薛立斋治一妇人，因怒两乳肿，兼头痛寒热，此肝经气郁症也。用人参败毒散二剂，表症已退。
用小柴胡加芎、归、枳壳、桔梗，四剂而愈。
一妇人因怒，左乳作痛，胸膈不利，此属肝脾气滞。以方脉流气饮加木香、青皮，四剂而安。
一妇人久郁，左乳内结核如杏，三月不消，心脉涩，脾脉大，按之无力，此肝脾气血亏损。以八
珍加贝母、远志、香附、柴胡、青皮、桔梗，五十余剂而消。
一妇人乳内结核年余，晡热少食，此血气不足，欲用益气养荣汤，彼反服行气之剂，溃出清脓而
殁。又一妇乳内结核如栗，亦服前药，大如覆碗，坚硬如石，出血水而殁。又郭氏外家，乃放出宫人，
乳内结一核如栗，亦以前汤，彼不信，乃服疮科流气饮及败毒散，三年后大如覆碗，坚硬如石，出水
不溃，亦殁。大抵郁闷则脾气阻，肝气逆，则成隐核，不痛不痒，人多忽之，最难治疗。若一有此，
宜戒七情，远浓味，解郁结，更以养气血之药治之，庶可保全，否则不救。亦有一二载，或五六载方
溃下陷者，皆曰乳岩，以其形岩凸似岩穴也，最毒，慎之，可保十中一二也。
一妇人乳肿而不作脓，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，治之而痊。
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。
若脓成未破，疮头有薄皮剥起者，用代针之剂，点起皮处，以膏药覆之，脓亦自出，不若及时针之，
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，忧子不成立，左乳肿痛，左胁胀肿，肝脉弦数而涩。先以龙荟丸二服，诸症皆
退。又以小柴胡对四物，加青皮、贝母、远志，数剂而脓成。欲针之，仍以养气血解郁结。彼不从，
乃杂用流气败毒之剂，致便秘，发热作渴。复请治，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。复元通气散∶木香、茴香、青皮、甲片、陈皮、白芷、甘草、漏卢、贝母，各等分。每服三
钱，温酒调下。
孙文垣侄妇，素有痰涎，胸膈痞胀，近因乳肿大，发寒热，欲成痈，以加味神效栝蒌散，二帖寒
热退而肿
不消。用贝母、白芷为臣，栝蒌为君，赤芍、当归、连翘为佐，青皮、甘草、柴胡为使，痛稍减，肿
仍不消。脉之近数，知已成脓，与内托十宣散加银花、地丁，二帖而脓溃。因脚上生疮，且有浮气，
前方去地丁、银花，加苡仁、苍耳子，调理全安。
薛立斋治王汝道室，年逾三十，每怒后乳内作痛，或肿，此肝火所致。用小柴胡合四物，加青皮、
桔梗、香附、枳壳而愈。彼欲绝去病根，自服流气饮，遂致朝寒暮热，益加肿毒，此气血被损而然。
与八珍三十余剂，喜其年壮，元气易复，愈。
一妇人乳内肿一块，如鸡子大，劳则作痛，久而不消，服托里药不应，此乳劳症也，属肝经血少
所致。先与神效栝蒌散四剂，更隔蒜灸之，肿稍退。再与八珍汤，倍加香附、夏枯草、地丁，仍间服
前散，月余而消。亦有乳疽一症，其状肿硬木闷，虽破而不溃，肿亦不消，尤当急服此散，及隔蒜灸
之。此症气血为七情所伤，亦劳症也，宜戒恼怒，节饮食，慎起居，否则不治。
一妇人患乳痈，气血颇实，但疮口不合，百治不应。与神效栝蒌散，四剂少可。更与数剂，及豆
豉饼灸之而愈。一妇人患此未溃，亦与前药，三剂而消。陈良甫曰∶妇人乳劳，便服此药，可杜绝病
根。毒已成，能化脓为水；未成者，则从大小便散之。
一人抱病小愈，左乳复生痈，继又胸膈间结核，其坚如石，荏苒半载，百药不能施。已而牵掣于
肩，痛特甚。祷于张王祠，梦神语曰∶但用生姜自然汁制香附服之可也。比觉，简本草视之，二物治
症相符。访医者张禄，亦云有理。香附去毛，姜汁浸一宿，为末，二钱，米饮调。才数服，疮脓流出，
肿硬渐消而愈。（《槎庵小乘》）
朱丹溪治一妇人，年六十，浓味郁气，而形实多妒，夏无汗而性急，忽左乳结一小核，大如棋子，
不痛，自觉神思不佳，不知食味。经半月，以人参汤调青皮、甘草末，入生姜汁，细细呷，一日夜五
六次，至五七日消矣。此及乳岩之始，不早治，隐至五年十年已后发，不痛不痒，必于乳下溃一窍，
如岩穴出脓。又或五七年
十年，虽饮如故，食如故，洞见五内，乃死。惟不得于夫者有之，妇人以夫为天，失于所天，乃能生
此。谓之岩者，以其如穴之HT 岈空洞，而外无所见，故名曰岩。患此者，必经久淹延。惟此妇治之早，
消患于未形，余者皆死，凡十余人。又治一初嫁之妇，只以青皮、甘草与之，安。
一孺人但经将行而乳肿，先两日，发口干而不渴，食少减，脉左弦带数，右却平。治用四物汤加
陈皮、白术、茯苓，带热下与点丸三十粒。
义二孺人，平时乳内有结核，不痛，忽乳边又有一肿核，颇觉有些痛。黄芩、川芎、木通、陈皮
各四钱，人参二钱，白芍一钱，大腹皮三钱，炙甘草、生甘草各一钱，当归头一钱，分二帖煎服。
黄孺人乳肿痛，青皮、石膏、连翘、角刺、黄药子、当归头、木通各一钱，生甘草三分，入好酒
些少，同煎饮，又别药洗肿处。
李东垣治一妇人，乳间出黑头疮，疮顶陷下，作黑眼子。其脉弦洪，按之细小。升麻、连翘、葛
根各一钱半，肉桂三分，黄芩、归身、甘草炙各一钱，牛蒡五分，黄柏二钱，水煎至一盏，二服愈。
立斋治一妇人，患乳痈，寒热头痛，与荆防败毒散一剂，更与蒲公英一握，捣烂，入酒二三盏，
再捣取汁热服，渣热涂患处而消。丹溪云∶此草散热毒，消肿核，又散滞气，解金石毒之圣药。
陈良甫云∶开庆间淦川嘉林曾都运恭人，年已五十，而病奶痈，后果不起。又癸亥年，仆处五羊
赵经略夫人，年七十一岁，隔一二年，前左乳房上有一块，如鹅卵大，今忽然作楚，召予议药。仆云∶
据孙真人云，妇人年五十以上，乳房不宜见痈，见则不可以治矣，幸而未破，恐是气瘤。漫以五香连
翘汤去大黄煎服，服后稍减则已。过六七年后，每遇再肿胀时，再合服，必消减矣。
立斋曰∶一妇人乳内结核，年余不消，口干倦怠，脉涩少食，此肝脾二经血气亏损之症，宜培养
为主。乃用草药数帖，遂不救。
缪仲淳治顾文学又善内人，患左乳岩，用夏枯草、蒲公英为君，银花、漏芦为臣，贝母、桑叶、
甘菊、雄鼠粪、连翘、白芷、紫花地丁、山茨菰、炙草、栝蒌、茜根、陈皮、乳香、没药为佐使，另
用夏枯草煎浓汁丸之，服斤许而消。三年后，右乳复患，用旧存余药服之亦消。后以方治数人俱效。
（《广笔记》）
马铭鞠治沈氏妇，患乳 ，溃烂经年，不见脏腑者一膜耳。用鼠粪土、楝树子、（经霜者佳，川
楝不用。）露蜂房各三钱，俱 存性，各取净末和匀。每服三钱，酒下，间两日一服，痛即止，不数
日脓尽收敛。此方传自江西贩糖客，因治祝氏喉症得之。（《广笔记》）
张王屋录后江孟修兄验过乳癖方∶白芷一钱，雄鼠粪一钱，二种晒干为末，用好酒调服，饮取一
醺睡而愈。（雄鼠粪尖者是。）又一神验方∶用活鲫鱼一个，山药一段如鱼长，同捣汁，敷乳上，以
纸盖之立愈。（《广笔记》）
薛治一妇人，乳痈愈后发热，服养气血药不应，与八珍汤加炮姜，四剂而止。仍以前汤加黄 、
香附，三十余剂，血气平复。
薛立斋治一妇，年逾二十，禀弱，乳内作痛，头疼脉浮，与人参败毒散倍加人参，一剂表症悉退。
但饮食少思，日晡微热，更以小柴胡汤合六君子汤二剂，热退食进。方以托里药加柴胡，十余剂，针
出脓而愈。又一妇患此症，脓成畏针，病势渐盛，乃强针之，脓出三碗许，脉数发渴，以大补药三十
余帖而愈。丹溪云∶乳房为阳明所经，乳头为厥阴所属。厥阴者肝也，乃女子致命之地，宗筋之所，
且各有囊橐。其始 肿虽盛，患止于一二囊，若脓成不针，攻溃诸囊矣。壮者犹可，弱者多致不救，
所以必针而后愈也。
钱国宾治一妇人，年五十六岁，左乳患痈已七年，烂过半矣，中间一孔如桃，时流血水。凡贴膏
药，痛反增剧，以布圈系护，防其摩擦。夫乳头属足厥阴肝，乳房属足阳明胃，乃肝胃二经之症，非
单方不足以治其外，非峻补不足以养其内。以形色气味治之，用陈香橼一个，其穣之瓣，如乳内之房，
其色先青而后黄，青属肝，黄属胃，其味先酸而后甘，酸属肝，甘属胃，其气香，能通肝胃之气，
黑止血，酒服和经，此治其乳也。制
一枚为末，作二次服。又用酒炒黄 二两，益气实表；土炒白术二两，山药五两，健脾收湿；芎、归、
地、芍各一钱，养血。水六碗，煎三碗，作四次服，调至一月痊。（论药入微，可为格物之法。）
王洪绪曰∶凡乳岩初起，或乳中，或乳旁，生一小块，不痛不痒，皮色不变，与瘰 恶核相似，
是乃阴寒结痰，总因悲哀忧愁患难惊恐所致。初起以犀黄丸，每服三钱，酒送下，十服即愈。或以阳
和汤加土贝母五钱煎服，数日可消。倘以膏药敷贴，必致日渐肿大，内作一抽之痛，便觉难治。若迟
至皮色变异，尤难挽回。勉以阳和汤与犀黄丸，早晚轮服。服至自溃而痛者，用大蟾多只，每日早晚
取蟾破腹连杂，以蟾身刺孔，贴患处，内服《千金》托里散，（人参、防风、黄 、官桂、白芷、浓
朴、川芎、桔梗、甘草。）三五日后，接服犀黄丸，可救十中三四。溃后不痛而痒极者，无一挽回。
大忌开刀，开则翻花，最惨，万无一生。男女皆有此症。
王洪绪治一妇，乳患白疽，寒热痛甚，与以阳和丸同二陈汤煎服，得睡痛息，三服全愈。又一妇
患相同，服夏枯草、花粉、连翘、苏叶等药五剂，号痛不绝。王曰∶向患白色，今变红色，难以全消
矣。投以前药，痛止能睡，根盘收小。连进数剂，不痛而溃，贴阳和膏收功。阳和丸方∶肉桂一两，
麻黄五钱，炮姜炭五钱，水泛为丸。
一妇两乳皆患乳岩，两载如桂圆大。因子死悲哀，忽发如杯，以五通丸、犀黄丸，早晚轮服，九
日全消。五通丸方∶广木香、麻黄、没药去油、乳香去油、五灵脂等分，研末，饭捣为丸，梧子大。
每服五钱，用川芎、当归、赤芍、连翘、甘草，煎汤送下。凡大痈生要紧穴道，将发大时，服此丸甚
效。与三黄丸间服尤妙。三黄丸∶熟大黄二两，乳香、没药各一两，麝香一钱五分，西牛黄三分，雄
黄五钱。以熟大黄酒浸，捣烂，将各末和入，捣丸如梧子大，每服五钱。
一男子患乳岩，贴鲫鱼膏两日，发大如拳，色红。王令揭去膏药，与阳和汤四剂，色仍红。以阳
和汤、犀黄丸轮服，至十六日，四围皆消。独患顶溃，用蟾拔毒三日，半月收功。
薛立斋治疗一位妇人，因愤怒导致双侧乳房肿胀，兼有头痛、恶寒发热，这是肝经气机郁滞的病症。使用人参败毒散两剂，表证已退。
随后用小柴胡汤加川芎、当归、枳壳、桔梗，四剂后痊愈。
另一位妇人因愤怒，左侧乳房疼痛，胸膈部不适，这属于肝脾气机阻滞。用方脉流气饮加木香、青皮，四剂后病情安定。
又一位妇人长期抑郁，左侧乳房内出现如杏核大小的结节，三个月未消退，心脉涩，脾脉大但按之无力，这是肝脾气血亏损。用八珍汤加贝母、远志、香附、柴胡、青皮、桔梗，五十多剂后结节消散。
还有一位妇人乳房内结节一年多，傍晚发热，食欲减退，这是气血不足，本想用益气养荣汤，但她反而服用了行气药物，导致溃破流出清稀脓液而死亡。又有一位妇人乳房内结节如栗子大小，也服用了前药（指行气药），结果肿块增大如倒扣的碗，坚硬如石，流出血水而死。还有郭氏的外家，是放出宫的宫女，乳房内结一核如栗子大小，也未用前面的补益汤药，反而服用疮科流气饮及败毒散，三年后肿块大如倒扣的碗，坚硬如石，出水但不溃破，最终也死亡。大抵郁闷则脾气受阻，肝气逆乱，则形成隐核，不痛不痒，人们往往忽视它，最难治疗。如果一旦有此症状，宜戒除七情过激，远离浓味食物，解郁结，再用补养气血的药物来治疗，或许可以保全性命，否则无法救治。也有一两年，或五六年才溃破下陷的，都称为乳岩，因为其形状像岩石凸起似岩穴一样，毒性最烈，需谨慎对待，仅能保住十分之一二。
又一位妇人乳房肿胀但不化脓，用益气养荣汤加香附、青皮，数剂后脓成。针刺排脓，十天痊愈。
又一位妇人右侧乳房肿胀，发热，倦怠嗜卧，气短无力，夜间发热也很严重，用补中益气汤配合逍遥散治疗，痊愈。
一名男子左侧乳房肿胀坚硬，疼痛剧烈，用仙方活命饮，两剂后疼痛停止。再用十宣散加青皮，四剂后脓成，针刺后痊愈。
如果脓已成但未破，疮头有薄皮剥起者，用代针的药物，点起皮处，用膏药覆盖，脓也会自然流出，不如及时针刺，不至于造成大面积溃烂。如果排出不利，再加搜脓化毒的药物。如果脓血未尽，就急于使用生肌的药物，反而会助长邪气，即使伤口早合，必定复发，不可不慎。
一名男子年过五十，担忧儿子不成器，左侧乳房肿痛，左胁胀肿，肝脉弦数而涩。先用龙荟丸两服，诸症皆退。再用小柴胡汤合四物汤，加青皮、贝母、远志，数剂后脓成。想要针刺，仍以补养气血、解郁结为主。他不听从，反而杂用流气败毒的药物，导致便秘，发热口渴。再次请治，我说脓成不溃，是因为阳气虚不能鼓舞；便秘发热，是因为阴血枯竭不能濡润。推辞不治，果然死亡。
一名男子因愤怒，左侧乳房肿痛，肝脉弦数，用复元通气散，两服后稍好。再用小柴胡汤加青皮、川芎、当归，数剂后消散。复元通气散：木香、茴香、青皮、穿山甲片、陈皮、白芷、甘草、漏芦、贝母，各等分。每服三钱，温酒调下。
孙文垣的侄媳妇，素有痰涎，胸膈痞胀，近日因乳房肿大，发寒热，欲成痈，用加味神效栝蒌散，两帖后寒热退而肿不消。用贝母、白芷为臣药，栝蒌为君药，赤芍、当归、连翘为佐药，青皮、甘草、柴胡为使药，痛稍减，肿仍不消。诊脉近数，知道已成脓，给予内托十宣散加金银花、地丁草，两帖后脓溃。因为脚上生疮，且有浮肿，前方去掉地丁、金银花，加薏苡仁、苍耳子，调理全安。
薛立斋治疗王汝道的妻子，年过三十，每次发怒后乳房内作痛，或肿胀，这是肝火所致。用小柴胡汤合四物汤，加青皮、桔梗、香附、枳壳而愈。她想绝去病根，自服流气饮，遂导致早晨怕冷晚上发热，更加肿毒，这是气血被损伤的缘故。给予八珍汤三十多剂，庆幸她年轻，元气容易恢复，痊愈。
一位妇人乳房内肿一块，如鸡蛋大，劳累则作痛，久而不消，服用托里药无效，这是乳劳症，属于肝经血少所致。先给神效栝蒌散四剂，再隔蒜灸之，肿稍退。再给八珍汤，倍加香附、夏枯草、地丁草，仍间服前散，月余后消散。也有乳疽一症，其状肿硬麻木闷痛，虽破而不溃，肿也不消，尤其应当急服此散，及隔蒜灸之。此症气血为七情所伤，也是劳症，宜戒恼怒，节饮食，慎起居，否则不治。
一位妇人患乳痈，气血颇实，但疮口不合，百治不应。给神效栝蒌散，四剂后稍可。再给数剂，及豆豉饼灸之而愈。一位妇人患此症未溃，也给前药，三剂后消散。陈良甫说：妇人乳劳，便服此药，可杜绝病根。毒已成，能化脓为水；未成的，则从大小便散之。
一人抱病小愈，左侧乳房又生痈，继而又在胸膈间出现结核，其坚如石，拖延半年，百药不能施治。后来牵掣到肩部，疼痛特别剧烈。向张王祠祈祷，梦中神灵说：只要用生姜自然汁制香附服用即可。醒来后，查阅本草，发现这两种药对症相符。访求医者张禄，也说有理。香附去毛，姜汁浸泡一夜，研为末，二钱，米饮调服。才数服，疮脓流出，肿硬渐消而愈。（《槎庵小乘》）
朱丹溪治疗一位妇人，年六十，喜食浓味且气郁，形体壮实多妒，夏天无汗且性急，忽然左侧乳房结一小核，大如棋子，不痛，自觉神思不佳，不知食味。经过半个月，用人参汤调青皮、甘草末，入生姜汁，细细呷服，一日夜五六次，至五七日消散。这是及乳岩之初，不早治，隐匿至五年十年以后发作，不痛不痒，必于乳下溃一窍，如岩穴出脓。或者五七年十年，虽然饮食如故，洞见五脏六腑，乃死。只有不得于丈夫的人才有此病，妇人以夫为天，失于所天，乃能生此。称之为岩，是因为它像洞穴一样凹凸空洞，而外无所见，故名曰岩。患此病者，必经久淹延。只有这位妇人治之早，消患于未形，其余皆死，共十余人。又治疗一位初嫁的妇人，只给青皮、甘草，安好。
一位孺人月经将行时乳房肿胀，前两日，发口干而不渴，食量减少，脉左弦带数，右却平。治用四物汤加陈皮、白术、茯苓，带热下与点丸三十粒。
又一位孺人，平时乳房内有结核，不痛，忽然乳房边又有一肿核，颇觉有些痛。黄芩、川芎、木通、陈皮各四钱，人参二钱，白芍一钱，大腹皮三钱，炙甘草、生甘草各一钱，当归头一钱，分二帖煎服。
黄孺人乳房肿痛，青皮、石膏、连翘、皂角刺、黄药子、当归头、木通各一钱，生甘草三分，入好酒少许，同煎饮，又别药洗肿处。
李东垣治疗一位妇人，乳间出黑头疮，疮顶陷下，作黑眼子。其脉弦洪，按之细小。升麻、连翘、葛根各一钱半，肉桂三分，黄芩、归身、甘草炙各一钱，牛蒡五分，黄柏二钱，水煎至一盏，两服痊愈。
薛立斋治疗一位妇人，患乳痈，寒热头痛，给荆防败毒散一剂，更给蒲公英一握，捣烂，入酒二三盏，再捣取汁热服，渣热涂患处而消。丹溪说：此草散热毒，消肿核，又散滞气，解金石毒之圣药。
陈良甫说：开庆年间，淦川嘉林曾都运恭人，年已五十，而病奶痈，后果不起。又癸亥年，我家中五羊赵经略夫人，年七十一岁，隔一二年，前左乳房上有一块，如鹅卵大，今忽然作楚，召予议药。我说：据孙真人云，妇人年五十以上，乳房不宜见痈，见则不可以治矣，幸而未破，恐是气瘤。漫以五香连翘汤去大黄煎服，服后稍减则已。过六七年后，每遇再肿胀时，再合服，必消减矣。
薛立斋说：一位妇人乳房内结核，年余不消，口干倦怠，脉涩少食，这是肝脾二经血气亏损之症，宜培养为主。乃用草药数帖，遂不救。
缪仲淳治疗顾文学的妾室，患左侧乳岩，用夏枯草、蒲公英为君药，银花、漏芦为臣药，贝母、桑叶、甘菊、雄鼠粪、连翘、白芷、紫花地丁、山茨菰、炙草、栝蒌、茜根、陈皮、乳香、没药为佐使药，另用夏枯草煎浓汁丸之，服斤许而消。三年后，右侧乳房又患，用旧存余药服之亦消。后用此方治数人都有效。（《广笔记》）
马铭鞠治疗沈氏妇，患乳痈，溃烂经年，不见脏腑者一膜耳。用鼠粪土、楝树子、（经霜者佳，川楝不用。）露蜂房各三钱，俱煅存性，各取净末和匀。每服三钱，酒下，间两日一服，痛即止，不数日脓尽收敛。此方传自江西贩糖客，因治祝氏喉症得之。（《广笔记》）
张王屋记录后江孟修兄长验证过的乳癖方：白芷一钱，雄鼠粪一钱，二种晒干为末，用好酒调服，饮取一醺睡而愈。（雄鼠粪尖者是。）又一神验方：用活鲫鱼一个，山药一段如鱼长，同捣汁，敷乳上，以纸盖之立愈。（《广笔记》）
薛立斋治疗一位妇人，乳痈愈后发热，服养气血药无效，给八珍汤加炮姜，四剂后热止。仍以前汤加黄芪、香附，三十多剂，血气平复。
薛立斋治疗一位妇人，年过二十，禀赋弱，乳房内作痛，头疼脉浮，给人参败毒散倍加人参，一剂后表症悉退。但饮食少思，日晡微热，更以小柴胡汤合六君子汤两剂，热退食进。方以托里药加柴胡，十余剂，针出脓而愈。又一位妇人患此症，脓成畏针，病势渐盛，乃强针之，脓出三碗许，脉数发渴，以大补药三十多帖而愈。丹溪说：乳房为阳明所经，乳头为厥阴所属。厥阴者肝也，乃女子致命之地，宗筋之所，且各有囊橐。其始肿胀虽盛，患止于一二囊，若脓成不针，攻溃诸囊矣。壮者犹可，弱者多致不救，所以必针而后愈也。
钱国宾治疗一位妇人，年五十六岁，左侧乳房患痈已七年，烂过半矣，中间一孔如桃，时流血水。凡贴膏药，痛反增剧，以布圈系护，防其摩擦。夫乳头属足厥阴肝，乳房属足阳明胃，乃肝胃二经之症，非单方不足以治其外，非峻补不足以养其内。以形色气味治之，用陈香橼一个，其穣之瓣，如乳内之房，其色先青而后黄，青属肝，黄属胃，其味先酸而后甘，酸属肝，甘属胃，其气香，能通肝胃之气，黑止血，酒服和经，此治其乳也。制一枚为末，作二次服。又用酒炒黄芪二两，益气实表；土炒白术二两，山药五两，健脾收湿；川芎、当归、地黄、白芍各一钱，养血。水六碗，煎三碗，作四次服，调至一月痊愈。（论药入微，可为格物之法。）
王洪绪说：凡乳岩初起，或乳中，或乳旁，生一小块，不痛不痒，皮色不变，与瘰疬恶核相似，是乃阴寒结痰，总因悲哀忧愁患难惊恐所致。初起以犀黄丸，每服三钱，酒送下，十服即愈。或以阳和汤加土贝母五钱煎服，数日可消。倘以膏药敷贴，必致日渐肿大，内作一抽之痛，便觉难治。若迟至皮色变异，尤难挽回。勉以阳和汤与犀黄丸，早晚轮服。服至自溃而痛者，用大蟾多只，每日早晚取蟾破腹连杂，以蟾身刺孔，贴患处，内服《千金》托里散，（人参、防风、黄芪、官桂、白芷、厚朴、川芎、桔梗、甘草。）三五日后，接服犀黄丸，可救十中三四。溃后不痛而痒极者，无一挽回。大忌开刀，开则翻花，最惨，万无一生。男女皆有此症。
王洪绪治疗一位妇人，乳房患白疽，寒热痛甚，给以阳和丸同二陈汤煎服，得睡痛息，三服全愈。又一位妇人患相同，服夏枯草、花粉、连翘、苏叶等药五剂，号痛不绝。王说：向患白色，今变红色，难以全消矣。投以前药，痛止能睡，根盘收小。连进数剂，不痛而溃，贴阳和膏收功。阳和丸方：肉桂一两，麻黄五钱，炮姜炭五钱，水泛为丸。
一位妇人两乳皆患乳岩，两载如桂圆大。因子死悲哀，忽发如杯，以五通丸、犀黄丸，早晚轮服，九日全消。五通丸方：广木香、麻黄、没药去油、乳香去油、五灵脂等分，研末，饭捣为丸，梧子大。每服五钱，用川芎、当归、赤芍、连翘、甘草，煎汤送下。凡大痈生要紧穴道，将发大时，服此丸甚效。与三黄丸间服尤妙。三黄丸：熟大黄二两，乳香、没药各一两，麝香一钱五分，西牛黄三分，雄黄五钱。以熟大黄浸，捣烂，将各末和入，捣丸如梧子大，每服五钱。
一名男子患乳岩，贴鲫鱼膏两日，发大如拳，色红。王令揭去膏药，给阳和汤四剂，色仍红。以阳和汤、犀黄丸轮服，至十六日，四围皆消。独患顶溃，用蟾拔毒三日，半月收功。
Xue Lizhai treated a woman whose breasts swelled due to anger, accompanied by headache, aversion to cold, and fever. This is a syndrome of Qi stagnation in the Liver meridian. Two doses of Renshen Baidu San (Ginseng Decoction for Rescuing from Toxicity) were administered, and the exterior symptoms subsided. Subsequently, Xiaochaihu Tang (Minor Bupleurum Decoction) was modified with Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Aurantii Fructus Immaturus (Zhike), and Platycodonis Radix (Jiegeng). After four doses, she recovered.
Another woman suffered left breast pain and chest diaphragm discomfort after anger, attributed to Liver-Spleen Qi stagnation. Fangmai Liqi Yin (Fangmai Flowing-Qi Decoction) was used with added Xiangmu (Costus Root) and Qingpi (Aurantii Fructus Pericarpium Viridis). She stabilized after four doses.
A third woman had long-term depression, resulting in a knot in the left breast the size of an apricot kernel that did not resolve for three months. Her Heart pulse was choppy, and her Spleen pulse was large but empty upon pressure, indicating Liver-Spleen Qi and Blood deficiency. Bazhen Tang (Eight-Treasure Decoction) was modified with Fritillariae Bulbus (Beimu), Polygalae Radix (Yuanzhi), Cyperi Rhizoma (Xiangfu), Bupleuri Radix (Chaihu), Qingpi, and Jiegeng. After more than fifty doses, the knot dissipated.
Yet another woman had a breast knot for over a year, with afternoon fever and poor appetite, indicating Qi and Blood insufficiency. Yiqi Yangrong Tang (Qi-Nourishing and Blood-Enriching Decoction) was intended, but she instead took Qi-moving agents. The abscess ruptured, discharging clear pus, leading to her death. Another woman had a breast knot the size of a chestnut; taking similar Qi-moving drugs caused the mass to enlarge like an inverted bowl, becoming hard as stone, discharging bloody fluid, and resulting in death. Guoshi’s relative, a released palace maid, had a chestnut-sized breast knot. Rejecting the nourishing decoction, she took Chuangke Liqi Yin (Surgical Flowing-Qi Decoction) and Baidu San. Three years later, the mass grew large and hard, discharging water without ulcerating, and she died. Generally, depression obstructs Spleen Qi and causes Liver Qi to rebel, forming hidden knots that are painless and itchless, often ignored, making them difficult to treat. Upon such symptoms, one should regulate emotions, avoid rich foods, resolve stagnation, and use Qi-Blood tonics to preserve life; otherwise, it is incurable. Some may take one or two years, or even five to six years, to ulcerate and sink. These are called Ru Yan (Breast Rock/Cancer) because their shape resembles rocky caves. They are highly toxic; caution is advised, with only one or two in ten surviving.
A woman with breast swelling but no suppuration was treated with Yiqi Yangrong Tang plus Xiangfu and Qingpi. Pus formed after several doses. Needling drained the pus, and she healed in ten days.
Another woman had right breast swelling, fever, lethargy, weakness, and severe night fever. Buzhong Yiqi Tang (Middle-Warmer-Boosting Qi-Rescuing Decoction) combined with Xiaoyao San (Free Wanderer Powder) cured her.
A man with painful, hard left breast swelling was treated with Xianfang Huoming Yin (Immortal Formula for Preserving Life). Pain ceased after two doses. Shixuan San (Ten-Auspicious Powder) with Qingpi resolved the condition after four doses, followed by needling.
If pus has formed but not ruptured, and a thin skin peels at the sore head, use Daizhen agents (Needle-replacing agents) to puncture the skin, cover with plaster, and allow natural drainage. Timely needling prevents extensive ulceration. If drainage is poor, add drugs that search for pus and transform toxins. Using Shengji agents (Flesh-generating agents) before pus and blood are fully discharged aids pathogenic factors and causes recurrence even if the wound closes early. Caution is essential.
A man over fifty, worried about his son, had left breast and hypochondriac swelling with a wiry, rapid, and choppy Liver pulse. Longhui Wan (Dragon Gallbladder Pill) reduced symptoms. Xiaochaihu Tang combined with Siwu Tang (Four-Material Decoction) with Qingpi, Beimu, and Yuanzhi produced pus. He refused nourishing and resolving-stagnation treatment, taking mixed Liqi and Baidu agents instead, causing constipation, fever, and thirst. I declined treatment, predicting death due to Yang deficiency preventing pus eruption and Yin-Blood exhaustion causing dryness. He indeed died.
A man with angry-induced left breast swelling and wiry-rapid Liver pulse improved with Fuyuan Tongqi San (Restoring Original Unblocking-Qi Powder) in two doses. Xiaochaihu Tang with Qingpi, Chuanxiong, and Danggui resolved it in several doses. Fuyuan Tongqi San consists of Muxiang (Aucklandiae Radix), Huixiang (Foeniculi Fructus), Qingpi, Shanjiapian (Pangolin Squama), Chenpi (Citri Reticulatae Pericarpium), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix), Loulu (Cynanchi Atrati Radix), and Beimu, equal parts. Take 3 qian, mixed with warm wine.
Sun Wen yuan’s niece-in-law had phlegm-dampness, chest fullness, and recent breast swelling with chills and fever, impending carbuncle. Jiawei Shenxiao Gualou San (Modified Divine Efficacy Trichosanthes Powder) resolved chills/fever but not swelling. Beimu and Baizhi served as Deputy herbs, Gualou (Trichosanthis Radix) as Chief, Chishao (Paeoniae Radix Rubra), Danggui, and Lianqiao (Forsythiae Fructus) as Assistant, Qingpi, Gancao, and Chaihu as Envoy. Pain decreased slightly, but swelling persisted. Pulse indicated pus formation. Neituo Shixuan San (Internal Support Ten-Auspicious Powder) with Yinhua (Lonicerae Japonicae Flos) and Didingcao (Violaris Herba) drained pus in two doses. Due to foot sores and edema, Didingcao and Yinhua were removed, adding Yiyiren (Coicis Semen) and Cang'erzi (Xanthii Fructus) for recovery.
Xue Lizhai treated Wang Rudao’s wife, over thirty, who had post-anger breast pain/swelling due to Liver Fire. Xiaochaihu Tang combined with Siwu Tang plus Qingpi, Jiegeng, Xiangfu, and Zhike cured her. Self-medicating with Liqi Yin caused morning chills/evening fevers and worsened swelling due to Qi-Blood damage. Bazhen Tang for over thirty doses cured her, aided by her youth and easy Qi recovery.
A woman had a chicken-egg-sized breast lump painful on exertion, unresponsive to internal support drugs, diagnosed as Ru Lao (Breast Labor/Chronic Breast Abscess) due to Liver Blood deficiency. Shenxiao Gualou San for four doses, followed by Garlic-separated moxibustion, reduced swelling. Bazhen Tang with increased Xiangfu, Xiakucao (Prunellae Spica), and Didingcao, alternating with the previous powder, resolved it in a month. Ru Ju (Breast Carbuncle) presents with hard, numb swelling that does not resolve even after rupture. Urgent use of this powder and garlic-separated moxibustion is required. Caused by Seven Emotions damaging Qi-Blood, it is also a Labor syndrome. Regulate emotions, diet, and rest; otherwise, incurable.
A woman with Ru Yong (Breast Abscess) and strong Qi-Blood had non-healing wounds. Shenxiao Gualou San helped. Fermented Soybean cake moxibustion completed the cure. Another woman with unruptured symptoms healed in three doses with the same formula. Chen Liangfu stated: Regular use of this drug for women’s Ru Lao prevents root causes. It transforms existing pus into fluid or disperses unformed toxin via urine/stool.
A man recovering from illness developed a left breast abscess, followed by rock-hard chest nodules persisting for half a year. Pain radiated to the shoulder. Dream oracle suggested using Ginger Juice processed Xiangfu. Verified against Materia Medica and Dr. Zhang Lu, it was effective. Xiangfu soaked overnight in ginger juice, powdered, taken 2 qian with rice drink. Pus flowed, swelling subsided, and he healed. (Cha’an Xiao Cheng)
Zhu Danxi treated a sixty-year-old woman, fond of rich food, Qi-stagnated, robust, jealous, sweating-less in summer, and irritable. A chess-piece-sized, painless left breast knot appeared, with poor spirit and taste perception. After half a month, Ren Shen Tang (Ginseng Decoction) adjusted with Qingpi and Gancao powder, plus ginger juice, sipped frequently, resolved it in five to seven days. This was early Ru Yan. Untreated, it hides for 5-10 years, becoming painless/itchless, ulcerating below the breast like a cave. Or, after 5-10 years with normal diet, internal organs become visible before death. Common in women estranged from husbands, as husband is heaven; losing him generates this. Named "Rock" for its hollow, cave-like appearance. Prolonged course. Early treatment prevented death in this case; others died. Treated a newlywed woman with just Qingpi and Gancao, who recovered.
A lady had breast swelling before menstruation, dry mouth/thirstlessness, reduced appetite, wiry-rapid left pulse, flat right pulse. Siwu Tang with Chenpi, Baizhu, and Fuling, taken hot with Dian Wan (Point Pill), 30 pills.
Another lady had pre-existing painless breast knots, suddenly developing a painful side lump. Huangqin (Scutellariae Radix), Chuanxiong, Mutong (Akebiae Caulis), Chenpi each 4 qian, Renshen 2 qian, Baishao (Paeoniae Radix Alba) 1 qian, Dafupi (Arecae Pericarpium) 3 qian, Zhi Gancao (Prepared Licorice) and Sheng Gancao (Raw Licorice) 1 qian each, Danggui Tou (Angelica Head) 1 qian. Two doses.
Huang Lady had painful breast swelling. Qingpi, Shigao (Gypsum Fibrosum), Lianqiao, Jiaoci (Gleditsiae Spina), Huangyaozi (Dioscorea bulbifera), Danggui Tou, Mutong each 1 qian, Sheng Gancao 0.3 qian, with good wine, decocted and drunk. External wash applied.
Li Dongyuan treated a woman with black-headed sores on breasts, sunken centers. Wiry-huge pulse, fine upon pressure. Shengma (Cimicifugae Rhizoma), Lianqiao, Gegen (Puerariae Radix) each 1.5 qian, Rougui (Cinnamomi Cortex) 0.3 qian, Huangqin, Dangshen (Angelica Body), Zhi Gancao each 1 qian, Niubangzi (Arctii Fructus) 0.5 qian, Huangbai (Phellodendri Cortex) 2 qian. Decocted to one cup, two doses cured.
Xue Lizhai treated a woman with Ru Yong, chills, fever, headache. Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction for Rescuing from Toxicity) one dose. Fresh Pugongying (Taraxaci Herba) pounded with wine, drunk hot, residue applied hot externally. Cured. Danxi noted: Pugongying clears heat-toxin, reduces swelling/nodules, moves stagnant Qi, resolves mineral poison.
Chen Liangfu recalled: During Kaiqing era, Gongren of Gan Chuan aged fifty died of breast abscess. In Guihai year, Madam Zhao of Wuyang aged seventy-one had a goose-egg-sized lump on left breast appearing every 1-2 years, suddenly painful. I advised: Sun Simiao said women over fifty should not get breast abscesses; if they do, they are incurable. Fortunately unruptured, likely Qi tumor. Prescribed Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction) minus Dahuang (Rhei Radix et Rhizoma). Reduced slightly. Repeat during future swellings to reduce.
Xue Lizhai stated: A woman with year-long unresolving breast knot, dry mouth, fatigue, choppy pulse, poor appetite, indicates Liver-Spleen Qi-Blood deficiency. Nourishment is primary. Using herbal teas failed, leading to death.
Miao Zhongchun treated Gu Wenxue’s concubine with left Ru Yan. Xiakucao and Pugongying as Chief; Yinhua and Loulu as Deputy; Beimu, Sangye (Mori Folium), Ganju (Chrysanthemi Flos), Xiongshufen (Male Rat Feces), Lianqiao, Baizhi, Zihua Didingcao (Violaris Herba), Shanzicou (Colchici Cormus), Zhi Cao (Licorice), Gualou, Qian Gen (Rubiae Radix), Chenpi, Rushan (Olibanum), Moyao (Myrrha) as Assistants/Envoy. Xiakucao decoction pills taken in large amounts dissolved the mass. Recurrence on right breast three years later resolved with remaining medicine. Effective for others. (Guang Biji)
Ma Mingju treated Mrs. Shen with chronic ulcerated breast abscess, covered only by a membrane. Shufen Tu (Mouse Dung Earth), Lian Shu Zi (Melia Toosendan Fructus - frost-exposed preferred, not Chuanlian), and Lubifengfang (Vespa Nidus) each 3 qian, calcined, powdered, mixed. 3 qian with wine, every two days. Pain stopped, pus cleared, wound closed in days. From Jiangxi sugar merchant treating throat disease. (Guang Biji)
Zhang Wangwu recorded verified formula for Ruping (Breast Lump): Baizhi 1 qian, Xiongshufen 1 qian. Dry, powder, mix with good wine. Sleep off to heal. (Sharp-pointed rat dung is best.) Another miracle formula: Live crucian carp and yam (same length as fish) pounded to juice, applied to breast, covered with paper. Immediate cure. (Guang Biji)
Xue treated a woman with post-Ru Yong fever unresponsive to Qi-Blood tonics. Bazhen Tang with Paojiang (Prepared Ginger) stopped fever in four doses. Continued with Huangqi (Astragali Radix) and Xiangfu for thirty doses restored balance.
Xue Lizhai treated a woman under twenty, weak constitution, breast pain, headache, floating pulse. Renshen Baidu San with extra Renshen resolved exterior symptoms in one dose. Poor appetite, afternoon low-grade fever continued. Xiaochaihu Tang combined with Liujunzi Tang (Six-Gentlemen Decoction) for two doses resolved fever/appetite. Internal support with Chaihu for ten doses drained pus and cured. Another woman feared needling despite pus formation, worsening condition. Forced needling drained three bowls of pus, rapid pulse/thirst. Large tonics for thirty doses cured. Danxi noted: Breasts belong to Yangming, nipples to Jueyin (Liver). Liver is vital for women, source of sinews, with sacs. Initial swelling affects few sacs; unneedled pus ruptures all sacs. Robust survive, weak die. Needling is essential.
Qian Guobin treated a fifty-six-year-old woman with seven-year left breast abscess, half ulcerated, peach-sized hole bleeding fluid. Plasters increased pain; cloth ring protected from friction. Nipple belongs to Foot Jueyin Liver, breast to Foot Yangming Stomach. External single herb insufficient; strong internal tonics necessary. Based on form/color/taste: Chen Xiangyuan (Citron) pulp resembles breast lobes, color green-yellow (Green=Liver, Yellow=Stomach), taste sour-sweet (Sour=Liver, Sweet=Stomach), fragrant to move Liver-Stomach Qi, black stops bleeding, wine harmonizes meridians. One citron powdered, taken twice. Also: Wine-fried Huangqi 2 liang boosts Qi/Wei; Earth-fried Baizhu 2 liang, Yam 5 liang strengthens Spleen/dries dampness; Chuanxiong, Danggui, Dihuang, Baishao 1 qian each nourish Blood. Six bowls water, boil to three, four doses. Recovered in one month. (Detailed analysis exemplifies Gewu method.)
Wang Hongxu stated: Early Ru Yan appears as painless, itchless, skin-colored lump in/breast, resembling Luoli (Scrofula) or Enhe (Malignant Knot). Caused by Yin-Cold phlegm condensation from grief/worry/hardship/fear. Start with Xihuang Wan (Rhino Horn Pill), 3 qian with wine, ten doses cure. Or Yanghe Tang (Yang-Warming Decoction) with Tubei Mu 5 qian, resolves in days. Plasters cause daily swelling and tearing pain, hard to treat. Skin color change makes it harder. Alternate Yanghe Tang and Xihuang Wan. If self-ulcerates with pain, use many Toads: open belly, stick body with holes onto sore, internally take Qianjin Tuoli San (Thousand Years Internal Support Powder: Renshen, Fangfeng, Huangqi, Guigui, Baizhi, Houpo, Chuanxiong, Jiegeng, Gancao). After 3-5 days, resume Xihuang Wan. Saves 3-4 in 10. Post-ulcer itching without pain is incurable. Surgery forbidden; causes flower-like eversion, fatal. Both sexes affected.
Wang Hongxu treated woman with Bai Ju (White Carbuncle), severe chills/fever/pain. Yanghe Wan with Erchen Tang cured in three doses. Another with similar symptoms took Xiakucao, Huafen, Lianqiao, Sueye for five doses, continuous screaming pain. Wang noted color change from white to red, hard to fully resolve. Previous meds stopped pain/sleep, reduced base. Continued until painless ulceration, Yanghe plaster finished cure. Yanghe Wan: Rougui 1 liang, Mahuang 5 qian, Paojiang Tan 5 qian, water pills.
Woman with bilateral Ru Yan, chestnut-sized for two years. Grief over son’s death caused sudden cup-sized outbreak. Wutong Wan and Xihuang Wan alternated morning/evening, resolved in nine days. Wutong Wan: Guangmuxiang, Mahuang, Moyao (defatted), Rushan (defatted), Wulingzhi equal parts, powder, rice paste pills, wuizi size. 5 qian with Chuanxiong, Danggui, Chishao, Lianqiao, Gancao decoction. Effective for major abscesses at critical points before bursting. Alternating with Sanhuang Wan is excellent. Sanhuang Wan: Shu Dahuang 2 liang, Rushan/Moyao 1 liang each, Shexiang 1.5 qian, Xininiu Huang 0.3 qian, Xionghuang 5 qian. Soak Dahuang, pound, mix powders, pill wuizi size. 5 qian per dose.
Man with Ru Yan applied Crucian Carp Plaster for two days, swollen fist-sized, red. Wang ordered removal, Yanghe Tang four doses, still red. Alternated Yanghe Tang and Xihuang Wan. By day sixteen, surrounding area cleared. Top ulcerated. Toad detoxification for three days, healed in half month.