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Feng Luzhan stated: There are two types of milk stasis: one is caused by abundant Qi and Blood but obstructed collaterals preventing flow, and the other is caused by deficient Qi and Blood leading to dryness and astringency. For deficiency patterns, tonification is indicated, such as with Shiquan Dabu Decoction (Complete Ten Tonifying Decoction) or Bazhen Decoction (Eight Treasures Decoction); for excess patterns, unblocking is indicated, using substances like Ophiopogonis Radix (Maidong), Trichosanthis Semen (Gualouren), Malvae Semen (Kuizi), Porcine Pancreas (Zhuyi), Akebiae Caulis (Mutong), Euphorbiae Fissurae (Loushu), and Pig Trotters (Zhuti). (From *Jinnang*)

If the Chong and Ren vessels have abundant blood, the Spleen and Stomach Qi are strong, and diet is regulated evenly, then milk will be sufficient and thick because the source of bio-transformation is vigorous. If Spleen and Stomach Qi are weak, food intake is reduced, and the Chong and Ren vessels are inherently deficient, then milk will be scanty and thin, and the nursing infant will also be frail and prone to illness. The quality of milk is judged as follows: milk that is thick, white, lustrous, and crystal-clear on the surface when poured into a cup is superior; yellow, clear, and thin milk is inferior and should not be fed to infants. The nursing mother should ideally be chosen from those who are neither too fat nor too thin, free from disease, with regular menstruation and a good appetite. Those who are too fat tend to have excessive phlegm-dampness, while those who are too thin tend to have excessive internal heat; drinking such milk affects the infant accordingly. For instance, there was an infant who slept deeply and did not wake all day, causing family panic. Medical treatment was ineffective until a skilled physician diagnosed it as alcohol intoxication in the child, asking if the mother had drunk heavily. This proved true; stopping medication and adjusting the mother's diet led to recovery, clearly demonstrating the significant impact of maternal factors. However, Li Shizhen stated: "Human milk has no fixed nature; it changes according to the properties of the mother's diet." Therefore, regulating the nursing mother's diet must be done with utmost caution.

Tongmai Decoction treats scanty or absent lactation.
Sheng Huangqi (Raw Astragali Radix) (1 liang), Dang Gui (Angelicae Sinensis Radix), Bai Zhi (Angelicae Dahuricae Radix) (each 5 qian).
Boil one pair of seven-holed pig trotters to make soup, skim off the floating oil, and use this soup to decoct the herbs into a large bowl. Drink it. Cover the face and sleep immediately after taking the medicine, and milk will flow. If there is no effect, take another dose, and there will be no obstruction.
For new postpartum women with no milk, do not use pig trotters; instead, decoct with half wine and half water. For those with strong constitutions, add 3-5 fen of high-quality Honghua (Carthami Flos) to eliminate lochia.

Scanty Lactation: Cook red beans and consume them with the soup. Milk will flow like a gushing spring.

Xiangru Tianjiang Yin (Heavenly Pulp Drink for Promoting Lactation)
Dang Gui (Angelicae Sinensis Radix), Bai Shaoyao (Paeoniae Radix Alba), Chuan Xiong (Chuanxiong Rhizoma), Maidong (Ophiopogonis Radix), Tongcao (Tetrapanacis Medulla), Shan Jia Chuan (Phrynosoma Carinatum, fried), Loushu (Euphorbiae Fissurae), Tianhuafen (Trichosanthis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Bai Fuling (Poria), Shu Dihuang (Rehmanniae Radix Preparata), Wang Bu Liu Xing (Vaccariae Semen) (each 1 qian).
Decoct in plain water.

Another prescription: Simmer Tongcao (Tetrapanacis Medulla) with pig front trotters and consume with the broth.

Another prescription:
Shan Jia Chuan (Phrynosoma Carinatum) and Wang Bu Liu Xing (Vaccariae Semen) in equal parts.
Grind into fine powder, mix with hot wine, and take 3 qian.
Used to promote lactation.

Shan Jia Chuan (Red-colored, 5 qian) and Chenpi (Citri Reticulatae Pericarpium, wine-processed, 3 qian).
Grind into fine powder, divide into three doses, take with rice wash water, completing the course within one day and night.

Postpartum milk stasis with body fever: Use Yulu San (Jade Dew Powder) (from *Liangfang*).
Jie Geng (Platycodonis Radix), Chuan Xiong (Chuanxiong Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Chi Shao (Paeoniae Radix Rubra), Renshen (Ginseng Radix), Chi Fuling (Poria with Red Core), Dang Gui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma). Decoct in water and take.

Another prescription: Mix Lettuce seeds (Woju Zi) and glutinous rice (Nuomi) in equal parts, grind finely, mix with one bowl of water, add 1 qian of Gancao (Glycyrrhizae Radix et Rhizoma) powder, decoct, and sip frequently.
Promotes lactation.

Dang Gui (Angelicae Sinensis Radix), Sheng Huangqi (Raw Astragali Radix), Tongcao (Tetrapanacis Medulla) (each 2 qian), Mutong (Akebiae Caulis, 1 qian), Shan Jia Chuan (Phrynosoma Carinatum, fried and ground), Qumai (Dianthi Herba) (each 1.5 qian), Wang Bu Liu Xing (Vaccariae Semen, 1.2 qian).
Boil male pig trotters (with seven star markings) in wine and drink with the broth.
Treats postpartum absence of milk.

Seven slices of Shan Jia Chuan (Phrynosoma Carinatum) fried and ground, 3 qian of Wang Bu Liu Xing (Vaccariae Semen), and one male ox trotter with seven star markings, boiled together to extract juice and drink. Milk will flow like a spring.

Scanty Lactation: One male pig testicle, dried over a yin-yang tile until carbonized but retaining substance, ground into powder, taken with non-ash wine. Milk will surely increase.

Thin and Watery Milk: On the third day after childbirth, consume a small amount of charcoal ash mixed with porridge. Milk will naturally become thick.

Promote Lactation: Decoct five stalks of lettuce (Woju) and drink the soup.

Promote Lactation: Burn 5 qian of Shan Jia Chuan (Phrynosoma Carinatum) until carbonized but retaining substance, grind into fine powder, and take with wine.