川芎 当归 黄 茯苓 麦冬(各一钱) 炙草(五分) 五味子(十粒) 人参 熟地 白术
(各二钱) 陈皮(四分) 枣(二个) 如发热兼作骨蒸。兼服紫河车丸。惊悸有汗加枣仁(五
产后生乳痈。未成脓。
栝蒌(一个连皮捣碎) 当归 银花 白芷(各一钱) 青皮 乳香 没药 甘草(各五分) 水
煎服。此方并治胎前乳痈。
(〔吴按〕未溃时用蒲公英一两。酒煮捣烂。先饮酒。将渣敷患处屡效。)
产后乳生痈。脓出后虚弱甚。
人参 白术 熟地 黄 (各二钱) 当归 银花(各三钱) 茯苓 川芎(各八分) 甘草(五
分) 如泄泻加莲子(十粒) 肉果(一个煨用)
产后乳生痈。已破出脓。寒热往来如疟。一日一发。或二三日一发。不可作疟治。不可全用
攻毒消痈药。亦不可用绝疟等药。当补气血。少佐去毒之剂数品。以除余邪。
黄 银花 茯苓(各一钱) 人参 白术 生地(各二钱) 甘草 连翘(各四分) 当归(二
钱) 青皮(三分) 白芷(五分) 乌梅(一个) 枣(一枚)
妇人以气血为主。心主血。肝藏血。若血弱气盛由心虚不能生血。心火又不能制肺金。使肝
亏虚。则血不藏。以致血枯涸。不荣经络。月信不调。治宜补心源。以抑肺金之气。和营养
卫。血脉自然调和。
Chuanxiong (Ligusticum Chuanxiong Rhizome), Danggui (Angelica Sinensis Radix), Huang [likely Huangqi/Astragalus Membranaceus Radix based on context, but literally "Huang"], Fuling (Poria Cocos Sclerotium), Maidong (Ophiopogon Japonicus Tuber) (each 1 qian), Zhi Gancao (Prepared Glycyrrhiza Uralensis Radix et Rhizoma) (5 fen), Wuweizi (Schisandra Chinensis Fructus) (10 grains), Renshen (Panax Ginseng Radix), Shudi (Rehmannia Glutinosa Radix Praeparata), Baizhu (Atractylodes Macrocephala Rhizome) (each 2 qian), Chenpi (Citrus Reticulata Pericarpium) (4 fen), Zao (Jujube) (2 pieces). If accompanied by fever and bone-steaming tidal fever, concurrently administer Ziheche Wan (Placenta Hominis Pill). If palpitations with sweating occur, add Zaoren (Ziziphus Jujuba Seed) (5 qian).
Postpartum mastitis (acute suppurative infection of the breast) that has not yet formed pus.
Gualou (Trichosanthes Kirilowii Fruit, crushed with peel), Danggui (Angelica Sinensis Radix), Yinhua (Lonicera Japonica Flos), Baizhi (Angelica Dahurica Radix) (each 1 qian), Qingpi (Citrus Reticulata Viridis Pericarpium), Ruxiang (Boswellia Carterii Gum Resin), Moyao (Commiphora Myrrha Resin), Gancao (Glycyrrhiza Uralensis Radix et Rhizoma) (each 5 fen). Decoct in water and take orally. This formula also treats mastitis occurring during pregnancy. ([Wu's Note]: When the abscess has not ulcerated, use Dandelion (Taraxaci Herba) 1 liang, boiled in wine and mashed. First have the patient drink the wine, then apply the residue to the affected area; this has proven effective repeatedly.)
Postpartum mastitis where the body is extremely weak after pus has drained.
Renshen (Panax Ginseng Radix), Baizhu (Atractylodes Macrocephala Rhizome), Shudi (Rehmannia Glutinosa Radix Praeparata), Huang [likely Huangqi/Astragalus Membranaceus Radix] (each 2 qian), Danggui (Angelica Sinensis Radix), Yinhua (Lonicera Japonica Flos) (each 3 qian), Fuling (Poria Cocos Sclerotium), Chuanxiong (Ligusticum Chuanxiong Rhizome) (each 8 fen), Gancao (Glycyrrhiza Uralensis Radix et Rhizoma) (5 fen). If diarrhea occurs, add Lianzi (Nelumbinis Semen) (10 grains), Rouguo (Myristica Fragrans Seed, roasted).
Postpartum mastitis that has already ruptured and discharged pus, presenting with alternating chills and fever resembling malaria, occurring once a day or every two to three days. Do not treat as malaria. Do not solely use drugs for attacking toxins and resolving carbuncles. Do not use drugs for arresting malaria. Instead, tonify Qi and Blood, and slightly adjoin a few agents that remove toxicity to eliminate residual pathogenic factors.
Huangqi (Astragalus Membranaceus Radix), Yinhua (Lonicera Japonica Flos), Fuling (Poria Cocos Sclerotium) (each 1 qian), Renshen (Panax Ginseng Radix), Baizhu (Atractylodes Macrocephala Rhizome), Shengdi (Rehmannia Glutinosa Radix) (each 2 qian), Gancao (Glycyrrhiza Uralensis Radix et Rhizoma), Lianqiao (Forsythiae Fructus) (each 4 fen), Danggui (Angelica Sinensis Radix) (2 qian), Qingpi (Citrus Reticulata Viridis Pericarpium) (3 fen), Baizhi (Angelica Dahurica Radix) (5 fen), Wumei (Mume Fructus) (1 piece), Zao (Jujube) (1 piece).
Women are primarily governed by Qi and Blood. The Heart governs Blood, and the Liver stores Blood. If Blood is weak and Qi is excessive, due to Heart deficiency failing to generate Blood, and Heart Fire failing to control Lung Metal, causing Liver deficiency, then Blood cannot be stored. This leads to blood depletion and dryness, failing to nourish the collaterals, resulting in irregular menstruation. Treatment should focus on tonifying the Heart source to suppress Lung Qi, harmonizing Ying (Nutrient) and Wei (Defensive) levels, so that the blood vessels naturally harmonize.