乳头属肝，乳房属胃。胃与脾相连，乳岩一症，乃思虑挹郁，肝脾两伤，积想在心，所愿
不得，志意不遂，经络枯涩，痰气郁结而成。两乳房结核有年则攀痛牵连筋，肝阴亦损，气化
为火，阳明郁痰不解，虑其长大成为岩症，速宜撇去尘情，开怀解郁，以冀消化乃吉。拟方候裁。
西洋参 童便制香附 青皮（蜜炙） 川贝母 全栝蒌 赤白芍 毛菇 陈皮 夏枯草 清半夏
当归 佩兰叶 红枣头
乳岩破溃，乳房坚肿、掣痛，定有翻花出血之虞。难治之症。姑拟养阴清肝。
中生地 当归 白芍 黑栀 生甘草 羚羊片 丹皮 栝蒌 大贝母 连翘 蒲公英
乳岩一年肿突，红紫甫溃，两目筋脉掣痛，难治之症。勉拟养阴清肝。
北沙参 麦冬 大贝 丹皮 当归 羚羊片 黑栀 连翘 甘草 泽兰 夏枯草 藕
肝郁乳核气化为火，抽引掣痛，恐酿成乳岩大症，宜清肝汤主之。
当归 栝蒌 丹皮 夏枯草 连翘 大贝 黑山栀 泽兰 北沙 白芍 金橘叶
血不养肝，肝气郁结，右乳胀硬，乳头掣痛，势成岩症。急为清肝解郁，冀消化为要。
全栝蒌 青皮 甘草 白术 薄荷 当归 柴胡 白芍 黑栀 丹皮 蒲公英 橘叶
暴怒伤阴，厥气火偏旺，与阳明之痰热交并于络，以致乳房坚肿，颈颜链接数核，或时
掣痛，已成岩症，脉数右洪，气火不降，谨防破溃。急为养阴清肝。
羚羊片 天门冬 全栝蒌 大贝 丹皮 黑栀 鲜石斛 连翘 泽兰 赤芍 黑元参 蒲公英
气虚生痰，阴虚生热，气火夹痰交并络中，乳岩坚肿，痛如虫咬。此阳化内风，动扰不
宁，每遇阴晦之日，胸闷不畅，阴亏液燥。宜养阴清气化痰，缓缓图之。
天冬 羚羊 夜合花 橘叶 郁金 海蛰 蒌仁 茯苓 川贝母 泽兰 连翘 勃荠
乳核掣痛已减，肝火未清，脉尚弦数，仍以前法。
全栝蒌 白芍 当归 丹皮 夏枯草 连翘 北沙参 大贝 黑栀 泽兰 合欢花 橘叶
肝气夹痰，左乳房结核三月，幸未作痛，可冀消散。宜清肝散结。
当归 柴胡 连翘 赤芍 香附 僵蚕 青皮 大贝 夏枯草 栝蒌 蒲公英 橘叶
The nipple belongs to the Liver, and the breast belongs to the Stomach. The Stomach is connected to the Spleen. Breast cancer (Ru Yan) arises from excessive worry and emotional depression, injuring both the Liver and Spleen; persistent thoughts in the mind, unfulfilled desires, and thwarted will lead to dryness and stagnation of the collaterals, resulting from the accumulation of phlegm and qi stagnation. When nodules persist in both breasts for years, they cause pulling pain involving the sinews, damaging Liver Yin. Qi transformation turns into fire, and stagnant phlegm in the Yangming channel remains unresolved. There is concern that it may enlarge and develop into a severe case of breast cancer. It is urgent to discard worldly concerns, open the heart to relieve depression, hoping for resolution, which would be auspicious. A prescription is proposed for your consideration.
*Panax quinquefolius* Radix (Xi Yang Shen), *Cyperus rotundus* Rhizoma (Xiang Fu) processed with child's urine, *Citrus reticulata* Pericarpium Viride (Qing Pi) honey-fried, *Fritillaria cirrhosa* Bulbus (Chuan Bei Mu), *Trichosanthes kirilowii* Fructus (Quan Gua Lou), *Paeonia lactiflora* Radix Rubra et Alba (Chi Bai Shao), *Agaricus blazei* (Mao Gu), *Citrus reticulata* Pericarpium (Chen Pi), *Prunella vulgaris* Spica (Xia Ku Cao), *Pinellia ternata* Rhizoma Praeparatum (Qing Ban Xia), *Angelica sinensis* Radix (Dang Gui), *Lysimachia christinae* Herba (Pei Lan Ye), and the head of red dates (Hong Zao Tou).
When breast cancer ulcerates, with hard swelling and pulling pain in the breast, there is definite danger of "turning flower" (fungating growth) and bleeding. This is a difficult-to-treat condition. Temporarily prescribing nourishing Yin and clearing Liver heat.
*Rehmannia glutinosa* Radix (Zhong Sheng Di), *Angelica sinensis* Radix (Dang Gui), *Paeonia lactiflora* Radix (Bai Shao), *Gardenia jasminoides* Fructus Carbonized (Hei Zhi), *Glycyrrhiza uralensis* Radix et Rhizoma (Sheng Gan Cao), *Capra hircus* Cornu (Ling Yang Pian), *Paeonia suffruticosa* Radix (Dan Pi), *Trichosanthes kirilowii* Fructus (Gua Lou), *Fritillaria thunbergii* Bulbus (Da Bei Mu), *Forsythia suspensa* Fructum (Lian Qiao), *Taraxacum mongolicum* Herba (Pu Gong Ying).
Breast cancer persists for one year, with protruding swelling, recently ulcerated showing red-purple color, accompanied by pulling pain in the eyes and sinews. This is a difficult-to-treat condition. Reluctantly prescribing nourishing Yin and clearing Liver heat.
*Glehnia littoralis* Radix (Bei Sha Shen), *Ophiopogon japonicus* Radix (Mai Dong), *Fritillaria thunbergii* Bulbus (Da Bei), *Paeonia suffruticosa* Radix (Dan Pi), *Angelica sinensis* Radix (Dang Gui), *Capra hircus* Cornu (Ling Yang Pian), *Gardenia jasminoides* Fructus (Hei Zhi), *Forsythia suspensa* Fructum (Lian Qiao), *Glycyrrhiza uralensis* Radix et Rhizoma (Gan Cao), *Lycopus lucidus* Herba (Ze Lan), *Prunella vulgaris* Spica (Xia Ku Cao), Lotus root (Ou).
Liver qi stagnation forms breast nodules, qi transforms into fire, causing pulling and twitching pain. Fear of developing into severe breast cancer; suitable to use Qing Gan Tang (Clear Liver Decoction) as the main treatment.
*Angelica sinensis* Radix (Dang Gui), *Trichosanthes kirilowii* Fructus (Gua Lou), *Paeonia suffruticosa* Radix (Dan Pi), *Prunella vulgaris* Spica (Xia Ku Cao), *Forsythia suspensa* Fructum (Lian Qiao), *Fritillaria thunbergii* Bulbus (Da Bei), *Gardenia jasminoides* Fructus (Hei Shan Zhi), *Lycopus lucidus* Herba (Ze Lan), *Glehnia littoralis* Radix (Bei Sha), *Paeonia lactiflora* Radix (Bai Shao), *Fortunella margarita* Folium (Jin Ju Ye).
Blood fails to nourish the Liver, Liver qi becomes stagnant, causing right breast distension and hardness, with pulling pain at the nipple, trending towards breast cancer. Urgently clearing Liver heat and relieving depression is essential to hope for resolution.
*Trichosanthes kirilowii* Fructus (Quan Gua Lou), *Citrus reticulata* Pericarpium Viride (Qing Pi), *Glycyrrhiza uralensis* Radix et Rhizoma (Gan Cao), *Atractylodes macrocephala* Rhizoma (Bai Zhu), *Mentha haplocalyx* Herba (Bo He), *Angelica sinensis* Radix (Dang Gui), *Bupleurum chinense* Radix (Chai Hu), *Paeonia lactiflora* Radix (Bai Shao), *Gardenia jasminoides* Fructus (Hei Zhi), *Paeonia suffruticosa* Radix (Dan Pi), *Taraxacum mongolicum* Herba (Pu Gong Ying), *Citrus reticulata* Folium (Ju Ye).
Violent anger injures Yin, Jue qi and fire become excessive, combining with Phlegm-Heat in the Yangming channel to invade the collaterals, resulting in hard swelling of the breasts and multiple nodules connecting the neck and face, with occasional pulling pain. Breast cancer has already formed. The pulse is rapid and the right side is surging; qi and fire are not descending. Guard against ulceration. Urgently nourishing Yin and clearing Liver heat.
*Capra hircus* Cornu (Ling Yang Pian), *Asparagus cochinchinensis* Radix (Tian Men Dong), *Trichosanthes kirilowii* Fructus (Quan Gua Lou), *Fritillaria thunbergii* Bulbus (Da Bei), *Paeonia suffruticosa* Radix (Dan Pi), *Gardenia jasminoides* Fructus (Hei Zhi), *Dendrobium nobile* Caulis (Xian Shi Hu), *Forsythia suspensa* Fructum (Lian Qiao), *Lycopus lucidus* Herba (Ze Lan), *Paeonia lactiflora* Radix Rubra (Chi Shao), *Scrophularia ningpoensis* Radix (Hei Yuan Shen), *Taraxacum mongolicum* Herba (Pu Gong Ying).
Qi deficiency generates phlegm, Yin deficiency generates heat. Qi-fire combined with phlegm intersects in the collaterals, causing breast cancer with hard swelling and pain like insect bites. This is internal wind generated by yang transformation, causing restlessness. On cloudy or dark days, chest tightness and discomfort occur due to Yin deficiency and fluid dryness. Suitable to nourish Yin, clear qi, transform phlegm, and treat gradually.
*Tian Dong* (Asparagi Radix), *Ling Yang* (Capra hircus Cornu), *Albizia julibrissin* Flos (Ye He Hua), *Citrus reticulata* Folium (Ju Ye), *Curcuma wenyujin* Rhizoma (Yu Jin), *Amanita muscaria* (Hai Zhe - likely referring to Cuttlefish Bone or similar, contextually often Hai Zhe Piao but here listed as Hai Zhe), *Trichosanthes* Seed (Lou Ren), *Poria cocos* (Fu Ling), *Fritillaria cirrhosa* Bulbus (Chuan Bei Mu), *Lycopus lucidus* Herba (Ze Lan), *Forsythia suspensa* Fructum (Lian Qiao), *Eleocharis tuberosa* Rhizome (Bo Qi).
Pulling pain from breast nodules has decreased, but Liver fire is not cleared, and the pulse remains wiry and rapid. Continue with the previous method.
*Trichosanthes kirilowii* Fructus (Quan Gua Lou), *Paeonia lactiflora* Radix (Bai Shao), *Angelica sinensis* Radix (Dang Gui), *Paeonia suffruticosa* Radix (Dan Pi), *Prunella vulgaris* Spica (Xia Ku Cao), *Forsythia suspensa* Fructum (Lian Qiao), *Glehnia littoralis* Radix (Bei Sha Shen), *Fritillaria thunbergii* Bulbus (Da Bei), *Gardenia jasminoides* Fructus (Hei Zhi), *Lycopus lucidus* Herba (Ze Lan), *Albizia julibrissin* Flos (He Huan Hua), *Citrus reticulata* Folium (Ju Ye).
Liver qi combined with phlegm: left breast nodule for three months, fortunately without pain, so resolution can be hoped for. Suitable to clear Liver heat and dissipate nodules.
*Angelica sinensis* Radix (Dang Gui), *Bupleurum chinense* Radix (Chai Hu), *Forsythia suspensa* Fructum (Lian Qiao), *Paeonia lactiflora* Radix Rubra (Chi Shao), *Cyperus rotundus* Rhizoma (Xiang Fu), *Bombyx batryticatus* (Jiang Can), *Citrus reticulata* Pericarpium Viride (Qing Pi), *Fritillaria thunbergii* Bulbus (Da Bei), *Prunella vulgaris* Spica (Xia Ku Cao), *Trichosanthes kirilowii* Fructus (Gua Lou), *Taraxacum mongolicum* Herba (Pu Gong Ying), *Citrus reticulata* Folium (Ju Ye).