薛立斋曰∶妇人气血方盛，乳房作胀，
或断乳胀痛，牵引胸胁，服之自消。
麦芽三两炒，热水煎服，立消。（麦芽取其消散精华以绝乳之源也。麦芽耗散之力可见，故本草谓其能消肾也。）
回乳四物汤 产妇无儿食乳，以致乳汁肿胀坚硬，疼痛难忍。
熟地 当归 白芍药 川芎（各二钱） 大麦芽（二两炒为粗末）
水二盅，煎八分，食远服。用裹脚布速紧两乳，以手揉按，其肿自然消散，甚者再用一服。
又方 浮小麦煎浓汁，服之自消。
验法 用有嘴茶壶内贮滚汤半壶，将肿乳塞住壶内，使壶中热气熏乳，再令
一人口含壶嘴吸之，其窍即通，候水温，看水面所浮皆乳，即其验也。
又法 用猫胡子向乳窍内通之，并不痛；找出猫胡子，乳汁自通。
又法 用大儿频吮自通。
又法 谷树叶同糟盐煨热缚乳上，自通。
画眉膏 断小儿乳。
栀子（三个烧存性） 雄黄 轻粉 辰砂（各少许）
为末香油调匀，俟儿睡着浓沫两眉，醒来自不思乳，未效再用。
申斗垣曰∶腕疽乃足三阴三阳之所，发于腋下近胁，乃手厥阴心包络经，多血少
气，天池穴初起胁肋下及两腿、足，生赤肿痒。二十五日不溃者死。九日刺脓赤者
可治。如内罨周遭赤干，疮口内见脂膜黑者不治。此证多因捕打而生。（《启玄》）
\r腕疽\p04-a41a140.bmp\r
薛立斋说：妇女气血正旺盛时，乳房出现胀感，或者在断奶期间感到胀痛，并牵引至胸胁部位，服用此方后症状自然消除。麦芽三两（炒制），用热水煎煮后服用，乳汁可立即停止分泌。（麦芽的作用是消散精华以切断乳汁生成的源头。麦芽具有耗散之力，因此《本草》记载它能损伤肾气。）
回乳四物汤：产妇因没有婴儿吸吮乳汁，导致乳汁肿胀坚硬，疼痛难忍。
处方组成：熟地黄、当归、白芍药、川芎（各二钱），大麦芽（二两，炒后捣成粗末）。
用法用量：加水两盅，煎至八分，在饭后服用。同时用裹脚布迅速紧紧包裹双乳，用手揉按，肿胀自然会消散；如果病情严重，再服用一剂。
另一个方子：用浮小麦煎煮浓汁，服用后乳汁自然停止分泌。
验证方法：用一个有嘴的茶壶装入半壶滚开的水，将肿胀的乳房堵住壶口，使壶中的热气熏蒸乳房，再让一个人含住壶嘴用力吸吮，乳窍就会通畅。待水温适宜后，观察水面漂浮的物质都是乳汁，这就是验证有效的标志。
另一种方法：用猫胡子伸入乳窍内疏通，并不感到疼痛；取出猫胡子后，乳汁自然通畅。
又一种方法：让较大的婴儿频繁吸吮，即可通畅。
又一种方法：用谷树叶与糟盐一起煨热，敷在乳房上，乳汁自然通畅。
画眉膏：用于给婴儿断奶。
处方组成：栀子（三个，烧至存性）、雄黄、轻粉、辰砂（各少许）。
制法与用法：研成细末，用香油调匀。等孩子睡着后，厚涂于孩子的两道眉毛上，醒来后自然不再想吃奶；如果无效，可以再次使用。
申斗垣说：腕疽发生在足三阴经和足三阳经的循行部位，发于腋下靠近胁肋处，属于手厥阴心包络经。该经脉多血少气。天池穴初起时，胁肋下及双腿、双脚会出现赤色肿胀瘙痒。如果二十五天不溃破则死亡。第九天刺破排脓，若流出赤色脓液尚可治疗。如果内部覆盖周围红肿干燥，疮口内见到黑色脂膜，则无法治愈。此证多因被打或受击伤所致。（出自《启玄》）
Xue Lizhai stated: When a woman's Qi and Blood are abundant, her breasts may feel distended. If she experiences pain and swelling during weaning, radiating to the chest and hypochondrium, taking this remedy will cause the symptoms to subside naturally. Use three liang of Maiya (Folium Hordei, 麦芽) stir-fried, decocted in hot water and taken orally; lactation will cease immediately. (Maiya is used to dissipate essence and cut off the source of milk production. Its dissipating power is evident, hence Bencao states it can damage Kidney Qi.)
Hui Ru Si Wu Tang (Four Substance Decoction for Weaning): For postpartum women who have no infant to suckle, leading to hard, swollen, and unbearably painful breasts.
Ingredients: Shudi Radix Rehmanniae Preparata (Prepared Rehmannia Root), Danggui Radix Angelicae Sinensis (Dong Quai), Baishao Radix Paeoniae Alba (White Peony Root), Chuanxiong Rhizoma Chuanxiong (Sichuan Lovage Rhizome) (each 2 qian); Dayaimai Folium Hordei (Large Barley Sprout) (2 liang, stir-fried and coarsely crushed).
Administration: Add two zhong of water, decoct until reduced to eight fen, take well after meals. Simultaneously, tightly bind both breasts with foot-binding cloth, massage by hand, and the swelling will naturally dissipate. In severe cases, administer another dose.
Another prescription: Decoct Fuxiaomai Frumentum Vulgare (Emmer Wheat) into a thick liquid and take it; lactation will cease naturally.
Verification Method: Fill a teapot with spout halfway with boiling water. Press the swollen breast against the pot opening so that the steam from the pot fumes the breast. Then, have a person hold the spout in their mouth and suck vigorously to open the lactiferous orifices. Once the water temperature is suitable, observe the surface floating matter which consists of milk; this confirms efficacy.
Another method: Insert a cat whisker into the lactiferous orifice to unblock it without causing pain; upon removing the whisker, milk flow resumes naturally.
Another method: Have an older child suckle frequently to restore flow.
Another method: Heat Gu Ye leaves (Valeriana officinalis Leaf, 谷树叶) with Zao Yan (Distiller's Grains Salt, 糟盐), apply hot compress to the breast, and milk flow will resume naturally.
Hua Mei Gao (Eyebrow Painting Ointment): Used for weaning infants.
Ingredients: Zhizi Fructus Gardeniae (Gardenia Fruit) (three fruits, burned to retain charred nature), Xionghuang Realgar (Realgar), Qingfen Calomel (Calomel), Chen Cinnabar (Cinnabar) (a small amount of each).
Preparation and Administration: Grind into fine powder, mix evenly with Sesame Oil (Youxiang, 香油). While the infant is asleep, apply a thick layer on both eyebrows. Upon waking, the infant will naturally lose the desire to suckle. If ineffective, repeat application.
Shen Douyuan stated: Wan Ju (Wrist Carbuncle) occurs along the pathways of the Foot Three Yin and Foot Three Yang meridians. It manifests near the axilla and hypochondrium, involving the Hand Jueyin Pericardium Meridian. This meridian is characterized by abundant blood and deficient Qi. At the initial stage involving Tianchi PC17 (Tianchi, 天池穴), there is red swelling and itching below the hypochondrium and in both legs and feet. If it does not ulcerate within twenty-five days, death ensues. If punctured on the ninth day and red pus is discharged, it is treatable. If the interior is covered with dry redness surrounding the wound, and black fatty membrane is visible inside the sore, it is untreatable. This condition often arises from physical trauma such as beating or striking. (From "Qi Xuan")