脉沉实而秘者，火在内者，宜泄之。脉涩而秘者，属血少，宜养血。脉浮而秘者，属气
虚，宜补气。脉浮涩而秘者，气血俱虚也，宜补气血。
一男子患痈，未作脓， 痛烦躁，便秘脉实，以内疏黄连汤二剂，诸症悉退；以四物加
芩、连，四剂而消。
一男子溃后，便涩脉浮，按之则涩，以八珍汤加红花、桃仁、陈皮、杏仁，治之而愈。
一妇人溃后，便秘而脉涩，以四物汤加红花、桃仁、黄 ，治之而愈。
一男子溃后，便秘而脉浮，以四君子汤加陈皮、杏仁、当归，治之而愈。
一老人溃后，大便秘，小便赤涩，诊之脉浮数而涩，以八珍汤加黄柏、知母，治之而已
。愈
，阳火盛，故用前药有效，而向投苦寒之剂，必致有误也。
一男子溃后便涩，肌肤作痒，余以气血虚不能营于腠理，用补剂治之，彼不信，乃服风
药，
为主。妄投风药，祸在反掌。
附方
内疏黄连汤（方见肿疡门）
四物汤（方见瘰 门）
八珍汤（方见溃疡发热门）
四君子汤（方见痔门）
滋肾丸（方见下疳门）
加减八味丸（方见作渴门）
暴怒或儿口气所吹肿痛者，疏肝行气。 痛发寒热者，发散表邪。肿 痛甚者，清肝消
。未成脓，疏肝行气。不作脓，或不溃，托里为主。溃而不敛，或脓清者，宜大补气血。
一妇人禀实性躁，怀抱久郁，左乳内结一核不消，按之微痛，以连翘饮子二十余剂，稍
退；更以八珍汤加青皮、香附、桔梗、贝母，二十余剂而消。
一妇人因怒，两乳肿，兼头痛、寒热，以人参败毒散，二剂表证已退；以小柴胡汤加芎
、归、枳壳、桔梗，四剂而消。
一妇人郁久，右乳内肿硬，以八珍汤加远志、贝母、柴胡、青皮，及隔蒜灸，兼服神效
栝蒌散，两月余而消。
一妇人左乳内肿如桃，许久不痛，色不变，发热渐消瘦，以八珍汤加香附、远志、青皮
、柴
药不分经络虚实者，俱难治。大抵此症，四十以外者尤难治，盖因阴血日虚也。
一妇人因怒，左乳内肿痛发热，表散太过，致热益甚，以益气养荣汤数剂，热止脓成，
欲针
胃经，乳头属厥阴肝经，若忿怒伤肝，或浓味积热，以致气不行，窍不通，乳不出，则结而
为肿为痛。阳明之血热甚，则肉腐为脓。若脓一成，即针之，以免遍溃诸囊之患。亦有所乳
之子，膈有滞痰，口气 热，含乳而睡熟，热气所吹，遂成肿痛，于起时须吮咂通，或忍痛
揉散，失治必成痈患，宜青皮以疏厥阴之滞，石膏以清阳明之热，甘草节以行污浊之血，栝
蒌
佐之；更隔蒜灸之，其效尤捷。若有脓即针之，否则通溃，难于收敛。
一妇人久郁，右乳内结三核，年余不消，朝寒暮热，饮食不甘，此乳岩也。乃七情所伤
肝经
饼灸之，喜其谨疾，年余而消。
一妇人亦患此，余谓须多服解郁结养气血药，可保无虞，彼不信，乃服克伐之剂，反大
如覆碗，日出清脓，不敛而殁。
一妇人郁久，乳内结核，年余不散，日晡微热，饮食少思，以益气养荣汤治之，彼以为
缓，
殁。
又一外家，乃放出宫女，乳内结一核如粟，亦以前汤，彼不信，乃服疮科流气饮及败毒散
，三
痛不痒，人多忽之，最难治疗。若一有此，宜戒七情、远浓味、解郁结，更以行气之药治之
，庶可保全，否则不治。亦有二三载，或五六载，凡势下陷者，皆曰乳岩，盖其形岩凸似岩
穴也，最毒。慎之！
一妇人发热作渴，至夜尤甚，两乳忽肿，服败毒药，热反炽。诊之肝脉洪数，乃热血入
室也，以加味小柴胡汤治之，热止肿消。
一妇人因怒，左乳作痛，胸膈不利，以方脉流气饮加木香、青皮，四剂而愈。
一妇人郁久，左乳内结核如杏许，三月不消，心脉涩而脾脉大，按之无力，以八珍汤加
贝母、远志、香附、柴胡、青皮、桔梗，五十余剂而溃；又三十余剂而愈。
一妇人脓成，不溃胀痛，余欲针之，使毒不侵遍。彼不从，又数日痛极，始针，涌出败
脓三
之，否则遍溃诸囊矣，少壮者得以收敛，老弱者多致不救。
一妇人肿而不作脓，以益气养荣汤加香附、青皮，数剂而脓成，针之旬日而愈。
一妇人右乳肿，发热，怠惰嗜卧，无气以动，至夜热亦甚，以补中益气汤兼逍遥散治之
而痊。
一妇人两乳内时常作痛，口内常辣，卧起若急，脐下牵痛，以小柴胡汤加青皮、黄连、
山栀，治之而痊。
一产妇因乳少，服药通之，致乳房肿胀发热作渴，状伤寒，以玉露散补之而愈。夫乳汁
乃气
所乳之子，亦弱而多病，此自然之理。亦有屡产有乳，再产却无，或大便涩滞，乃亡津液也
。《三因论》云∶产妇乳脉不行有二，有血气盛，闭而不行者；有血气弱，涩而不行者。虚
当补之，盛当疏之，盛者当用通草、漏芦、土瓜根辈；虚者当用炼成钟乳粉、猪蹄、鲫鱼之
属。概可见矣。亦有乳出不止等症，见《外科心法》。
一男子左乳肿硬痛甚，以仙方活命饮二剂而止；更以十宣散加青皮，四剂脓成，针之而
愈。
时针之，不致大溃。如出不利，更 搜脓化毒之药。若脓血未尽，辄用生肌之剂，反助邪气
，纵早合必再发，不可不慎也。
一男子年逾五十，患子不立事，左乳肿痛，左胁胀痛，肝脉弦数而涩，先以龙荟丸二服
，诸
解郁结。彼不从，乃杂用流气败毒之剂，致便秘发热作渴，复请，余谓∶“脓成不溃，阳
气虚不能鼓舞也，便秘发热，阴血竭不能濡润也。”辞不治，果死。
一男子因怒，左乳肿痛，肝脉弦数，以复元通气散，二服少愈；以小柴胡汤加青皮、芎
、归，数剂而消。
附方
连翘饮子 治乳内结核。服数剂，如不消，宜兼服八珍汤。初起有表证者，宜先
解散。
连翘 川芎 栝蒌仁（研） 皂角刺（炒） 橘叶 青皮 甘草节 桃仁（各一钱半） 作一
剂，水二钟，煎一钟，食远服。
人参败毒散（方见溃疡发热门）
复元通气散 治乳痈便毒肿痛，及一切气滞肿毒，如打扑伤损闪肭作痛，及疝气
尤效。
木香 茴香（炒） 青皮（去白） 穿山甲（酥炙） 陈皮 白芷 甘草 漏芦 贝母（去心
，各等分） 另为末，各等分和匀。每服三钱，温酒调下。
八珍汤（方见溃疡发热门）
隔蒜灸法（方见发背门）
神效栝蒌散 治乳痈乳劳，已成化脓为水，未成即消。治乳之方甚多，独此方神
效，瘰 疮毒尤效。
栝蒌（大者二个，捣） 甘草 当归（各五钱） 没药（另研） 乳香（各一钱，另研） 作二
剂，
以补气血之剂，兼服之。
小柴胡汤
益气养荣汤
加味小柴胡汤（三方见瘰 门）
补中益气汤（见溃疡发热门）
逍遥散（见瘰 门）
木香饼 治一切气滞结肿，或痛或闪肭，及风寒所伤作痛，并效。
木香（五钱） 生地黄（一两） 木香为末，地黄杵膏，和匀，量患处，大小作饼，置肿处
，以热熨斗熨之。
玉露散 治产后乳脉不行，身体壮热，头目昏痛，大便涩滞。
人参 白茯苓 甘草（各五分） 桔梗（炒） 川芎 白芷（各一钱） 当归（五分） 芍药（
七分）作一剂，水二钟，煎至八分，食后服。如热甚，大便秘，加大黄三分炒。
仙方活命饮
十宣散（二方见发背门）
当归龙荟丸（方见瘰 门）
流气饮（方见流注门）
脉象沉实而便秘的，是火邪在内，应当用泻法。脉象涩而便秘的，属于血虚，应当养血。脉象浮而便秘的，属于气虚，应当补气。脉象浮涩而便秘的，是气血俱虚，应当补益气血。
一个男子患痈肿，脓未形成，疼痛烦躁，便秘且脉象实，服用内疏黄连汤两剂，各种症状全部消退；随后服用四物汤加黄芩、黄连，四剂后肿块消散。
一个男子溃破后，大便涩滞，脉象浮，重按则涩，使用八珍汤加红花、桃仁、陈皮、杏仁治疗，痊愈。
一个妇人溃破后，便秘且脉象涩，使用四物汤加红花、桃仁、黄柏治疗，痊愈。
一个男子溃破后，便秘且脉象浮，使用四君子汤加陈皮、杏仁、当归治疗，痊愈。
一个老人溃破后，大便秘结，小便赤涩，诊察其脉象浮数而涩，使用八珍汤加黄柏、知母治疗，随即痊愈。（这是因为）阳气火盛，所以用前面的药有效，如果先前投用苦寒的药物，必定会导致误治。
一个男子溃破后大便涩滞，肌肤瘙痒，我认为这是气血虚弱不能濡养腠理所致，使用补益剂治疗，他不相信，反而服用风药为主。妄投风药，祸患就在顷刻之间。
附方：
内疏黄连汤（方剂见肿疡门）
四物汤（方剂见瘰疬门）
八珍汤（方剂见溃疡发热门）
四君子汤（方剂见痔门）
滋肾丸（方剂见下疳门）
加减八味丸（方剂见作渴门）
因暴怒或婴儿口气吹袭导致肿痛者，疏肝行气。伴有寒热发作的，发散表邪。肿胀疼痛严重的，清肝消痈。脓未形成的，疏肝行气。不化脓或不溃破的，以托里透脓为主。已溃破但不收敛，或脓液清稀的，宜大补气血。
一个妇人禀赋充实但性情急躁，怀抱长期抑郁，左侧乳内结成一核不消，按压微痛，服用连翘饮子二十多剂，稍见消退；接着服用八珍汤加青皮、香附、桔梗、贝母，二十多剂后消散。
一个妇人因愤怒，双侧乳房肿胀，兼有头痛、寒热，服用人参败毒散，两剂后表证已退；再服用小柴胡汤加川芎、当归、枳壳、桔梗，四剂后消散。
一个妇人郁结日久，右侧乳房内肿硬，使用八珍汤加远志、贝母、柴胡、青皮，并配合隔蒜灸，同时服用神效栝蒌散，两个多月后消散。
一个妇人左侧乳房内肿如桃子，许久不痛，肤色不变，发热且逐渐消瘦，使用八珍汤加香附、远志、青皮、柴胡……（此处原文残缺，推测为继续用药），若不分经络虚实，都难以治疗。大抵此症，四十岁以上的人尤其难治，因为阴血日益亏虚。
一个妇人因愤怒，左侧乳房内肿痛发热，因发散太过，导致热势更甚，使用益气养荣汤数剂，热止脓成，想要针刺……（此处原文残缺）。
胃经（乳头属足阳明胃经），乳头属厥阴肝经。若忿怒伤肝，或厚味积热，导致气机不行，窍道不通，乳汁不出，则凝结而为肿为痛。阳明之血热甚，则肌肉腐败化为脓。一旦脓成，即应针刺，以免遍溃诸囊的祸患。也有给婴儿喂奶时，膈间有滞痰，口气热，含着乳头睡觉，热气吹入，遂成肿痛，在初起时必须吮吸通畅，或忍痛揉散，失治必成痈患，宜用青皮疏解厥阴之滞，石膏清阳明之热，甘草节行污浊之血，栝蒌佐助；再配合隔蒜灸，效果尤为快捷。若有脓即针刺，否则通溃，难以收敛。
一个妇人久郁，右侧乳内结三核，一年多不消，早晨恶寒傍晚发热，饮食不甘，这是乳岩。乃七情所伤……（此处原文残缺，推测为肝经等），饼灸之，庆幸他谨慎治病，一年多后消散。
一个妇人也患此病，我谓须多服解郁结养气血的药，可保无虞，她不相信，反而服用克伐之剂，反致乳房大如覆碗，每天流出清脓，不收敛而死。
一个妇人久郁，乳内结核，一年多不散，下午微热，饮食少思，使用益气养荣汤治疗，她以为见效慢……（此处原文残缺，推测为停药或误治），最终死亡。
又一位外家亲戚，是放出的宫女，乳内结一核如粟米，也用前汤，她不相信，反而服用疮科流气饮及败毒散，三天……（此处原文残缺）。
痛而不痒，人们多忽视它，最难治疗。若一有此症，宜戒除七情、远离浓味、解郁结，再用行气药治疗，庶可保全，否则不治。也有经过二三年，或五六年，凡是势向下陷的，都叫乳岩，因为其形状像岩石洞穴一样凸起，最毒。慎之又慎！
一个妇人发热口渴，到夜间尤其严重，双侧乳房突然肿胀，服用败毒药，热势反而炽盛。诊察其肝脉洪数，这是热血入胞室（或指热入血室），使用加味小柴胡汤治疗，热止肿消。
一个妇人因愤怒，左侧乳房作痛，胸膈不利，使用方脉流气饮加木香、青皮，四剂后痊愈。
一个妇人久郁，左侧乳内结核如杏许大，三个月不消，心脉涩而脾脉大，重按无力，使用八珍汤加贝母、远志、香附、柴胡、青皮、桔梗，五十多剂后溃破；又三十多剂后痊愈。
一个妇人脓已成，不溃破且胀痛，我想针刺，使毒邪不蔓延。她不从，又过几天痛极，才针刺，涌出败脓三……（此处原文残缺），否则便遍溃诸囊了，年轻力壮者可得以收敛，年老体弱者多致不救。
一个妇人肿胀但不化脓，使用益气养荣汤加香附、青皮，数剂后脓成，针刺十天后痊愈。
一个妇人右侧乳房肿胀，发热，倦怠嗜卧，无气以动，到夜间热也甚，使用补中益气汤兼逍遥散治疗而痊愈。
一个妇人双侧乳房内时常作痛，口内常辣，卧起急促，脐下牵痛，使用小柴胡汤加青皮、黄连、山栀，治疗而痊愈。
一个产妇因乳汁少，服药通之，导致乳房肿胀发热口渴，状如伤寒，使用玉露散补益而愈。夫乳汁乃气血所化……（此处原文残缺，推测为气血所化）。给婴儿喂奶的孩子，也弱而多病，这是自然之理。也有屡产有乳，再产却无，或大便涩滞，这是亡津液。《三因论》云：产妇乳脉不行有二种情况，有血气盛，闭而不行的；有血气弱，涩而不行的。虚当补之，盛当疏之，盛者当用通草、漏芦、土瓜根之类；虚者当用炼成钟乳粉、猪蹄、鲫鱼之类。概可见矣。也有乳出不止等症，见《外科心法》。
一个男子左侧乳房肿硬痛甚，使用仙方活命饮两剂而止；再使用十宣散加青皮，四剂后脓成，针刺而愈。
时针刺，不致大溃。如排出不利，更用搜脓化毒之药。若脓血未尽，辄用生肌之剂，反助邪气，纵使早合必再发，不可不慎也。
一个男子年逾五十，患事不顺（或指忧郁之事），左乳肿痛，左胁胀痛，肝脉弦数而涩，先服用龙荟丸两服，诸症……（此处原文残缺，推测为缓解），解郁结。他不从，反而杂用流气败毒之剂，导致便秘发热口渴，再次请我诊治，我谓：“脓成不溃，是阳气虚不能鼓舞也；便秘发热，是阴血竭不能濡润也。”推辞不治，果然死亡。
一个男子因愤怒，左侧乳房肿痛，肝脉弦数，使用复元通气散，两服稍见好转；再使用小柴胡汤加青皮、川芎、当归，数剂后消散。
附方：
连翘饮子 治乳内结核。服数剂，如不消，宜兼服八珍汤。初起有表证者，宜先解散。
连翘 川芎 栝蒌仁（研） 皂角刺（炒） 橘叶 青皮 甘草节 桃仁（各一钱半） 作一剂，水二钟，煎一钟，食远服。
人参败毒散（方见溃疡发热门）
复元通气散 治乳痈便毒肿痛，及一切气滞肿毒，如打扑伤损闪肭作痛，及疝气尤效。
木香 茴香（炒） 青皮（去白） 穿山甲（酥炙） 陈皮 白芷 甘草 漏芦 贝母（去心，各等分） 另为末，各等分和匀。每服三钱，温酒调下。
八珍汤（方见溃疡发热门）
隔蒜灸法（方见发背门）
神效栝蒌散 治乳痈乳劳，已成化脓为水，未成即消。治乳之方甚多，独此方神效，瘰疬疮毒尤效。
栝蒌（大者二个，捣） 甘草 当归（各五钱） 没药（另研） 乳香（各一钱，另研） 作二剂，以补气血之剂，兼服之。
小柴胡汤
益气养荣汤
加味小柴胡汤（三方见瘰疬门）
补中益气汤（见溃疡发热门）
逍遥散（见瘰疬门）
木香饼 治一切气滞结肿，或痛或闪肭，及风寒所伤作痛，并效。
木香（五钱） 生地黄（一两） 木香为末，地黄杵膏，和匀，量患处，大小作饼，置肿处，以热熨斗熨之。
玉露散 治产后乳脉不行，身体壮热，头目昏痛，大便涩滞。
人参 白茯苓 甘草（各五分） 桔梗（炒） 川芎 白芷（各一钱） 当归（五分） 芍药（七分） 作一剂，水二钟，煎至八分，食后服。如热甚，大便秘，加大黄三分炒。
仙方活命饮
十宣散（二方见发背门）
当归龙荟丸（方见瘰疬门）
流气饮（方见流注门）
For constipation with a deep and solid pulse, it indicates fire in the interior; purgation is indicated. For constipation with a choppy pulse, it belongs to blood deficiency; nourishing blood is indicated. For constipation with a floating pulse, it belongs to qi deficiency; tonifying qi is indicated. For constipation with a floating and choppy pulse, it indicates both qi and blood deficiency; tonifying both qi and blood is indicated.
A man suffered from an abscess. Before suppuration, he experienced pain, restlessness, constipation, and a solid pulse. After two doses of Neishu Huanglian Tang (Internal Purging Coptis Decoction), all symptoms subsided. Subsequently, after four doses of Siwu Tang (Four Substance Decoction) added with Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma), the swelling resolved.
After ulceration, a man presented with difficult defecation, a floating pulse that became choppy upon pressure. He was treated with Bazhen Tang (Eight Treasure Decoction) added with Honghua (Carthami Flos), Taoren (Persicae Semen), Chenpi (Citri Reticulatae Pericarpium), and Xingren (Armeniacae Semen Amarum), resulting in recovery.
After ulceration, a woman presented with constipation and a choppy pulse. She was treated with Siwu Tang (Four Substance Decoction) added with Honghua (Carthami Flos) and Taoren (Persicae Semen), along with Huangbai (Phellodendri Cortex), resulting in recovery.
After ulceration, a man presented with constipation and a floating pulse. He was treated with Sijunzi Tang (Four Gentlemen Decoction) added with Chenpi (Citri Reticulatae Pericarpium), Xingren (Armeniacae Semen Amarum), and Danggui (Angelicae Sinensis Radix), resulting in recovery.
An elderly man, after ulceration, had severe constipation and dark, difficult urination. His pulse was floating, rapid, and choppy. He was treated with Bazhen Tang (Eight Treasure Decoction) added with Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma), leading to immediate recovery. This was because yang fire was exuberant, so the previous prescription was effective. Had bitter-cold herbs been used initially, it would certainly have caused mismanagement.
After ulceration, a man had difficult defecation and itching skin. I considered this due to qi and blood deficiency failing to nourish the couli (interstices). I used tonic formulas for treatment, but he did not believe them and instead took wind-dispelling drugs as the main treatment. Prescribing wind-dispelling drugs recklessly brings disaster instantly.
Attached Formulas:
Neishu Huanglian Tang (See Swollen Ulcer Section)
Siwu Tang (See Scrofula Section)
Bazhen Tang (See Ulcer Fever Section)
Sijunzi Tang (See Hemorrhoid Section)
Zishen Wan (See Chancre Section)
Jiajian Bawei Wan (See Thirst Section)
For swelling and pain caused by violent anger or breath blown by infants, soothe the liver and regulate qi. For attacks accompanied by chills and fever, disperse exterior pathogens. For severe swelling and pain, clear the liver and eliminate carbuncles. If pus has not formed, soothe the liver and regulate qi. If pus does not form or does not ulcerate, focus on supporting the interior to expel toxins. If ulcerated but not healing, or if pus is thin, greatly tonify qi and blood.
A woman with a robust constitution but irritable temperament, suffering from long-term emotional depression, had a nodule in her left breast that did not resolve, with slight pain on pressure. After more than twenty doses of Liaoqiao Yinzi (Forsythia Drink), it slightly receded. Then, after more than twenty doses of Bazhen Tang (Eight Treasure Decoction) added with Qingpi (Tangerine Peel Unripe), Xiangfu (Cyperus Rhizome), Jiegeng (Platycodon Root), and Beimu (Fritillariae Bulbus), it resolved.
A woman, due to anger, had bilateral breast swelling accompanied by headache, chills, and fever. After two doses of Renshen Baidu San (Ginseng Detoxification Powder), the exterior symptoms subsided. Then, after four doses of Xiaochaihu Tang (Minor Bupleurum Decoction) added with Chuanxiong (Ligustici Rhizoma et Radix), Danggui (Angelicae Sinensis Radix), Zhike (Aurantii Fructus Immaturus), and Jiegeng (Platycodon Root), it resolved.
A woman with long-standing depression had swelling and hardness in her right breast. She was treated with Bazhen Tang (Eight Treasure Decoction) added with Yuanzhi (Polygalae Radix), Beimu (Fritillariae Bulbus), Chaihu (Bupleuri Radix), and Qingpi (Tangerine Peel Unripe), combined with garlic-partitioned moxibustion, and concurrently administered Shenxiao Gualou San (Miraculous Efficacy Trichosanthes Powder). It resolved after more than two months.
A woman had a peach-sized swelling in her left breast that did not hurt for a long time, with unchanged skin color, fever, and gradual emaciation. She was treated with Bazhen Tang (Eight Treasure Decoction) added with Xiangfu (Cyperus Rhizome), Yuanzhi (Polygalae Radix), Qingpi (Tangerine Peel Unripe), Chaihu (Bupleuri Radix)... [Text fragment]. Conditions where meridians and excess/deficiency are not distinguished are difficult to treat. Generally, this condition is particularly difficult to treat in those over forty, due to the daily decline of yin blood.
A woman, due to anger, had painful swelling and fever in her left breast. Due to excessive dispersing, the heat intensified. After several doses of Yiqi Yangrong Tang (Tonify Qi and Nourish Spirit Decoction), the heat stopped and pus formed. [Text fragment regarding needling].
The Stomach Meridian [connects to the breast]; the nipple belongs to the Liver Meridian of Foot-Jueyin. If anger injures the liver, or rich flavors accumulate heat, causing qi stagnation and blockage of orifices, preventing milk flow, condensation occurs leading to swelling and pain. Excessive heat in the blood of the Yangming Meridian causes flesh to rot into pus. Once pus forms, it should be punctured immediately to avoid the risk of widespread ulceration of all locules. Also, when nursing an infant, if there is stagnant phlegm in the diaphragm and the infant's breath is hot, sleeping while holding the nipple allows hot air to blow in, causing swelling and pain. At the onset, one must suckle to unblock, or endure pain and massage to dissipate. Failure to treat properly will inevitably lead to a carbuncle. Use Qingpi (Tangerine Peel Unripe) to soothe Jueyin stagnation, Shigao (Gypsum Fibrosum) to clear Yangming heat, Gancao Jie (Licorice Knot) to move turbid blood, assisted by Gualou (Trichosanthis Fructus); further combine with garlic-partitioned moxibustion for especially swift effects. If pus exists, puncture it; otherwise, it will ulcerate widely and be hard to heal.
A woman with long-standing depression had three nodules in her right breast that did not resolve for over a year, with morning chills and evening fevers, and poor appetite. This is Ru Yan (Breast Rock/Cancer). It is injured by seven emotions... [Text fragment], moxibustion with cake... Fortunately, she was careful with her illness, and it resolved after over a year.
Another woman suffered from this. I advised taking many doses of herbs to resolve depression and tonify qi and blood to ensure safety. She did not believe me and instead took attacking/depleting herbs. Her breast enlarged like an inverted bowl, discharging clear pus daily, failing to heal, and she died.
A woman with long-standing depression had breast nodules that did not resolve for over a year, with slight afternoon fever and poor appetite. She was treated with Yiqi Yangrong Tang (Tonify Qi and Nourish Spirit Decoction). She thought it too slow... [Text fragment], and died.
Another relative, a released palace maid, had a millet-sized nodule in her breast. She also refused the previous decoction and instead took Liqi Yin (Qi-Regulating Drink) and Baidu San (Detoxification Powder) from surgical texts. Three days... [Text fragment].
Pain without itching is often ignored by people and is very difficult to treat. If such symptoms appear, one must guard against emotional disturbances, avoid rich flavors, resolve depression, and treat with qi-regulating herbs to preserve life; otherwise, it is untreatable. Some cases last two or three years, or five or six years. Any condition sinking downward is called Ru Yan (Breast Rock), as its shape protrudes like a rock cave. It is most toxic. Be extremely cautious!
A woman had fever and thirst, worse at night, with sudden bilateral breast swelling. After taking detoxifying herbs, the heat intensified. Her Liver pulse was flooding and rapid, indicating hot blood entering the uterus/blood chamber. She was treated with Jiawei Xiaochaihu Tang (Modified Minor Bupleurum Decoction), resulting in cessation of heat and resolution of swelling.
A woman, due to anger, had pain in her left breast and chest/diaphragm discomfort. She was treated with Fangmai Liuqi Yin (Formula Pulse Qi-Regulating Drink) added with Muxiang (Aucklandiae Radix) and Qingpi (Tangerine Peel Unripe), recovering after four doses.
A woman with long-standing depression had an apricot-sized nodule in her left breast that did not resolve for three months. Her Heart pulse was choppy, and her Spleen pulse was large but weak upon pressure. She was treated with Bazhen Tang (Eight Treasure Decoction) added with Beimu (Fritillariae Bulbus), Yuanzhi (Polygalae Radix), Xiangfu (Cyperus Rhizome), Chaihu (Bupleuri Radix), Qingpi (Tangerine Peel Unripe), and Jiegeng (Platycodon Root). It ulcerated after more than fifty doses and healed after another thirty-plus doses.
A woman had formed pus but did not ulcerate, experiencing swelling and pain. I wanted to puncture it to prevent toxin spread. She refused. A few days later, pain became extreme, and only then was it punctured, draining foul pus... [Text fragment]. Otherwise, it would have ulcerated all locules. Young and strong patients can heal; old and weak patients often fail to recover.
A woman had swelling without pus formation. She was treated with Yiqi Yangrong Tang (Tonify Qi and Nourish Spirit Decoction) added with Xiangfu (Cyperus Rhizome) and Qingpi (Tangerine Peel Unripe). Pus formed after several doses, and she healed ten days after puncturing.
A woman had right breast swelling, fever, lethargy, desire to sleep, lack of energy, and worsening heat at night. She was treated with Buzhong Yiqi Tang (Center-Supplementing Qi-Boosting Decoction) combined with Xiaoyao San (Free and Easy Wanderer Powder), resulting in recovery.
A woman had frequent pain in both breasts, a spicy taste in the mouth, urgency when lying down or rising, and pulling pain below the umbilicus. She was treated with Xiaochaihu Tang (Minor Bupleurum Decoction) added with Qingpi (Tangerine Peel Unripe), Huanglian (Coptidis Rhizoma), and Shanzhi (Gardeniae Fructus), resulting in recovery.
A postpartum woman, due to low milk supply, took medication to promote lactation, leading to breast swelling, fever, and thirst resembling Taiyang syndrome. She was treated with Yulu San (Jade Dew Powder) to tonify, resulting in recovery. Milk is derived from qi and blood... [Text fragment]. Infants nursed are also weak and prone to illness; this is natural law. Some women have milk after multiple births but none after subsequent ones, or have dry stools, due to loss of body fluids. *San Yin Lun* states: There are two reasons for failure of milk flow in postpartum women: one is abundant qi and blood, causing closure and obstruction; the other is weak qi and blood, causing sluggishness and obstruction. Deficiency should be tonified; abundance should be regulated. For abundance, use Tongcao (Tetrapanacis Medulla), Loulu (Radix Leptanthemi), Tugua Gen (Radix Citrulli Lanati), etc.; for deficiency, use refined Zhongru Fen (Calcar Ostrei Pulvis), pig trotters, crucian carp, etc. This is evident. Other symptoms like excessive milk discharge are seen in *Waike Xinfa*.
A man had severe swelling, hardness, and pain in his left breast. After two doses of Xianfang Huoming Yin (Immortal Formula Life-Saving Drink), it stopped. Then, after four doses of Shixuan San (Ten Acupoints Powder) added with Qingpi (Tangerine Peel Unripe), pus formed, and he healed after puncturing.
Puncture at the appropriate time to avoid massive ulceration. If drainage is difficult, use herbs to search out pus and transform toxins. If pus and blood are not exhausted, using flesh-generating agents prematurely will assist evil pathogens. Even if it closes early, it will recur. Do not be careless.
A man over fifty, frustrated by affairs, had left breast and hypochondriac swelling and pain. His Liver pulse was wiry, rapid, and choppy. He first took Longhui Wan (Dragon Gallbladder Pill) twice, alleviating symptoms... [Text fragment] to resolve depression. He did not listen and instead mixed Qi-regulating and detoxifying herbs, leading to constipation, fever, and thirst. Upon re-consultation, I said: "Pus formed but did not ulcerate due to yang qi deficiency failing to urge it; constipation and fever due to yin blood exhaustion failing to moisten." I declined treatment, and he indeed died.
A man, due to anger, had left breast swelling and pain. His Liver pulse was wiry and rapid. He took Fuyuan Tongqi San (Restoring Origin Qi-Regulating Powder) twice, improving slightly. Then, after several doses of Xiaochaihu Tang (Minor Bupleurum Decoction) added with Qingpi (Tangerine Peel Unripe), Chuanxiong (Ligustici Rhizoma et Radix), and Danggui (Angelicae Sinensis Radix), it resolved.
Attached Formulas:
Liaoqiao Yinzi (Forsythia Drink) Treats breast nodules. Take several doses; if unresolved, take concurrently with Bazhen Tang (Eight Treasure Decoction). If exterior symptoms exist at onset, disperse first.
Liaoqiao (Forsythiae Fructus), Chuanxiong (Ligustici Rhizoma et Radix), Gualou Ren (Trichosanthis Semen), Zaocis Spina (Spinag Gleditsiae Preparata), Ju Ye (Citri Reticulatae Folium), Qingpi (Tangerine Peel Unripe), Gancao Jie (Licorice Knot), Taoren (Persicae Semen) (each 1.5 qian). Make one dose, boil in 2 zhong water to 1 zhong, take far from meals.
Renshen Baidu San (Ginseng Detoxification Powder) (See Ulcer Fever Section)
Fuyuan Tongqi San (Restoring Origin Qi-Regulating Powder) Treats breast carbuncle, perineal abscess swelling and pain, and all qi-stagnation swelling/toxicity, such as trauma, sprains, and hernia pain. Especially effective.
Muxiang (Aucklandiae Radix), Huixiang (Foeniculi Fructus, stir-fried), Qingpi (Tangerine Peel Unripe, remove white pith), Chuanshanjia (Manis Squama, fried in butter), Chenpi (Citri Reticulatae Pericarpium), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Loulu (Radix Leptanthemi), Beimu (Fritillariae Bulbus, remove heart) (equal parts). Grind separately, mix evenly. Take 3 qian each time, mixed with warm wine.
Bazhen Tang (Eight Treasure Decoction) (See Ulcer Fever Section)
Ge Suan Jiu Fa (Garlic-Partitioned Moxibustion Method) (See Back Carbuncle Section)
Shenxiao Gualou San (Miraculous Efficacy Trichosanthes Powder) Treats breast carbuncle/labor, resolving existing pus into fluid, or eliminating before formation. Many formulas treat the breast, but this one is miraculous, especially for scrofula and sores.
Gualou (Trichosanthis Fructus, two large ones, crushed), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix) (each 5 qian), Moyao (Commiphora Myrrha Resina, ground separately), Ruxiang (Boswelliae Resina, each 1 qian, ground separately). Make two doses... [Text fragment] take concurrently with qi and blood tonics.
Xiaochaihu Tang (Minor Bupleurum Decoction)
Yiqi Yangrong Tang (Tonify Qi and Nourish Spirit Decoction)
Jiawei Xiaochaihu Tang (Modified Minor Bupleurum Decoction) (Three formulas see Scrofula Section)
Buzhong Yiqi Tang (Center-Supplementing Qi-Boosting Decoction) (See Ulcer Fever Section)
Xiaoyao San (Free and Easy Wanderer Powder) (See Scrofula Section)
Muxiang Bing (Aucklandia Cake) Treats all qi-stagnation nodular swellings, whether painful or sprained, and pain caused by wind-cold. Effective for all.
Muxiang (Aucklandiae Radix, 5 qian), Sheng Dihuang (Rehmanniae Radix Recens, 1 liang). Grind Muxiang into powder, pound Sheng Dihuang into paste, mix evenly. Size according to affected area, make into cakes, place on swelling, iron with hot iron pot.
Yulu San (Jade Dew Powder) Treats postpartum failure of milk flow, high fever, dizziness/headache, and dry stool.
Renshen (Ginseng Radix), Baifuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma) (each 5 fen), Jiegeng (Platycodon Root, stir-fried), Chuanxiong (Ligustici Rhizoma et Radix), Baizhi (Angelicae Dahuricae Radix) (each 1 qian), Danggui (Angelicae Sinensis Radix, 5 fen), Shaoyao (Paeoniae Radix, 7 fen). Make one dose, boil in 2 zhong water to 8 fen, take after meals. If heat is severe and stool is dry, add 3 qian stir-fried Dahuang (Rhei Radix et Rhizoma).
Xianfang Huoming Yin (Immortal Formula Life-Saving Drink)
Shixuan San (Ten Acupoints Powder) (Two formulas see Back Carbuncle Section)
Danggui Longhui Wan (Angelica Dragon Gallbladder Pill) (See Scrofula Section)
Liqi Yin (Qi-Regulating Drink) (See Flowing Abscess Section)