夫妒乳者，由新产后儿未能饮，至乳不泄，或乳胀，捏其汁不尽，皆令乳汁蓄结，与血
气相搏，即壮热，大渴引饮，牢强掣痛，手不得近是也。初觉便知，以手捏去汁，更令旁人助
吮引之。不尔，或作疮有脓，其热势盛，必成痈也，轻则为吹乳妒乳，重则为痈。虽有专门，不
可不知。
集验论曰∶（浸淫疮亦名姑妒）凡妇人女子乳头生小浅热疮，搔之黄汁出，浸淫渐长，
百疗不瘥，动经年月，名为妒乳，宜以赤龙皮汤、天麻汤洗之，敷二物汤、飞乌膏及飞乌散，
始作者可敷以黄芩漏芦散、黄连胡粉散，并佳。（缺漏芦散）
连翘汤 治产后妒乳，并痈实者下之。（有余者泻之）
连翘 升麻 元参 芍药 白蔹 防风 射干 杏仁 芒硝 大黄 甘草（各一钱）
上作一服，水二钟煎至一钟，食后服。
栝蒌散 冶乳初结胀不消，令败乳自退。
栝蒌（一个，半生半炒） 粉草（一寸，半生半炙） 生姜（一块，半生半煨）
上锉，用酒二碗煎服，少顷痛不可忍，即搜去败乳，临卧再一服，顺所患处乳侧卧于床
上，令其药行故也。无生姜用麦芽。
一方 治妒乳。
黄芩 白蔹 芍药
上为末，以浆水饮服半钱匕，日三。若左乳汁结者，即捋左乳汁（捋法有见解），若右
乳汁结者，可捋去右乳汁。
赤龙皮汤 治妒乳。
槲皮三升，水一斗煮五升，夏冷洗，秋冬温之，分以洗乳。
天麻汤 治妒乳，亦洗浸淫黄烂热疮，痒疽湿阴蚀疮，小儿头疮。
天麻草（即益母）五升，以水一斗半煎取一斗，随寒温分洗乳，以杀痒也，洗毕，敷膏
散。
飞乌散 治乳头生疮及诸热浸淫，丈夫阴蚀痒湿，小儿头疮疳蚀等疮，并以此敷之。
维粉（烧朱砂作水银上黑烟，三两，熬令焦燥） 枯矾（三两，烧粉）
上二味筛为细末，以甲煎和之，令如脂，
以敷乳疮，日三，有汁可干掺。
黄连胡粉膏 治乳疮，并诸湿痒黄烂肥疮。
黄连（二两，为末） 胡粉（二两半） 水银（一两，同研令消散）
上三味相和，皮裹熟 之，自和合也，纵不成一家，且得水银细散入粉中，以敷乳疮。
一方 治妒乳生疮。
蜂房 猪甲中土 车辙中土（各等分）
上二味为末，苦酒和敷之。
鹿角散 治妇人乳头生疮，汁出疼痛欲死，不可忍者。
鹿角（三分） 甘草（一分）
上二味为末，和以鸡子黄，于铜器中置温处，炙上敷之，日再即愈，神验不传。
杂方 治妒乳乳痈。
烧自死蛇为灰，和以猪膏涂之，大良。
一方 葵茎及子捣筛为末，酒服方寸匕，即愈。
一方 鸡屎干为末，酒服方寸匕，须臾三服，愈。
一方 马溺涂之，立愈。
一方 取捣米槌二枚，炙令热，以絮及故帛 乳上，以槌更互熨之，瘥止，已用立效。
一方 皂角十条，以酒一升揉取汁，硝石半两，煎成膏敷之。
一方 蔓荆子捣烂，酒服，仍以滓敷患处。
一方 用赤小豆酒研烂，温服，滓封患处。
一方 仙人掌草一握，小酒糟一块，生姜一大块，同研烂，入桂末少许炒，酒服，滓罨患处。
一方 治乳头裂破，用丁香为末，敷之。
一方 用秋茄子裂开者阴干，烧存性，水调涂之。
补遗方 治妇人乳头小浅疮烂痒。
用芙蓉花或叶，干为末，掺之。
Du Ru (Breast Jealousy), referring to the condition occurring after childbirth where the infant fails to suckle, leading to milk stasis; or when breast distension occurs and manual expression fails to empty the ducts completely. These situations cause milk accumulation and knotting, which combats with Qi and Blood, resulting in high fever, extreme thirst with a desire to drink, hardness and rigidity of the breast with pulling pain, making it intolerable to touch. If recognized at the initial stage, milk should be expressed by hand, and assistance should be sought from others to suckle and drain it. Otherwise, it may develop into an ulcer with pus, and with intense heat, inevitably form an abscess. Mild cases are called Chui Ru (Blown Breast) or Du Ru, while severe cases become Abscesses. Although this is the specialty of dedicated practitioners, physicians must not be ignorant of it.
Ji Yan Lun states: (Jin Yin Chuang, also known as Gu Du) Whenever women develop small, superficial hot sores on the nipples, scratching yields yellow fluid that spreads gradually. Despite various treatments, it does not heal, persisting for months or even a year. This is named Du Ru. It is suitable to wash with Chi Long Pi Tang (Red Dragon Bark Decoction) and Tian Ma Tang (Gastrodia Decoction), then apply Er Wu Tang (Two-Ingredient Decoction), Fei Wu Gao (Flying Crow Ointment), and Fei Wu San (Flying Crow Powder). For newly onset cases, Huang Qin Lou Lu San (Scutellaria and Rhaponticum Powder) or Huang Lian Hu Fen San (Coptis and Lead White Powder) can be applied, both being excellent. (Lou Lu San formula is missing.)
Lian Qiao Tang (Forsythia Decoction): Treats postpartum Du Ru and Abscesses belonging to Excess patterns, employing purgation methods. (Excess patterns are treated with draining methods.)
Ingredients: Lian Qiao (Forsitiae Fructus), Sheng Ma (Cimicifugae Rhizoma), Yuan Shen (Scrophulariae Radix), Shao Yao (Paeoniae Radix Alba), Bai Lian (Ampelopsis Radix), Fang Feng (Saposhnikoviae Radix), She Gan (Belamcandae Rhizoma), Xing Ren (Armeniacae Semen Amarum), Mang Xiao (Natrii Sulfas), Da Huang (Rhei Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 1 qian).
Preparation and Administration: One dose prepared by decocting two zhong of water to one zhong, taken after meals.
Gua Lou San (Trichosanthes Powder): Treats initial breast lumpiness and distension without resolution, causing spoiled milk to recede naturally.
Ingredients: Gua Lou (Trichosanthis Fructus) (one fruit, half raw, half stir-fried), Fen Cao (Glycyrrhizae Radix et Rhizoma) (one cun, half raw, half honey-fried), Sheng Jiang (Zingiberis Rhizoma Recens) (one piece, half raw, half roasted).
Preparation and Administration: Cut into pieces, decocted in two bowls of wine and taken orally. Shortly after ingestion, if pain becomes unbearable, squeeze out the spoiled milk. Take another dose before sleep. Lie on the side of the affected breast on the bed to facilitate the action of the medicine. If Sheng Jiang is unavailable, Mai Ya (Hordei Fructus Germinatus) can be used instead.
Another Formula: Treats Du Ru.
Ingredients: Huang Qin (Scutellariae Radix), Bai Lian (Ampelopsis Radix), Shao Yao (Paeoniae Radix Alba).
Preparation and Administration: Grind into fine powder, take half a qian bi with Jiang Shui (fermented grain water), three times daily. If left breast milk is knotted, express the left breast milk (the method of expressing has specific insights); if right breast milk is knotted, express the right breast milk.
Chi Long Pi Tang (Red Dragon Bark Decoction): Treats Du Ru.
Ingredients: Hu Pi (Quercus variabilis bark) (3 sheng).
Preparation and Administration: Decoct in 1 dou of water to obtain 5 sheng. Wash cold in summer, warm in autumn and winter, dividing the liquid to wash the breasts.
Tian Ma Tang (Gastrodia Decoction): Treats Du Ru; also washes Jin Yin Huang Lan Re Chuang (Spreading Yellow-Rot Hot Sores), Yang Ju (Itching Carbuncle), Shi Yin Shi Chu Chuang (Damp Genital Erosion Sores), and Xiao Er Tou Chuang (Infantile Scalp Sores).
Ingredients: Tian Ma Cao (i.e., Yi Mu Cao / Leonuri Herba) (5 sheng).
Preparation and Administration: Decoct in 1.5 dou of water to obtain 1 dou. Wash the breasts according to temperature preferences to relieve itching. After washing, apply ointments or powders.
Fei Wu San (Flying Crow Powder): Treats nipple sores and various heat-induced spreading conditions, male genital erosion with itching and dampness, infantile scalp sores and parasitic erosions, etc. Apply externally to all such sores.
Ingredients: Wei Fen (Vermilion powder made by burning Zhu Sha (Cinnabar) to collect black smoke above mercury, 3 liang, fried until dry and charred), Ku Fan (Alumen) (3 liang, calcined to powder).
Preparation and Administration: Sieve the two ingredients into fine powder, mix with Jia Jian (Insect Lacquer/Shellac preparation) to form a paste-like consistency. Apply to nipple sores three times daily. If there is exudate, sprinkle dry powder directly.
Huang Lian Hu Fen Gao (Coptis and Lead White Ointment): Treats breast sores and various damp itching, yellow-rot, and hypertrophic sores.
Ingredients: Huang Lian (Coptidis Rhizoma) (2 liang, powdered), Hu Fen (Plumbum Carbonaticum/Lead White) (2.5 liang), Shui Yin (Hydrargyrum/Mercury) (1 liang, ground together until dispersed).
Preparation and Administration: Mix the three ingredients, wrap in skin, and cook熟 (cook thoroughly) until they fuse naturally. Even if they do not fully merge, ensure the mercury is finely dispersed into the powder, then apply to breast sores.
Another Formula: Treats Du Ru with sores.
Ingredients: Feng Fang (Vespa Crabro Nest), Zhu Zhong Tu (Soil from pig's belly), Che Zhe Zhong Tu (Soil from cart ruts) (equal parts).
Preparation and Administration: Grind into powder, mix with Ku Jiu (bitter vinegar/wine) and apply externally.
Lu Jiao San (Deer Horn Powder): Treats women developing sores on nipples with discharge, severe pain nearly causing death, unbearable suffering.
Ingredients: Lu Jiao (Cornu Cervi) (3 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 fen).
Preparation and Administration: Grind into powder, mix with Ji Zi Huang (Yolki Gallinae), place in a copper vessel in a warm place, heat and apply externally. Twice daily leads to cure. Divine efficacy, not transmitted.
Miscellaneous Formulas: Treats Du Ru and Ru Yong (Breast Abscess).
Method: Burn naturally dead snakes to ash, mix with Zhu Gao (lard/pig fat) and apply. Highly effective.
Another Formula: Crush Kui Jing (Abutilonis Caulis) and its seeds, sieve into powder, take with wine using a fang cun bi measure, cure immediately.
Another Formula: Dry Ji Shi (Avium Stercus), grind to powder, take with wine using a fang cun bi measure, divide into three doses taken shortly after, cure.
Another Formula: Apply Ma Ni (Equini Urine) to the site, immediate cure.
Another Formula: Take two rice-pounding pestles, heat them, place cotton wool and old cloth over the breast, and alternate pressing with the heated pestles. Stop when healed; already used, takes immediate effect.
Another Formula: Ten Suo Jiao (Gleditsiae Sinensis Spina), rub with one sheng of wine to extract juice, add Ban Liang of Xiao Shi (Natrii Nitras), decoct into a paste for application.
Another Formula: Crush Man Jing Zi (Viticis Fructus), take with wine, and apply the dregs to the affected area.
Another Formula: Crush Chi Xiao Dou (Adzuki Bean) with wine, take warm, and seal the affected area with the dregs.
Another Formula: Take a handful of Zhang Xian Cao (Opuntia Millii Stem), a piece of small wine lees, and a large piece of Sheng Jiang (Zingiberis Rhizoma Recens), grind together, add a little Gui Mo (Cinnamomi Cortex Powder), stir-fry, take with wine, and apply the dregs to the affected area.
Another Formula: Treats cracked nipples. Use Ding Xiang (Caryophylli Flos) powder for application.
Another Formula: Use autumn eggplants that have split open, shade-dry, burn to preserve nature (charcoalization), mix with water and apply.
Supplementary Formulas: Treats women's small superficial nipple sores, rot, and itching.
Method: Use Fu Rong Hua (Hibisci Mutabilis Flos) or leaves, dry and grind to powder, sprinkle on the affected area.