《病源论》云∶妇人妒乳者，由新产后，儿未饮之，或饮不能泄，或新断儿乳，捻（都
念反，下也。）其乳汁不尽，皆令乳汁蓄结，与血气相搏，则壮热大渴引饮， 强掣痛，手
不得近是也。初觉便以手助将去其汁，并令旁人助KT 引之，不尔成疮有脓，其热势盛则
结变成痈。
《短剧方》治妒乳方∶
以鸡子白和小豆散涂乳房，令冷以消结也。
又方∶黄芩 白蔹 夕药
三物，分等，下筛，以浆服一钱五匕，日五服。（《集验方》同之。）
又云∶宜以赤龙皮汤，天麻草汤洗之，敷黄连胡粉膏。
赤龙皮汤∶槲树皮切三升，以水一斗，煮取一斗五升，夏月冷用之，秋冬温之，分以洗
乳。
天麻草汤∶天麻草切五升，以水五升，煮取一斗，随寒温分洗乳。（今按∶《耆婆方》茺
蔚一名天麻草。）
《葛氏方》治妇人妒乳肿痛方∶
削取柳根皮熟捣，火温帛裹熨上，冷更易。
又方∶梁上尘，苦酒和涂，又治阴肿。
又方∶末地榆白皮，苦酒和敷。
又方∶白芨、夕药。酒服方寸匕，又可苦酒和涂之。
又方∶鼠妇虫，以涂之。
又方∶车前草捣，苦酒和，涂之。
《产经》妒乳方∶
取牛屎烧末，以苦酒和，涂上。
又方∶左乳结者，去右乳汁；右结者，可去左乳汁。（《集验方》同之。）
《集验方》治妒乳方∶
急灸两手鱼际，各二七壮，断痈脉也。
又方∶以鸡子白和小豆散涂乳房，令消结也。
又方∶取葵茎捣筛，服方寸匕，日三，即愈。
又方∶捣生地黄，敷之，热则易。
《诸病源候论》说：妇人妒乳（产后乳汁郁结不通），是由于新产之后，婴儿未能吸吮，或者婴儿吸吮但乳汁排泄不畅，或者是刚断奶时挤压乳房导致乳汁排不干净，这些情况都会导致乳汁蓄积凝结。乳汁与血气相互搏结，就会出现高热、极度口渴想喝水、身体强直抽搐疼痛、手不能触碰的症状。刚开始感觉不适时，就要用手帮助挤出乳汁，并让旁人协助按摩引导排出，如果不这样做，就会形成疮疡化脓；如果热势旺盛，就会结成痈肿。
《短剧方》治疗妒乳的方子：
用鸡蛋清调和赤小豆散涂抹在乳房上，使其变冷以消散结块。
另一个方子：黄芩、白蔹、芍药
这三味药，分量相等，研成细末，用米汤送服一钱五匕的量，每天服用五次。（《集验方》与此相同。）
又说：适宜用赤龙皮汤、天麻草汤清洗乳房，然后敷上黄连胡粉膏。
赤龙皮汤：将槲树皮切碎三升，用水一斗，煮取一斗五升，夏季使用时放凉，秋冬季节温热使用，分次清洗乳房。
天麻草汤：将天麻草切碎五升，用水五升，煮取一斗，根据寒热情况调整温度后分次清洗乳房。（现在考证：《耆婆方》中茺蔚草又名天麻草。）
《葛氏方》治疗妇人妒乳肿痛的方法：
削取柳根皮，充分捣烂，用火加热后用布包裹熨烫患处，冷了再更换。
另一个方子：梁上的灰尘，用醋调和涂抹，也能治疗阴部肿胀。
另一个方子：白及、芍药。用酒送服一方寸匕的量，也可以用醋调和外涂。
另一个方子：鼠妇虫，直接涂抹患处。
《产经》治疗妒乳的方子：
取牛粪烧成灰烬，用醋调和，涂抹在患处。
另一个方子：左侧乳房结块的，挤掉右侧的乳汁；右侧结块的，挤掉左侧的乳汁。（《集验方》与此相同。）
《集验方》治疗妒乳的方子：
紧急灸双手鱼际穴，每侧各灸十四壮，以截断痈肿的病势。
另一个方子：取冬葵茎捣碎过筛，服用一方寸匕的量，每天三次，即可痊愈。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: "Ju ru" (breast engorgement/stasis due to milk retention) in women occurs because, after recent childbirth, the infant has not suckled, or the infant suckles but the milk is not fully discharged, or upon weaning, squeezing the breasts fails to empty the milk completely. All these conditions cause milk to accumulate and congeal. When this stagnant milk contends with blood and qi, it results in high fever, extreme thirst with a desire to drink, rigidity, spasms, and pain such that the area cannot be touched. Upon initial sensation of discomfort, one should use hands to help express the milk and ask others to assist in massage and guidance to promote discharge. If this is not done, sores with pus will form; if the heat pathogen is vigorous, it will consolidate into an abscess.
The *Duanju Fang* (Short Drama Formulas) provides a formula for treating ju ru:
Apply chicken egg white mixed with Vigna angularis powder (Adzuki Bean Powder) to the breast, keeping it cool to dissipate the stagnation.
Another formula: Huang Qin (Scutellariae Radix), Bai Lian (Ampelopsis Radix), Chi Shao (Paeoniae Radix Rubra).
These three herbs are used in equal proportions, sifted into fine powder, taken with grain vinegar solution, one qian wu bi (approx. 2-3 grams) per dose, five times daily. (*Jiyan Fang* agrees with this.)
It also states: It is suitable to wash the breasts with Chilongpi Tang (Bark Decoction) and Tianma Cao Tang (Herb Decoction), then apply Huanglian Hufen Gao (Coptis and Lead White Ointment).
Chilongpi Tang: Cut Quercus variabilis bark (Oak Bark) into pieces, three sheng. Boil in ten dou of water until reduced to nine dou. Use cold in summer, warm in autumn and winter. Divide and use to wash the breasts.
Tianma Cao Tang: Cut Tianma Cao (Leonurus japonicus/Herba Leonuri) into pieces, five sheng. Boil in five dou of water until reduced to ten dou. Adjust temperature according to cold/heat indications and divide to wash the breasts. (Current note: In *Qipo Fang*, Chongwei Cao [Herba Leonuri] is also known as Tianma Cao.)
The *Ge Shi Fang* (Master Ge's Formulas) provides methods for treating female ju ru with swelling and pain:
Scrape the bark of willow roots, pound thoroughly until cooked/macerated, heat with fire, wrap in cloth, and apply as a hot compress. Replace when cool.
Another formula: Dust from roof beams, mixed with vinegar (Acetum), applied topically. Also treats vulvar swelling.
Another formula: Powdered Broussonetia papyrifera root bark (Di Yu Bai Pi), mixed with vinegar, applied topically.
Another formula: Bai Ji (Bletillae Rhizoma), Chi Shao (Paeoniae Radix Rubra). Take one fang cun bi (approx. 5-10 grams) with wine. Alternatively, mix with vinegar for topical application.
Another formula: Armadillidium vulgare (Mouse Crab Insect), applied directly.
Another formula: Plantago asiatica herb (Che Qian Cao) pounded, mixed with vinegar, applied topically.
The *Chan Jing* (Obstetrics Classic) provides formulas for ju ru:
Take cow dung, burn to ash, mix with vinegar, and apply topically.
Another formula: If there is a knot in the left breast, remove milk from the right breast; if the knot is in the right breast, remove milk from the left breast. (*Jiyan Fang* agrees with this.)
The *Jiyan Fang* (Collected Proven Formulas) provides formulas for treating ju ru:
Urgently moxa the Yuji points (LI10) on both hands, seven zhuans (moxa cones) on each side, to cut off the pulse of the impending abscess.
Another formula: Apply chicken egg white mixed with Vigna angularis powder (Adzuki Bean Powder) to the breast to dissipate the knot.
Another formula: Take stems of Abelmoschus manihot (Kui Sheng), pound and sift. Take one fang cun bi orally, three times daily, and it will heal immediately.
Another formula: Pound fresh Rehmanniae Radix (Sheng Di Huang), apply to the affected area. Change when it becomes hot.