邵（右） 腹满不舒，中脘痞胀，肝气郁于胃中也。乳尖属肝，乳房属胃，气滞胃络，乳中结核。气郁生火，内
热连绵，咽中时痛，膝膑起块，无非气火之有余，或炎于上，或窜于络耳。脉弦而数，亦属木旺之征。病绪
繁多，而图治必从要处着手，内经谓气有余，便是火，宜从肝胃两和，能使气机宣通，郁热自退三舍也。
金铃子 冬桑叶 制香附 粉丹皮 姜汁炒栀子 白蒺藜 砂仁 枳壳 炒白芍 醋炒青皮 逍遥丸
右 乳房痛胀稍减。的是厥气火郁于胃络。
胡黄连（三分吴萸二分拌炒） 白芍（一钱五分） 郁金（一钱五分） 金铃子（一钱五分） 丹皮（二钱）
香附（二钱） 山栀（姜汁炒三钱） 降香（一钱五分） 柴胡（醋炒四分） 川芎（一钱）
施（右） 乳房痛胀，咽燥恶心，舌光无苔。此肝气郁于胃络，而阴气暗耗也。
制半夏（一钱五分） 白蒺藜（三钱） 胡黄连（三分吴萸二分拌炒） 金石斛（三钱） 炒枣仁（二钱研）
茯苓神（辰砂拌各四钱） 上广皮（盐水炒一钱） 决明（四钱） 炒椿根皮（二钱） 炒竹茹（一钱）
右 乳房结核痛胀。当疏肝木而和气机。
青皮 郁金 香附 枳壳 砂仁 蒲公英 川芎
附方 用活鲫鱼同山药打烂，稍入麝香，和敷七日一易。
右 乳房痛胀，推之即移。此厥气挟痰，凝滞胃络。
青皮（一钱） 郁金（一钱五分） 蒲公英（二钱） 香橼皮（一钱五分） 制香附（二钱） 川芎（一钱）
枳壳（一钱） 白芷（一钱） 制半夏（一钱五分）
右 结核不化。肝脏之气，挟痰阻滞胃络。再从肝胃疏和。
制香附 炒枳壳 黑山栀 沉香曲 香白芷 白茯苓 砂仁 川芎 炒黑当归
张（右） 肝木纵横不平，胸脘牵及乳房，胀痛难忍。病在肝胃。再为疏通。
金铃子 延胡索 薤白头 沉香片 上湘军 香附 枳壳 青皮 郁金 皂荚子（去弦蜜炙打）
杨（右） 足胫作肿已退，乳房结核稍松，其气郁不行，显然可见。但气为血帅，恐血因气滞，致酿痈脓。
制香附（二钱） 蒲公英（一钱） 炒竹茹（一钱） 全当归（二钱） 小青皮（一钱） 川芎（一钱）
枳壳（一钱） 广郁金（一钱五分） 紫丹参（二钱）
王（右） 乳房结核，按之坚硬，而推之不移。此痰气郁于肝胃之络。
制半夏 白蒺藜 青皮 香附 枳壳 云茯苓 川贝母 香橼皮 郁金 砂仁
钱（右） 脉证相安。两乳房结核，时作微胀，经迟涩少。此气郁而营分失和。再调气和营。
紫丹参 杭白芍 小青皮 当归炭 川断肉 炒枳壳 白蒺藜 川芎 香附 郁金
Shao (Right side) Abdominal fullness and discomfort, with a sensation of痞 (stagnation/fullness) and distension in the Zhongwan area; this is Liver Qi stagnating in the Stomach. The nipple belongs to the Liver channel, while the breast belongs to the Stomach channel. Qi stagnation in the Stomach collaterals leads to the formation of nodules in the breast. Qi stagnation generates fire, causing continuous internal heat; the throat hurts intermittently, and masses appear on the knees. These are all manifestations of excess Qi and Fire, either flaring upwards or wandering through the collaterals. The pulse is wiry and rapid, which is also a sign of hyperactive Wood (Liver). Although the symptoms are numerous, treatment must focus on the key aspects. As stated in the *Neijing* (Classic of Internal Medicine), "Excess Qi becomes Fire." It is appropriate to harmonize both the Liver and Stomach, allowing the Qi mechanism to circulate freely, so that the stagnant heat will naturally recede.
Jinlingzi (Chuan Lian Zi, Fructus Toosendan) Dong Sangye (Dong Ku Ye, Folium Mori) Zhi Xiangfu (Zhi Xiang Fu, Rhizoma Cyperi Preparatus) Fen Danpi (Mu Dan Pi, Cortex Moutan) Jiang Zhi Chao Shan Zhi (Zhi Zi, Fructus Gardeniae Stir-fried with Ginger Juice) Bai Jili (Tribuli Fructus) Sha Ren (Amomi Fructus Rotundus) Zhi Qiao (Aurantium Fructus Immaturus) Chao Bai Shao (Radix Paeoniae Alba Preparata) Cu Chao Qing Pi (Citri Reticulatae Pericarpium Viride Vinegar-fried) Xiaoyao Wan (Free and Easy Wanderer Pills)
Re-examination: Breast pain and distension have slightly decreased. This indeed confirms Jueyin Qi and Fire stagnating in the Stomach collaterals.
Huhuanglian (with Wuzhuyu stir-fried) Baishao Yujin Jinlingzi Danpi Xiangfu Shanzhi (Stir-fried with Ginger Juice) Jiangxiang Chaihu (Vinegar-fried) Chuanxiong
Shi (Right side) Breast pain and distension, dry throat, nausea, and a glossy tongue coating without moss. This indicates Liver Qi stagnating in the Stomach collaterals, accompanied by hidden consumption of Yin fluids.
Zhi Banxia Bai Jili Huhuanglian (with Wuzhuyu stir-fried) Jinshihu Chao Zaoren Fuling Shen (Mixed with Chen Sha) Shang Guangpi (Stir-fried with Salt Water) Jueming Chao Chun Genpi Chao Zhu Ru
Re-examination: Nodules in the breast cause pain and distension. Treatment should involve soothing the Liver Wood to harmonize the Qi mechanism.
Qingpi Yujin Xiangfu Zhi Qiao Sha Ren Pugongying Chuanxiong
Supplementary Prescription: Use live crucian carp mixed with yam, mashed into a paste, add a small amount of Moschus, mix well, and apply externally. Change once every seven days.
Re-examination: Breast pain and distension; the mass moves upon pushing. This is Jueyin Qi carrying Phlegm, stagnating in the Stomach collaterals.
Qingpi Yujin Pugongying Xianyuanpi Zhi Xiangfu Chuanxiong Zhi Qiao Baizhi Zhi Banxia
Re-examination: The nodule has not resolved. Liver Qi carries Phlegm, obstructing the Stomach collaterals. Continue to soothe and harmonize the Liver and Stomach.
Zhi Xiangfu Chao Zhi Qiao Hei Shanzhi Chenxiangqu Xiang Baizhi Bai Fuling Sha Ren Chuanxiong Chao Hei Danggui
Zhang (Right side) Liver Wood Qi is unbalanced and rampant, extending from the chest and epigastrium to the breasts, causing unbearable pain and distension. The disease location is in the Liver and Stomach. Proceed with further dredging and unblocking.
Jinlingzi Yanhusuo Xiebaitou Chenpian Shang Xiangjun (Zicao) Xiangfu Zhi Qiao Qingpi Yujin Zhaojiazi (De-stringed, Honey-roasted, and crushed)
Yang (Right side) Swelling in the lower legs and shins has subsided, and the breast nodules have softened slightly. The stagnation of Qi is clearly visible. However, as Qi is the commander of Blood, there is a fear that blood stasis due to Qi stagnation may lead to the formation of abscesses and pus.
Zhi Xiangfu Pugongying Chao Zhu Ru Quan Danggui Xiao Qingpi Chuanxiong Zhi Qiao Guang Yujin Zi Danshen
Wang (Right side) Breast nodules are hard upon palpation and do not move when pushed. This is Phlegm and Qi stagnating in the collaterals of the Liver and Stomach.
Zhi Banxia Bai Jili Qingpi Xiangfu Zhi Qiao Yun Fuling Chuanbeimu Xianyuanpi Yujin Sha Ren
Qian (Right side) Pulse and symptoms are stable. Nodules in both breasts cause occasional mild distension; menstruation is delayed, scanty, and choppy. This is Qi stagnation leading to disharmony in the Ying (Nutritive) level. Proceed to regulate Qi and harmonize Ying.
Zi Danshen Hang Baishao Xiao Qingpi Danggui Tan Chuan Du Rou Chao Zhi Qiao Bai Jili Chuanxiong Xiangfu Yujin