《病源论》云∶经血盛者,则津液有余,故乳汁多而溢出。
《葛氏方》云∶乳汁溢满急痛者,但温石以熨之。
又云∶若因乳儿汁出不可止者,烧鸡子黄食之。
《子母秘录》云∶产后妒乳,因乳汁不时泄,蓄积于内,遂成痈肿,其名妒乳;此甚急
于痈疽,治之亦同痈结也。
《产经》云∶凡产后妇人宜勤泄去乳汁,不令蓄积,蓄积不时泄,内结KT (尺制反)
痛发渴,因成脓也。
又云∶治妒乳肿方∶
车前草熟捣,以苦酒和涂之。
《短剧方》治妒乳方∶
生地黄汁以敷之。
又方∶葵根捣为末,服方寸匕,日三。
《华佗方》治妒乳方∶
生蔓荆根,和盐捣浆,水煮合,日五服,或滓封之。
《葛氏方》治妒乳方∶
梁上尘,醋和涂之。亦治阴肿。
又方∶榆白皮,捣醋和封之。
《病源论》云∶子脏宿虚,因产冷气乘之,血气得冷不能相荣,故令开也。
《千金方》治产劳玉门开而不闭方∶
硫黄(四两) 菟丝子(五分) 吴茱萸(六分) 蛇床子(四分)
四味,捣,下筛,为散一升,以方寸匕投汤中洗玉门,日再。
又云∶治产后阴道开不闭方∶
锻石(一升,熬之令能烧草)
一味,以水二升,投中,适寒温入汁中坐,渍之,须臾,复常。此是神方,秘不传。已
治人验。(今按∶《医门方》锻石一斗,水二斗,澄取一斗三升。)
The *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: In individuals with abundant menstrual blood, there is an excess of Jin-Ye (body fluids), resulting in excessive milk production and leakage.
The *Ge Shi Fang* (Prescriptions by Master Ge) states: For cases where milk engorgement causes urgent pain, apply hot stones for moxibustion-like warming therapy (Fu-Re).
It further states: If milk flows uncontrollably due to breastfeeding, burn chicken egg yolks and consume them.
The *Zi Mi Lu* (Secret Records of Mother and Child) states: Postpartum "Du Ru" (jealous breast/milk engorgement) occurs when milk leaks irregularly and accumulates internally, eventually forming an abscess; this condition is named Du Ru. It is more acute than typical carbuncles and sores (Yong Ju); its treatment is similar to that of internal abscesses.
The *Chan Jing* (Classic of Childbirth) states: Postpartum women should diligently express milk to prevent accumulation. If accumulated milk is not discharged promptly, it binds internally, causing severe pain and thirst, leading to suppuration.
It further states: A prescription for treating Du Ru swelling:
Mash cooked Plantago asiatica herb (Che Qian Cao) and apply topically after mixing with vinegar (Ku Jiu).
The *Duan Ju Fang* (Short Drama Prescriptions) for treating Du Ru:
Apply fresh Rehmannia glutinosa juice (Sheng Di Huang Zhi) externally.
Another prescription:
Grind Malva verticillata root (Kui Gen) into powder; take one cun-bi (a measuring spoon approx. 1 cubic inch) per dose, three times daily.
The *Hua Tuo Fang* (Prescriptions of Hua Tuo) for treating Du Ru:
Take fresh Vitex trifolia root (Sheng Man Jing Gen), mix with salt, pound into a paste, boil with water until combined; take five doses daily, or apply the dregs as a topical poultice.
The *Ge Shi Fang* for treating Du Ru:
Collect dust from roof beams, mix with vinegar, and apply topically. This also treats vulvar swelling.
Another prescription:
Bark of Ulmus pumila (Yu Bai Pi), pound and mix with vinegar for topical application.
The *Zhu Bing Yuan Hou Lun* states: Due to inherent deficiency of the Zi-Zang (uterus/womb), cold qi invades during childbirth. The Qi and Blood, affected by cold, fail to nourish each other, causing the vaginal opening to gape open.
The *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) for treating postpartum labor-induced gaping of Yu Men (vaginal opening):
Litharge (Liu Huang, four liang), Dodder seed (Tu Si Zi, five fen), Evodia fruit (Wu Zhu Yu, six fen), Cnidium fruit (She Chuang Zi, four fen).
Pound these four ingredients, sift them into a powder yielding one sheng. Take one cun-bi and add to warm water to wash the Yu Men twice daily.
It further states: A prescription for treating postpartum vaginal gaping:
Calcined iron ore/Scoria (Duan Shi, one sheng, calcined until capable of burning grass).
Use this single ingredient; add two sheng of water, adjust temperature to suit, and sit in the solution for soaking. Normalcy returns shortly. This is a divine prescription, kept secret but verified effective through multiple cures. (Current annotation: The *Yi Men Fang* records using one dou of Duan Shi with two dou of water, clarifying to obtain one dan san sheng.)