治吹乳。用螃蟹去足,烧灰存性为末,每服二钱,黄酒调下,外以莲须葱白捣烂铺
乳上,用瓦罐盛灰,火熨葱上,蒸出汗即愈。
青皮,栝蒌,橘叶,连翘,桃仁,皂角刺,柴胡,甘草,如破,多加参 ,水煎入酒服。
治乳初肿作寒热。用蒲公英三颗,金银花二两,水酒煎热,服取微汗,睡醒即消,
其渣敷乳上。
乳硬痛。
没药 甘草 当归(各三钱) 水煎,入酒热服。
金银花(二两) 蒲公英(一两) 甘草节(三钱) 没药(二钱) 归尾(六钱) 水酒各三碗,煎
一碗,食后服渣,再煎,绞汁服。
一山居妇人吹乳,用桑树蛀屑,饭捣成膏,贴之。
治乳痈奶劳。
栝蒌(一个,去皮焙) 生甘草(三钱) 乳香(一钱,另研) 当归(酒浸,焙,五钱)
没药(二钱,另研) 用无灰好酒三升,银石器内慢火熬取一升清汁,分作三服饮之。
如乳栗破者,少有生,须用参 归芍大补而解毒,外以丁香末敷之。
瘰 者,先贤名曰丸漏,是由其人阴虚火盛冲击,开冲管束之处,而又过食 炙,
风痰热毒相搏,而结成顽核,郁滞不散,久则内溃而为瘰 。治宜养阴和肝,理脾舒
郁,化痰清利,切勿徒事克伐,以损真元。若夫婴儿产下,因胎毒而即患者,此禀母之
肝胆二经火郁气滞,亦宜平肝滋肾化毒为主,盖瘰 之源,虽由于肝,实根于肾,夫
肝火之有余,乃肾阴之不足,故其本在脏,其末上出颈,腋之间。若浮于脉中,未着于
肌肉,而为脓血者易去也。若反其目而视之,赤脉贯于瞳人。如见一脉,即一岁死,
见一脉半,即岁半死,二脉三脉亦如之。若赤脉未见者,庶可治焉!其始必止发一枚,
次必连生大小十数,缠绕项下,先肿作脓,穿破难干,故名漏项。若在胸旁,或两胁
者,此名马刀,至若其口深黑,内溃精烂,穿透咽喉,饮食不通,目肿舌出,耳出黄脓
者不治,更有无故寒热,身体头项结核如 ,及心胸腹背,皆有坚核而不痛者,此名
为结风气肿也。审其是风是火,或虚或实治之。
瘰 者,手足少阳蕴热结滞所致也。二经多气少血,所以结核坚而不溃,延蔓串
通。若阳明经则气血多而溃矣。即俗名烂 ,惟少阳起者,当从本治,俗医不知,概
以毒药攻之。如负薪救火,为害更甚,元气弱者,反成劳弱矣。
夏枯草,能散结气,而有补养血脉之功,能退寒热,虚者尽可用之。若实者,佐
以行散之药,外施艾灸,亦渐取效。
又结核或在项,或在背,或在身,或在耳后,或在顶门。如肿毒不红不痛不作脓
者,多是痰注气滞不散,不外乎曰痰、曰气、日热三者,久不已,则成瘰 ,宜早治
之。大抵因七情之气郁结,或因饮食之时触犯怒恼,遂成此症。妇人女子,患此最多,
治宜开郁顺气利隔,化痰清肺。然未有不阴虚火旺而有痨瘵根脚者,更宜兼乎补阴乃其
治也。
瘿瘤者,瘿则着于肩项,瘤则随气凝结,戒食浓味,忌妄破决。凡侵大侵长,坚
硬不可移者,名曰石瘿。皮色不变,即名肉瘿,筋脉露结,名曰筋瘿。赤脉交结者,名
曰血瘿。随忧愁消长者,名曰气瘿。五瘿皆不可妄决破,惟胎瘿破而去其脂粉则愈。
一方
治瘰 。
海藻(洗去沙土,晒干) 昆布(揉去土,同上味先研,为末) 何首乌(木臼捣
为末) 皂角刺(炒令黄色) 公蛇蜕(树上或墙上是也,用一条,平地上者是母)
五味为细末,和匀一处,猪头项下刀口肉,烧熟蘸前药末吃,于食后倒患处眠一伏
时,每核灸七壮,口中觉烟气为度,脓尽即安。初生起时,灸曲池,男左女右。
Treatment for acute mastitis (Chui Ru). Remove the legs of a crab, burn it to charcoal while preserving its nature, and grind into fine powder. Take 2 qian per dose, mixed with yellow wine. Externally, crush lotus stamens and scallion whites, apply them on the breast, place a clay pot containing the herbal ash over the scallions, heat it to fumigate until sweat appears, then the disease will be cured.
Qingpi (Green Tangerine Peel), Gualou (Trichosanthes Fruit), Juye (Tangerine Leaf), Lianqiao (Forsythia Fruit), Taoren (Peach Seed), Zaojiaoci (Gleditsia Spine), Chaihu (Bupleurum Root), Gancao (Licorice Root). If the breast is already ulcerated, add more Renshen (Ginseng). Decoct in water, take with wine.
Treatment for initial breast swelling accompanied by chills and fever. Use 3 pieces of Pugongying (Dandelion) and 2 liang of Jinyinhua (Honeysuckle Flower). Decoct with water and wine, heat, and drink to induce slight sweating. The swelling will subside upon waking. Apply the dregs to the breast.
Hard and painful breast. Moyao (Myrrh), Gancao (Licorice Root), Danggui (Angelica Sinensis) (each 3 qian). Decoct in water, add wine, and take hot.
Jinyinhua (Honeysuckle Flower) (2 liang), Pugongying (Dandelion) (1 liang), Gancaojie (Licorice Joint) (3 qian), Moyao (Myrrh) (2 qian), Guiwei (Angelica Sinensis Tail) (6 qian). Decoct each with 3 bowls of water and wine until 1 bowl remains. Take the dregs after meals, then re-decoct the dregs, squeeze out the juice, and drink.
A woman living in the mountains suffered from acute mastitis. Use woodworm debris from mulberry trees, mash with rice into a paste, and apply topically.
Treatment for breast abscess (Ru Yong) and chronic breast inflammation (Nai Lao). Gualou (1 fruit, peel and roast), Sheng Gancao (Raw Licorice Root) (3 qian), Ruxiang (Frankincense) (1 qian, separately ground), Danggui (Angelica Sinensis) (soaked in wine, roasted, 5 qian), Moyao (Myrrh) (2 qian, separately ground). Use 3 sheng of good clear wine without ash residue. Slowly simmer in a silver or ceramic vessel to obtain 1 sheng of clear liquid. Divide into three doses and drink.
If the breast ulcerates like a chestnut with only minimal new tissue growth, use large doses of Renshen (Ginseng), Danggui (Angelica Sinensis), and Baishao (White Peony Root) to greatly tonify and detoxify. Externally, apply Dingxiang (Clove) powder.
Luoli (Scrofula/Cervical Tuberculous Lymphadenitis), known as Wan Lou by ancient sages, is caused by Yin deficiency with hyperactive fire attacking the channels and vessels, combined with excessive consumption of spicy and roasted foods. Wind-phlegm and heat-toxins clash, forming stubborn nodules that stagnate and do not disperse. Over time, they ulcerate internally. Treatment should nourish Yin, harmonize the Liver, regulate the Spleen, relieve depression, resolve phlegm, and clear heat/dampness. Do not merely use purgative methods to damage the True Yuan (Original Qi). In infants born with this condition due to fetal toxins, it stems from maternal Liver and Gallbladder channel fire stagnation and Qi stagnation. Treatment should focus on soothing the Liver, nourishing the Kidney, and resolving toxins. Although Luoli originates in the Liver, its root lies in the Kidney; excess Liver fire is due to insufficient Kidney Yin. Thus, the root is in the Zang organs, while the branch manifests in the neck and axilla. If the lesion floats in the pulse and has not yet reached the muscles or formed pus/blood, it is easy to treat. If observing the eyes reveals red meridians penetrating the pupil: seeing one meridian indicates death within one year; one and a half meridians indicates death within half a year; two or three meridians follow the same pattern. If no red meridians are seen, treatment is possible. Initially, there may be only one nodule, which later multiplies into dozens of varying sizes around the neck, swelling and suppurating, becoming difficult to heal, hence named "Lou Xiang" (Leaking Neck). If located on the side of the chest or hypochondrium, it is called "Ma Dao" (Horse Knife). If the wound is deep and black, internally rotting, penetrating the throat, causing inability to eat, swollen eyes, protruding tongue, and yellow pus from ears, it is incurable. Additionally, unexplained chills and fever with tubercles like millet seeds on the body, head, and neck, along with hard, painless nodules in the chest, abdomen, back, etc., are called "Jie Feng Qi Zhong" (Wind-Qi Swelling). Determine if it is wind or fire, deficiency or excess, and treat accordingly.
Luoli is caused by heat accumulation and stagnation in the Hand-Shaoyang and Foot-Shaoyang meridians. These meridians have abundant Qi but scarce Blood, leading to hard, non-ulcerating tubercles that spread and connect. If it involves the Yangming meridian, abundant Qi and Blood lead to ulceration, commonly known as "Lan Luoli" (Rotting Scrofula). Shaoyang-originating cases must be treated at the root. Quack doctors often use toxic drugs to attack it blindly, akin to carrying firewood to save a fire, causing greater harm; those with weak Yuan Qi may become consumptive and weak.
Xiakucao (Prunella Vulgaris) can dissipate Qi stagnation and nourish blood vessels, reducing chills and fever. It can be used freely for deficiency patterns. For excess patterns, combine with herbs that move and scatter Qi. External moxibustion can also yield gradual results.
Furthermore, tubercles may appear on the neck, back, body, behind the ears, or on the vertex. If swollen but not red, painful, or suppurring, it is mostly due to phlegm deposition and Qi stagnation, involving Phlegm, Qi, and Heat. If untreated long-term, it becomes Luoli; early treatment is advised. Generally, this arises from emotional Qi stagnation or anger during meals. Women suffer from this most frequently. Treatment should open depression, smooth Qi, benefit the diaphragm, resolve phlegm, and clear the Lungs. However, there is rarely a case without an underlying foundation of Yin deficiency and fire hyperactivity resembling tuberculosis; thus, combining Yin tonification is essential.
Ying Liu (Goiter and Tumors): Ying attaches to the shoulder and neck; Liu forms with Qi condensation. Avoid rich flavors and refrain from arbitrary incision. Large, elongated, hard, and immobile nodules are called Shi Ying (Stone Goiter). Skin color unchanged is Rou Ying (Flesh Goiter). Visible vein knots are Jin Ying (Sinew Goiter). Interlaced red veins are Xue Ying (Blood Goiter). Nodules that wax and wane with sorrow/worry are Qi Ying (Qi Goiter). None of the five Yings should be arbitrarily incised, except Tai Ying (Fetal Goiter), which heals after rupture and removal of fatty matter.
One Prescription for Treating Luoli:
Haizao (Sargassum) (wash away sand/soil, dry), Kunbu (Kelp) (rub off soil, grind finely as above), Heshouwu (Polygonum Multiflorum) (pound in wooden mortar to powder), Zaojiaoci (Gleditsia Spine) (stir-fry until yellow), Gong Shetui (Male Snake Slough) (from trees/walls, use one strip; flat ground ones are female). Grind all five into fine powder and mix evenly. Roast meat from the cut area under the pig's neck until cooked, dip in the powder, and eat. After meals, lie inverted with the affected area facing down for about one hour (Fu Shi). Moxa-burn each nodule seven times (Zhuang), stopping when smoke sensation is felt in the mouth. Once pus is exhausted, peace returns. At the onset, moxa-bust Quchi (LI11), left for males, right for females.