Library

[Danxi] The breast is the pathway of the Yangming channel, and the nipple belongs to the Jueyin channel. For nursing mothers who do not know how to regulate their lifestyle, anger causes qi rebellion, depression causes qi stagnation, and rich, greasy foods brew damp-heat. This leads to the failure of Jueyin qi to circulate, resulting in blocked orifices and milk unable to exit; meanwhile, Yangming blood boils, causing intense heat that transforms into pus. There are also cases where the nursing infant has phlegm-stagnation in the chest-diaphragm area and has hot breath; when sleeping while holding the nipple, the hot breath blows into the ducts, forming nodules. At the initial stage, one must endure pain, massage the breast until slightly soft, and suckle to ensure milk flow, which will naturally dissipate. If this opportunity is missed and untreated, it will inevitably develop into a carbuncle or boil. The treatment method involves: dispersing Jueyin stagnation with Qingpi (Cortex Tangerinae); clearing Yangming heat by finely grinding Shigao (Gypsum Fibrosum); moving turbid blood with Sheng Gancao Jie (Radix Glycyrrhizae with nodes); reducing swelling and guiding out toxins with Gualouzi (Fructus Trichosanthis); optionally adding Moyao (Resina Myrrhae), Qingjuye (Folium Citri Reticulatae), Zaojiaoci (Spina Gleditsiae Sinensis), Jinyinhua (Flos Lonicerae Japonicae), and Danggui Tou (Radix Angelicae Sinensis). These can be decocted as a soup or made into powder, adjusted according to the condition, but must be taken with a small amount of wine as an adjuvant. Applying moxibustion (two to three cones) on the swollen area yields even faster results. Village practitioners, eager to show off, recklessly use needles and knives, aggravating the disease, which is truly pitiable. As for those who suffer from marital discord or in-law conflicts, leading to accumulated sorrow and anger, damaging Spleen qi and causing Liver qi to invade horizontally, hidden nodules form, resembling turtle shell patterns, painless and non-itchy. After ten or more years, they ulcerate and sink, named "Ru Yan" (Breast Rock/Cancer). It is called Ru Yan because the wound shape resembles a rocky cave, and it is incurable. However, if at the very beginning, the root cause is eliminated, the mind is cleared, and spirit is calmed, followed by treatment, recovery is possible. My clan's niece-in-law was eighteen when she suffered from this. Her physical form and pulse were slightly full, but her temperament was irritable. Although her marriage was harmonious, her mother-in-law was difficult. Thus, I used a single formula of Qingpi Tang, intermittently combined with modified Siwu Tang to unblock meridians, and she recovered in two months. This disease is mostly caused by damp-heat phlegm from rich foods accumulating in the diaphragm, clashing with stagnant milk. Other causes include milk stagnation blown by infant breath, or qi stagnation generated by suppressed anger. Shigao, burnt Birch Bark (Huapi), Gualouzi, Gancao Jie, and Qingpi are all miraculous drugs. For women, early treatment can eliminate it immediately. During menstruation, it is usually mild; after age fifty or sixty, when menstruation ceases, it should not be regarded lightly.

[Breast Carbuncle Formula] Qingpi, Gualou, Juye, Lianqiao, Taoren (keep tips), Zaojiaoci, Gancao Jie. If there is extensive ulceration, add Renshen (Ginseng Radix) and Huangqi (Astragali Radix).

[Jingyi] Shenxiao Gualou San treats Breast Carbuncle and Breast Rock with miraculous effect. Danxi also said: wonderful and swift. Perhaps for poor families unable to gather these herbs, using Dandelion Grass (Pugongying) later is especially good.
Gualou (one fruit, skin removed, roasted and powdered; fruits with many seeds are more potent), Gancao (raw), Danggui (soaked in wine, roasted, each half liang), Xuruxiang (Resina Olibani, separately ground), Moyao (Resina Myrrhae, separately ground, each two qian).
Grind all into powder. Use three sheng of pure wine without ash, slowly simmer in a silver or earthenware vessel to reduce to one sheng. Strain the clear liquid and divide into three doses, taken long after meals. If suffering from Breast Rock, take this medicine to eradicate the root. If the toxin has already formed pus, it will transform the pus into yellow fluid. If the toxin has not yet formed, it promotes clearance through urination and defecation. If the disease is severe, repeat the dosage until the pathogen recedes.
Lixiao San is taken alternately with the above formula for divine efficacy. It is the same as Gualou San but without Danggui, adding one liang six qian of purple Zaojiaoci.

[Bencao] Pugongying (Dandelion Herb) is sweet, neutral, and non-toxic. It mainly treats female breast carbuncles. Boil in water, drink the juice, and apply externally; it disappears immediately. Decocting with wine is better; apply the dregs to the affected area.

[Danxi] Pugongying grows everywhere in fields and roadsides. In March and April, it blooms yellow flowers like chrysanthemums. It is sweet in taste, detoxifies, and disperses stagnation. It likely enters the Yangming and Taiyin channels. Wash clean, grind finely, decoct strongly with Jin Yin Teng (Caulis Lonicerae Japonicae), add a little wine, and drink. Sleepiness follows immediately, and upon waking, the illness is gone.

[Yunqizi] Zhangshi Jupi Tang treats Breast Carbuncle: if not yet knotted, it dissipates; if knotted, it ulcerates. It is extremely painful and unbearable, yet miraculous. It also treats diseases caused by infants blowing milk. Use Chenpi (Pericarpium Citri Reticulatae) alone, soak in water, remove white pith, dry, stir-fry with flour until slightly yellow, grind to fine powder. Mix with Shexiang (Moschus) ground in wine, take two qian. For initial redness, swelling, and pain, one dose shows effect.

[Danxi] For initial swelling and hardness of Breast Carbuncle, one dose cures it. Take real Huapi (Birch Bark) powder, administered with wine using a square-inch measure. Sleep and wake up, and the illness is gone. (From Lingyuan)

[Luo Qianfu] Shengjin Dan treats infant-induced breast engorgement (Chui Ru) with extreme efficacy.
Use Baichi Shuang (hair scale from wooden combs).
Take any amount of this single herb, make pills with Wugen Water (rainwater/snowmelt), size of Torreya seeds. Take three pills per dose, swallow with Daoliushui (reverse-flowing water) after meals. If the left breast is affected, lie on the left side; if the right, lie on the right side. Recover by sweating in a warm place. Daoliushui refers to water poured onto the roof and collected.

[Tujing] Treats female breast pain, unbearable. Use Chanshanjia (Squama Manis, roasted yellow), Mutong (Caulis Akebiae, each one liang), Ziran Tong (Calamina, half liang, raw). Grind three ingredients to fine powder. Take two qian per dose, mixed with warm wine, anytime.

[Jianyao] Female infant-induced breast engorgement, Dusheng San.
Baidingxiang (Stercus Columbae) half liang. Grind and sieve to powder. Take one qian bi per dose, mixed with warm wine, anytime.

[Yunqizi] Treats female infant-induced breast engorgement, Zaojiao San.
Rhyme says: How to treat female infant-induced breast engorgement? Burn Zaojiao (Fructus Gleditsiae Sinensis) to ash, mix with Ge Fen (Concha Meretricis), mix one character's worth with a cup of hot wine, rub and disperse quickly, laughing happily.
Another prescription:
Xuruxiang (ground, one qian), Gualou Gen (Radix Trichosanthis, one liang).
Grind uniformly, mix with warm wine, take two qian.

[Danxi] Yang Ruren suffered breast swelling and pain.
Qingpi, Shigao (calcined), Lianqiao, Zaojiaoci (fried), Huangyaozi (Bulbus Dioscoreae Hypoglaucae), Danggui Tou, Mutong (each one qian), Gancao (raw, three fen).
Make one packet, add a little good wine, decoct together and drink. Apply other medicines externally to wash the swollen area.
Yi Er Ruren had a nodule inside the breast normally, painless. Suddenly, another swollen nodule appeared near the nipple, somewhat painful.
Huangqin (Radix Scutellariae), Chuanxiong (Rhizoma Chuanxiong), Mutong, Chenpi (each four qian), Renshen (two qian), Shaoyao (Radix Paeoniae Alba, one qian), Dafupi (Pericarpium Arecae, three qian), Zhigancao (Radix Glycyrrhizae Preparata), Sheng Gancao (each one qian), Danggui Tou (one qian).
Divide into two packets, decoct and take.

[Danxi] Er Ruren experienced breast swelling only when menstruation was about to start. Two days prior, mouth felt dry but without thirst, appetite decreased. Pulse was wiry and rapid on the left, flat on the right. Treatment used Siwu Tang added with Chenpi, Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria), taken while hot. Combined with Dian Wan (Pointing Pill), thirty pills.
Postpartum breast engorgement: regulate with Maiya Yin (Malt Drink), it subsides spontaneously.

[Yunqizi] Lianqiao Tang treats postpartum Du Ru (nursing jealousy/engorgement) and carbuncle.
Lianqiao (Fructus Forsythiae), Shengma (Rhizoma Cimicifugae), Mangxiao (Natrii Sulfas, each one liang), Xuanshen (Radix Scrophulariae), Shaoyao, Bailian (Bulbus Belamcandae), Fangji (Radix Stephaniae Tetrandrae), Shegan (Rhizoma Belamcandae, each eight qian), Dahuang (Radix et Rhizoma Rhei, two qian), Gancao (six qian), Xingren (Semen Pruni Armeniacae, forty pieces, skin and tip removed).
Cut into pieces. Use six sheng of water, boil down to two sheng. Add Dahuang, then Mangxiao. Divide into three doses.

[Danxi] A sixty-year-old woman, due to rich diet and depressed qi, with a solid constitution and jealous nature, no summer sweat, and irritable temper. Suddenly, a small nodule like a chess piece formed in the left breast, painless. She felt mentally poor, lost appetite, and taste vanished for half a month. Used Renshen Tang to mix Qingpi and Gancao powder, add fresh Ginger Juice (Shengjiang Zhi), sip slowly, five to six times a day and night. Dissipated in five to seven days. This was the beginning of Breast Rock. If not treated early, it hides for five to ten years before erupting, painless and non-itchy, ulcerating below the nipple like a rock cave oozing pus. Or after five to ten years, despite normal diet, internal organs become visible, leading to death. This occurs only in those who do not please their husbands. Women regard husband as heaven; losing heavenly support generates this disease. Called "Rock" because it resembles a hollow cave, empty inside and invisible externally. Patients suffer prolonged delay. Only this woman was treated early, eliminating the disease before manifestation. The rest died, over ten people. Also treated a newlywed woman, simply giving Qingpi and Gancao, bringing peace.

[Danxi] Mash Pugongying (Dandelion Herb) and apply externally to the affected area; miraculous.

[Yunqizi] Use Tian Nanxing (Rhizoma Arisaematis) powder, mix with warm wine and apply.

[Shengji Zonglu] Treats female breast pain turning into carbuncle. Powder Yi Mu Cao (Herba Leonuri), mix with water, apply to breast. Self-heals overnight. Freshly mashed application is also acceptable.

[Shanju] Female infant-induced breast engorgement. Use Sangshu Zhu Xie (bore dust from mulberry tree), mash with rice into paste, apply.

[Danxi] Cracked nipples. Apply Dingxiang (Flos Caryophylli) powder. (Meishi Fang)

[Guaixue] Breast Carbuncle: Ruzhong Acupoint (center below nipple, needle insert 1 fen, along skin backward 1.5 cun, moxa, draining method.)

[Jiayi Jing] Breast Carbuncle with chills, fever, shortness of breath, restless sleep: Yingchuang (ST17) governs. Breast Carbuncle with aversion to cold/fever, pain unyielding to pressure: Rugen (ST18) governs. Sudden fright breast pain: Liangqiu (ST34) governs. Breast Carbuncle with heat: Zusanli (ST36) governs. (For breast carbuncle pain unrelieved by herbs, insert Zusanli 5 fen, pain stops instantly.) Female Breast Carbuncle with fright: Jiuxia Lian (ST39) governs. (Qianjin says: Arm heavy/swollen, foot cannot lift, heel pain.) Breast Carbuncle: Taichong (LR3) and Fuliu (KI7) govern. Du Ru (Nursing Jealousy): Taiyuan (LU9) governs. Female residual breast disorders: Huangmen (BL52) governs.