（下乳、吹奶附）
《千金》论∶乳母者，其血气为乳汁也。五情善恶，悉是血气所生也。其乳儿者，皆宜慎于喜怒，夫乳母
形色所宜，其候甚多，不可求备。但取不胡臭、瘿 、气嗽、 疥、痴癃、白秃、 疡、沈唇、耳聋、 鼻、
癫痫无此等疾者，便可饮儿也。师见其故灸瘢，便知其先疾之源也。
《千金》治乳无汁方。
石钟乳（四两） 漏芦（三两） 通草 栝蒌根（各五两） 甘草（二两炙。一方不用）
上五味 咀，以水一斗，煮取三升，分三服。一云∶用栝蒌实一枚。
《千金》又方
右母猪蹄一具粗切，以水二斗煮熟，得五、六升，汁饮之。不出更作。
《千金》又方
猪蹄（二枚，熟炙，槌碎） 通草（八两，细切）
上二味，以清酒一斗浸之，稍稍饮尽，不出更作。（《外台》∶猪蹄不炙，以水一斗，煮取四升，入酒
四升更煮，饮之佳）
《千金》又方
上栝蒌根切一升，酒四升煮三沸，去滓，分三服。
《千金》又方
上栝蒌取子，尚青色大者一枚，熟捣，以白酒一斗，煮取四升，去滓，温服一升，日三。黄色小者，用二枚亦好。
《千金》又方
石钟乳 通草（各一两） 漏芦（半两） 桂心 甘草（炙） 栝蒌根（各六铢）
上六味治下筛，酒服方寸匕，日三，最验。
《千金》又方
石钟乳 漏芦（各二两）
上二味治下筛，饮服方寸匕，即下。
《千金》又方
上烧鲤鱼头末，酒服三指撮。
《千金》又方
上烧死鼠作屑，酒服方寸匕，日三立下。勿令知。
《千金》又方
上用土瓜根治下筛，服半钱匕，日三。乳如流水。
《千金翼》治妇人乳无汁钟乳汤方
钟乳 白石脂 硝石（各一分） 通草 生桔梗（各二分）
上五味 咀，以水五升，煮三上三下，余一升，去滓，内硝石烊，绞，服无多少。若小儿不能乳，大人嗍
之。
《千金翼》治妇人乳无汁漏芦汤方
漏芦 通草（各二两） 钟乳（一两） 黍米（一升）
上四味 咀，黍米宿渍，揩挞取汁（三升，煮药三沸，去滓饮之，日三服。
《千金翼》治妇人下乳汁鲫鱼汤方
鲫鱼（长七寸） 猪肪（半斤） 漏芦 钟乳（各二两）
上四味 咀，药切，猪肪、鱼不须洗，清酒一斗二升合煮，鱼熟药成，去滓，适寒温，分五服即乳下，
良。饮其间相去须臾一饮，令药力相及。
《千金翼》又方
通草 钟乳 栝蒌实 漏芦（各三两）
上四味 咀，以水一斗，煮取三升，去滓，饮一升，日三服。
《千金翼》又方
通草 钟乳（各四两）
上二味切，以酒五升渍一宿，明旦煮沸，去滓，服一升，日三服。夏冷服，冬温服之。
《千金翼》又方
上用石膏四两，碎，以水二升煮三沸，稍稍服，一日令尽。
《千金翼》又方
上用鬼箭五两，切，以水六升，煮取四升，一服八合，日三服。亦可烧灰，水服方寸匕。
《千金翼》治妇人乳无汁。鼠肉 方
鼠肉（五两） 羊肉（四两） 獐肉（半斤）
上三味作 ，勿令疾者知之。
《千金翼》治妇人产后下乳。鲍鱼大麻子羹方
饱鱼肉（三斤） 麻子仁（一升）
上二味，与盐、豉、葱作羹，任意食之。
《千金翼》又方
通草 钟乳
上二味等分，捣，筛作面。粥服方寸匕，日三服。百日后，可兼养两儿。通草横心白者是，勿取羊桃根、
色黄者无益。
《千金翼》又方
麦门冬（去心） 钟乳 栝蒌 理石
上四味等分，捣、筛。空腹酒服方寸匕，日三服。
《千金翼》又方
漏芦（三分） 钟乳 栝蒌根（各五分） 蛴螬（三合）
上四味捣、筛。先食糖水，服方寸匕，日三服。
《千金翼》方
栝蒌根（三两） 钟乳（四两） 漏芦 滑石 通草（各二两） 白头翁（一两）
上六味捣、筛为散。酒服方寸匕，日再服。
《千金翼》又方
钟乳 通草（各五分） 云母（二两半） 甘草（一两，炙） 屋上败草（二把，烧作灰）
上五味捣，筛为散。食后，以温漏芦水服方寸匕，日三服，乳下为度。
《千金翼》又方
麦门冬（去心） 钟乳 通草 理石 干地黄 土瓜根 蛴螬（并等分）
七味捣，筛为散。食后酒服方寸匕，日三服。
《张氏家传》通奶方
上以木通为散，葱酒调下。
《张氏家传》黄金散 治妇人一切奶疾。中年者为胃虚血衰所致。年少者多因产后卧失将息，喜怒，食物所致。
或因小儿食乳吹咂，令痛痒无时，未破者曰痈，既破者曰漏，甚非小疾。若误用药，便成大患，急须治之方。
上用陈橘皮不以多少，汤浸，洗拣净，用黄明者于新瓦上慢慢磨去白，令薄，后用水净洗，沥干切细，用
麦麸拌和，入铫子内炒。火须文武火，候香熟黄色，于地上摊出火毒，筛去麸，碾为细末，入好麝香少许，
以薄纸裹于男子怀中，贴一复时，童男尤佳。每服二钱至三钱，无灰酒调下。就患处一壁卧，令睡良久，再
一服。候燥痒生瘾疹便散破者，便合极患者，不过三服。
（下乳、吹奶附）
《千金方》论述：乳母的血气转化为乳汁。人的五种情志（喜、怒、忧、思、恐）的善恶表现，都是由血气所生成的。那些哺乳婴儿的人，在喜怒情绪上都应当谨慎。乳母适宜的外貌形体特征，考察的标准很多，不可能要求完美无缺。只要选取没有狐臭、瘿病（颈部肿块）、气嗽（气喘咳嗽）、疥疮、痴癃（皮肤溃烂或排尿困难）、白秃（头部脱发伴鳞屑）、疡（疮疡）、重唇（嘴唇厚肿）、耳聋、鼻渊（鼻塞流浊涕）、癫痫等这些疾病的人，就可以给婴儿喂奶了。老师看到患者以前艾灸留下的疤痕，就能知道其先前疾病的根源。
《千金方》治疗乳汁不通的方剂。
石钟乳（四两） 漏芦（三两） 通草 栝蒌根（各五两） 甘草（二两，炙用。另一版本不用）
以上五味药切碎，用水一斗，煮取三升药液，分三次服用。另一种说法是：用栝蒌实一枚。
《千金方》又一方
取母猪蹄一只粗切，用水二斗煮熟，得到五六升汁液，饮用。若乳汁仍不出，再制作服用。
《千金方》又一方
猪蹄（两只，煮熟后烤焦，捣碎） 通草（八两，细切）
以上两味药，用清酒一斗浸泡，慢慢饮尽。若乳汁仍不出，再制作服用。（《外台秘要》记载：猪蹄不烤焦，用水一斗，煮取四升，加入酒四升再煮，饮用效果佳）
《千金方》又一方
取栝蒌根切得一升，用酒四升煮三沸，去渣，分三次服用。
《千金方》又一方
取栝蒌中青色较大的果实一枚，熟捣，用白酒一斗，煮取四升，去渣，温服一升，每日三次。黄色较小的，用两枚也可以。
《千金方》又一方
石钟乳 通草（各一两） 漏芦（半两） 桂心 甘草（炙） 栝蒌根（各六铢）
以上六味药研碎过筛，用酒送服方寸匕，每日三次，效果最显著。
《千金方》又一方
石钟乳 漏芦（各二两）
以上两味药研碎过筛，用酒送服方寸匕，乳汁即下。
《千金方》又一方
将鲤鱼头烧成粉末，用酒送服三指撮的量。
《千金方》又一方
将死鼠烧成屑，用酒送服方寸匕，每日三次，乳汁立下。不要让病人知道。
《千金方》又一方
取土瓜根研碎过筛，服用半钱匕的量，每日三次。乳汁如流水般涌出。
《千金翼方》治疗妇人乳汁不通的钟乳汤方
钟乳 白石脂 硝石（各一分） 通草 生桔梗（各二分）
以上五味药切碎，用水五升，煮至“三上三下”（即煮沸后离火，反复三次），剩余一升药液，去渣，加入硝石使其溶化，过滤，服用量不限。如果婴儿不能吸吮，由大人吸吮之。
《千金翼方》治疗妇人乳汁不通的漏芦汤方
漏芦 通草（各二两） 钟乳（一两） 黍米（一升）
以上四味药切碎，黍米提前浸泡，搓挞取汁（三升），用药汁煮药三沸，去渣饮用，每日三次服用。
《千金翼方》治疗妇人下乳汁的鲫鱼汤方
鲫鱼（长七寸） 猪脂肪（半斤） 漏芦 钟乳（各二两）
以上四味药切碎，猪脂肪和鱼不需要清洗，用清酒一斗二升合煮，鱼熟药成，去渣，待温度适宜，分五次服用，乳汁即下，效果良好。服药期间间隔不久再饮一次，使药力连续。
《千金翼方》又一方
通草 钟乳 栝蒌实 漏芦（各三两）
以上四味药切碎，用水一斗，煮取三升，去渣，饮一升，每日三次服用。
《千金翼方》又一方
通草 钟乳（各四两）
以上两味药切碎，用酒五升浸泡一夜，次日早晨煮沸，去渣，服一升，每日三次服用。夏天冷服，冬天温服。
《千金翼方》又一方
取石膏四两，捣碎，用水二升煮三沸，慢慢服用，一天内服完。
《千金翼方》又一方
取鬼箭羽五两，切碎，用水六升，煮取四升，每次服八合，每日三次服用。也可以烧成灰，用水送服方寸匕。
《千金翼方》治疗妇人乳汁不通。鼠肉方
鼠肉（五两） 羊肉（四两） 獐肉（半斤）
以上三味肉做成羹，不要让患病者知道。
《千金翼方》治疗妇人产后下乳。鲍鱼大麻子羹方
鲍鱼肉（三斤） 麻子仁（一升）
以上两味，加盐、豆豉、葱做成羹，随意食用。
《千金翼方》又一方
通草 钟乳
以上两味等分，捣碎，筛成面状。用粥送服方寸匕，每日三次服用。百日之后，可以同时喂养两个婴儿。通草以横截面中心有白色者为佳，不要取羊桃根，颜色黄的无效。
《千金翼方》又一方
麦门冬（去心） 钟乳 栝蒌 理石
以上四味等分，捣碎、筛过。空腹时用酒送服方寸匕，每日三次服用。
《千金翼方》又一方
漏芦（三分） 钟乳 栝蒌根（各五分） 蛴螬（三合）
以上四味捣碎、筛过。先喝糖水，再服方寸匕，每日三次服用。
《千金翼方》方
栝蒌根（三两） 钟乳（四两） 漏芦 滑石 通草（各二两） 白头翁（一两）
以上六味捣碎、筛为散剂。用酒送服方寸匕，每日两次服用。
《千金翼方》又一方
钟乳 通草（各五分） 云母（二两半） 甘草（一两，炙） 屋上败草（二把，烧成灰）
以上五味捣碎，筛为散剂。饭后，用温通的漏芦水送服方寸匕，每日三次服用，以乳汁下来为度。
《千金翼方》又一方
麦门冬（去心） 钟乳 通草 理石 干地黄 土瓜根 蛴螬（并等分）
七味药捣碎，筛为散剂。饭后用酒送服方寸匕，每日三次服用。
《张氏家传》黄金散 治疗妇人各种乳房疾病。中年妇女多因胃虚血衰所致。年少妇女多因产后卧床调养不当，情绪喜怒波动，或食物影响所致。或因小儿吃奶时咬咂，导致疼痛瘙痒无常，未破溃的叫痈，已破溃的叫漏，这绝不是小病。如果误用药物，就会酿成大患，急需治疗此病的方子。
以上取陈皮不限多少，用热水浸泡，洗净拣选干净，选用黄色的在新瓦上慢慢磨去白色部分，使其变薄，然后用水洗净，沥干切细，用麦麸拌和，放入铛子内炒。火候需用文武火交替，候香气熟透呈黄色，在地上摊开散去火毒，筛去麦麸，碾为细末，加入少许好麝香，用薄纸包裹放在男子怀中贴敷一个时辰，童男更佳。每次服用二钱至三钱，用无灰酒调下。躺在患处一侧，睡很久，再服一次。等到干燥瘙痒生出瘾疹便消散破溃的，如果是极严重的患者，不超过三次即可痊愈。
(To promote lactation, with a section on breast inflammation caused by infant sucking)
*Qianjin Fang* (Prescriptions Worth a Thousand Gold) discusses: The blood and qi of the wet nurse are transformed into breast milk. The manifestation of the five emotions (joy, anger, worry, thought, fear) as good or evil is entirely generated by blood and qi. Those who nurse infants should be cautious in their joy and anger. There are many criteria for the suitable physical appearance of a wet nurse; perfection cannot be demanded. One need only select those who do not suffer from fox odor, goiter (neck masses), qi cough (asthmatic cough), scabies, chi long (skin ulcers or difficulty urinating), white alopecia (scalp hair loss with scales), ulcers, thick lips, deafness, nasal discharge (nasal sinusitis), epilepsy, and other such diseases. Such individuals can be used to feed the infant. A physician seeing old moxibustion scars on a person can know the source of their previous illness.
*Qianjin Fang* prescription for treating lack of breast milk.
Shizhongru (Stalactite, four liang) Loulu (Radix Euphorbiae Humifusae, three liang) Tongcao (Medullae Tetrapanacis) Gualugen (Radix Trichosanthis, five liang each) Gancao (Radix Glycyrrhizae, two liang, honey-fried. Another version does not use it.)
The above five herbs are cut into small pieces, boiled in ten dou of water until three sheng of liquid remain, and divided into three doses. Another method states: use one fruit of Gua Lou (Trichosanthes fruit).
*Qianjin Fang* another prescription
Take one pig trotter, cut coarsely, boil in twenty dou of water until cooked, obtaining five or six sheng of juice, and drink it. If milk does not come out, prepare again.
*Qianjin Fang* another prescription
Zhu Ti (Pig trotters, two pieces, cooked and roasted, pounded) Tongcao (Medullae Tetrapanacis, eight liang, finely cut)
The above two herbs are soaked in one dou of clear wine, and drunk slowly until finished. If milk does not come out, prepare again. (*Waitai Miyao*: Pig trotters are not roasted; boil in one dou of water to obtain four sheng, add four sheng of wine, boil again, and drink for best results.)
*Qianjin Fang* another prescription
Cut Gualugen (Radix Trichosanthis) to obtain one sheng, boil in four sheng of wine for three boils, remove dregs, and divide into three doses.
*Qianjin Fang* another prescription
Take one large, still green fruit of Gua Lou (Trichosanthes fruit), pound thoroughly, boil in one dou of white wine until four sheng remain, remove dregs, take one sheng warm, three times daily. Two smaller, yellow ones are also acceptable.
*Qianjin Fang* another prescription
Shizhongru (Stalactite) Tongcao (Medullae Tetrapanacis) (one liang each) Loulu (Radix Euphorbiae Humifusae, half liang) Guixin (Cortex Cinnamomi) Gancao (Radix Glycyrrhizae, honey-fried) Gualugen (Radix Trichosanthis) (three zhu each)
The above six herbs are crushed and sifted, taken with wine using a fangcun bi (a measure roughly the size of a square inch spoon), three times daily. This is most effective.
*Qianjin Fang* another prescription
Shizhongru (Stalactite) Loulu (Radix Euphorbiae Humifusae) (two liang each)
The above two herbs are crushed and sifted, taken with wine using a fangcun bi, and milk will flow immediately.
*Qianjin Fang* another prescription
Burn carp heads to ash, take three finger-pinches with wine.
*Qianjin Fang* another prescription
Burn dead mice to powder, take a fangcun bi with wine, three times daily, milk will come down immediately. Do not let the patient know.
*Qianjin Fang* another prescription
Use Tugua Gen (Radix Citrulli Lanati) crushed and sifted, take half a qianbi, three times daily. Milk will flow like water.
*Qianjin Yi Fang* (Supplement to Prescriptions Worth a Thousand Gold) Zhongru Tang (Stalactite Decoction) for treating women with no breast milk.
Zhongru (Stalactite) Baishizhi (Alba Argillae) Xiaoshi (Natrii Sulfas) (one fen each) Tongcao (Medullae Tetrapanacis) Sheng Jiegeng (Radix Platycodi, fresh, two fen each)
The above five herbs are cut into small pieces, boiled in five sheng of water using the "three up, three down" method (boil, remove from heat, repeat three times) until one sheng remains, remove dregs, dissolve Xiaoshi (Natrii Sulfas) in the liquid, filter, and take without restriction on amount. If the infant cannot suckle, an adult should suckle.
*Qianjin Yi Fang* Loulu Tang (Euphorbia Humifusa Decoction) for treating women with no breast milk.
Loulu (Radix Euphorbiae Humifusae) Tongcao (Medullae Tetrapanacis) (two liang each) Zhongru (Stalactite, one liang) Shumi (Panicum miliaceum, one sheng)
The above four herbs are cut into small pieces. Soak Shumi (Panicum miliaceum) overnight, rub and squeeze to extract juice (three sheng). Use this juice to boil the herbs for three boils, remove dregs, and drink, three times daily.
*Qianjin Yi Fang* Jiyu Tang (Crucian Carp Decoction) for promoting lactation in women.
Jiyu (Crucian Carp, seven cun long) Zhufang (Porcine Adipose Tissue, half jin) Loulu (Radix Euphorbiae Humifusae) Zhongru (Stalactite) (two liang each)
The above four herbs are cut. The pork fat and fish need not be washed. Boil together in twelve dou of clear wine. When the fish is cooked and the medicine is ready, remove dregs, adjust temperature to suit, and divide into five doses. Milk will come down, which is excellent. Drink at short intervals so that the medicinal power is continuous.
*Qianjin Yi Fang* another prescription
Tongcao (Medullae Tetrapanacis) Zhongru (Stalactite) Gualou Shi (Fructus Trichosanthis) Loulu (Radix Euphorbiae Humifusae) (three liang each)
The above four herbs are cut into small pieces, boiled in one dou of water until three sheng remain, remove dregs, drink one sheng, three times daily.
*Qianjin Yi Fang* another prescription
Tongcao (Medullae Tetrapanacis) Zhongru (Stalactite) (four liang each)
The above two herbs are cut, soaked in five sheng of wine overnight, boiled the next morning, remove dregs, take one sheng, three times daily. Take cold in summer, warm in winter.
*Qianjin Yi Fang* another prescription
Use Shigao (Gypsum Fibrosum, four liang), crush, boil in two sheng of water for three boils, take gradually, finish within one day.
*Qianjin Yi Fang* another prescription
Use Guijian (Ramulus Corni Swinhoei, five liang), cut, boil in six sheng of water until four sheng remain, take eight he per dose, three times daily. It can also be burned to ash and taken with water using a fangcun bi.
*Qianjin Yi Fang* treating women with no breast milk. Shurou Prescription.
Shurou (Mouse meat, five liang) Yangrou (Mutton, four liang) Zhangrou (Roe deer meat, half jin)
Make the above three meats into a soup/gelatinous dish. Do not let the patient know.
*Qianjin Yi Fang* promoting lactation after childbirth in women. Baoyu Daziren Geng (Salted Fish and Hemp Seed Soup).
Baoyu Rou (Salted fish meat, three jin) Maziren Ren (Semen Cannabis, one sheng)
The above two ingredients, with salt, douchi (fermented soybeans), and scallions, make a soup, eat as desired.
*Qianjin Yi Fang* another prescription
Tongcao (Medullae Tetrapanacis) Zhongru (Stalactite)
Equal parts of the above two herbs, pound and sift into flour. Take a fangcun bi with porridge, three times daily. After one hundred days, one can nourish two infants simultaneously. Choose Tongcao (Medullae Tetrapanacis) with a white center when cut across; do not use Yangtao Gen (Root of Vitis amurensis); yellow ones are ineffective.
*Qianjin Yi Fang* another prescription
Maimendong (Ophiopogonis Radix, heart removed) Zhongru (Stalactite) Gualou (Fructus Trichosanthis) Lishi (Magnoliae Officinalis Cortex? Note: Text says Lishi, likely Magnesitum or similar mineral depending on context, but usually implies a mineral herb here)
Equal parts of the above four herbs, pound and sift. Take a fangcun bi with wine on an empty stomach, three times daily.
*Qianjin Yi Fang* another prescription
Loulu (Radix Euphorbiae Humifusae, three fen) Zhongru (Stalactite) Gualou Gen (Radix Trichosanthis) (five fen each) Qicao (Larva Melolonthae, three he)
The above four herbs are pounded and sifted. First drink sugar water, then take a fangcun bi, three times daily.
*Qianjin Yi Fang* prescription
Gualou Gen (Radix Trichosanthis, three liang) Zhongru (Stalactite, four liang) Loulu (Radix Euphorbiae Humifusae) Huashi (Humphsi) Tongcao (Medullae Tetrapanacis) (two liang each) Baitouweng (Radix Pulsatillae, one liang)
The above six herbs are pounded and sifted into a powder. Take a fangcun bi with wine, twice daily.
*Qianjin Yi Fang* another prescription
Zhongru (Stalactite) Tongcao (Medullae Tetrapanacis) (five fen each) Yunmu (Micrum) (two liang and half) Gancao (Radix Glycyrrhizae, one liang, honey-fried) Wushang Baicao (Dried grass from roof, two handfuls, burned to ash)
The above five herbs are pounded and sifted into a powder. After meals, take a fangcun bi with warm Loulu (Euphorbia Humifusa) water, three times daily, until milk flows.
*Qianjin Yi Fang* another prescription
Maimendong (Ophiopogonis Radix, heart removed) Zhongru (Stalactite) Tongcao (Medullae Tetrapanacis) Lishi (Mineral herb) Dihuang (Rehmanniae Radix Preparata) Tugua Gen (Radix Citrulli Lanati) Qicao (Larva Melolonthae) (equal parts)
Seven herbs pounded and sifted into a powder. Take a fangcun bi with wine after meals, three times daily.
*Zhangshi Jiachuan* Tongnai Prescription
Use Mutong (Akebiae Caulis) ground into powder, mixed with scallion and wine to swallow.
*Zhangshi Jiachuan* Huangjin San (Golden Powder) treats all breast diseases in women. In middle-aged women, it is caused by deficiency of stomach qi and decline of blood. In young women, it is often due to improper rest after childbirth, emotional fluctuations (joy/anger), or food factors. Or it may be caused by the infant biting/sucking during nursing, leading to constant pain and itching. If not broken, it is called Yong (carbuncle); if broken, it is called Lou (fistula). This is certainly not a minor illness. If wrong medicines are used, it becomes a major disaster; thus, a prescription to treat it urgently is needed.
Take Chenjupi (Citri Reticulatae Pericarpium aged) in any amount, soak in hot water, wash and pick clean. Select the yellow part, grind slowly on a new tile to remove the white pith until thin, then wash cleanly with water, drain, and cut finely. Mix with wheat bran, stir-fry in a ding (cooking vessel). Use alternating mild and strong fire until fragrant and yellow. Spread on the ground to dissipate fire toxicity, sieve off the bran, grind into fine powder. Add a little good Shexiang (Moschus), wrap in thin paper, and place against a man's chest for one shichen (two hours), preferably a virgin boy. Take two to three qian each time, mixed with wuhui jiu (wine without alkali). Lie on the side of the affected area, sleep for a long time, then take another dose. When dryness, itching, and hives appear and disperse/break, even for severe cases, three doses will suffice.