因儿吮乳,母子睡熟,儿口热气吹肿痛,名外吹;孕妇乳肿病,名内吹。亦宜前方及栝蒌散
治之。或黍子(一合),好酒下。
又 鹿角(一两,炭火 ,研细),分两次用,无灰酒滚热,饮尽汗出安。
初觉急宜揉散,及捣葱作饼熨。结核成饼,即为乳痈。
主方 天花粉 柴胡 桔梗 瞿麦 木通(各钱半) 连翘 赤芍药 白芷 青皮(各七
分) 甘草(五分) 上加通草(二钱,做花者),水煎服。频用油木梳烘熨乳房。
新产之妇,乳头陷者,笔管捺之呼出,汁不通,宜主方。
主方 漏芦 木通 穿山甲(炙,研) 天花粉 王不留行 当归(各二钱) 皂角(五
分) 上加通草三钱,用猪前蹄足五寸同煮,至蹄熟,食蹄与汁。或为末,用蹄汁调下。
又 芝麻(半升,炒,研) 胡桃肉(四两、另研) 皂角(五钱) 穿山甲(炒) 僵蚕(炒。各
四两) 肉果(面包煨熟,三钱)
上共为末,每服三钱,温酒送下,一日五服。
又 猪前足、通葱草(做花切下者煮),食蹄汁。
又 赤小豆煮汁饮。
又 肥胖妇人因痰气壅盛,乳闭滞塞,消痰药加漏芦之类。
又 天花粉(研末,)二钱酒下。或饮莴苣汤,并食炒菜子,同穿山甲研服。
乳头裂痛∶苎麻根捣敷。
Because the infant suckles milk while both mother and child are asleep, the hot breath from the infant's mouth blows into the breast causing swelling and pain, named "External Blowing" (Wai Chui); breast swelling disease occurring during pregnancy is named "Internal Blowing" (Nei Chui). These conditions should also be treated with the aforementioned formula and Gualou San (Trichosanthes Powder). Alternatively, use Shuzi (Setaria italica seeds, one he) taken down with good wine.
Furthermore, take Lujiao (Cervus Nippon Antler, one liang), calcined over charcoal fire and ground finely, divided into two doses. Drink until finished with boiling non-ash wine; sweating will bring relief.
At the initial stage, it is urgent to massage and disperse the lump, and apply a poultice made of crushed scallions. If a hard nodule forms like a cake, it develops into Ru Yong (Breast Carbuncle).
Main Formula: Tianhuafen (Trichosanthis Radix), Chaihu (Bupleuri Radix), Jiegeng (Platycodonis Radix), Qumai (Dianthi Herba), Mutong (Akebiae Caulis), each 1.5 qian; Lianqiao (Forsythiae Fructus), Chi Shaoyao (Paeoniae Radix Rubra), Baizhi (Angelicae Dahuricae Radix), Qingpi (Citri Reticulatae Pericarpium Viride), each 0.7 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 qian. Add Tongcao (Tetrapanacis Medulla, 2 qian, those with flowers are preferred), decoct in water and take orally. Frequently iron the breast with an oiled wooden comb heated by warming.
For women who have just given birth, if the nipple is retracted, press it out using a pen tube. For blocked lactation, the Main Formula above is suitable.
Main Formula: Loulu (Euphorbiae Humifusae Herba), Mutong (Akebiae Caulis), Chuanshanjia (Manis Squama, roasted and ground), Tianhuafen (Trichosanthis Radix), Wangbuliuxing (Vaccariae Semen), Danggui (Angelicae Sinensis Radix), each 2 qian; Zaojiao (Gleditsiae Fructus) 0.5 qian. Add Tongcao (Tetrapanacis Medulla, 3 qian), cook together with five cun of pig forefeet until the trotters are cooked. Eat the trotters and drink the broth. Alternatively, grind the herbs into powder and take them down mixed with trotter broth.
Another prescription: Zhima (Sesami Fructus, half sheng, stir-fried and ground), Hutaorou (Juglandis Semen, four liang, ground separately), Zaojiao (Gleditsiae Fructus, five qian), Chuanshanjia (Manis Squama, stir-fried), Jiangcan (Bombyx Batryticatus, stir-fried, each four liang), Rouguo (Myristicae Semen, baked in flour and roasted, three qian). Grind all ingredients into powder. Take 3 qian per dose, delivered with warm wine, five times a day.
Another method: Eat pig forefeet and boiled soup of Tongcong Cao (Allii Tuberosi Herba cut into flower shapes).
Another method: Drink the decoction of Chixiaodou (Phaseoli Semen Rubrum).
Another method: For obese women whose lactation is obstructed due to excessive phlegm and qi stagnation, add Loulu (Euphorbiae Humifusae Herba) to phlegm-resolving medicines.
Another method: Take Tianhuafen (Trichosanthis Radix, ground powder) 2 qian down with wine. Or drink Letang (Lactuca Sativa Decoction), eat stir-fried rapeseeds, and take them together with ground Chuanshanjia (Manis Squama).
Cracked and painful nipples: Apply mashed Zhumagen (Boehmeriae Radix) externally.