其候但是吐下乳来有酸臭气，因啼叫未已，遽与乳吃，停滞不化而得。茅先生
先用丁香散（吐泻）调胃，后下牛黄丸取下奶积，后下匀气散（不乳食），常服健脾散（不乳食）即愈。
《圣惠》乳癖之候，面色青黄，发歇壮热，吐乳多睡，口内生疮，渐渐黄瘦，腹内结
块不散，由乳母食饮无常，醉饱过度，便即乳儿，或乳母偏卧一向，乳儿不能回转，
儿亦睡着，乳滞偏于胁下，因兹结聚成块而痛者是也。
《圣惠》京三棱散 治乳癖结实，或有滞恶停积不化，令儿日渐羸瘦，面色痿黄，春
夏多发，不欲乳食。
京三棱 川大黄（微炒） 槟榔 鳖甲 赤茯苓（各半两） 枳壳（麸炒微黄，二钱半）
上捣罗为散。每服一钱，水一小盏，煎至五分，去滓，分为二服，日三四服。
逐下恶物为度。
〔张涣〕三棱散 治小儿乳癖结实不瘥。
京三棱（炮，锉） 赤茯苓 当归（洗，焙干） 鳖甲（醋炙黄，去裙。各一两） 枳壳（麸炒，去穣） 木香 白
术（各半两）
上捣罗细末。每服一钱，水一盏，入生姜七片，煎至五分，去滓放温，时时与服。
《圣惠》化癖丸 治乳癖结块，久不消化，诸药无效。
巴豆霜（半两） 腻粉 朱砂（各一钱，研） 黄鹰粪（二钱半） 砂 雄雀粪（各一字）
上件都研如粉，用糯米饭和丸，如黍米大。一岁儿每服空心煎皂荚仁汤下二丸。
取下恶物为度。
丁香化癖散（丹溪） 治乳癖。
白丁香 密陀僧 硫黄（以上各二钱） 砂（五分） 轻粉（少许）
上研细末。每一岁儿服五分，男病，女乳调，女病，男乳调。出下黑粪为度，后用通膈丸泄之。
二丁丸（见疳门疳热条。）
青礞石丸 治证同前。
硫黄（三钱） 青礞石 五灵脂 锅底黑（各一钱半） 白丁香（一钱，去土）
为末。米饭丸绿豆大，捻饼子。每服二十饼，温水下。
《玉诀》银白散 生胃气，取下后宜服此方。
人参 茯苓 甘草（炙） 白术（麦面炒） 白扁豆（去皮） 藿香叶
上各等分，末，一钱，紫苏汤调下。
〔张氏〕治小儿奶癖方
用芫花（一两，醋浸，三日，净洗） 大黄（半两）
为末，入蒜一斤，同药末研烂匀，男左女右，
用药涂在乳母手心，熨擦癖上。如闻得患人口中出药气，实时取了，立效。
《董氏家传》治小儿奶癖极效方
紫河车（二两） 寒食面（三两）
上同为细末。每用一匙许，水调涂足心，病在左涂左，病在右涂右，涂于红帛
上缚之。良久，其病大便中下去，救人多矣，大便尽洗去。
《孔氏家传》治小儿奶癖方
上，用密陀僧不拘多少，研极细，以大蒜自然汁调稠稀得所，涂于有奶脾处，
据其大小周遍，又不可涂之太过，须臾，候儿口中有蒜气息，即是药透，子细以
手揉之，觉奶脾似消及五六分，即用温浆水洗去，切须量度，不可令消尽，恐药
毒损气也，如未消，药先干，即以温水润之。
《谭氏殊圣》治月里孩儿奶癖方
紫河车（草） 人参（各等分）
上为末，用好醋调，拍成饼子，如大钱大。如左畔有癖者，药贴左畔脚心，用
绯帛扎，干后见效，左右一般使药。
其症状表现为呕吐或排泄出的乳汁带有酸臭气味，这是因为婴儿啼哭不止时，立即给予哺乳，导致乳汁停滞无法消化而致病。茅先生先用丁香散（用于吐泻）调理胃气，随后服用牛黄丸以排出奶积，接着服用匀气散（用于不乳食），并长期服用健脾散（用于不乳食），病即痊愈。
《圣惠方》中关于乳癖的症状描述：面色青黄，发热呈间歇性且热度较高，呕吐乳汁且嗜睡，口腔内生疮，逐渐变得面黄肌瘦，腹部有结块不散。这是由于乳母饮食无规律，醉酒饱食后立即给婴儿哺乳，或者乳母侧卧姿势固定不变，导致婴儿无法翻身，婴儿睡着后乳汁滞留偏于胁下，因此结聚成块并产生疼痛。
《圣惠方》京三棱散：治疗乳癖结实，或有恶滞停积不化，致使婴儿日渐消瘦，面色萎黄，春夏季多发，食欲不振。
药材：京三棱、川大黄（微炒）、槟榔、鳖甲、赤茯苓（各半两）、枳壳（麸炒至微黄，二钱半）。
制法与用法：将上述药材捣碎过筛为散剂。每次服用一钱，加水一小盏，煎至五分，去渣，分两次服用，每日三四次。以排出体内恶物为度。
〔张涣〕三棱散：治疗小儿乳癖结实久治不愈。
药材：京三棱（炮制，锉碎）、赤茯苓、当归（洗净，焙干）、鳖甲（醋炙至黄，去裙边）、枳壳（麸炒，去瓤）、木香、白术（各半两）。
制法与用法：将上述药材捣碎过筛为细末。每次服用一钱，加水一盏，放入生姜七片，煎至五分，去渣放温，不时少量喂服。
《圣惠方》化癖丸：治疗乳癖结块，日久不消化，其他药物无效。
药材：巴豆霜（半两）、腻粉、朱砂（各一钱，研细）、黄鹰粪（二钱半）、砂、雄雀粪（各一字）。
制法与用法：将上述药材都研磨如粉状，用糯米饭和丸，大小如黍米。一岁的婴儿每次空腹时，用煎好的皂荚仁汤送服两丸。以排出恶物为度。
丁香化癖散（出自丹溪）：治疗乳癖。
药材：白丁香、密陀僧、硫黄（以上各二钱）、砂（五分）、轻粉（少许）。
制法与用法：将上述药材研成细末。每岁婴儿服用五分，男患儿用女乳调服，女患儿用男乳调服。以下出黑粪为度，之后再用通膈丸泄之。
青礞石丸：主治证候同上。
药材：硫黄（三钱）、青礞石、五灵脂、锅底黑（各一钱半）、白丁香（一钱，去土）。
制法与用法：研为细末，用米饭和丸如绿豆大，捏成饼子。每次服用二十个饼，温水送下。
《玉诀》银白散：生胃气，取下（攻下）后宜服此方。
药材：人参、茯苓、甘草（炙）、白术（麦面炒）、白扁豆（去皮）、藿香叶。
制法与用法：上述药材各等分，研为末，每次一钱，用紫苏汤调下。
〔张氏〕治疗小儿奶癖方：
药材：芫花（一两，醋浸三日，洗净）、大黄（半两）。
制法与用法：研为末，加入蒜一斤，同药末一起研烂均匀。男患儿涂在母亲左手心，女患儿涂在母亲右手心，熨擦患处。如果闻到患儿口中传出药气，立即取下，立见效验。
《董氏家传》治疗小儿奶癖极效方：
药材：紫河车（二两）、寒食面（三两）。
制法与用法：共同研为细末。每次取一匙许，用水调匀涂于足心，病在左侧涂左脚，病在右侧涂右脚，涂在红帛上缚扎。良久，病邪随大便排出，救人无数，事后洗净大便残留。
《孔氏家传》治疗小儿奶癖方：
药材：密陀僧（不拘多少）。
制法与用法：研极细，用大蒜自然汁调至稠稀适中，涂在有奶脾（乳癖）处，根据大小周遍涂抹，不可涂得太多。片刻后，待患儿口中有蒜气息，即是药力透入，仔细用手揉搓，感觉奶脾似消散五六分时，即用温浆水洗去。务必衡量分寸，不可令其完全消散，恐药毒损伤正气。如果未消，药先干，即以温水润湿。
《谭氏殊圣》治疗月里孩儿奶癖方：
药材：紫河车（草）、人参（各等分）。
制法与用法：研为末，用好醋调匀，拍成饼子，如大铜钱大。如左侧有癖者，药贴左侧脚心，用绯帛扎紧，干后见效，左右通用此法。
Its symptoms manifest as vomiting or excreting milk with a sour and foul odor. This condition arises because the infant is fed immediately while crying incessantly, causing the milk to stagnate and fail to digest. Master Mao first used Dingxiang San (Clove Powder) [for vomiting and diarrhea] to regulate the stomach qi, followed by Niuhuang Wan (Calculus Bovis Pill) to expel the milk accumulation, then Yunqi San (Harmonizing Qi Powder) [for anorexia], and frequently administered Jianpi San (Spleen-Strengthening Powder) [for anorexia], resulting in recovery.
In *Shenghui Fang* (Prescriptions of the Holy Grace), the manifestations of Ru Pi (Milk Lump) are described as follows: the complexion is greenish-yellow; fever occurs intermittently and is high-grade; there is vomiting of milk and excessive sleepiness; sores appear inside the mouth; the child gradually becomes sallow and emaciated; and lumps form in the abdomen that do not dissipate. This is caused by the nursing mother having irregular eating and drinking habits, feeding the infant immediately after becoming drunk or overly full, or the nursing mother lying on one side for a prolonged period, preventing the infant from turning over. As the infant falls asleep, milk stagnates preferentially in the hypochondrium, accumulating into lumps that cause pain.
Jingsanleng San (Burreed Rhizome Powder) from *Shenghui Fang*: Treats solidified Ru Pi, or stagnant and undigested pathogenic retention, causing the infant to become increasingly emaciated, with a sallow complexion, occurring frequently in spring and summer, accompanied by loss of appetite.
Ingredients: Jingsanleng (Rhizoma Sparganii), Chuan Dahuang (Radix et Rhizoma Rhei, lightly stir-fried), Binglang (Arecae Semen), Biejia (Carapax et Plastrum Testudinis), Chi Fuling (Poria cum Ligno Rubrum, each half liang), Zhike (Fructus Aurantii, bran-stir-fried until slightly yellow, 2.5 qian).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 1 qian per dose, add one small cup of water, decoct until reduced to half a cup, strain, and divide into two doses. Administer three to four times daily. Continue until noxious matter is expelled.
[Zhang Huan's] Sanleng San: Treats persistent solidified Ru Pi in infants.
Ingredients: Jingsanleng (Rhizoma Sparganii, processed and crushed), Chi Fuling (Poria cum Ligno Rubrum), Danggui (Radix Angelicae Sinensis, washed and dried by baking), Biejia (Carapax et Plastrum Testudinis, vinegar-processed until yellow, remove skirt-like edges), Zhike (Fructus Aurantii, bran-stir-fried, remove pith), Muxiang (Radix Aucklandiae), Baizhu (Rhizoma Atractylodis Macrocephalae, each half liang).
Preparation and Administration: Pound and sieve finely into a powder. Take 1 qian per dose, add one cup of water, place seven slices of Shengjiang (Rhizoma Zingiberis Recens), decoct until reduced to half a cup, strain, allow to cool to warm temperature, and administer occasionally in small amounts.
Huapi Wan (Lump-Dissolving Pill) from *Shenghui Fang*: Treats Ru Pi lumps that have persisted for a long time without digestion, when other medicines are ineffective.
Ingredients: Badoushuang (Semini Crotonis Tiglii Frost), Nifen (Calomelas), Zhusha (Cinnabaris, each 1 qian, ground), Huangyingfen (Excrement of Yellow Hawk, 2.5 qian), Sha (Arsenicum Rubrum), Xiongquefen (Excrement of Male Sparrow, each 1 zi).
Preparation and Administration: Grind all ingredients into a fine powder. Mix with glutinous rice paste to form pills the size of millet seeds. For a one-year-old infant, administer two pills on an empty stomach with decocted Gengjia Ren Tang (Stylocereus Sperm Decoction). Continue until noxious matter is expelled.
Dingxiang Huapi San (Clove Lump-Dissolving Powder, attributed to Danxi): Treats Ru Pi.
Ingredients: Bai Dingxiang (Flos Caryophylli Albus), Mituosen (Litharge), Huanghuang (Sulfur, each 2 qian), Sha (Arsenicum Rubrum, 0.5 qian), Qingfen (Sublimated Corrosive Chloride of Mercury, a small amount).
Preparation and Administration: Grind into a fine powder. For every year of age, administer 0.5 qian. If the patient is male, mix with female breast milk; if female, mix with male breast milk. Continue until black stool is passed, then follow up with Tongge Wan (Diaphragm-Unblocking Pill) to purge.
Erding Wan (See Anemia Section, Heat from Anemia Clause).
Qingmengshi Wan (Green Ore Pill): Indications same as above.
Ingredients: Huanghuang (Sulfur, 3 qian), Qingmengshi (Concha Ostrae), Wulingzhi (Faex Trogopterori), Diguohei (Soot from Pot Bottom, each 1.5 qian), Bai Dingxiang (Flos Caryophylli Albus, 1 qian, free of earth).
Preparation and Administration: Grind into powder. Mix with rice paste to form pills the size of mung beans, shaping them into cakes. Take twenty cakes per dose, with warm water.
Yinbai San (Silver White Powder) from *Yujue*: Generates stomach qi; suitable for administration after purgation.
Ingredients: Renshen (Radix Ginseng), Fuling (Poria), Gancao (Radix Glycyrrhizae, honey-fried), Baizhu (Rhizoma Atractylodis Macrocephalae, wheat-flour stir-fried), Baibiandou (Semen Phaseoli Radiati, peeled), Huoxiangye (Herba Pogostemonis Cablin).
Preparation and Administration: Equal parts of the above ingredients, ground into powder. Take 1 qian, mixed with Zisu Tang (Perilla Leaf Decoction).
[Shi Family's] Formula for Treating Infant Milk Lump:
Ingredients: Yuanhua (Flos Genkwa, 1 liang, soaked in vinegar for three days, thoroughly washed), Dahuang (Radix et Rhizoma Rhei, half liang).
Preparation and Administration: Grind into powder. Add one jin of garlic, grind together with the medicinal powder until smooth and uniform. Apply to the palm of the nursing mother's left hand for male infants, right hand for female infants. Press and rub the affected area. If the odor of the medicine is detected in the infant's breath, remove the application immediately; efficacy is instant.
[Dong Family's Inherited] Extremely Effective Formula for Treating Infant Milk Lump:
Ingredients: Ziheche (Placenta Humana, 2 liang), Hanshimian (Cold-Food Bread, 3 liang).
Preparation and Administration: Grind together into a fine powder. Take approximately one spoonful, mix with water, and apply to the sole of the foot. Apply to the left foot if the disease is on the left, and to the right foot if on the right. Bind with red silk cloth. After a while, the pathology will be expelled via the large intestine. This has saved many lives; wash away any residue from the stool afterwards.
[Kong Family's Inherited] Formula for Treating Infant Milk Lump:
Ingredients: Mituosen (Litharge, quantity unspecified).
Preparation and Administration: Grind extremely finely. Mix with natural juice of garlic to a consistency that is neither too thick nor too thin. Apply to the area of the milk lump (Ru Pi). Cover the entire circumference according to its size, but do not apply excessively. After a short while, when the infant exhibits a garlic breath odor, it indicates the medicine has penetrated. Carefully massage with hands until the milk lump appears to have dissipated by five or six tenths. Then wash off with warm grain water. Exercise caution; do not allow complete dissolution, lest the medicinal toxicity damage the vital qi. If the lump has not dissolved but the medicine has dried, moisten it with warm water.
[Tan Family's Shusheng] Formula for Treating Milk Lump in One-Month-Old Infants:
Ingredients: Ziheche (Placenta Humana, herbal grade), Renshen (Radix Ginseng, equal parts).
Preparation and Administration: Grind into powder. Mix with good vinegar to form cakes the size of a large copper coin. If the lump is on the left side, apply the medicine to the sole of the left foot, binding with crimson silk. Efficacy is seen upon drying; the method applies similarly to the right side.