加味四物汤
产后血虚乳汁少，四物花粉不留行，木通猪蹄汤熬服，葱白煎汤乳房淋。
【注】产后乳汁不行，因去血过多，血少不行者，宜四物汤加花粉、王不留行、木通，
猪蹄熬汤，煎药服。外用葱白煎汤，时时淋洗乳房，以通其气。
涌泉散
气脉壅塞乳胀痛，涌泉散用白丁香，王不留行天花粉，漏芦僵蚕猪蹄汤。
【注】产后乳汁不行，因瘀血停留，气脉壅滞者，其乳必胀痛，宜用涌泉散，即白丁
香、王不留行、花粉、漏芦、僵蚕，猪蹄汤煎服也。
免怀散 麦芽煎
产后乳汁暴涌出，十全大补倍参 ；食少乳多欲回乳，免怀红花归芎膝；无儿食乳乳欲断，炒麦
芽汤频服宜。
【注】产后乳汁暴涌不止者，乃气血大虚，宜十全大补汤，倍用人参、黄 。若食少乳
多，欲回其乳者，宜免怀散，即红花、归尾、赤芍、牛膝也；若无儿食乳，欲断乳者，用
麦芽炒熟，熬汤作茶饮之。
乳房忽然红肿痛，往来寒热乳痈成。乳被儿吹因结核，坚硬不通吹乳名。初起结核不肿痛，年深内溃
乳岩凶。乳头生疮名妒乳，细长垂痛乳悬称。
【注】妇人乳房忽然红肿坚硬疼痛，憎寒壮热头痛者，此欲成乳痈也。若乳儿之时，乳
被儿口中气吹，以致乳管不通结核者，名曰吹乳。更有乳内结核如围棋子，不肿不痛，但
坚硬不散，日久内溃者，谓之乳岩，其证甚凶。若乳头生小细疮痛者，为妒乳。若瘀血
上攻，乳房忽然细小下垂，长过于腹，此名乳悬，惟产后有之。
Jiawei Siwu Decoction (Modified Four Substances Decoction)
Postpartum scanty milk due to blood deficiency: Use Siwu Tang (Four Substances Decoction) with Tianhuafen (Trichosanthes Root), Wangbuliuxing (Vaccaria Seed), Mutong (Akebia Stem), and pig trotter decocted for oral administration; wash the breasts frequently with Congbai (Scallion White) decoction.
[Note] Postpartum lactation failure due to excessive blood loss, where insufficient blood fails to transform into milk, is treated with Siwu Tang (Four Substances Decoction) added with Tianhuafen (Trichosanthes Root), Wangbuliuxing (Vaccaria Seed), and Mutong (Akebia Stem), decocted in pig trotter soup. Externally, wash the breasts frequently with Congbai (Scallion White) decoction to unblock Qi mechanism.
Yongquan Powder
Breast distension and pain due to Qi and vessel obstruction: Use Yongquan Powder containing Bai Dingxiang (Turdus Albigularis Faeces), Wangbuliuxing (Vaccaria Seed), Tianhuafen (Trichosanthes Root), Loushu (Euphorbia Humifusa), and Jiangcan (Bombyx Batryticatus), decocted in pig trotter soup.
[Note] Postpartum lactation failure due to retained blood stasis and obstructed Qi and vessels results in breast distension and pain. It is treated with Yongquan Powder, composed of Bai Dingxiang (Turdus Albigularis Faeces), Wangbuliuxing (Vaccaria Seed), Tianhuafen (Trichosanthes Root), Loushu (Euphorbia Humifusa), and Jiangcan (Bombyx Batryticatus), decocted in pig trotter soup.
Mianhuai San (Avoid-Attachment Powder) & Ya Mai Jian (Barley Decoction)
Sudden profuse postpartum lactation: Use Shiquan Dabu Tang (Ten-Tonful Great Tonifying Decoction) with doubled Renshen (Ginseng Root) and Huangqi (Astragalus Root). For reduced appetite with excessive milk wanting involution: Use Mianhuai San (Avoid-Attachment Powder) containing Honghua (Carthamus Flower), Dangguiwei (Angelica Sinensis Root Tail), Chishao (Red Peony Root), and Niuxi (Achyranthes Root). For weaning without infant suckling: Drink frequent doses of fried Yemaiya (Hordeum Vulgare Sprout) decoction.
[Note] Sudden unceasing profuse postpartum lactation indicates severe Qi and Blood deficiency, treated with Shiquan Dabu Tang (Ten-Tonful Great Tonifying Decoction) with doubled Renshen (Ginseng Root) and Huangqi (Astragalus Root). If food intake is low but milk is excessive, desiring involution, use Mianhuai San (Avoid-Attachment Powder), composed of Honghua (Carthamus Flower), Dangguiwei (Angelica Sinensis Root Tail), Chishao (Red Peony Root), and Niuxi (Achyranthes Root). For weaning without an infant, use fried Yemaiya (Hordeum Vulgare Sprout) decocted as tea.
Sudden redness, swelling, and pain of the breast, accompanied by alternating chills and fever, indicates the formation of Ru Yong (Breast Abscess). If during breastfeeding, the breast is exposed to the infant's breath causing nodules and hardness with obstruction, it is named Chuili (Blown Breast). Initial nodules that are not painful or swollen, which ulcerate internally after many years, are named Ruyan (Breast Cancer/Tumor), a ominous condition. Sores on the nipple are named Dulru (Jealous Breast). Long, thin, drooping, and painful breasts are named Xuanru (Hanging Breast).
[Note] When a woman’s breast suddenly becomes red, swollen, hard, and painful, accompanied by aversion to cold, high fever, and headache, this indicates impending Ru Yong (Breast Abscess). If during nursing, the breast is affected by the infant's breath causing blockage of milk ducts and nodules, it is called Chuili (Blown Breast). Another type involves nodules within the breast like Go pieces, neither swollen nor painful, but hard and unyielding, which ulcerate internally over time; this is called Ruyan (Breast Cancer/Tumor), a very ominous syndrome. Small sores on the nipple with pain are called Dulru (Jealous Breast). If Blood Stasis attacks upward, causing the breast to suddenly become small, droop, and hang longer than the abdomen, it is called Xuanru (Hanging Breast), occurring only postpartum.