《锦囊》）
产妇如果冲脉和任脉血液旺盛，脾胃之气强壮，饮食调节均匀，那么乳汁就会充足且浓稠，这是因为生化之源旺盛的缘故。如果脾胃之气虚弱，饮食摄入减少，冲任二脉素来亏虚，那么乳汁就会稀少且稀薄，所哺育的孩子也会怯弱多病。判断乳汁好坏的标准是：乳汁以浓白有光彩，倒入盏中上面晶莹如玉为上乘；黄色清稀淡薄为下品，不可喂养婴儿。乳母宜选择肥瘦适中、无疾病、月经调顺、善于进食的人为佳。太肥胖则多痰湿，太消瘦则多内火，婴儿饮用这样的乳汁也会有相应的不良影响。例如曾有一个婴儿昏睡，整天不醒，全家惊慌失措，求医用药均无效。一位高明医生诊断后说：“这个孩子中了酒毒，是不是乳母曾经痛饮过？”询问后果然如此，停止服药（并调整乳母饮食）后婴儿便醒了，由此可见利害关联非常明显。然而李时珍说：“人乳没有固定的性质，会随着乳母饮食的性味而改变。”因此，调理乳母的饮食，不可不谨慎。
通脉汤 治疗乳汁少或无乳汁。
生黄芪（一两） 当归 白芷（各五钱）
用七孔猪蹄一对煮成汤，撇去浮油，用此汤煎药一大碗服用。服药后覆盖面部睡觉，乳汁即下。如果未见效，再服一次，就没有不通的了。
如果是新产后无乳汁者，不用猪蹄，只用酒和水各一半煎服，体质壮实者加好红花三五分，以消除恶露。
乳汁少 红豆煮熟连汤吃。乳汁会像涌泉一样流出。
下乳天浆饮
当归 白芍药 川芎 麦门冬 通草 穿山甲（炒） 漏芦 天花粉 甘草 白茯苓 熟地黄 王不留行（各一钱）
用白水煎服。
又一方 通草煨猪前蹄，连汤一起吃。
又一方
穿山甲 王不留行（各等分）
研成细末，用热酒调服三钱。
用于催乳。
穿山甲（赤色者五钱） 陈皮（酒制三钱）
研成细末，分三次服用，用米泔水调下，一天一夜服完。
产后乳脉不通，身体壮热，宜用玉露散（出自《良方》）
桔梗 川芎 白芷 赤芍 人参 赤茯苓 当归 甘草 水煎服。
又一方 莴苣子、糯米各一半，细细研磨，用水一碗搅匀，加入甘草末一钱煎煮，频频小口服用。
用于催乳。
当归 生黄芪 通草（各二钱） 木通（一钱） 穿山甲（炒研） 瞿麦（各一钱五分） 王不留行（一钱二分）
用雄猪七星蹄与酒同煮，连汤饮下。
治疗产后无乳汁。
穿山甲七片炒后研末，王不留行三钱，犍牛猪蹄中有七星纹路的一只，同煮取汁饮用，乳汁如泉水般涌出。
乳汁少 雄猪外肾一个，在阴阳瓦上焙干存性，研成末，用无灰酒冲服，乳汁必定增多。
Feng Luzhan stated: There are two types of milk stasis: one is caused by abundant Qi and Blood but obstructed collaterals preventing flow, and the other is caused by deficient Qi and Blood leading to dryness and astringency. For deficiency patterns, tonification is indicated, such as with Shiquan Dabu Decoction (Complete Ten Tonifying Decoction) or Bazhen Decoction (Eight Treasures Decoction); for excess patterns, unblocking is indicated, using substances like Ophiopogonis Radix (Maidong), Trichosanthis Semen (Gualouren), Malvae Semen (Kuizi), Porcine Pancreas (Zhuyi), Akebiae Caulis (Mutong), Euphorbiae Fissurae (Loushu), and Pig Trotters (Zhuti). (From *Jinnang*)
If the Chong and Ren vessels have abundant blood, the Spleen and Stomach Qi are strong, and diet is regulated evenly, then milk will be sufficient and thick because the source of bio-transformation is vigorous. If Spleen and Stomach Qi are weak, food intake is reduced, and the Chong and Ren vessels are inherently deficient, then milk will be scanty and thin, and the nursing infant will also be frail and prone to illness. The quality of milk is judged as follows: milk that is thick, white, lustrous, and crystal-clear on the surface when poured into a cup is superior; yellow, clear, and thin milk is inferior and should not be fed to infants. The nursing mother should ideally be chosen from those who are neither too fat nor too thin, free from disease, with regular menstruation and a good appetite. Those who are too fat tend to have excessive phlegm-dampness, while those who are too thin tend to have excessive internal heat; drinking such milk affects the infant accordingly. For instance, there was an infant who slept deeply and did not wake all day, causing family panic. Medical treatment was ineffective until a skilled physician diagnosed it as alcohol intoxication in the child, asking if the mother had drunk heavily. This proved true; stopping medication and adjusting the mother's diet led to recovery, clearly demonstrating the significant impact of maternal factors. However, Li Shizhen stated: "Human milk has no fixed nature; it changes according to the properties of the mother's diet." Therefore, regulating the nursing mother's diet must be done with utmost caution.
Tongmai Decoction treats scanty or absent lactation.
Sheng Huangqi (Raw Astragali Radix) (1 liang), Dang Gui (Angelicae Sinensis Radix), Bai Zhi (Angelicae Dahuricae Radix) (each 5 qian).
Boil one pair of seven-holed pig trotters to make soup, skim off the floating oil, and use this soup to decoct the herbs into a large bowl. Drink it. Cover the face and sleep immediately after taking the medicine, and milk will flow. If there is no effect, take another dose, and there will be no obstruction.
For new postpartum women with no milk, do not use pig trotters; instead, decoct with half wine and half water. For those with strong constitutions, add 3-5 fen of high-quality Honghua (Carthami Flos) to eliminate lochia.
Scanty Lactation: Cook red beans and consume them with the soup. Milk will flow like a gushing spring.
Xiangru Tianjiang Yin (Heavenly Pulp Drink for Promoting Lactation)
Dang Gui (Angelicae Sinensis Radix), Bai Shaoyao (Paeoniae Radix Alba), Chuan Xiong (Chuanxiong Rhizoma), Maidong (Ophiopogonis Radix), Tongcao (Tetrapanacis Medulla), Shan Jia Chuan (Phrynosoma Carinatum, fried), Loushu (Euphorbiae Fissurae), Tianhuafen (Trichosanthis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Bai Fuling (Poria), Shu Dihuang (Rehmanniae Radix Preparata), Wang Bu Liu Xing (Vaccariae Semen) (each 1 qian).
Decoct in plain water.
Another prescription: Simmer Tongcao (Tetrapanacis Medulla) with pig front trotters and consume with the broth.
Another prescription:
Shan Jia Chuan (Phrynosoma Carinatum) and Wang Bu Liu Xing (Vaccariae Semen) in equal parts.
Grind into fine powder, mix with hot wine, and take 3 qian.
Used to promote lactation.
Shan Jia Chuan (Red-colored, 5 qian) and Chenpi (Citri Reticulatae Pericarpium, wine-processed, 3 qian).
Grind into fine powder, divide into three doses, take with rice wash water, completing the course within one day and night.
Postpartum milk stasis with body fever: Use Yulu San (Jade Dew Powder) (from *Liangfang*).
Jie Geng (Platycodonis Radix), Chuan Xiong (Chuanxiong Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Chi Shao (Paeoniae Radix Rubra), Renshen (Ginseng Radix), Chi Fuling (Poria with Red Core), Dang Gui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma). Decoct in water and take.
Another prescription: Mix Lettuce seeds (Woju Zi) and glutinous rice (Nuomi) in equal parts, grind finely, mix with one bowl of water, add 1 qian of Gancao (Glycyrrhizae Radix et Rhizoma) powder, decoct, and sip frequently.
Promotes lactation.
Dang Gui (Angelicae Sinensis Radix), Sheng Huangqi (Raw Astragali Radix), Tongcao (Tetrapanacis Medulla) (each 2 qian), Mutong (Akebiae Caulis, 1 qian), Shan Jia Chuan (Phrynosoma Carinatum, fried and ground), Qumai (Dianthi Herba) (each 1.5 qian), Wang Bu Liu Xing (Vaccariae Semen, 1.2 qian).
Boil male pig trotters (with seven star markings) in wine and drink with the broth.
Treats postpartum absence of milk.
Seven slices of Shan Jia Chuan (Phrynosoma Carinatum) fried and ground, 3 qian of Wang Bu Liu Xing (Vaccariae Semen), and one male ox trotter with seven star markings, boiled together to extract juice and drink. Milk will flow like a spring.
Scanty Lactation: One male pig testicle, dried over a yin-yang tile until carbonized but retaining substance, ground into powder, taken with non-ash wine. Milk will surely increase.
Thin and Watery Milk: On the third day after childbirth, consume a small amount of charcoal ash mixed with porridge. Milk will naturally become thick.
Promote Lactation: Decoct five stalks of lettuce (Woju) and drink the soup.
Promote Lactation: Burn 5 qian of Shan Jia Chuan (Phrynosoma Carinatum) until carbonized but retaining substance, grind into fine powder, and take with wine.