妇人之乳，男子之肾，皆性命之根也。人之气血周行无间，寅时始于手太阴肺经，出于云门穴，穴在乳上，丑时归
于足厥阴肝经，入于期门穴，穴在乳下。出于上，入于下，肺领气，肝藏血，乳正居于其间也。其足阳明之脉，自缺盆
下于乳。又冲脉者，起于气街，并足阳明夹脐上行，至胸中而散，故乳房属足阳明胃经，乳头属足厥阴肝经。妇人不知
调养，有伤冲任，且忿怒所逆，郁闷所遏，浓味所酿，以致厥阴之气不行，阳明之血热甚，或为风邪所容，则气壅不散，
结聚乳间，或硬或肿，疼痛有乳核，渐至皮肤 肿，寒热往来，谓之乳痈。风多则硬肿色白，热多则 肿色赤，不治则
血不流通，气为壅滞，而与乳内津液相搏，疡化为脓。治之之法，凡初起寒热 痛，即发表散邪，疏风清胃，速下乳汁，
导其壅塞，则病可愈。若不散而不易成脓，宜用托里；若溃后肌肉不生，脓水清稀，宜补脾胃；若脓出反痛，恶寒发热，
宜调荣卫；若晡热 肿作痛，宜补阴血；若食少作呕，宜补胃气。切戒清凉解毒，反伤脾胃也。
乳痈者，俗呼曰吹乳。吹者，风也。风热结汨于乳房之间，血脉凝注，久而不散，溃腐为脓。凡忽然壅肿结核色赤，
数日之外， 痛胀溃，稠脓涌出，此属胆胃热毒，气血壅滞，名曰乳痈，为易治。治法∶青皮疏厥阴之滞，石膏清阳明
之热，生草节解毒而行污浊之血，荆防散风而兼助药达表，栝蒌，没药、青桔叶、角刺、金银花、土贝母、当归及酒佐
之，毋非疏肝和血解毒而已。加艾隔蒜灸二三十壮于痛处最效。切忌刀针伤筋溃脉，为害不小。
有因妇人所乳之子膈有滞痰，口气 热，含乳而睡，热气吹入乳房，凝滞不散，遂生结核。若初起时忍痛揉软，吮
去乳汁，即可消散。失此不治，必成痈肿。亦有因小儿断乳后，不能回化，或妇人乳多，婴孩少饮积滞凝结，又或经候
不调，逆行失道。又有邪气内郁，结成痈肿。初发时，切勿用凉药，盖乳本血化，不能漏泄，遂结实肿，乳性清寒，又
加凉药，则阴烂宜也。惟凉药用之，既破之后则佳。如初发时宜用南星、姜汁敷之，可以内消，更加草乌一味，能破恶
血逐块，遇冷则消，遇热则溃。更加乳香、没药以定痛。内则用栝蒌仁、十宣散、通气散间服之。然年四十以下者，治
之多瘥，以气血旺故也。五十以上者，慎勿治之，多死，以天癸绝也，不治自能终其天年。若欲加治，惟调补气血为主。
妇人有忧怒抑郁，朝夕累积，脾气消阻，肝气横逆，气血亏损，筋失荣养，郁滞与痰结成隐核，不赤不痛，积之渐
大，数年而发，内溃深烂，名曰乳岩，以其疮形似岩穴也，慎不可治。此乃七情所伤，肝经气血枯槁之证。治法∶ 痛
寒热初起，即发表散邪，疏肝之中，兼以补养气血之药，如益气养荣汤，加味逍遥散之类，以风药从其性，气药行其滞，
参、 、归、芍补气血，乌药、木通疏积利壅，柴、防、苏叶表散，白芷除脓通荣卫，官桂行血和脉。轻者多服自愈，
重者尚可延年。若以清凉行气破血，是速其亡也。
妇女的乳房，男子的肾脏，都是生命的根本。人体的气血循环运行无间断，寅时（凌晨3-5点）起始于手太阴肺经，出于云门穴，该穴位位于乳房上方；丑时（凌晨1-3点）归于足厥阴肝经，入于期门穴，该穴位位于乳房下方。气从上部出于肺，血从下部入于肝，肺主领纳气，肝主贮藏血，乳房正居于气血运行的中间位置。足阳明胃经的经脉，从缺盆穴下行至乳房。另外冲脉，起于气街穴，与足阳明胃经并行，夹脐上行，至胸中而散开，所以乳房归属于足阳明胃经，乳头归属于足厥阴肝经。妇女如果不注意调养，损伤了冲脉和任脉，加上愤怒导致气机逆乱，郁闷导致气机郁遏，厚味饮食酿生湿热，以致足厥阴肝经之气运行不畅，足阳明胃经之血热盛，或者被风邪所侵袭，则气机壅滞不散，结聚在乳房之间，或硬或肿，疼痛且有乳核，逐渐发展到皮肤肿胀，寒热往来，这称为乳痈。风邪偏多则硬肿色白，热邪偏多则红肿色赤，如果不治疗，则血液流通受阻，气机壅滞，与乳房内的津液相互搏结，溃烂化为脓液。治疗的方法，凡是初起时有寒热疼痛，即采用发表散邪、疏风清胃、迅速疏通乳汁、导引壅塞的方法，病就可以痊愈。如果消散后不能成脓，宜用托里透脓法；如果溃破后肌肉不生，脓水清稀，宜补益脾胃；如果脓出反而疼痛，恶寒发热，宜调和营卫；如果午后潮热、局部肿痛发作，宜补益阴血；如果食少作呕，宜补益胃气。切记不可滥用清凉解毒药物，以免反伤脾胃。
乳痈，俗称吹乳。“吹”是指风邪。风热邪气结聚于乳房之间，血脉凝注，日久不散，溃烂腐坏化为脓液。凡是突然壅肿结核色赤，数日之后，胀痛溃破，稠脓涌出，这属于胆胃热毒，气血壅滞，名为乳痈，容易治疗。治法：青皮疏解足厥阴肝经的郁滞，石膏清泄足阳明胃经的热邪，生甘草节解毒并推动污浊之血的运行，荆芥、防风疏散风邪并兼助药力达于体表，栝蒌、没药、青桔叶、角刺、金银花、土贝母、当归及酒辅助它们，无非是疏肝、和血、解毒罢了。加用艾隔蒜灸二三十壮在痛处最为有效。切忌用刀针切开伤及筋脉，危害不小。
有的因为哺乳的婴儿膈间有停滞的痰饮，口气热，含着乳头睡觉，热气吹入乳房，凝滞不散，于是产生结核。如果在初起时忍痛揉软，吸去乳汁，即可消散。错过这个时机不治疗，必定成为痈肿。也有因为小儿断奶后，乳汁不能回化，或者妇人乳汁过多，婴儿喝得少导致积滞凝结，又或者月经不调，逆行失道。又有邪气内郁，结成痈肿。初发时，千万不要用凉药，因为乳汁本由血化生，不能漏泄，于是结实肿胀，乳性本清寒，再加凉药，则会导致阴寒腐烂。只有当疮疡已经破溃之后使用凉药才适宜。如初发时宜用南星、姜汁外敷，可以内消，再加草乌一味，能破除恶血、逐除肿块，遇冷则消散，遇热则溃破。再加乳香、没药以定痛。内服可用栝蒌仁、十宣散、通气散交替服用。然而四十岁以下的人，治疗大多痊愈，因为气血旺盛的缘故。五十岁以上的人，切勿治疗，大多死亡，因为天癸已绝的缘故，不治疗也能自然终其天年。如果想要治疗，只有以调补气血为主。
妇女如果有忧怒抑郁，朝夕累积，导致脾气消阻，肝气横逆，气血亏损，筋脉失去荣养，郁滞与痰结成隐核，不红不痛，积聚逐渐变大，数年而后发作，内部溃烂深重，名为乳岩，因为其疮形像岩穴一样，千万不要治疗。这是七情所伤，肝经气血枯槁的证候。治法：在寒热初起时，即发表散邪，在疏肝的同时，兼用补养气血的药物，如益气养荣汤、加味逍遥散之类，用风药顺从其性质，气药行其郁滞，人参、[此处原文缺失，推测为黄芪或类似补气药]、当归、芍药补气血，乌药、木通疏积利壅，柴胡、防风、苏叶表散，白芷排脓通调营卫，官桂行血和脉。轻者多服自愈，重者尚可延年。如果用清凉行气破血的方法，是加速其死亡。
The breasts of women and the kidneys of men are both the roots of life. The qi and blood of humans circulate without interruption. At Yin time (3-5 AM), it begins in the Hand Taiyin Lung Meridian, emerging from Yunmen (Cloud Gate) acupoint, which is located above the breast. At Chou time (1-3 AM), it returns to the Foot Jueyin Liver Meridian, entering Qimen (Gate of Hope) acupoint, which is located below the breast. Qi emerges from above, blood enters from below; the Lung governs the reception of Qi, and the Liver stores Blood. The breast lies precisely between them. The meridian of the Foot Yangming Stomach descends from Quepen (Collarbone Pit) to the breast. Additionally, the Chong Mai (Penetrating Vessel) originates at Qichuan (Gas Street), runs parallel to the Foot Yangming, flanking the navel upwards, and disperses in the chest. Therefore, the breast belongs to the Foot Yangming Stomach Meridian, and the nipple belongs to the Foot Jueyin Liver Meridian. If women fail to maintain proper regulation, damaging the Chong and Ren vessels, and if anger causes Qi rebellion, depression causes Qi stagnation, and rich flavors brew damp-heat, then the Qi of the Foot Jueyin Liver fails to move smoothly, and the Blood heat of the Foot Yangming Stomach becomes severe. If invaded by Wind pathogen, Qi becomes congested and does not disperse, accumulating in the breast, becoming hard or swollen, painful with a breast nodule, gradually extending to skin swelling, with alternating chills and fever, this is called Ru Yong (Breast Carbuncle). If Wind predominates, it is hard, swollen, and white; if Heat predominates, it is red and swollen. If untreated, blood flow obstructs, Qi becomes stagnant, and it struggles with the fluids in the breast, ulcerating and turning into pus. The treatment method: whenever there are initial chills, fever, and pain, one should release the exterior and scatter pathogens, soothe the Wind and clear Stomach heat, rapidly unblock milk secretion, and guide out the congestion, so the disease can be cured. If it dissipates but fails to form pus, use Tuo Li (Supporting the Interior) methods; if after ulceration muscles do not regenerate and pus water is thin, tonify the Spleen and Stomach; if pain persists after pus discharge with chills and fever, harmonize Ying and Wei (Nutritive and Defensive levels); if afternoon tidal fever and local swelling/pain occur, tonify Yin and Blood; if poor appetite and vomiting occur, tonify Stomach Qi. Strictly avoid cooling and detoxifying herbs, as they will damage the Spleen and Stomach.
Ru Yong (Breast Carbuncle) is commonly called "Blown Breast." "Blown" refers to Wind. Wind-Heat pathogens knot in the breast, causing blood vessels to congeal and stagnate. Over time, they do not disperse, ulcerate, rot, and turn into pus. Whenever there is sudden congestion, swelling, nodules that are red, and after several days, distending pain, ulceration, and thick pus flowing out, this belongs to Gallbladder and Stomach Heat-Toxin, with Qi and Blood stagnation, named Ru Yong (Breast Carbuncle), which is easy to treat. Treatment method: Qingpi (Green Tangerine Peel) soothes Foot Jueyin stagnation, Shigao (Gypsum Fibrosum) clears Foot Yangming heat, Sheng Cao Jie (Raw Licorice Node) detoxifies and moves turbid blood, Jingjie (Schizonepeta) and Fangfeng (Saposhnikovia) scatter Wind and assist drugs reaching the exterior, Gualou (Trichosanthes Root), Moyao (Myrrh), Qingjuye (Murraya Leaf), Jiaoci (Acanthopanacis Senticosi Spina), Jinyinhua (Lonicerae Japonicae Flos), Tubeimmu (Fritillaria Thunbergii Bulb), Danggui (Angelica Sinensis), and wine aid these actions, all aiming to soothe the Liver, harmonize Blood, and detoxify. Applying Moxibustion with garlic partition (Ai Ge Suan Jiu) 20-30 moxa cones on the painful area is most effective. Strictly avoid knife or needle incisions injuring tendons and vessels, as the harm is significant.
Some cases arise because the nursing infant has phlegm-stagnation in the diaphragm and hot breath; sleeping while sucking milk blows hot air into the breast, causing stagnation that does not disperse, forming nodules. If massaged soft and milk sucked out during the initial stage, it can dissipate. Missing this opportunity leads to abscess formation. Other cases occur after weaning when milk cannot be reabsorbed, or when a woman produces excessive milk but the infant drinks little, leading to accumulation and condensation. Or due to irregular menstruation with retrograde flow. Also, internal pathogen depression forms abscesses. In the initial stage, never use cold medicines, because milk is transformed from blood and cannot leak out, thus solidifying and swelling. Milk nature is clear and cold; adding cold medicine leads to Yin rot. Cold medicines are only suitable after the abscess has ruptured. For initial stages, apply Nanxing (Arisaema Cum Bile) and Ginger Juice externally to resolve internally; adding Caowu (Aconitum Carmichaelianum Radix Preparata) breaks bad blood and removes masses, dissipating when cold and suppurating when hot. Add Ruxiang (Olibanum) and Moyao (Myrrh) to relieve pain. Internally, take Gualouren (Trichosanthes Seed), Shixuan San (Ten Acupoints Powder), and Tongqi San (Unblocking Qi Powder) alternately. Those under forty years old mostly recover because their Qi and Blood are vigorous. Those over fifty should not be treated, as many die because Tian Gui (Menstrual Essence) has ceased; untreated, they may live out their natural lifespan. If treatment is desired, focus mainly on regulating and tonifying Qi and Blood.
Women with chronic worry, anger, and depression accumulate day and night, damaging Spleen Qi, causing Liver Qi to rebel horizontally, depleting Qi and Blood, leaving tendons without nourishment. Depression and Phlegm knot into hidden nodules, non-red, non-painful, gradually enlarging over years before erupting with deep internal ulceration, named Ru Yan (Breast Rock/Cancer), because the wound shape resembles a rock cave. Do not treat this. This is a syndrome of Liver Meridian Qi and Blood exhaustion caused by Seven Emotions. Treatment method: At initial chills and fever, release the exterior and scatter pathogens. While soothing the Liver, simultaneously use herbs to tonify Qi and Blood, such as Yiqi Yangrong Tang (Qi-Supplementing and Nourishing Decoction) or Jiawei Xiaoyao San (Modified Free Wanderer Powder). Use Wind herbs to follow its nature, Qi herbs to move stagnation, Renshen (Ginseng), [Text missing, likely Huangqi], Danggui (Angelica Sinensis), and Shaoyao (Peony) to tonify Qi and Blood, Wuyao (Litsea) and Mutong (Akebia) to drain accumulation and relieve congestion, Chaihu (Bupleurum), Fangfeng (Saposhnikovia), and Ziye (Perilla Leaf) to release the exterior, Baizhi (Angelica Dahurica) to expel pus and harmonize Ying and Wei, and Guirui (Cinnamon Bark) to move Blood and harmonize vessels. Mild cases heal with prolonged use; severe cases can prolong life. Using cooling, Qi-moving, and Blood-breaking methods accelerates death.