（附论）
夫妒乳者。由新产后。儿未能饮之。及饮乳不泄。或断儿乳。捻其乳汁不尽。皆令乳汁
蓄积。与血气相搏。即壮热大渴引饮。牢强掣痛。手不得近是也。初觉便以手助捻去其汁。
并令旁人助嗍引之。不尔。成疮有脓。其热热盛行则痈成也。千金云。产后宜勤挤乳。不宜
令汁蓄积。不去便结不复出。恶汁于内。引热温壮。结坚牵掣痛。大渴引饮。乳急痛。手不
得近。成妒乳。非痈也。急灸两手鱼际各二七壮。断痈状也。不复恶手近。乳汁亦自出。便
可
牡丹皮散 治产后妒乳壅疼痛。
牡丹皮 威灵仙（洗焙） 黄 （锉） 桂（去粗皮） 当归（切焙） 大黄（酒蒸切
炒各一两）
上为散。每服二钱。温酒调下。不拘时候。日三。
鹿角散 治产后妒乳。
鹿角（一两半） 故靴头（二枚） 上烧灰研细。每服二钱。煎当归温调下。不拘时服。
铁粉散 治产后妒乳成痈。
铁粉（研） 细辛（去苗叶） 芎 人参 防风（去叉） 干姜（炮） 黄芩（去黑
心） 桂
（去粗皮） 芍药（各一两） 当归（切焙） 甘草（炙各二两） 肉苁蓉（酒浸切焙一两）
上为
散。每服三钱。酒调下。四五服。或脓血败坏自出为效。
鸡屎散 治产后妒乳成痈。
鸡屎（炒干一两） 麝香（半钱细研） 上为散。每服一钱。煎荆芥酒温调下。不拘时
候。
二灰散 治产后乳汁不泄。结滞不消热肿。
蔓荆实（烧存性） 皂荚刺（烧存性各一两） 麝香（半钱） 上合研为散。每服二钱。
温酒
调下。不拘时。
敷乳方 治产后妒乳结肿不消。热痛。
升麻 木香 檀香（各半两） 上各取成块者。逐味就沙盒内。用酒少许。带湿磨。三
味
相等。即用鹅羽刷敷乳上。如干以水润之。常令温润。一日两次敷之。
连翘散（出圣惠方）治产后妒乳。肿痛壮热。欲结成痈。宜服。
连翘（一两） 川升麻（一两） 汉防己（一两） 黄芩（一两） 川大黄（二两锉碎
微炒） 川
芒硝（一两） 柴胡（一两去苗） 赤芍药（一两） 甘草（一两炙微赤锉） 犀角屑（一
两） 杏仁
（一两汤浸去皮尖双仁麸炒微黄） 上捣粗。罗为散。每服三钱。以水一中盏。煎至六分。
去
滓
又方（出圣惠方）
取葵子一两。捣细。罗为散。每于食前。以温水调下一钱。酒服亦可。一方无灰酒服。
治产后妒乳生疮方。（出圣惠方）
露蜂房 车辙中土 猪甲中土（以上等分） 上捣细罗为散。以醋调涂之。
治产后儿不自饮乳入。及失儿无儿饮乳。令乳蓄积不泄。致乳上结乳肿者。宜服此
方。（出
用赤小豆二合。捣罗为末。以鸡子白和涂乳上。令消结也。若饮儿无不泄。煮数捏去之。
亦可令大人含冷水。使为吮取乳汁。吐去之。不含水吮。有热气。喜冷。乳头作疮。乳孔塞
也。
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。（出圣惠
方）
上 树白皮锉三升。水一斗。煮取五升。夏令用之。秋冬温服之。日二度。以洗乳。及
疮
又方（出圣惠方）
取天麻草切五升。以水一斗。煮取六升。去滓。微暖用洗乳。以杀痒为度。此草药叶如
麻。冬生夏花如鼠尾花也。亦可以洗浸淫黄烂。热疮疸疽阴蚀。小儿头疮洗之并瘥。
治产后妒乳。乳硬欲结脓方。（出圣惠方）
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。（出圣惠方）
取紫檀香以醋浓磨。涂乳上即瘥。
又方（出圣惠方）
以川升麻醋磨涂之。
又方（出圣惠方）
以生地黄烂捣敷之。
妒乳方（出圣惠方）
黄芩 白蔹 芍药（各等分） 上下筛。浆水服一钱匕。日三。若右乳结。捋去左乳汁。
左乳结。即捋去右乳汁。服即消。
又方（出圣惠方）
取柳白皮酒煮令热。以物裹熨乳上即消。
又方
用苦酒磨青木香。以摩上良。
又方（出圣惠方）
己入腹者麝香、薰陆香、青木香、鸡舌香、各一两。以水四升。煮取二升。分再服。忌
蒜面酒牛马猪肉。一方为细散。食后以温水调下一钱。
治妇人妒乳痈疮。雄黄 茹膏。
雄黄 白蔹 雌黄 茹（各一分切） 乱发（如鸡子一枚） 上以猪脂半斤。合煎三
沸。
去滓乃内乱发。发尽药成。以涂疮。不过十日瘥。
又方 治妒乳及痈肿。
用鸡屎末服方寸匕。须臾三服愈。亦治乳头破裂。
主暴患赤肿。亦治女人妒乳肿。（出本草）
以生榆皮三两捣和。三年醋滓封之。六七日易。
治妒乳（出本草）
用梁上尘。醋和涂之。
治女子妒乳肿。（出本草）
预知根生捣后。和盐醋浆水煮取汁洗之。五六度。
治妇人乳痈汁不出。内结成脓肿名妒乳。（出本草）
以蜂房烧灰研。每服二钱。水一中盏。煎至六分。去滓温服。
(Attached Discussion)
The condition known as "Du Ru" (Jealous Breast / Milk Stagnation) arises when, after recent childbirth, the infant is unable to suckle, or when breastfeeding occurs but milk drainage is incomplete, or upon weaning, residual milk is not fully expressed. All these factors cause milk accumulation, which clashes with blood and qi, resulting in high fever, extreme thirst with a desire to drink, hardness and rigidity of the breast with pulling pain, and tenderness such that the hand cannot bear to touch it. Upon initial sensation of discomfort, one should manually assist in squeezing out the milk and have an assistant help suckle and drain it. If this is not done, sores may form with pus; if the heat spreads vigorously, an abscess (Yong) will develop. The *Qianjin Fang* states: After childbirth, one should frequently express milk and not allow it to accumulate. If not removed, it will coagulate and fail to exit. Evil fluids remain inside, drawing in heat and causing warmth and fever. Coagulation leads to hardness and pulling pain, extreme thirst with a desire to drink, breast urgency and pain, and inability to touch it, forming Du Ru rather than an abscess. Urgently moxa both Yuji points (LI10) on the hands, fourteen burns each, to cut off the formation of an abscess. This way, there is no longer aversion to others approaching, and milk will naturally flow out, leading to recovery.
**Mudanpi San (Tree Peony Bark Powder)**: Treats postpartum Du Ru with stagnation and pain.
Ingredients: Radix Paeoniae Rubra (Mudanpi), Radix Cimicifugae (Weilingxian, washed and dried), Radix Scutellariae (Huangqin, sliced), Ramulus Cinnamomi (Guizhi, bark removed), Radix Angelicae Sinensis (Danggui, sliced and dried), Radix et Rhizoma Rhei (Dahuang, steamed in wine, sliced and fried, each 1 liang).
Usage: Grind into powder. Take 2 qian per dose, mixed with warm wine. Take at any time, three times daily.
**Lujiao San (Deer Horn Powder)**: Treats postpartum Du Ru.
Ingredients: Cornu Cervi (Lujiao, 1.5 liang), Old Boot Head (Guxuetou, 2 pieces).
Usage: Burn to ash and grind finely. Take 2 qian per dose, mixed with decoction of Danggui. Take at any time.
**Tiefen San (Iron Powder Powder)**: Treats postpartum Du Ru progressing to abscess.
Ingredients: Ferrum Pulveratum (Tiefen, ground), Radix Asari (Xixin, roots and leaves removed), Radix Chuanxiong (Xiong), Radix Ginseng (Renshen), Radix Saposhnikoviae (Fangfeng, cross-branches removed), Rhizoma Zingiberis Preparatum (Ganjiang, processed), Radix Scutellariae (Huangqin, black heart removed), Ramulus Cinnamomi (Guizhi, bark removed), Radix Paeoniae Alba (Shaoyao, each 1 liang), Radix Angelicae Sinensis (Danggui, sliced and dried), Radix Glycyrrhizae Preparata (Gancao, honey-fried, each 2 liang), Cortex CSPsoralae (Roucongrong, soaked in wine, sliced and dried, 1 liang).
Usage: Grind into powder. Take 3 qian per dose, mixed with wine. After 4-5 doses, if pus and blood discharge spontaneously, it indicates efficacy.
**Jishi San (Chicken Droppings Powder)**: Treats postpartum Du Ru progressing to abscess.
Ingredients: Excrementum Galli (Jishi, stir-fried until dry, 1 liang), Moschus (Shexiang, half qian, finely ground).
Usage: Grind into powder. Take 1 qian per dose, mixed with decoction of Schizonepeta (Jingjie) in wine. Take at any time.
**Erhui San (Two Ashes Powder)**: Treats postpartum non-excretion of milk, coagulation and stagnation not resolving, accompanied by hot swelling.
Ingredients: Fructus Viticis (Manjingzi, burned to retain nature), Spina Gleditsiae Sinensis (Zaojiaoci, burned to retain nature, each 1 liang), Moschus (Shexiang, half qian).
Usage: Mix and grind into powder. Take 2 qian per dose, mixed with warm wine. Take at any time.
**Furu Fang (Breast Application Formula)**: Treats postpartum Du Ru with coagulated swelling not resolving, accompanied by hot pain.
Ingredients: Radix Cimicifugae (Shengma), Lignum Aquilariae Resinatum (Muxiang), Lignum Santali Albi (Tanxiang, each half liang).
Usage: Select solid blocks of each ingredient. Place separately in a sand box, add a small amount of wine, and grind while wet. Use equal amounts of the three ingredients. Immediately apply to the breast using a goose feather brush. If dry, moisten with water, keeping it constantly moist. Apply twice daily.
**Lianqiao San (Forsythia Powder)** (from *Shenghui Fang*): Treats postpartum Du Ru with swelling, pain, and high fever, intending to form an abscess. Suitable for oral administration.
Ingredients: Fructus Forsythiae (Lianqiao, 1 liang), Radix Cimicifugae (Chuan Shengma, 1 liang), Radix Stephaniae Tetrandrae (Han Fangji, 1 liang), Radix Scutellariae (Huangqin, 1 liang), Radix et Rhizoma Rhei (Chuan Dahuang, 2 liang, sliced and lightly fried), Natrii Sulfas (Chuan Mangxiao, 1 liang), Radix Bupleuri (Chaihu, 1 liang, roots removed), Radix Paeoniae Rubra (Chishaoyao, 1 liang), Radix Glycyrrhizae Preparata (Gancao, 1 liang, honey-fried, lightly reddened, sliced), Cornu Bubali (Xijiao, 1 liang), Semen Pruni Armeniacae (Xingren, 1 liang, soaked in hot water, skin and tips removed, double-kernel, bran-fried until slightly yellow).
Usage: Crush into coarse particles, sieve into powder. Take 3 qian per dose. Add one medium bowl of water, decoct to six-tenths volume, remove dregs.
**Another Prescription** (from *Shenghui Fang*)
Take 1 liang of Abutilon seeds (Kuizi), crush finely, and sieve into powder. Take 1 qian before meals, mixed with warm water. Taking with wine is also acceptable. Another version uses unfermented wine.
**Formula for Treating Sores from Postpartum Du Ru** (from *Shenghui Fang*)
Ingredients: Nidus Vespae (Lufengfang), Soil from Cart Ruts (Chezhetuzhongtu), Soil from Pigsty (Zhujiazhongtu, all in equal parts).
Usage: Crush finely and sieve into powder. Mix with vinegar and apply topically.
**For cases where the infant does not suckle, or the mother has lost the infant and no one suckles, causing milk accumulation and non-excretion, leading to lump formation on the breast**, this formula is suitable (from *Shenghui Fang*).
Use 2 he of Red Adzuki Beans (Chixiaodou), crush and sieve into powder. Mix with egg white and apply to the breast to resolve the lump. If the infant sucks but milk does not drain, boil [some remedy] and squeeze it out. Alternatively, have an adult hold cold water in their mouth to suckle the milk out, then spit it out. If sucked without holding water, heat will arise, preferring coldness, causing sores on the nipple and blocking the milk pores.
**Formula for Small Hot Sores on Nipples Postpartum**, scratching yields yellow fluid, spreading, resistant to various treatments, named Du Ru (from *Shenghui Fang*)
Take 3 sheng of inner bark of Black Locust (Chubai), add 1 dou of water, decoct to obtain 5 sheng. Use in summer; take warm in autumn and winter. Twice daily, wash the breast and sore.
**Another Prescription** (from *Shenghui Fang*)
Take 5 sheng of Tianma Grass (Cannabis herb? Note: Text says Tianma Cao, likely distinct from Rhizoma Gastrodiae), chop, add 1 dou of water, decoct to obtain 6 sheng, remove dregs. Wash the breast while slightly warm, stopping when itching ceases. This herbal plant has leaves like hemp, grows in winter, and flowers in summer like rat-tail flowers. It can also be used to wash spreading yellow rot, hot sores, jaundice, yin erosion, and pediatric head sores, all of which heal.
**Formula for Postpartum Du Ru with Hard Breasts Intending to Form Pus** (from *Shenghui Fang*)
Grind Deer Horn (Lujiao) on a stone with water to extract white juice. Apply immediately. Reapply when dry. Also, have an adult suck out the yellow fluid from the milk, leading to recovery.
**Formula for Postpartum Du Ru with Swelling and Pain** (from *Shenghui Fang*)
Grind Sappan Wood (Zitanxiang) with thick vinegar and apply to the breast for immediate cure.
**Another Prescription** (from *Shenghui Fang*)
Grind Radix Cimicifugae (Chuan Shengma) with vinegar and apply.
**Another Prescription** (from *Shenghui Fang*)
Apply mashed fresh Radix Rehmanniae (Shengdihuang).
**Du Ru Formula** (from *Shenghui Fang*)
Ingredients: Radix Scutellariae (Huangqin), Radix Ampelopsis (Bailian), Radix Paeoniae Alba (Shaoyao, all in equal parts).
Usage: Sieve thoroughly. Take 1 qian-bi mixed with Jiangshui (fermented grain water). Three times daily. If the right breast is blocked, express milk from the left; if the left is blocked, express milk from the right. Taking the medicine will resolve the blockage.
**Another Prescription** (from *Shenghui Fang*)
Boil White Willow Bark (Liubaipi) in wine until hot. Wrap and apply as a compress to the breast to resolve swelling.
**Another Prescription**
Grind Radix Aucklandiae (Qingmuxiang) with vinegar (Ku Jiu) and rub onto the area.
**Another Prescription** (from *Shenghui Fang*)
Moschus (Shexiang), Olibanum (Xunlu Xiang / Rushing Xiang), Radix Aucklandiae (Qingmuxiang), Flos Caryophylli (Jishe Xiang), each 1 liang. Add 4 sheng of water, decoct to 2 sheng. Divide into two doses. Avoid garlic, noodles, wine, beef, horse meat, and pork. Another version makes a fine powder, taken with warm water after meals, 1 qian per dose.
**Treating Women's Du Ru Abscess**: Realgar (Xionghuang) and Chu Paste.
Ingredients: Realgar (Xionghuang), Radix Ampelopsis (Bailian), Orpiment (Cihuang), Chu (Ru/Gu Zhu - likely referring to a root or resin, context suggests Chu Su or similar, but text says Ru), Human Hair (Luankou, size of a chicken egg).
Usage: Combine with 8 liang of lard, boil three times. Remove dregs, then add human hair. When hair dissolves, the medicine is ready. Apply to the sore. Heals within ten days.
**Another Prescription** for Du Ru and Abscesses.
Take powdered Chicken Droppings (Jishi), take a square-inch measure. Three doses suffice for cure. Also treats cracked nipples.
**Mainly for sudden red swelling**, also treats women's Du Ru swelling (from *Bencao*).
Use 3 liang of fresh Ulmus bark (Sheng Yupi), crush and mix. Seal with residue from three-year-old vinegar. Change every 6-7 days.
**Treating Du Ru** (from *Bencao*)
Use dust from roof beams, mix with vinegar and apply.
**Treating Women's Du Ru Swelling** (from *Bencao*)
Grind fresh Preknowledge Root (Yuzhi Gen), mix with salt, vinegar, and fermented grain water. Decoct to get juice and wash. Do this 5-6 times.
**Treating Women's Mastitis with No Milk Discharge**, internally forming abscess named Du Ru (from *Bencao*)
Burn Vespa nest (Fengfang) to ash, grind. Take 2 qian per dose. Add one medium bowl of water, decoct to six-tenths volume, remove dregs, take warm.