妇人之乳,资于冲脉,若初产而无乳者宜通之。若累经产而无乳者,亡津液故也,须服滋益之药。若虽有
乳,却不甚多者,服通经之药以动之,仍以羹 引之,并宜壮脾胃为主。
漏芦散
治产妇气脉壅塞,乳汁不行及经络凝滞,乳中胀痛,或作痈肿,服之自然内消。
漏芦(二两半) 蛇蜕(十条,炙) 栝蒌(十枚,急火烧焦存性)
上为末,温酒调下二、三钱,无时服,药后即以猪蹄羹投之。
涌泉散
治乳无汁,亦治乳结痈肿。
穿山甲(洗净,一两,灰炒燥)
上为细末,酒调服二钱。
玉露散
治乳脉不行,身体壮热,头目晕眩。
川芎 桔梗 白芷(各二钱) 芍药 当归(各一钱半) 人参 白茯苓 甘草(各一钱)
上作一服,水两钟煎至一钟。
罗氏涌泉散
治妇人乳汁因气不行。
瞿麦穗 麦门冬 龙骨 穿山甲(炮黄) 王不留行(各等分)
上为细末,每服二钱,热酒调下,后吃猪蹄羹少半钟,仍用木梳于左右乳上,各梳三十余梳。
治乳痈未破即散,已结即溃,极痛即止,所谓吹乳者,因小儿吹乳变成,如未产乳肿为内吹,并皆治之。
陈皮(去白晒干,面炒黄为末) 麝香(二分)
研,酒调下。
凡乳汁不宜积蓄,恶汁不去,即结为脓。又乳汁不宜洒地,蚁食之令人无乳。宜洒东壁墙为佳。
治乳肿将次结成痈方∶
用马溺涂之,数次即愈。
治产后乳结胀不消,令败乳自退方∶
栝蒌(一个,半生半炒) 大粉草(一寸,半生半炙) 生姜(一块,半生半煨)
上同 ,用酒一碗,煮取一盏,去滓服之,觉痛一会不可忍,即搜去败乳,临卧再一服,以患乳着床侧卧,
令其药行故也。
又方
治妇人气血方盛,或无儿饮,胀痛, 寒发热。用麦芽二、三两炒熟水煎服,立消,其耗散血气如此,脾
胃虚弱,饮食不消,犹多用之何耶。
妇女的乳汁,源于冲脉。如果是初产妇而没有乳汁,应当使用通乳的方法。如果是多次分娩后仍然没有乳汁,这是因为津液亏损的缘故,必须服用滋补益气的药物。如果虽然有乳汁,但是量很少,可以服用通经的药物来促进分泌,同时配合食用肉汤引导,并且以强壮脾胃为主要治疗原则。
漏芦散
治疗产妇气脉壅塞,乳汁不通以及经络凝滞,乳房胀痛,或者形成痈肿,服用此药后自然会在体内消散。
漏芦(二两半) 蛇蜕(十条,炙烤) 栝蒌(十枚,急火烧焦保留药性)
以上药材研为细末,用温酒调服二、三钱,不拘时间服用,服药后立即饮用猪蹄汤。
涌泉散
治疗乳汁全无,也治疗乳房结块痈肿。
穿山甲(洗净,一两,灰中炒干)
以上研为细末,用酒调服二钱。
玉露散
治疗乳脉不通,身体高热,头目晕眩。
川芎 桔梗 白芷(各二钱) 芍药 当归(各一钱半) 人参 白茯苓 甘草(各一钱)
以上作为一剂,用水两碗煎至一碗。
罗氏涌泉散
治疗妇人乳汁因气机不畅而不下行。
瞿麦穗 麦门冬 龙骨 穿山甲(炮制至黄色) 王不留行(各等分)
以上研为细末,每次服用二钱,用热酒调服,之后喝小半碗猪蹄汤,并用木梳在左右乳房上各梳理三十多下。
此方治疗乳痈未破溃则消散,已结块则溃破,疼痛剧烈则停止,所谓“吹乳”,是因为婴儿吹奶所致;如未产时乳房肿胀称为“内吹”,这些情况都予以治疗。
陈皮(去白晒干,面粉炒黄研末) 麝香(二分)
研磨均匀,用酒调服。
凡是乳汁不宜积蓄,恶露败血不去,就会凝结成脓。另外乳汁不宜洒在地上,蚂蚁吃了会导致人没有乳汁。适宜洒在东面的墙壁上为佳。
治疗乳房肿胀即将结成痈肿的方子:
用马尿涂抹患处,数次即可痊愈。
治疗产后乳房结块胀痛不消,使败乳自行消退的方子:
栝蒌(一个,一半生用一半炒用) 大粉草(一寸,一半生用一半炙用) 生姜(一块,一半生用一半煨用)
以上一同捣碎,用一碗酒,煮取一盏,去渣滓服用,感觉疼痛一时难以忍受时,就挤出败乳,临睡前再服一次,患病一侧乳房着床侧卧,这是为了让药力运行的缘故。
又一方
治疗妇人气血方盛,或者没有婴儿吸吮,导致乳房胀痛,怕冷发热。用麦芽二、三两炒熟后水煎服用,立刻消散,其耗散血气的力量如此之大,对于脾胃虚弱、饮食不消化的人,为什么还要多用呢?
Women's milk is derived from the Chong Mai (Penetrating Vessel). If a primipara has no milk, it should be unblocked. If a multipara still has no milk after several deliveries, this is due to the depletion of body fluids (Jin Ye), and nourishing and tonifying medicines are required. If there is milk but the volume is insufficient, medicines that promote the circulation of meridians can be taken to stimulate secretion, accompanied by broth to guide the flow, with strengthening the Spleen and Stomach as the primary therapeutic principle.
Loulu San (Thesium Powder)
Treats qi and blood stagnation in postpartum women, resulting in galactorrhea obstruction and meridian condensation, causing breast distension and pain, or even abscess formation; natural internal resolution occurs upon administration.
Loulu (Thesium chinense, 2.5 liang) Shetui (Ophichthidae skin, 10 strips, roasted) Gualou (Trichosanthes fruit, 10 pieces, rapidly burned until charred but retaining efficacy)
Grind the above into powder, mix with warm wine, and take 2-3 qian at any time. Immediately after taking the medicine, consume pork trotter broth.
Yongquan San (Surging Spring Powder)
Treats complete absence of milk, and also treats breast nodules and abscesses.
Shanjiapia (Pangolin scales, washed, 1 liang, fried in ash until dry)
Grind into fine powder, mix with wine, and take 2 qian.
Yulu San (Jade Dew Powder)
Treats blocked milk vessels, high fever, dizziness, and vertigo.
Chuanxiong (Ligusticum chuanxiong) Jiegeng (Platycodon root) Baizhi (Angelica dahurica, each 2 qian) Shaoyao (Peony root) Danggui (Angelica sinensis, each 1.5 qian) Renshen (Ginseng root) Baifuling (Poria sclerotium, Gancao (Licorice root, each 1 qian)
Combine as one dose, decoct with two bowls of water until one bowl remains.
Luo Shi Yongquan San (Dr. Luo's Surging Spring Powder)
Treats postpartum galactorrhea due to stagnant qi.
Qumaisui (Seed head of Dianthus superbus) Maidong (Ophiopogon tuber) Longgu (Fossilized bones/shells) Shanjiapia (Pangolin scales, processed until yellow) Wangbuliuxing (Vaccaria seeds, equal parts)
Grind into fine powder, take 2 qian per dose, mixed with hot wine. Afterwards, drink half a small bowl of pork trotter broth. Use a wooden comb to comb the left and right breasts more than thirty times each.
This formula treats mastitis: if not ruptured, it dissipates; if condensed, it ulcerates; if extremely painful, it stops. "Blown milk" results from infants blowing on the breast; swelling before delivery is called "internal blowing." Both are treated.
Chenpi (Aged tangerine peel, white part removed, dried, stir-fried with flour until yellow and ground) Shexiang (Musk, 2 fen)
Grind together, mix with wine, and take orally.
Milk should not be allowed to accumulate; if foul fluids are not expelled, they will congeal into pus. Furthermore, milk should not be spilled on the ground, as ants consuming it may cause lactation failure in humans. It is best to spill it on the east-facing wall.
Formula for treating breast swelling about to form an abscess:
Apply horse urine to the area; it heals after several applications.
Formula for treating postpartum breast congestion and swelling that does not subside, causing residual milk to recede naturally:
Gualou (Trichosanthes fruit, one piece, half raw, half stir-fried) Dafengcao (Large licorice root, one cun, half raw, half honey-roasted) Shengjiang (Fresh ginger, one piece, half raw, half baked)
Crush the above ingredients together, decoct with one bowl of wine until one cup remains, strain, and drink. When the pain becomes unbearable for a moment, express the residual milk. Take another dose before sleep, lying on the affected side with the breast against the bed, to facilitate the action of the medicine.
Another Formula
Treats postpartum women with abundant qi and blood, or those without an infant to suckle, resulting in breast distension and pain, aversion to cold, and fever. Use 2-3 liang of fried malt, decoct in water and take orally; symptoms resolve immediately. Its ability to dissipate qi and blood is so potent; therefore, why use it extensively in cases of Spleen and Stomach weakness and indigestion?