牛蒡子汤
牛蒡子汤栝蒌仁 银花山栀甘草陈
黄芩连翘柴花粉 青皮牛子角针平
治乳痈、乳疽、结肿疼痛，毋论新久，但未成脓服。
陈皮 牛蒡子 山栀 金银花 甘草 栝蒌仁 黄芩 天花粉 连翘 角针（各一钱） 柴胡 青皮（各五分）
水二钟，煎八分，入酒一杯和匀，食远服。
橘叶散
橘叶散内有柴陈 川芎山栀青皮迎
石膏黄芩连翘行 甘草加之效有灵
治妇人有孕胎热为内吹，有儿吃乳名外吹。致乳结成肿痛，寒热交作∶甚者恶心呕吐并服之。
柴胡 陈皮 川芎 山栀 青皮 石膏 黄芩 连翘（各一钱） 甘草（五分） 橘叶（二十个）
水二钟，煎八分，食远服，渣再煎服。
清肝解郁汤
清肝解郁汤陈芍 桔半芎归贝茯神
青皮生附并苏叶 通草山栀远志评
治一切忧郁气滞，乳结肿硬，不疼不痒，久渐作疼，或胸膈不利，肢体倦怠，面色痿黄，饮食减少。
陈皮 白芍 川芎 当归 生地 半夏 香附（各八分） 青皮 远志 茯神 贝母 苏叶 桔梗
（各六分） 甘草 山栀 木通（各四分）
水二钟，姜三片，煎八分，食远服。
鹿角散
鹿角散效独称雄 消乳专于建大功
每服三钱酒调下 能教肿痛永无踪
治乳痈新起结肿疼痛，憎寒发热，但未成俱效。
鹿角尖三寸，用炭火内 稍红存性碾末，每服三钱，食后热酒一茶钟调服，甚者再一服必消。
回乳四物汤
回乳四物汤最灵 芎归白芍熟地呈
加上麦芽能散乳 最消肿胀得和平
治产妇无儿吃乳，致乳汁肿胀，坚硬疼痛难忍。
川芎 当归 白芍 熟地（各二钱） 麦茅（炒为粗末，二两）
水二钟，煎八分，食远服，用脚布束紧两乳，以手按揉其肿，自然消散，甚者再用一服。
灸乳肿妙方
灸乳肿痛方来异 恼怒劳伤气不调
将碗复于患上灸 诸般肿疼寂然消
治气恼劳伤，或寒热不调，乳内忽生肿痛。
用碗一只，内用粗灯草四根，十字排匀，碗内灯草头各露寸许，再用平山粗纸裁成一寸五分阔纸条，用水
湿纸贴盖碗内灯草上，纸与碗口相齐；将碗复于肿乳上，留灯草头在外，将艾大圆放碗足底内，点火灸之；艾
尽再添，灸至碗口流出水气，内痛觉止方住，甚者次日再灸一次必消。
保安万灵丹（见痈疽肿疡门）
治乳痈初起，发热恶寒，头眩，肢体作痛者立效。
益气养荣汤（见瘰 门）
治郁怒伤肝，七情内结，以致乳中生核，不疼不痒，日久方痛；甚者胸膈不利，吞酸呕吐，头目昏眩，四
肢倦怠；或已破溃，脓水清稀，不能收敛，饮食减少，口淡无味，自汗盗汗，肢体羸
瘦者并效。
治乳便用方
治乳蒲公英常说 同酒煎来乘热啜
再加葱汤催汗泄 消肿犹如汤泼雪
治乳痈初起肿痛未成脓者。
用蒲公英春秋间开黄花似菊，取连根蒂叶二两捣烂，用好酒半斤同煎数沸，存渣敷肿上，用酒热服，盖睡
一时许，再用连须葱白汤一茶钟催之，得微汗而散。此方乡村偏僻无药之所用之极妙，亦且简便。
下乳天浆散
下乳天浆散四物 茯苓花粉麦门冬
王不留行并山甲 漏芦甘草木通逢
治乳母元气虚弱，乳汁微少，或生儿日久乳少。
川芎 当归 白芍 熟地 茯苓 天花粉 甘草 王不留行（炒） 麦门冬 漏芦 穿山甲（炒） 通草
（各一钱）
用健猪前蹄一只，煮蹄烂，取汁两碗，同药煎至碗半，二次顿热，食远服之。以热木梳梳其乳房，其汁如
泉涌而来。
木香饼
木香饼同生地黄 二物和匀患上装
气滞肿疼并闪肭 用之一熨自无殃
治一切气滞结肿成核，或痛或闪肭、风寒所伤并效。
木香（五钱） 生地黄（捣膏，一两）
上木香为末，同地黄和匀，量患处大小，作饼置肿上，以热熨斗熨之；坚硬木痛者，间日熨之妙。
牛蒡子汤由栝蒌仁、金银花、山栀、甘草、陈皮、黄芩、连翘、柴胡、天花粉、青皮、牛蒡子、角针组成。
治疗乳痈（乳房急性化脓性感染）、乳疽（乳房深部脓肿），表现为结块肿胀疼痛，无论病程新久，只要尚未化脓即可服用。
药物组成：陈皮、牛蒡子、山栀、金银花、甘草、栝蒌仁、黄芩、天花粉、连翘、角针（各一钱）；柴胡、青皮（各五分）。
煎服法：用水二钟，煎至八分，加入一杯酒混合均匀，在饭后服用。
橘叶散内含柴胡、陈皮、川芎、山栀、青皮、石膏、黄芩、连翘、甘草及橘叶。
治疗妇女怀孕时因胎热内蕴导致的“内吹”（妊娠期乳痈），或婴儿吃奶时导致的“外吹”（哺乳期乳痈）。致使乳汁凝结成肿块并肿痛，伴有寒热交替症状；严重者兼见恶心呕吐者，均可服用此方。
药物组成：柴胡、陈皮、川芎、山栀、青皮、石膏、连翘（各一钱）；甘草（五分）；橘叶（二十个）。
煎服法：用水二钟，煎至八分，饭后服用，药渣再次煎煮后服用。
清肝解郁汤由陈皮、白芍、桔梗、半夏、川芎、当归、贝母、茯神、青皮、生附子、苏叶、通草、山栀、远志组成。
治疗一切因忧郁导致的气机阻滞，乳房结块肿硬，不疼不痒，日久逐渐出现疼痛，或者胸膈部不适，肢体倦怠，面色萎黄，饮食减少。
药物组成：陈皮、白芍、川芎、当归、生地、半夏、香附（各八分）；青皮、远志、茯神、贝母、苏叶、桔梗（各六分）；甘草、山栀、木通（各四分）。
煎服法：用水二钟，生姜三片，煎至八分，饭后服用。
鹿角散疗效独特，在消散乳房肿块方面建有奇功。
每次服用三钱，用酒调服，能使肿痛永远消失无踪。
治疗乳痈初起，结块肿胀疼痛，憎寒发热，只要尚未化脓均有效。
药物组成：鹿角尖三寸，用炭火煅烧至微红但保留药性（存性），碾成粉末。每次服用三钱，饭后用热茶钟量的酒调服，严重者再服一次必能消除。
回乳四物汤最为灵验，由川芎、当归、白芍、熟地组成。
加上麦芽能够消散乳汁，最能消除肿胀使乳房恢复平和。
治疗产妇没有婴儿吸吮乳汁，导致乳汁积聚肿胀，坚硬疼痛难忍。
药物组成：川芎、当归、白芍、熟地（各二钱）；麦茅（炒成粗末，二两）。
煎服法：用水二钟，煎至八分，饭后服用。同时用布带紧紧束住双侧乳房，用手按揉肿胀处，自然消散，严重者再服一剂。
灸乳肿妙方
治疗乳房肿痛的方法奇特，适用于因恼怒劳伤导致气机不调引起的病症。
将碗倒扣在患处进行艾灸，各种肿痛便会寂静消除。
治疗因气恼劳伤，或寒热不调，乳房突然产生肿痛。
操作方法：取一只碗，碗内放置四根粗灯草，呈十字形排匀，灯草头在碗内露出约一寸；再用平山产的粗纸裁成一寸五分宽的纸条，用水湿润后贴在碗内的灯草上，纸边与碗口齐平；将碗倒扣在肿胀的乳房上，留出灯草头在外面；将大团艾绒放在碗底足内，点火施灸；艾绒燃尽再添，灸至碗口流出水汽，内部疼痛感觉停止为止，严重者次日再灸一次必能消除。
保安万灵丹（详见痈疽肿疡门章节）
治疗乳痈初起，伴有发热恶寒、头晕、肢体疼痛者，立竿见影。
益气养荣汤（详见瘰疬门章节）
治疗因郁怒伤肝，七情内结，导致乳房中生核，不疼不痒，日久才痛；严重者胸膈不适，吞酸呕吐，头目昏眩，四肢倦怠；或者已经破溃，脓水清稀，不能收敛，饮食减少，口淡无味，自汗盗汗，肢体消瘦者，均有疗效。
治乳便用方
治疗乳房疾病常提到蒲公英，同酒煎好后趁热饮用。
再加上葱汤催发汗液排出，消肿效果犹如热水泼雪。
治疗乳痈初起，肿痛但未化脓者。
药物组成：选用春秋季节开黄花似菊花的蒲公英，取连根蒂叶二两捣烂，用好酒半斤同煎数沸，保留药渣敷在肿胀处，用热酒服用，盖被睡约一小时，再用连须葱白汤一茶钟催汗，得微汗而散。此方在乡村偏僻无药之处使用极妙，且简便易行。
下乳天浆散由四物汤加茯苓、花粉、麦门冬、王不留行、穿山甲、漏芦、甘草、通草组成。
治疗乳母元气虚弱，乳汁稀少，或生育日久乳汁减少。
药物组成：川芎、当归、白芍、熟地、茯苓、天花粉、甘草、王不留行（炒）、麦门冬、漏芦、穿山甲（炒）、通草（各一钱）。
煎服法：用健壮的猪前蹄一只，煮至烂熟，取汁两碗，同药物煎至一碗半，分两次热服，饭后服用。用热木梳梳理乳房，乳汁便会如泉水涌出。
木香饼
木香饼与生地黄配合，两种药物和匀后敷贴患处。
治疗气滞结肿成核，或疼痛、闪挫损伤、风寒所伤者，使用此方熨帖自无灾殃。
治疗一切气滞结肿成核，或痛或闪挫、风寒所伤者均有效。
药物组成：木香（五钱）、生地黄（捣成膏状，一两）。
操作方法：将木香研为细末，同地黄和匀，根据患处大小做成饼状，置于肿胀处，用热熨斗熨烫；若肿块坚硬且疼痛，隔日熨烫一次效果更佳。
Niu Bang Zi Tang (Arctii Fructus Decoction)
Niu Bang Zi Tang is composed of Trichosanthis Semen (Gualou Ren), Lonicerae Flos (Yin Hua), Gardeniae Fructus (Shan Zhi), Glycyrrhizae Radix et Rhizoma (Gan Cao), Citri Reticulatae Pericarpium (Chen Pi), Scutellariae Radix (Huang Qin), Forsythiae Fructum (Lian Qiao), Bupleuri Radix (Chai Hu), Trichosanthis Radix (Tian Hua Fen), Aurantii Fructus Immaturus (Qing Pi), Arctii Fructus (Niu Bang Zi), and Cervi Cornu Pantotrichum (Jiao Zhen).
It treats Ru Yong (acute suppurative mastitis) and Ru Ju (deep breast abscess), presenting as nodular swelling and pain. It can be taken regardless of whether the condition is new or chronic, provided that pus has not yet formed.
Ingredients: Citri Reticulatae Pericarpium, Arctii Fructus, Gardeniae Fructus, Lonicerae Flos, Glycyrrhizae Radix et Rhizoma, Trichosanthis Semen, Scutellariae Radix, Trichosanthis Radix, Forsythiae Fructum, Cervi Cornu Pantotrichum (each 1 qian); Bupleuri Radix, Aurantii Fructus Immaturus (each 0.5 qian).
Preparation and Administration: Decoct with two zhong of water until reduced to eight fen. Add one cup of wine, mix well, and take after meals.
Ju Ye San (Tangerine Leaf Powder)
Ju Ye San contains Bupleuri Radix, Citri Reticulatae Pericarpium, Chuanxiong Rhizome, Gardeniae Fructus, Aurantii Fructus Immaturus, Gypsum Fibrosum, Scutellariae Radix, Forsythiae Fructum, Glycyrrhizae Radix et Rhizoma, and Citrus Nobilis Pericarpium Viride (Ju Ye).
It treats "Nei Chui" (mastitis during pregnancy caused by fetal heat) in pregnant women, and "Wai Chui" (mastitis during lactation caused by infant suckling). These conditions cause milk stasis leading to nodular swelling and pain, accompanied by alternating chills and fever. For severe cases with nausea and vomiting, this formula is also applicable.
Ingredients: Bupleuri Radix, Citri Reticulatae Pericarpium, Chuanxiong Rhizome, Gardeniae Fructus, Aurantii Fructus Immaturus, Gypsum Fibrosum, Forsythiae Fructum (each 1 qian); Glycyrrhizae Radix et Rhizoma (0.5 qian); Citrus Nobilis Pericarpium Viride (20 leaves).
Preparation and Administration: Decoct with two zhong of water until reduced to eight fen. Take after meals. The dregs should be decocted again and taken.
Qing Gan Jie Yu Tang (Soothe Liver and Resolve Stagnation Decoction)
Qing Gan Jie Yu Tang consists of Citri Reticulatae Pericarpium, Paeoniae Radix Alba, Platycodonis Radix, Pinelliae Rhizoma, Chuanxiong Rhizome, Angelicae Sinensis Radix, Fritillariae Bulbus, Poria, Aurantii Fructus Immaturus, Aconiti Lateralis Radix Praeparata (Sheng Fu Zi), Perillae Folium, Akebiae Caulis, Gardeniae Fructus, and Polygala Radix.
It treats all conditions where depression leads to Qi stagnation, resulting in hard, swollen breasts that are initially painless and itchless but gradually become painful over time. It also addresses chest and diaphragm discomfort, limb fatigue, sallow complexion, and decreased appetite.
Ingredients: Citri Reticulatae Pericarpium, Paeoniae Radix Alba, Chuanxiong Rhizome, Angelicae Sinensis Radix, Rehmanniae Radix, Pinelliae Rhizoma, Cyperi Rhizoma (each 0.8 fen); Aurantii Fructus Immaturus, Polygala Radix, Poria, Fritillariae Bulbus, Perillae Folium, Platycodonis Radix (each 0.6 fen); Glycyrrhizae Radix et Rhizoma, Gardeniae Fructus, Akebiae Caulis (each 0.4 fen).
Preparation and Administration: Decoct with two zhong of water and three slices of Zingiberis Rhizoma Recens until reduced to eight fen. Take after meals.
Lu Jiao San (Deer Horn Powder)
Lu Jiao San is uniquely effective and excels in resolving breast nodules.
Take 3 qian each time, mixed with wine. It can permanently eliminate swelling and pain.
It treats early-stage Ru Yong with nodular swelling and pain, aversion to cold, and fever, provided pus has not yet formed.
Ingredients: Deer horn tip (Lu Jiao Jian), 3 cun long, calcined in charcoal fire until slightly red but retaining its medicinal properties (Cun Xing), then ground into powder.
Preparation and Administration: Take 3 qian after meals, mixed with a tea-cupful of warm wine. Severe cases may require a second dose for complete resolution.
Hui Ru Si Wu Tang (Return Milk Si Wu Decoction)
Hui Ru Si Wu Tang is highly efficacious. It is based on Chuanxiong Rhizome, Angelicae Sinensis Radix, Paeoniae Radix Alba, and Rehmanniae Radix Preparata.
Added with Mai Ya (Hordeum Vulgare Fructus Germinatum), it disperses milk and effectively reduces swelling to restore peace.
It treats postpartum women whose infants do not suckle, causing milk accumulation, swelling, hardness, and unbearable pain.
Ingredients: Chuanxiong Rhizome, Angelicae Sinensis Radix, Paeoniae Radix Alba, Rehmanniae Radix Preparata (each 2 qian); Mai Mao (Stellariae Herba, stir-fried to coarse powder, 2 liang).
Preparation and Administration: Decoct with two zhong of water until reduced to eight fen. Take after meals. Simultaneously, bind both breasts tightly with cloth and massage the swelling by hand until it naturally dissipates. Severe cases may require another dose.
Jiu Ru Zhong Miao Fang (Excellent Moxibustion Formula for Breast Swelling)
This moxibustion method for breast swelling and pain is unique, treating conditions caused by anger and overwork leading to Qi dysregulation.
By placing a bowl upside down on the affected area and performing moxibustion, various swellings and pains will subside silently.
It treats sudden breast swelling and pain caused by emotional distress, overwork, or imbalance of cold and heat.
Procedure: Place four thick rush piths (Deng Cao) in a cross shape inside a bowl, leaving about one cun exposed at the top. Cut strips of rough paper (1.5 cun wide) from Ping Shan, wet them, and paste them over the rush piths inside the bowl, aligning the edges with the bowl's rim. Place the bowl upside down over the swollen breast, leaving the rush pith ends exposed outside. Place a large round ball of Artemisiae Argyi Folium (Ai Ye) under the bottom of the bowl and ignite it. Replenish the mugwort as it burns. Continue until moisture appears at the bowl's rim and internal pain ceases. Severe cases may require a second session the next day for resolution.
Bao An Wan Ling Dan (See Chapter on Carbuncles and Ulcers)
Highly effective for early-stage Ru Yong presenting with fever, aversion to cold, dizziness, and body pain.
Yi Qi Yang Rong Tang (See Chapter on Scrofula)
Treats breast nodules caused by liver injury from anger and emotional constraint. Initially painless and itchless, they become painful over time. Severe cases present with chest discomfort, acid regurgitation, vomiting, dizziness, limb fatigue, or if ulcerated, thin purulent discharge that fails to heal, decreased appetite, tastelessness, spontaneous sweating, night sweats, and emaciation.
Simple Formula for Treating the Breast
For breast issues, Pu Gong Ying (Taraxaci Herba) is commonly used. Decoct it with wine and drink it while hot.
Adding Cong Bai (Allii Fistulosi Bulbus) promotes sweating, and the reduction of swelling is like pouring hot water on snow.
It treats early-stage Ru Yong with swelling and pain before pus formation.
Ingredients: Fresh Pu Gong Ying (including roots, stems, and leaves) harvested in spring or autumn when it blooms yellow flowers resembling chrysanthemums, 2 liang, crushed.
Preparation and Administration: Decoct with half a jin of good wine for a few boils. Apply the dregs to the swelling. Drink the hot wine, cover with blankets, and sleep for about an hour. Then drink a tea-cupful of Cong Bai soup to induce mild sweating. This formula is extremely useful and simple for remote rural areas lacking access to medicine.
Xia Ru Tian Jiang San (Heavenly Pulp Powder to Promote Lactation)
Xia Ru Tian Jiang San is based on Si Wu Tang plus Poria, Trichosanthis Radix, Ophiopogonis Tuber, Myrtilli Fructus (Wang Bu Liu Xing), Pangolin Scales (Chuan Shan Jia), Euphorbiae Humifusae Herba (Lou Lu), Glycyrrhizae Radix et Rhizoma, and Akebiae Caulis.
It treats nursing mothers with weak Yuan Qi and scanty milk, or prolonged lactation resulting in low milk supply.
Ingredients: Chuanxiong Rhizome, Angelicae Sinensis Radix, Paeoniae Radix Alba, Rehmanniae Radix Preparata, Poria, Trichosanthis Radix, Glycyrrhizae Radix et Rhizoma, Myrtilli Fructus (stir-fried), Ophiopogonis Tuber, Euphorbiae Humifusae Herba, Pangolin Scales (stir-fried), Akebiae Caulis (each 1 qian).
Preparation and Administration: Boil one healthy pig trotter until soft, extract two bowls of broth. Decoct the herbs in this broth until reduced to half a bowl. Take twice, warmed, after meals. Comb the breast with a hot wooden comb to stimulate milk flow, which will come forth like a spring.
Mu Xiang Bing (Costus Root Cake)
Mu Xiang Bing combines Mu Xiang (Aucklandiae Radix) with Sheng Di Huang (Rehmanniae Radix). Mixed evenly, it is applied to the affected area.
It treats Qi stagnation leading to nodular swelling, pain, sprains, and injuries from wind-cold. Application and warming ensure no harm.
It treats all conditions of Qi stagnation forming nodules, whether painful or due to sprains/wind-cold.
Ingredients: Aucklandiae Radix (5 qian), Rehmanniae Radix (fresh, pounded into paste, 1 liang).
Preparation and Administration: Grind Aucklandiae Radix into powder and mix with the Rehmanniae paste. Form into cakes sized to the affected area and place on the swelling. Warm with a hot iron. For hard, painful masses, apply every other day for optimal effect.