夫妒乳者。由新产后儿。未能饮之。及饮乳不泄。或乳胀捏其汁不尽。皆令乳汁蓄结。
与血
旁人
治产后妒乳。肿痛壮热。欲结成痈。宜服连翘散方。
连翘（一两） 川升麻（一两） 汉防己（一两） 黄芩（一两） 川大黄（一两锉碎
微炒） 川
芒硝
两） 杏仁
（一两
上件药。捣粗罗为散。每服三钱。以水一中盏。
煎至六分。去滓。每于食后温服。
又方。
麝香 薰陆香 木香 鸡舌香（以上各一两）
上件药。捣细罗为散。每于食后。以温水调下一钱。
又方。
黄芩（一两） 白蔹（一两） 赤芍药（一两）
上件药。捣细罗为散。每于食后。以温浆水调下二钱。
又方。
葵子（一两）
上件药。捣细罗为散。每于食后。以温水调下一钱。
治产后。妒乳生疮方。
露蜂房 车辙中土 猪甲中土（以上等分）
上件药。捣细罗为散。以醋调涂之。
治产后儿不自饮乳。及失儿无儿饮乳。令乳蓄积不泄。致乳上结肿者。宜服此方。
赤小豆（二合）
上件药。捣罗为末。以鸡子白和涂乳上。令消结也。若饮儿乳不泄者。数捏去之。亦可
令大
治产后乳头生小热疮。搔之黄汁出浸淫。百疗不瘥。名为妒乳者方。
槲树白皮（锉三升）
上以水一斗。煮取五升。夏冷用之。秋冬温服之。日二度。以洗乳及疮。
又方。
天麻草（切五升）
上以水一斗。煮取六升。去滓。微暖。用洗乳。以杀痒为度。此草叶如麻。冬生夏花。
如鼠
治产后妒乳。乳硬欲结脓方。
上以鹿角。于石上着水磨。取白汁。旋涂于上。干即又涂。仍令大人吮却奶中黄汁。瘥。
治产后妒乳肿痛方。
上取檀香。以醋浓磨。涂乳上即瘥。
又方。
上以川升麻。醋磨涂之。
又方。
上以柳白皮锉捣令烂。酒拌炒。以物裹熨之。
又方。
上以生地黄烂捣敷之。
Du ru (Breast abscess due to milk stasis) refers to a condition occurring after childbirth where the infant fails to suckle, or sucks but milk discharge is obstructed, or when breast distension occurs and squeezing does not fully empty the milk. All these factors cause milk accumulation and coagulation.
For postpartum du ru presenting with swelling, pain, high fever, and impending formation of an abscess, it is appropriate to administer Lianqiao San (Forsythia Powder).
Lianqiao (Forsythiae Fructus, 1 liang), Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Han Fangji (Stephaniae Tetrandrae Radix, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, sliced and lightly stir-fried), Chuan Mangxiao (Natrii Sulfas, 1 liang), Xingren (Armeniacae Semen Amarum, 1 liang).
The above herbs are coarsely ground and sieved to make a powder. Take 3 qian per dose. Add one zhong of water, decoct until reduced to six-tenths, strain, and take warm after meals.
Another prescription:
Shexiang (Moscus, 1 liang), Xunlu Xiang (Boswelliae Resina, 1 liang), Muxiang (Aucklandiae Radix, 1 liang), Jiti Xiang (Caryophylli Flos, 1 liang).
The above herbs are finely ground and sieved to make a powder. Take 1 qian per dose, mixed with warm water, after meals.
Another prescription:
Huangqin (Scutellariae Radix, 1 liang), Bailian (Pleeospermatis Rhizoma, 1 liang), Chi Shaoyao (Paeoniae Radix Rubra, 1 liang).
The above herbs are finely ground and sieved to make a powder. Take 2 qian per dose, mixed with warm fermented rice water, after meals.
Another prescription:
Kuizi (Malvae Semen, 1 liang).
The above herb is finely ground and sieved to make a powder. Take 1 qian per dose, mixed with warm water, after meals.
Prescription for treating sores arising from postpartum du ru:
Lufengfang (Vespa Nidus, equal parts), Chezhe Zhongtu (Soil from cart ruts, equal parts), Zhu Jia Zhongtu (Soil from pigsties, equal parts).
The above herbs are finely ground and sieved to make a powder. Mix with vinegar and apply topically.
For cases where the infant does not suckle naturally after birth, or there is no infant to suckle, leading to milk accumulation and obstruction, causing swelling and lumps in the breast, this prescription is suitable:
Chixiaodou (Phaseoli Semen Rubrum, 2 he).
The above herb is ground into powder, mixed with egg white, and applied to the breast to dissipate the lump. If the issue is that the infant sucks but milk does not flow freely, repeatedly squeeze to expel the milk. It is also permissible to have an adult male suckle to promote lactation.
Prescription for treating small hot sores on the nipple during postpartum du ru, characterized by yellow exudate upon scratching and spreading, resistant to various treatments, known as du ru:
Hushu Baipi (Quercus variabilis Cortex, 3 sheng, sliced).
Decoct the above herb in one dou of water until five sheng remain. Use cold in summer, warm in autumn and winter. Apply twice daily to wash the breast and sores.
Another prescription:
Tianmacao (Herba Siegesbeckiae, 5 sheng, sliced).
Decoct the above herb in one dou of water until six sheng remain. Strain, warm slightly, and use to wash the breast. Stop itching is the goal. This herb has leaves like hemp, grows in winter, flowers in summer, and resembles a mouse's tail.
Prescription for treating postpartum du ru where the breast becomes hard and is about to suppurate:
Take a deer horn, grind it with water on a stone surface to obtain a white juice. Apply frequently; reapply when dry. Additionally, have an adult suck out the yellow pus from the breast. The patient will recover.
Prescription for treating postpartum du ru with swelling and pain:
Take Tanxiang (Santalum Album Lignum), grind it with thick vinegar, and apply to the breast. Recovery follows.
Another prescription:
Take Chuan Shengma (Cimicifugae Rhizoma), grind with vinegar, and apply.
Another prescription:
Take Liubai Pi (Salix Alba Cortex), slice and pound until soft, mix with wine, stir-fry, wrap in cloth, and apply as a warm compress.
Another prescription:
Take Shengdihuang (Rehmanniae Radix), pound until soft, and apply as a poultice.