缪仲淳云,妒乳、内外吹乳、乳岩、乳痈,不外阳明、厥阴两经之病,橘叶最妙。又用生半夏一个,
研末,生葱头一段,研裹,左右互塞鼻,神验。又于山中掘野芥菜(去叶用)根,洗净捣烂,无灰酒煎数
滚,饮一二次,即以渣罨患处。凡乳痈未成,或肿或硬、
或胀痛者,无不立消,屡次经验。野芥菜一名天芥菜,又名鹦哥草,似芥菜而略矮小,其根数出如兰根,用以
治乳,想其形似乳囊也,故用有验。(春甫附载)
活小鲫鱼一尾,剖去肠,同生山药寸许,捣烂涂之,少顷发痒即愈。屡验。无山药,即芋艿亦可。
胡桃膈瓦上焙燥研末,每服三钱,红糖调匀,温酒送下,三服,无不全愈。又方∶用玫瑰花五七朵,
干者亦可,醇酒煎服;烫酒极热,冲服亦可;并以花瓣摘散,铺贴患处,三两次可愈,即已成块硬者,亦
可消散。(曾经活验数人,陈载安附识。)
坎气,洗净切薄,焙燥研末,日吃一条,酒下。约二十条效。(此缪德仁治验,半年以内者效。)
又狗粪、东丹、独囊蒜,三味捣匀,摊布上,勿用膏药令粘。粘贴微痛,数日可愈。
沈尧封曰∶乳岩初起,坚硬不作脓;其成也,肌
肉叠起,形似山岩。病起抑郁,不治之证。方书云∶桃花开时死,出鲜血者死。余见一妇患此已四年,诊
时出鲜血盈盂,以为必死。日服人参钱许,竟不死。明年春桃花大放,仍无恙,直至秋分节候方毙。此妇抑郁
不得志,诚是肝病。然不死于春而死于秋,何哉?岂肝病有二∶其太过者死于旺时;其不及者,死于衰时耶!此
证本属肝病,缪以坎气补肾而愈,亦理之不可解者。
王孟英按∶吴鞠通云∶当归、芎 ,为产后要药,然惟血寒而滞者为宜,若血虚而热者,断不可用。盖
当归香窜异常,甚于麻、辛,急走善行,不能静守,止能运血,裒多益寡。如亡血液亏,孤阳上冒等证,而
欲望其补血,不亦愚哉!芎 有车轮纹,其性更急于当归。盖特性之偏,长于通者,必不长于守也。世人
不敢用芍药而恣用归、芎,何其颠倒哉?余谓今人血虚而热者为多,产后血液大耗,孤阳易浮。吴氏此言,
深中时弊。又论《达生编》所用方药,未可尽信。先得我心之同然者。详见《解产难》,医者宜究心焉!
Miao Zhongchun stated that妒乳 (ju ru, jealousy breast), internal blowing breast, external blowing breast, breast cancer (ru yan), and breast abscess (ru yong) are all diseases of the Yangming (Stomach) and Jueyin (Liver/Pericardium) meridians. Citrus reticulata peel (Ju Ye) is most effective. Additionally, use one raw Pinellia ternata tuber (Sheng Ban Xia), grind into powder, take one segment of raw Allium fistulosum bulb (Sheng Cong Tou), grind and wrap the powder, insert alternately into left and right nostrils; this is miraculous. Also, dig up the root of wild Brassica juncea var. integrifolia (Ye Jie Cai, remove leaves, use only root), wash clean, crush, decoct with unadulterated wine for a few boils, drink one or two times, then apply the dregs to the affected area. For any breast abscess not yet suppurating, whether swollen, hard, or painful, it will disappear immediately without exception; verified repeatedly. Wild mustard is also called Tian Jie Cai or Ying Ge Cao, resembling mustard but slightly shorter; its roots grow in clusters like orchid roots. Used for treating breasts, likely because its shape resembles mammary glands, hence efficacy. (Attached by Chun Fu)
Take one live small crucian carp, gut it, mash together with about one cun of fresh Dioscorea opposita rhizome (Sheng Shan Yao), and apply externally. Itching shortly after application indicates cure. Verified repeatedly. If no yam is available, taro (Yu Niu) can be used instead.
Roast the septum of Juglans regia nut (Hu Tao Ge) on a tile until dry, grind into powder. Take 3 qian per dose, mix evenly with brown sugar, and swallow with warm wine. After three doses, complete recovery is expected. Another prescription: Use 5-7 Rosa rugosa flowers (Mei Gui Hua), dried ones are acceptable; decoct in pure wine; or dissolve in very hot wine; scatter petals and apply topically to the lesion. Two or three applications suffice for cure, even if hard masses have formed, they will dissipate. (Personally verified on several cases, recorded by Chen Zai'an.)
Clean umbilical cord (Kan Qi), slice thinly, roast dry, grind into powder. Consume one strip daily, taken with wine. Effect seen after approximately twenty strips. (This is Miao Deren's clinical experience; effective for cases within half a year.) Another method: Mix dog feces, traditional wall earth (Dong Dan), and single-clove garlic (Du Nang Suan), pound uniformly, spread on cloth, do not use adhesive plasters. Mild pain upon application resolves in a few days.
Shen Yaofeng stated: Breast cancer (Ru Yan) initially presents as hard without suppuration; when mature, muscles stack up, resembling rocky cliffs. The disease arises from depression; it is considered incurable. Medical texts state: Death occurs when peach blossoms bloom; death occurs if bright red blood is discharged. I observed a woman suffering from this for four years. Upon examination, she discharged enough bright red blood to fill a basin, leading me to believe she would certainly die. She took about one qian of Ginseng radix et rhizoma (Ren Shen) daily and did not die. The following spring, when peach blossoms bloomed profusely, she remained well, passing away only at the Autumn Equinox. This woman suffered from frustration and depression, truly indicating Liver disease. Yet why did she not die in Spring but in Autumn? Could Liver disease have two patterns: excess dying during the prosperous season; deficiency dying during the declining season? This condition belongs to Liver disease, yet Miao cured it by tonifying Kidney with Kan Qi, which is inexplicable.
Wang Mengying added: Wu Jutong said: Angelica sinensis radix (Dang Gui) and Ligusticum chuanxiong rhizome (Xiong Qiong) are essential postpartum herbs, but suitable only for blood cold with stagnation. For blood deficiency with heat, they must absolutely not be used. Dang Gui has an exceptionally pungent aroma, more so than Ephedrae Herba (Ma Huang) and Asari Radix (Xi Xin); it moves rapidly and actively, cannot remain static, only moves blood, depleting excess to supplement deficit. In cases of blood loss, deficiency, or floating solitary yang, expecting it to nourish blood is foolish! Xiong Qiong has wheel-like markings and acts more urgently than Dang Gui. Its nature is biased towards circulation; those skilled in unblocking are rarely skilled in retaining. People dare not use Paeonia lactiflora radix (Bai Shao) but recklessly use Dang Gui and Xiong Qiong; how inverted this is! I believe modern patients often have blood deficiency with heat. Postpartum, blood is greatly depleted, making solitary yang prone to floating. Wu's words hit the current medical malpractice accurately. He also criticized the prescriptions in Da Sheng Bian, stating they cannot be fully trusted. This aligns with my own views. See detailed discussion in Jie Chan Nan; physicians should study this carefully.