蚕子故纸一方
烧为末，酒服之，终身不产。或以油煎水银。
一日忽息，空服枣大一丸，永断，不损人。若已有身，欲去之。可用∶
栝蒌 桂心各三两 豉一升
以水四升，煎一升半，分服之。
患者乳房胀大坚硬，色现赤紫，衣不得近，痛不可忍。治用∶
大黄 芍药 枳实 马蹄（炙令黄）
上四味，各等分为末，酒服方寸匕，覆取汗，当睡着，觉后肿处散不痛，经宿乃消，百
无失一。明晨更服一匕。忌冲风寒食。
本病初起时，用∶
鲜蒲公英连根叶
捣汁，酒冲服，随饮葱汤，覆被卧令取汗当愈。如已溃烂，宜用∶
蜂房 雄鼠矢 川楝子各等分
瓦 存性，为末擦之。内用∶
大栝蒌（多子者佳）一枚 当归五钱 甘草四钱 没药三钱 乳香一钱
以陈酒二碗煎八分，温服。或去当归加皂角刺一两六钱，效尤速；将愈，加参 芎术，
以培其元。
桂心 甘草各二分 乌头（炮）一分
共为末，和苦酒涂纸覆之。脓既化为水，极神效。
凡妊娠未产而乳房肿痛曰乳吹。治用∶
砂仁五分（研） 冬葵子八分（研） 蒲公英五钱 栝蒌仁三钱
水煎服。外用∶
生南星
为末，温水调敷。
妇人产后宜勤挤乳，否则令乳汁蓄积，或产后不自饮儿，及失儿无儿饮乳，皆成妒乳。
治用∶
连翘 升麻 杏仁（去皮尖） 射干 防己 黄芩 大黄 芒硝 柴胡各三两 芍药 甘
草（炙）各四两
上以水九升，煮取三升，分服。外用∶
槲皮
水煎汤，洗患部，极效。
【蚕子故纸方】
将蚕蛾产卵后留下的旧纸烧成粉末，用酒送服，可终身不再怀孕。或者用水银在油中煎制。每天突然服用一次，空腹吞服如枣大一丸的药丸，即可永久断绝生育能力，且不损伤人体。如果已经怀孕，想要终止妊娠，可以使用以下方剂：
栝蒌、桂心各三两，豆豉一升。
用水四升，煎煮至一升半，分次服用。
患者乳房胀大坚硬，颜色呈现赤紫色，衣服不能贴近，疼痛难以忍受。治疗使用以下方剂：
大黄、芍药、枳实、马蹄（炙烤至黄色）。
以上四味药，各等分研为粉末，用酒送服一方寸匕的药量，服药后覆盖被子取汗，应当睡着，醒来后肿胀处消散且不再疼痛，经过一夜即可消除，疗效百无一失。第二天早晨再服用一方寸匕。忌食生冷风寒食物。
本病初起时，使用以下方法：
鲜蒲公英（连根带叶）。
捣烂取汁，用酒冲服，同时饮用葱汤，盖上被子睡觉以取汗，应当痊愈。如果已经溃烂，适宜使用以下方剂：
蜂房、雄鼠矢、川楝子各等分，瓦片（存性，即煅烧保留药性），研为粉末外擦。内服方剂：
大栝蒌（多子的为佳）一枚，当归五钱，甘草四钱，没药三钱，乳香一钱。
用陈年白酒二碗煎至八分满，温服。或者去掉当归，加入皂角刺一两六钱，效果更加迅速；即将痊愈时，加入人参、川芎、白术，以培补元气。
采集已经枯萎的水仙花，悬挂在屋檐下风干，捣烂后敷于患处，效果极佳。
桂心、甘草各二分，乌头（炮制）一分。
共同研为粉末，与醋调和涂在纸上覆盖患处。脓液化为水后，效果极神妙。
凡是妊娠期间未生产而乳房肿痛，称为“乳吹”。治疗使用以下方剂：
砂仁五分（研碎），冬葵子八分（研碎），蒲公英五钱，栝蒌仁三钱。
用水煎服。外用：
生南星。
研为粉末，用温水调匀后敷贴。
妇女产后应当勤挤乳汁，否则会导致乳汁蓄积。或者产后不亲自哺乳婴儿，以及失去婴儿或无婴儿可供哺乳，都会形成“妒乳”（乳腺炎/积乳）。治疗使用以下方剂：
连翘、升麻、杏仁（去皮尖）、射干、防己、黄芩、大黄、芒硝、柴胡各三两，芍药、甘草（炙）各四两。
以上药物用水九升，煮取三升，分次服用。外用：
槲皮。
用水煎汤，清洗患处，效果极佳。
[Formula of Old Paper from Silkworm Eggs]
Burn the old paper left after silkworms lay eggs into powder, and take it with wine to prevent pregnancy for life. Alternatively, decoact quicksilver (Mercurius) in oil. Take one pill the size of a jujube on an empty stomach once a day to permanently terminate fertility without harming the body. If already pregnant and wishing to abort, use the following formula:
Gualou (Trichosanthes Fruit), Guixin (Cinnamon Twig Heart) each 3 liang; Chi (Fermented Soybean) 1 sheng.
Decoct in 4 sheng of water until reduced to 1.5 sheng, and divide into doses for administration.
The patient presents with breast swelling, enlargement, hardness, reddish-purple discoloration, inability to tolerate clothing contact, and unbearable pain. Treatment uses the following formula:
Dahuang (Rhubarb Root), Shaoyao (Peony Root), Zhishi (Immature Bitter Orange), Matihorse (Horseshoe Crab Shell or similar, here likely referring to a specific local herb or processed material, traditionally 'Matixie' but context suggests a topical/internal agent, literal 'Ma Ti' often refers to horse hoof but in TCM formulas like this usually implies a specific processed ingredient; however, standard texts often list 'Matixie' or similar. Given the text says 'Ma Ti', we translate literally as Horse Hoof/Tartar if applicable, but in modern TCM context for mastitis, this might be a variant. Let's stick to literal 'Ma Ti' or interpret as 'Hippocastanum' if applicable? No, 'Ma Ti' is rare. In some contexts, it refers to 'Ma Zi Ren' or similar. However, strictly translating 'Ma Ti' as Horse Hoof is risky. Let's look at similar formulas. Actually, 'Ma Ti' might be a typo for 'Ma Xing Shi Gan' components or similar? No. Let's assume it refers to a specific mineral or animal product. For safety, use 'Ma Ti (processed)' or check if it means 'Tiger Bone' substitute? Unlikely. Let's use 'Ma Ti (Horse Hoof-like substance)' or simply 'Ma Ti'. *Correction*: In some ancient texts, 'Ma Ti' might refer to 'Ma Qian Zi' (Strychnos) or similar toxic herbs, but here it is fried yellow. Let's translate as 'Ma Ti (processed)' to be safe, or 'Horse Hoof' if literal. *Re-evaluation*: In the context of "Da Huang, Shao Yao, Zhi Shi", this looks like a variation of Chengqi Tang or similar purgatives, but added for mastitis. 'Ma Ti' is obscure. I will translate as 'Ma Ti (processed)' to avoid hallucination.)
Grind the above four ingredients into equal parts powder. Take one cun bi (measure) with wine. Cover with blankets to induce sweating. The patient should fall asleep; upon waking, the swelling should dissipate and pain cease, resolving overnight with near-perfect efficacy. Administer another cun bi the next morning. Avoid exposure to wind-cold and raw/cold foods.
At the onset of this disease, use:
Fresh Pugongying (Dandelion Herb), including roots and leaves.
Crush and extract juice, mix with wine for oral administration. Simultaneously drink Congtang (Scallion Decoction), cover with blankets, sleep, and induce sweating for recovery. If ulceration has occurred, use the following:
Fengfang (Beehive Honeycomb), Xiongshushi (Male Rat Feces), Chuanlianzi (Evodia Fruit) in equal parts. Also include Wa (Tile, calcined). Grind into powder and apply externally. Internally administer:
Da Gualou (Large Trichosanthes Fruit, preferably multi-seeded) 1 piece, Danggui (Angelica Sinensis Root) 5 qian, Gancao (Licorice Root) 4 qian, Moyao (Myrrh) 3 qian, Ruxiang (Olibanum/Frankincense) 1 qian.
Decoct in two bowls of aged wine until reduced to 80%, and take warm. Alternatively, remove Danggui and add Zaocispina (Gleditsia Spine) 1 liang 6 qian for faster effect; as recovery approaches, add Renshen (Ginseng Root), Chuanxiong (Ligusticum Rhizome), and Baizhu (Atractylodes Macrocephala Rhizome) to support the primordial qi.
Collect withered Shuixian (Narcissus Bulb), hang under the eaves to dry in the wind, crush, and apply topically for excellent efficacy.
Guixin (Cinnamon Twig Heart), Gancao (Licorice Root) each 2 fen; Wutou (Prepared Aconite Root) 1 fen.
Grind together into powder, mix with Kujiu (Bitter Vinegar/Wine), apply to paper, and cover the affected area. When pus transforms into fluid, the effect is miraculous.
Breast swelling and pain during pregnancy before delivery is called Rushui (Blowing Milk). Treatment uses the following formula:
Sharen (Amomum Fruit) 5 fen (ground); Dongkuizi (Malva Seed) 8 fen (ground); Pugongying (Dandelion Herb) 5 qian; Gualouren (Trichosanthes Seed) 3 qian.
Decoct in water and take orally. Externally use:
Sheng Nanting (Raw Arisaema Rhizome).
Grind into powder, mix with warm water, and apply as a poultice.
Postpartum women should frequently express milk; otherwise, milk stasis may occur. Additionally, failure to nurse the infant postpartum, or loss of the infant/no infant available to nurse, can lead to Dulru (Jealous Breast/Mastitis). Treatment uses the following formula:
Lianqiao (Forsythia Fruit), Shengma (Cimicifuga Rhizome), Xingren (Apricot Seed, skin and tip removed), Shegan (Belamcanda Rhizome), Fangji (Stephania Root), Huangqin (Scutellaria Root), Dahuang (Rhubarb Root), Mangxiao (Mirabilite), Chaihu (Bupleurum Root) each 3 liang; Shaoyao (Peony Root), Gancao (Licorice Root, roasted) each 4 liang.
Decoct the above in 9 sheng of water until reduced to 3 sheng, and divide into doses. Externally use:
Huqi (Oak Bark).
Decoct in water to make a wash for the affected area, which is highly effective.