产后乳儿，乳为儿口气所吹，致令乳汁不通，壅结肿痛，不急治之，多成痈肿。急服栝蒌散，外以南星研末，
温水调敷，更以手揉散之。若肿痛势甚者，惟金贝煎最妙。
栝蒌散
栝蒌（一个） 乳香（去油，二钱）
酒煎服。
金贝煎
金银花 贝母（去心） 蒲公英 夏枯草（各三钱） 红藤（七八钱） 连翘（一两或五七钱）
酒二碗，煎一碗服，服后暖卧片时。
如火盛烦渴乳肿者，加天花粉二三钱。
产后无儿饮乳，或乳多儿小未能饮尽，余乳蓄结作胀。或妇人血气方盛，乳房作胀，以致肿痛憎寒壮热，
不吮通之，必致成痈。用陈皮一两，甘草一钱，水煎服。若肿结不消，欲回乳者，用麦芽二三两（炒熟），
水煎服。
乳痈属胆胃二腑热毒瓦斯血壅滞，故初起肿痛发于肌表，肉色 赤。其人表热，或憎寒壮热，头痛烦渴，宜
栝蒌必效散。若初起结块，宜泽兰汤。外用活鲫鱼一尾捣烂，和腊月饴糖糟一小团研细调敷，肿消即下。如未
消再敷。一法以远志去心取肉，米泔浸炒为末，每服三钱，酒一钟澄清饮之。渣敷患处。若脓出寒热如疟，宜
解毒散。若脓出虚弱，宜参 银花汤。
栝蒌必效散
栝蒌（一个捣烂） 金银花 当归 生甘草（各五钱） 乳香（去油） 没药（去油，各一钱）
水煎服。（一方有白芷、青皮各一钱）
泽兰汤
泽兰（一两） 青皮（三钱） 白芨（五钱） 枸橘叶（三十片）
水煎，入酒半钟服。
解毒汤
人参 白术（蜜炙） 生地黄（各二钱） 黄 银花 茯苓（各一钱） 连翘（去心，四分） 青皮（三分）
白芷（五分） 乌梅（一枚） 大枣（一枚）
水煎服。
参 银花汤
人参 黄 白术（蜜炙） 熟地黄（各二钱） 银花 当归（各三钱） 茯苓 川芎（各八分）
甘草（五分）
水煎服。
During the postpartum breastfeeding period, if an infant's breath blows into the breast, it causes milk stasis, leading to accumulation, obstruction, swelling, and pain. If not treated promptly, it often develops into a carbuncle (breast abscess). One should immediately take Gualou San (Trichosanthes Powder), apply dried Aconitum carmichaelii powder externally mixed with warm water, and massage the area by hand to disperse the swelling. If the swelling and pain are severe, Jinbei Jian (Gold Shell Decoction) is most effective.
Gualou San (Trichanthes Powder)
Trichosanthes fruit (one piece)
Frankincense resin (oil removed, two qian)
Decoct in wine for oral administration.
Jinbei Jian (Gold Shell Decoction)
Honeysuckle flower Flos Lonicerae Japonicae (Yinjinhua)
Fritillaria bulb Fructus et Semen Fritillariae Cirrhosae (Beimu, removed heart)
Dandelion Herba Taraxaci (Pugongying)
Prunella spike Spica Prunellae (Xiakucao)
Each three qian.
Red vine Radix Sargentodoxae (Hongteng)
Seven to eight qian.
Forsythia fruit Fructus Forsythiae (Lianqiao)
One liang or five to seven qian.
Decoct two bowls of wine until one bowl remains; drink while warm, then rest in bed under covers for a short time.
If there is excessive heat causing irritability, thirst, and breast swelling, add Trichosanthes root Radix Trichosanthis (Tianhuafen) two to three qian.
In cases where there is no infant to suckle, or when milk production exceeds the infant's capacity, residual milk accumulates and causes distension and pain. Alternatively, if a woman has abundant Qi and Blood, her breasts may become distended, leading to swelling, pain, aversion to cold, and high fever. If this is not relieved by suckling, it will inevitably lead to a carbuncle. Use one liang of Citrus reticulata peel Pericarpium Citri Reticulatae (Chenpi) and one qian of Licorice root Radix Glycyrrhizae uralensis (Gancao), decoct in water, and take orally. If the swelling and induration do not resolve and one wishes to suppress lactation (return milk), use two to three liang of malt Hordeum vulgare seed Frumentum Hordei Germinatum (Maiya, stir-fried), decoct in water, and take orally.
Breast carbuncle (Ru Yong) is caused by heat-toxin and blood stasis stagnating in the Gallbladder and Stomach fu-organs. Therefore, initially, swelling and pain appear on the body surface with reddish skin color. The patient presents with exterior heat, or aversion to cold with high fever, headache, irritability, and thirst. It is suitable to take Gualou Bixiao San (Trichanthes Highly Effective Powder). If there is initial induration, Zelan Tang (Zelan Decoction) is suitable. Externally, mash one live crucian carp Carassius auratus, mix with a small ball of maltose syrup from the twelfth lunar month and fermented rice bran, grind finely, mix with water, and apply. Remove once swelling subsides. If not subsided, reapply. Another method uses Polygala root Radix Polygalae (Yuanzhi), remove heart, take the flesh, soak in rice wash water, stir-fry, and grind into powder. Take three qian each time, washed down with one cup of clarified wine. Apply the dregs to the affected area. If pus is discharged followed by chills and fever resembling malaria, Jiedu San (Detoxification Powder) is suitable. If the body is weak after pus discharge, Shen Yinhua Tang (Ginseng Honeysuckle Decoction) is suitable.
Gualou Bixiao San (Trichanthes Highly Effective Powder)
Trichosanthes fruit (one piece, mashed)
Honeysuckle flower Flos Lonicerae Japonicae (Yinjinhua)
Angelica root Radix Angelicae sinensis (Danggui)
Raw Licorice root Radix Glycyrrhizae uralensis (Sheng Gancao)
Each five qian.
Frankincense resin (oil removed)
Myrrh Resina Myrrhae (Moyao) (oil removed)
Each one qian.
Decoct in water and take orally. (Another prescription includes Angelica dahurica root Radix Angelicae Dahuricae (Baizhi) and Tangerine peel Pericarpium Citri Reticulatae (Qingpi), each one qian.)
Zelan Tang (Zelan Decoction)
Lycopus herb Herba Lycopi (Zelan)
One liang.
Tangerine peel Pericarpium Citri Reticulatae (Qingpi)
Three qian.
Bletilla rhizome Rhizoma Bletillae (Baiji)
Five qian.
Poncirus trifoliata leaf Folium Ponciri Trifoliate (Goujieye)
Thirty leaves.
Decoct in water, add half a cup of wine, and take orally.
Jiedu Tang (Detoxification Decoction)
Ginseng root Radix Ginseng (Renshen)
Atractylodes macrocephala rhizome Rhizoma Atractylodis Macrocephalae (Baizhu, honey-fried)
Rehmannia root Radix Rehmanniae Glutinosae (Sheng Dihuang)
Each two qian.
Astragalus root Radix Astragali Membranacei (Huangqi)
Honeysuckle flower Flos Lonicerae Japonicae (Yinjinhua)
Poria sclerotium Sclerotium Poriae Cocos (Fuling)
Each one qian.
Forsythia fruit Fructus Forsythiae (Lianqiao, removed heart)
Four fen.
Tangerine peel Pericarpium Citri Reticulatae (Qingpi)
Three fen.
Angelica dahurica root Radix Angelicae Dahuricae (Baizhi)
Five fen.
Chinese plum fruit Fructus Mume (Wumei)
One piece.
Jujube fruit Fructus Jujubae (Dazao)
One piece.
Decoct in water and take orally.
Shen Yinhua Tang (Ginseng Honeysuckle Decoction)
Ginseng root Radix Ginseng (Renshen)
Astragalus root Radix Astragali Membranacei (Huangqi)
Atractylodes macrocephala rhizome Rhizoma Atractylodis Macrocephalae (Baizhu, honey-fried)
Prepared Rehmannia root Radix Rehmanniae Praeparata (Shu Dihuang)
Each two qian.
Honeysuckle flower Flos Lonicerae Japonicae (Yinjinhua)
Angelica root Radix Angelicae sinensis (Danggui)
Each three qian.
Poria sclerotium Sclerotium Poriae Cocos (Fuling)
Sichuan Lovage root Radix Ligustici Chuanxiong (Chuanxiong)
Each eight fen.
Licorice root Radix Glycyrrhizae uralensis (Gancao)
Five fen.
Decoct in water and take orally.