军门立效散
甘草节（半寸长九段） 川椒（三十粒） 天花粉（五钱） 皂角刺（三钱）
酒水同煎，临服入去油乳香末一钱，冲服。
又方
生麻黄（八分） 陈香橼（一枚） 甘草 天花粉（各八钱） 栝蒌（一枚） 金银花（六钱） 黄芩
（三钱） 棉花核（黑色者五钱）
生酒煎服出汗。
化圣通滞汤（岐天师）
金银花 蒲公英（各一两） 天花粉 白芥子（各五钱） 白芍药 通草 山栀仁（炒）
白茯苓（各三钱） 柴胡（二钱） 熟附子 木通（各一钱） 水煎服。
消多年乳核 煤炭研细，生蜜和丸绿豆大。每服五十丸，蒲公英煎汤下。
消远年近日乳核乳痞。
人中白（ 四两） 雄鼠粪（九十九粒）
研细米汤为丸。每服一钱，无灰酒下，以消为度。
\r乳岩\p04-a41a139.bmp\r
陈远公曰∶有生乳痈，已经收口，因不慎色，以至复烂，变成乳岩。现出无数
小疮口，如管如孔，如蜂窝状，肉向外生，经年累月不愈，服败毒之剂，身益野狼狈，疮口更腐烂，人以为毒深结于乳房
也，谁知
气血大亏乎？凡人乳房内肉外长而筋束于乳头，故伤乳即伤筋也。此处生痈，原宜
急散，迟恐有筋弛难长之患，况又泄精损伤元气，安得不变出非常乎！当失精后，即
大用补精填髓之药，尚不至如此之横，今既阴虚而成岩，又因岩而败毒，不亦益虚
其虚乎？治法必大补气血，以生其精，不必泄毒，以其无毒可泄耳。用化岩汤∶人
参、黄 、忍冬藤、当归各一两，白术二两，茜草、白芥子各二钱，茯苓三钱。水
煎服。二剂生肉，又二剂脓尽疼止，又二剂漏管重长，又二剂全愈，再二剂不再发
也。此方全补气血，不去败毒，虽忍冬乃消毒之味，其性亦补，况入于补药亦纯于
补矣。惟是失精以变岩，似宜补精，今止补气血何也？盖精不可速生，而功又缓，不
若大补气血，反易生精，且乳房属阳明，既生乳岩而阳明必无多气多血矣。今补气血
则阳明经旺，自生精液以灌乳房，又何必生精以牵制参 之功乎？所以不用填精之味也。（《冰鉴》）
陈实功曰∶乳岩乃忧郁伤肝，思虑伤脾，积想在心，所愿不得志者，以致经络
痞涩，聚结成核。初如豆大，渐若棋子，半年一年，三载五载，不疼不痒，渐长渐大，
始生疼痛，痛则无解，日后肿如堆栗，或如覆碗，紫色气秽，渐渐溃烂，深者如岩
穴，凸者如泛莲，疼痛连心，出血则臭，其时五脏俱衰，四大不救，名曰乳岩。凡犯
此者，百人百死，如能清心静养，无挂无碍，不必勉治，尚可苟延，当以益气养荣汤主之。（《正宗》）
又曰∶凡中年无夫之妇，得此更易于死。
又曰∶男子患此，名曰乳节，与妇女微异。女伤肝胃，男损肝肾。盖怒火房欲
过度，由此肝虚血燥，肾虚精怯，气脉不得上行，肝经无以荣养，遂结肿痛。
又曰∶治当八珍汤加山栀、丹皮；口干作渴，宜加减八味丸、肾气丸；已溃十全大补汤，则易于生肌完口也。
汪省之曰∶乳岩四十以下者可治，五十以下者不治。治之则死，不治反得终其天年。（《理例》）
冯鲁瞻曰∶妇人有忧怒抑郁，朝夕累积，脾气消阻，肝气横逆，气血亏损，筋
失荣养，郁滞于痰，结成隐核，不赤不痛，积之渐发，数年渐大，内溃深烂，名曰乳
岩，以其疮形似岩穴也。慎不可治。此乃七情所伤，肝经血气枯槁之证。治法 痛
寒热初起，即发表散邪，疏肝之中兼以补养气血之药，如益气养荣汤、加味消遥散
之类，以风药从其性，气药行其滞，参、 、归、芍补气血，乌药、木通疏积利壅，柴、
防、苏叶表散，白芷腐脓，通荣卫，肉桂行血和脉。轻者多服自愈，重者尚可苟延。
若以清凉行气破血，是速其亡也。（《锦囊》）
窦汉卿曰∶女子已嫁未嫁俱生此候，乃阴极阳衰，虚阳与血相积，无阳积安能散，
故此血渗入心经而成此疾也。若未破可治，已破即难治。
胡公弼曰∶乳岩乃性情每多疑忌，或不得志于翁姑，或不得意于夫子，失于调
理，忿怒所酿，忧郁所积，浓味酿成，以致厥阴之气不行，阳明之血腾沸，孔窍不
通，结成坚核，形如棋子。或五七年不发，有十余年不发者，或因岁运流行，或因大
怒触动，一发起烂开如翻花石榴者，名曰乳栗，凡三十岁内血气旺者可治，四十以外气血衰败者难治。（《青囊》）
军门立效散
甘草节（半寸长，九段） 川椒（三十粒） 天花粉（五钱） 皂角刺（三钱）
用酒和水共同煎煮，服药前加入去油后的乳香末一钱，冲服。
又一方
生麻黄（八分） 陈香橼（一枚） 甘草 天花粉（各八钱） 栝蒌（一枚） 金银花（六钱） 黄芩（三钱） 棉花核（黑色的，五钱）
用生酒煎服，以出汗为度。
化圣通滞汤（岐天师方）
金银花 蒲公英（各一两） 天花粉 白芥子（各五钱） 白芍药 通草 山栀仁（炒制） 白茯苓（各三钱） 柴胡（二钱） 熟附子 木通（各一钱） 水煎服。
消除多年的乳房硬结
将煤炭研成细粉，用生蜂蜜调和制成如绿豆大小的丸药。每次服用五十丸，用蒲公英煎汤送下。
消除多年或近期的乳房硬结、痞块。
人中白（四两） 雄鼠粪（九十九粒）
研成细粉，用米汤和丸。每次服用一钱，用无灰酒送下，以肿块消散为限度。
乳岩
陈远公说：有人患有乳痈（乳房急性化脓性疾病），伤口已经愈合，因为不慎房事，导致再次溃烂，变成乳岩。出现无数小疮口，像管子像孔洞，像蜂窝状，肌肉向外生长，经年累月不愈合，服用败毒的药物，身体更加虚弱狼狈，疮口更加腐烂，人们以为这是毒邪深结在乳房，哪里知道是气血大亏呢？大凡人的乳房内部肌肉向外生长而筋脉束缚于乳头，所以损伤乳房就是损伤筋脉。此处发生痈肿，原本应当紧急消散，迟缓恐怕有筋脉松弛难以生长的祸患，况且又因泄精损伤元气，怎么能不变异出这种非常之症呢！应当在失精后，立即大用补精填髓的药物，尚不至于如此严重，现在既然阴虚而成乳岩，又因为乳岩而使用败毒药物，不是更加虚其虚吗？治疗方法必须大补气血，以生成精气，不必泄毒，因为它没有毒可泄。用化岩汤：人参、黄芪、忍冬藤、当归各一两，白术二两，茜草、白芥子各二钱，茯苓三钱。水煎服。两剂后肌肉生长，又两剂后脓尽痛止，又两剂后漏管重新生长，又两剂后痊愈，再两剂后不再复发。此方全补气血，不去除败毒，虽然忍冬是消毒的药物，其性质也是补益的，何况进入补药中也就纯于补益了。只是由于失精而变成乳岩，似乎应该补精，现在只补气血为什么呢？盖精液不可快速生成，而且功效缓慢，不如大补气血，反而容易生精，且乳房属于阳明经，既然生了乳岩，那么阳明经必然没有充足的气血了。现在补气血则阳明经旺盛，自然生成津液来灌溉乳房，又何必用生精的药物来牵制参、芪的功效呢？所以不用填精的药物。（《冰鉴》）
陈实功说：乳岩是由于忧郁伤肝，思虑伤脾，积想在心中，所愿不得志，导致经络痞塞涩滞，聚结形成硬核。初起如豆大，逐渐像棋子，半年一年，三年五年，不疼不痒，逐渐长大，才开始疼痛，痛则无法缓解，日后肿胀如堆栗，或像倒扣的碗，紫色气秽，渐渐溃烂，深的像岩穴，凸的像泛莲，疼痛连心，出血则有臭味，此时五脏俱衰，四肢（四大）无法挽救，名叫乳岩。凡是患此病的人，百人百死，如果能清心静养，无挂碍，不必勉强治疗，还可以苟延残喘，应当以益气养荣汤为主治。（《正宗》）
又说：凡是中年丧夫的女子，得此病更容易死亡。
又说：男子患此病，名叫乳节，与妇女略有不同。女子损伤肝胃，男子损伤肝肾。大概是因为怒火和房欲过度，由此导致肝虚血燥，肾虚精怯，气脉不得上行，肝经无以荣养，于是结聚肿痛。
又说：治疗应当用八珍汤加山栀、丹皮；口干作渴，宜用加减八味丸、肾气丸；已经溃烂用十全大补汤，则容易生肌收口。
汪省之说：乳岩四十岁以下者可治，五十岁以下者不治。治疗则死，不治疗反而能终其天年。（《理例》）
冯鲁瞻说：妇人有忧怒抑郁，朝夕累积，脾气消阻，肝气横逆，气血亏损，筋脉失去荣养，郁滞于痰，结成隐核，不红不痛，积聚逐渐发作，数年逐渐变大，内部溃烂深腐，名叫乳岩，因为其疮形像岩穴一样。千万不要治疗。这是七情所伤，肝经血气枯槁的证候。治疗方法：在寒热初起时，即发表散邪，疏肝之中兼以补养气血的药物，如益气养荣汤、加味逍遥散之类，用风药顺从其本性，气药行其滞气，参、芪、归、芍补气血，乌药、木通疏积利壅，柴胡、防风、苏叶表散，白芷排脓，通达营卫，肉桂行血和脉。轻者多服自愈，重者尚可苟延。如果用清凉行气破血的方法，是加速其死亡。（《锦囊》）
窦汉卿说：女子已嫁未嫁都生此候，乃是阴极阳衰，虚阳与血相积，无阳怎么能够散开，所以此血渗入心经而成此疾。如果未破溃可治，已破溃即难治。
胡公弼说：乳岩乃性情多疑忌，或在翁姑处不得志，或在丈夫处不如意，失于调理，忿怒所酿成，忧郁所积聚，浓味所酿成，导致厥阴之气不行，阳明之血腾沸，孔窍不通，结成坚核，形如棋子。有的五七年不发，有十余年不发者，或者因为岁运流行，或者因为大怒触动，一发起烂开像翻花石榴的，名叫乳栗，凡是三十岁内血气旺者可治，四十以外气血衰败者难治。（《青囊》）
Junmen Lixiao San (Military Commander's Instant-Efficacy Powder)
Gancao Jie (Licorice Root Node, cut into nine segments of half-cun length) Chuanjiao (Sichuan Pepper, thirty grains) Tianhuafen (Trichosanthes Root, five qian) Zaogao Ci (Gleditsia Spine, three qian)
Decoct with wine and water. Before administration, add one qian of Xurong Mo (Frankincense Resin Powder, de-oiled), mix and take orally.
Another Prescription
Sheng Mahuang (Ephedrae Herba, eight fen) Chen Xiangyuan (Citri Reticulatae Pericarpium, aged, one piece) Gancao (Licorica Radix et Rhizoma) Tianhuafen (Trichosanthes Root, eight qian each) Gualou (Trichosanthis Fructus, one piece) Jinyinhua (Lonicerae Japonicae Flos, six qian) Huangqin (Scutellariae Radix, three qian) Mianhuahe (Cotton Seed, black ones, five qian)
Decoct with raw wine and take orally to induce sweating.
Huasheng Tongzhi Tang (Transforming Sage Decoction for Unblocking Stasis, by Master Qi Tianshi)
Jinyinhua (Lonicerae Japonicae Flos) Gongyingcau (Taraxaci Herba, one liang each) Tianhuafen (Trichosanthes Root) Baijiezi (Sinapis Semen, five qian each) Baishaoyao (Paeoniae Radix Alba) Tongcao (Tetrapanacis Medulla) Shanzhiren (Gardeniae Semen, stir-fried) Baifuling (Poria, three qian each) Chaihu (Bupleuri Radix, two qian) Shufuzi (Aconiti Lateralis Radix Praeparata) Mutong (Akebiae Caulis, one qian each)
Decoct with water and take orally.
To Eliminate Long-standing Breast Nodules
Grind coal into fine powder, mix with raw honey to make pills the size of mung beans. Take fifty pills per dose, washed down with a decoction of Gongyingcao (Taraxaci Herba).
To Eliminate Recent or Distant Breast Nodules and Masses.
Renzhongbai (Calcinatus Dentis Hominis, four liang) Xiongshufen (Stool of Male Rat, ninety-nine grains)
Grind into fine powder, form pills with rice soup. Take one qian per dose, washed down with Jiuhuijiu (Wine without ash impurities), until the mass dissipates.
Ru Yan (Breast Rock / Breast Cancer)
Chen Yuan Gong said: There are cases where a patient suffers from Ru Yong (Acute Mastitis), which has already healed, but due to imprudence in sexual activity, it relapses and ulcerates, transforming into Ru Yan (Breast Cancer). Countless small sores appear, resembling tubes, holes, or a honeycomb structure, with flesh growing outward. It persists for years without healing. Taking detoxifying agents makes the body more debilitated and the sores more rotten. People assume the toxin is deeply knotted in the breast, but who knows that it is actually a severe deficiency of Qi and Blood? Generally, the flesh inside the breast grows outward while tendons bind to the nipple; thus, injury to the breast is an injury to the tendons. When an abscess occurs here, it should be dispersed urgently; delay risks tendon laxity and failure to heal. Moreover, seminal loss damages Yuan Qi (Primal Qi), how could it not transform into such an unusual condition! After seminal loss, one should immediately use large doses of medicines to tonify essence and fill marrow, avoiding such severity. Now that Yin deficiency has formed Ru Yan, and detoxifying agents are used because of Ru Yan, is this not further damaging the deficiency? The treatment method must heavily tonify Qi and Blood to generate Essence, without attempting to drain toxins, as there is no toxin to drain. Use Huayan Tang (Transform Rock Decoction): Renshen (Ginseng Radix), Huangqi (Astragali Radix), Rendongteng (Lonicerae Japonicae Caulis), Danggui (Angelicae Sinensis Radix) each one liang; Baizhu (Atractylodis Macrocephalae Rhizoma) two liang; Qiancao (Rubiae Radix), Baijiezi (Sinapis Semen) each two qian; Fuling (Poria) three qian. Decoct with water and take orally. After two doses, flesh grows; after another two doses, pus ceases and pain stops; after another two doses, fistulas regenerate; after another two doses, complete recovery; after another two doses, no recurrence. This prescription fully tonifies Qi and Blood and does not remove toxic stasis. Although Rendongteng is a detoxifying herb, its nature is also tonifying, especially when combined with other tonics, making it purely tonifying. Why only tonify Qi and Blood when seminal loss caused Ru Yan, seemingly requiring essence tonification? Essence cannot be generated quickly, and its effect is slow. Tonifying Qi and Blood is easier to generate Essence. Furthermore, the breast belongs to the Yangming Channel. Since Ru Yan has occurred, the Yangming Channel must lack abundant Qi and Blood. Tonifying Qi and Blood strengthens the Yangming Channel, which naturally generates fluids to irrigate the breast. Why use essence-tonifying herbs to constrain the efficacy of Renshen and Huangqi? Hence, no essence-filling herbs are used. (From *Bingjian*)
Chen Shigong said: Ru Yan (Breast Cancer) results from melancholy injuring the Liver, overthinking injuring the Spleen, persistent thoughts in the heart, and unfulfilled desires, leading to obstruction and stagnation of meridians, accumulating into nodules. Initially like a bean, gradually like a chess piece, over half a year to one year, or three to five years, it is painless and itchless, gradually enlarging, then starting to hurt. Once painful, it cannot be resolved. Later, swelling resembles piled chestnuts or an inverted bowl, purple with foul odor, gradually ulcerating. Deep lesions resemble rock caves, protruding ones resemble floating lotuses. Pain radiates to the heart, bleeding emits a foul smell. At this stage, the Five Zang Organs are all衰竭 (declining), and the Four Da (limbs/body elements) cannot be saved. It is named Ru Yan. Those afflicted face certain death; if they can maintain a calm mind and rest quietly without attachment, forcing treatment is unnecessary, and life may be prolonged. The primary treatment is Yiqi Yangrong Tang (Qi-Nourishing and Blood-Sustaining Decoction). (From *Zhengzong*)
He also said: Women past middle age who are widowed are more likely to die from this disease.
He also said: When men suffer from this, it is called Ru Jie (Breast Knot), slightly different from women's cases. In women, the Liver and Stomach are injured; in men, the Liver and Kidney are damaged. This is generally due to excessive anger and sexual desire, leading to Liver deficiency and Blood dryness, Kidney deficiency and Essence weakness. Qi and pulses cannot ascend, the Liver Channel lacks nourishment, resulting in knotted swelling and pain.
He also said: Treatment should use Bazhen Tang (Eight-Treasure Decoction) plus Zhizi (Gardeniae Fructus), Danpi (Moutan Cortex); for dry mouth and thirst, use Jiawei Bawei Wan (Modified Eight-Ingredient Pill) or Shenqi Wan (Kidney Qi Pill); if already ulcerated, use Shiquan Dabu Tang (Complete Great Tonifying Decoction) to facilitate flesh regeneration and wound closure.
Wang Shengzhi said: Ru Yan in patients under forty is treatable; those under fifty are untreatable. Treating them leads to death; not treating them allows them to live out their natural lifespan. (From *Lili*)
Feng Luzhan said: Women suffering from worry, anger, and depression accumulate day and night, obstructing Spleen Qi, causing Liver Qi to rebel horizontally. Qi and Blood become deficient, tendons lose nourishment, stagnation combines with Phlegm to form hidden nodules, redness-free and painless. Accumulating and gradually developing over years, they enlarge, internally ulcerating and rotting deeply. Named Ru Yan because the sore shape resembles a rock cave. Do not treat it rashly. This is a syndrome of Liver Channel Qi and Blood exhaustion caused by the Seven Emotions. Treatment method: If chills and fever occur at the onset, release the exterior and scatter pathogens. While soothing the Liver, simultaneously tonify Qi and Blood with prescriptions like Yiqi Yangrong Tang or Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). Use wind herbs to follow its nature, Qi-moving herbs to resolve stagnation, Renshen, Huangqi, Danggui, Baishao to tonify Qi and Blood, Wuyao and Mutong to unblock accumulation and relieve congestion, Chaihu, Fangfeng, Ziye to release the exterior, Baizhu to expel pus, Tongcao to harmonize Ying and Wei, Rougui to move Blood and harmonize vessels. Mild cases may self-heal with prolonged use; severe cases may only have their course prolonged. Using cooling, Qi-moving, and blood-breaking methods accelerates death. (From *Jinnang*)
Dou Hanqing said: Married or unmarried women may develop this condition, resulting from extreme Yin and declining Yang. Deficient Yang accumulates with Blood. Without Yang, how can it disperse? Thus, this blood penetrates into the Heart Channel, causing this disease. If not yet ulcerated, it is treatable; once ulcerated, it is difficult to treat.
Hu Gongbi said: Ru Yan often stems from suspicious and jealous temperaments, frustration with parents-in-law, or dissatisfaction with husbands, due to poor regulation, brewing anger, accumulated depression, and rich diet. This causes Jueyin Qi to fail to circulate and Yangming Blood to surge turbidly. Orifices remain blocked, forming hard nodules like chess pieces. Some do not manifest for five to seven years, or even ten-plus years. They may erupt due to seasonal changes or triggered by great anger. Once erupted, they ulcerate like pomegranate flowers, named Ru Li (Breast Chestnut). Patients within thirty years old with vigorous Qi and Blood are treatable; those over forty with declining Qi and Blood are difficult to treat. (From *Qingnang*)