一切吹乳。肿痛不可忍者。
升麻 甘草节 白芷梢 青皮 归尾 金银花 栝蒌仁（倍用） 橘叶（七片） 连翘 贝
上锉。水煎。入酒半碗同服。不拘时服。
一治乳痛风神方。
北细辛（一钱） 白芷梢（八分） 归尾（一钱） 赤芍（八分） 防风（一钱） 莪术（八分）
桔梗（八分） 乌药（一钱） 麻黄（一钱） 小甘草（三分）
上锉一剂。水煎。加热酒同服。以渣敷患处。出汗为度。
妇人乳岩。始有核肿。如围棋子大。不痛不痒。五七年方成疮。初便宜服疏气行血之药
亦须情思如意则可愈。如成疮之后。则如岩穴之形。或如人口有唇。赤汁。脓水浸淫胸胁。
气
攻疼痛。用五灰石膏。出其蠹肉。生新肉。渐渐收敛。此症多生于忧郁积忿。中年妇人。未
破者尚可治。成疮者终不可治。宜服
十六味流气饮
当归 川芎 白芍（酒炒） 人参 乌药 槟榔 防风 黄 （蜜水炒） 官桂 浓朴（姜
炒） 桔梗 枳壳（去穣） 木香 白芷 紫苏 甘草
上锉。生姜煎服。乳痈。加青皮。亦治痘疹后。余毒作痈瘤。
一治妇人乳岩永不愈者。
桦皮 油核桃（各等分烧灰存性） 枯矾 轻粉（二味加些）
共为细末。香油调敷。
一治妇人乳痈乳岩。初起时。先服荆防败毒散一剂。以败其毒。次进蒲公英连根叶捣汁
入
酒饮之。将渣敷于患处。立效。败毒散即人参败毒散。（方见伤寒。）去人参。加防风、荆芥、
连翘是也。
一妇人年逾三十。每怒后乳内作痛或肿。此肝火所致。与小柴胡合四物汤加青皮、桔梗
、枳
壳、香附而愈。彼欲绝去病根。自服流气饮。遂致朝寒暮热。益加肿毒。此血被损而然。予
与八珍汤三十余剂。喜其年壮。元气易复而愈也。
一妇乳内肿一块如鸡子大。劳则作痛。久而不消。服托里药不应。此乳劳症也。属肝经
血少
所致。先与神效栝蒌散四剂。更隔蒜灸之。肿少退。再服八珍汤。倍加香附、夏枯草、蒲公
英。仍间服前散。月余而消。亦有乳疽一症。其状肿硬木闷。虽破而不溃。肿亦不消。尢当
急服此散。及用蒜灸。此二症乃七情所伤。气血所损。亦劳症也。宜戒怒。节饮食。慎起居
否则不治。
一妇人患痈。气血颇足。但疮口不合。百法不应。予与栝蒌神效散。四剂少可。更与四
及豆豉饼灸之而愈。又一妇人患此未溃。亦与此方三剂而消。良甫云。如有乳劳。便服此药
可杜绝病根。如毒已成。能化脓为水。毒未成者。则从大小便中散之。
小柴胡汤（方见妇人虚劳） 四物汤 八珍汤（俱见补益）
一切吹乳（因乳汁郁积或外邪侵袭导致的乳房肿痛）。如果肿痛剧烈，难以忍受。
升麻、甘草节、白芷梢、青皮、当归尾、金银花、栝蒌仁（用量加倍）、橘叶（七片）、连翘、贝母。
以上药材切碎。用水煎煮。加入半碗酒一同服用。不拘泥于固定时间服用。
一方治疗乳痛风神方。
北细辛（一钱）、白芷梢（八分）、当归尾（一钱）、赤芍（八分）、防风（一钱）、莪术（八分）、桔梗（八分）、乌药（一钱）、麻黄（一钱）、小甘草（三分）。
以上药材切碎为一剂。用水煎煮。加热酒一同服用。并将药渣敷在患处。以出汗为度。
妇女患乳岩（乳腺癌），起初有肿块，如围棋子大小，不痛不痒，经过五七年才溃烂成疮。初期适宜服用疏理气机、运行血液的药物。
同时也需要心情舒畅、如意，才可以痊愈。如果溃烂成疮之后，则呈现岩石洞穴般的形态，或者像人嘴里长出的唇状物，流出赤色汁液，脓水浸淫胸胁部位。
气息攻冲疼痛。使用五灰石膏，去除腐烂的肉，生成新的肉，逐渐收敛。此症多生于忧郁积聚愤怒之中，多见于中年妇女。未破溃者尚可治疗，已成疮者终究不可治愈。适宜服用十六味流气饮。
当归、川芎、白芍（酒炒）、人参、乌药、槟榔、防风、黄芪（蜜水炒）、官桂、厚朴（姜炒）、桔梗、枳壳（去瓤）、木香、白芷、紫苏、甘草。
以上药材切碎。用生姜煎服。若为乳痈，加青皮。也治疗痘疹后余毒引发的痈瘤。
一方治疗妇人乳岩永不愈合者。
桦树皮、油核桃（各等分烧成灰但保留药性）、枯矾、轻粉（这两味药多加一些）。
共同研为细末。用香油调和后敷贴。
一方治疗妇人乳痈、乳岩。初起时，先服用荆防败毒散一剂，以挫败其毒势。接着进服蒲公英连根叶捣成的汁液，加入酒饮用。将药渣敷于患处，立即见效。败毒散即人参败毒散。（方剂见伤寒章节。）去掉人参，加上防风、荆芥、连翘即是。
一位三十多岁的妇人，每次发怒后乳房内作痛或肿胀，这是肝火所致。给予小柴胡汤合四物汤，加青皮、桔梗、枳壳、香附而痊愈。她想要彻底去除病根，自行服用流气饮，导致早晨怕冷晚上发热，更加肿毒严重。这是因为血液受损的缘故。我给予八珍汤三十多剂，庆幸她年轻体壮，元气容易恢复而痊愈。
一位妇人乳房内肿一块如鸡蛋大小，劳累时作痛，久不消散。服用托里药无效。这是乳劳症。属于肝经血少所致。先给予神效栝蒌散四剂，再隔蒜灸之，肿块稍退。再服用八珍汤，倍加香附、夏枯草、蒲公英。仍间服前散。月余后消散。也有乳疽一症，其症状是肿硬麻木闷胀，虽然破溃但不化脓，肿块也不消退。尤其应当急服此散，并用蒜灸。这两种症候乃是由于七情所伤，气血受损，也是劳症。应当戒除愤怒，节制饮食，谨慎起居，否则无法治愈。
一位妇人患痈，气血颇足，但疮口不合，各种方法无效。我给予栝蒌神效散，四剂后稍有好转。再给予四物汤及豆豉饼灸之而痊愈。又一位妇人患此症未溃烂，也给予此方三剂而消散。良甫说：如有乳劳，便服此药可以杜绝病根。如果毒已成形，能化脓为水；毒未成形的，则从大小便中散去。
小柴胡汤（方剂见妇人虚劳章节）、四物汤、八珍汤（均见补益章节）
All cases of "Chui Ru" (breast swelling and pain caused by milk stasis or external pathogens). If the swelling and pain are unbearable.
Shengma (Cimicifugae Rhizoma), Gancao Jie (Licorice Knots), Baizhi Shao (Angelicae Dahuricae Radix tip), Qingpi (Citri Reticulatae Pericarpium Viride), Guiwei (Angelicae Sinensis Radix tail), Jinyinhua (Lonicerae Japonicae Flos), Gualou Ren (Trichosanthis Semen, used in double dose), Juye (Citri Reticulatae Folium, seven leaves), Lianqiao (Forsythiae Fructus), Beimu (Fritillariae Bulbus).
The above herbs are chopped. Decocted in water. Take with half a bowl of wine. Take at any time without restriction.
A divine formula for treating breast wind-pain.
Beixixin (Asari Radix et Rhizoma, 1 qian), Baizhi Shao (Angelicae Dahuricae Radix tip, 8 fen), Guiwei (Angelicae Sinensis Radix tail, 1 qian), Chishao (Paeoniae Radix Rubra, 8 fen), Fangfeng (Saposhnikoviae Radix, 1 qian), Ezhu (Curcumae Rhizoma, 8 fen), Jiegeng (Platycodonis Radix, 8 fen), Wuyao (Linderae Radix, 1 qian), Mahuang (Ephedrae Herba, 1 qian), Xiao Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen).
The above herbs are chopped as one dose. Decocted in water. Take with heated wine. Apply the dregs to the affected area. Stop when sweating occurs.
Women suffering from "Ru Yan" (Breast Rock/Cancer), initially have a lump like a Go stone, neither painful nor itchy. After five to seven years, it ulcerates. Initially, it is appropriate to take herbs that soothe Qi and invigorate Blood.
One must also maintain a contented and smooth emotional state for recovery. If it ulcerates, it takes the shape of a rocky cave or a lip-like growth protruding from the mouth, discharging red fluid and pus that soaks the chest and hypochondrium.
Qi attacks causing pain. Use "Wu Hui Shi Gao" (Five Ashes Plaster) to remove necrotic flesh and generate new tissue, gradually contracting the wound. This condition often arises from accumulated depression and anger, mostly affecting middle-aged women. Those not yet ulcerated can still be treated; those already ulcerated are ultimately incurable. It is suitable to take "Shi Liu Wei Liu Qi Yin".
Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba, stir-fried with wine), Renshen (Ginseng Radix), Wuyao (Linderae Radix), Binglang (Arecae Semen), Fangfeng (Saposhnikoviae Radix), Huangqi (Astragali Radix, honey-fried), Guanzi Gui (Cinnamomi Cortex), Houpo (Magnoliae Officinalis Cortex, stir-fried with ginger), Jiegeng (Platycodonis Radix), Zhike (Aurantii Fructus, pith removed), Muxiang (Aucklandiae Radix), Baizhi (Angelicae Dahuricae Radix), Zisu (Perillae Folium), Gancao (Glycyrrhizae Radix et Rhizoma).
The above herbs are chopped. Decocted with fresh ginger. For "Ru Yong" (Breast Abscess), add Qingpi. Also treats carbuncles and tumors resulting from residual toxins after smallpox/rash.
A formula for treating female breast rock that never heals.
Huapi (Betulae Cortex), You Taohe (Juglans Regia Seed oil-rich variety, equal parts, burnt to ash but retaining efficacy), Kufan (Alumen Exsiccatum), Qingfen (Calomelas, use slightly more of these two).
Grind into fine powder. Mix with sesame oil and apply externally.
A formula for treating female breast abscess and breast rock. At the initial stage, first administer one dose of Jingfang Baidu San to defeat the toxin. Then advance to drinking juice extracted from Dandelion (Pu Gong Ying) roots and leaves mixed with wine. Apply the dregs to the affected area for immediate effect. Baidu San refers to Renshen Baidu San. (Formula seen in Treatise on Cold Damage.) Remove Renshen, add Fangfeng, Jingjie, and Lianqiao.
A woman over thirty years old experiences pain or swelling in the breast after every fit of anger. This is caused by Liver Fire. Prescribed Xiao Chai Hu Tang combined with Si Wu Tang, adding Qingpi, Jiegeng, Zhike, and Xiangfu, resulting in a cure. She wished to eradicate the root cause, so she self-administered Liu Qi Yin, leading to morning chills and evening fevers, worsening the swelling and toxicity. This was due to blood damage. I prescribed Bazhen Tang for over thirty doses. Fortunately, her youth allowed for easy recovery of Yuan Qi, and she healed.
A woman had a lump in the breast the size of an egg, painful upon exertion, persisting for a long time without subsiding. Tuo Li medicines were ineffective. This is "Ru Lao" (Breast Labor/Chronic Breast Condition). It belongs to deficiency of Blood in the Liver Meridian. First administered Shen Xiao Gua Lou San for four doses, followed by garlic moxibustion. The swelling receded slightly. Then administered Bazhen Tang, doubling the dosage of Xiangfu, Xiakucao, and Pu Gongying. Continued intermittent use of the previous powder. Dissipated after more than a month. There is also a condition called "Ru Ju" (Breast Carbuncle), characterized by hard, numb, and stuffy swelling. Although it may break, it does not suppurate, and the swelling does not subside. One should urgently take this powder and use garlic moxibustion. These two conditions are injuries caused by the Seven Emotions and damage to Qi and Blood, also constituting a Labor condition. One must avoid anger, regulate diet, and be cautious in daily life; otherwise, it is incurable.
A woman suffered from a carbuncle. Her Qi and Blood were sufficient, but the wound did not close, and various methods failed. I prescribed Gua Lou Shen Xiao San. After four doses, there was slight improvement. Then administered Si Wu Tang and Fermented Soybean Cake moxibustion, resulting in a cure. Another woman with this condition, not yet ulcerated, took this prescription for three doses and it dissipated. Liangfu stated: If there is Breast Labor, taking this medicine can prevent the root cause. If the toxin has formed, it can transform pus into fluid; if the toxin has not formed, it disperses through urination and defecation.
Xiao Chai Hu Tang (Formula seen in Female Consumption chapter), Si Wu Tang, Bazhen Tang (Both seen in Tonification chapters)