（附论）
夫气血流行则上为汁。下为月水。上下通达。不失常度。是谓平人。宜通而塞。则为痛。
热
遂
浸
宜以赤龙皮汤及天麻汤洗之。敷二物飞乌膏及飞乌散佳。若始作者。可敷黄芩漏芦散。及黄
连胡粉散并佳。吹奶、妒乳、乳痈。其实则一。只分轻重而已。轻则为吹奶、妒乳。重则为
乳痈。
方
升麻托里汤（一名内括升麻汤出济生拔萃方）治妇人两乳间出黑头疮。疮顶
塌
下作黑眼子。
升麻 葛根 连翘（各一钱半） 肉桂 黄柏（各三钱） 当归身 黄 炙甘草（各
一钱） 黍
治妒乳乳生疮方。（出千金方）
蜂房 猪甲中土 车辙中土（各等分一方多车毂脂一味） 上三味为末。苦酒和敷之。
黄连胡粉膏散（出千金方）
黄连（二两） 胡粉（十分） 水银（一两同研令消散） 上三味。捣黄连为末。三物
相和。
合水
等。
漏芦散 治乳汁不时泄。蓄积于内。遂成痈。名妒乳。
漏芦（一两） 黄芩（一两去黑心） 米粉（半两） 上三味。捣为细散。小调如膏。
涂于乳上。
治妒乳方。（出千金方）
上烧自死蛇为灰。和以猪膏涂之大良。
赤龙皮汤（出大全良方）治乳疮。
上以槲皮切三升。水一斗。煮五升。春夏冷用。秋冬温之。分以洗乳。亦洗诸深败烂久
疮
天麻草汤（出大全良方）
上用天麻草切五升。水一斗半。煎取一斗。随寒温分洗乳。以杀痒也。此草叶如麻叶。
冬生
金同
飞乌膏（出大全良方）
上用烧朱砂作水银上黑烟。（名 彩者散两热令焦燥） 矾石三两烧粉。皆以绢筛了。
以
甲
丈
兵部手集疗妒乳硬欲结脓令消。及发乳房初起微赤。不急治之即杀人。（出肘后
方）
上以鹿角于石上磨取白汁涂之。干又涂。不得近手。并以人嗍却黄水。一日许即散。一
方烧
一方（出便产须知）治妒乳。便产须知云。产妇乳汁。不宜积蓄。恶汁不
出。
内为热结。肿
上用连翘汤。利下恶热毒。
一方（出大全良方）
上用生地黄汁涂之。热即以口吮得汁吐去。若不吮吐汁。必蓄积。决然作痈。酸醋调涂
亦可
治妒乳。（出肘后方）
右用梁上尘。醋和涂之。亦治阴肿。
治女子妒乳肿。
上取蔓菁根生捣后。和盐醋酱水煮取汁洗之。五六度瘥。又捣和鸡子白封之。亦妙。
治妒乳及痈。（出本草）
以研米石棰煮令热熨乳上。取二捶。更互用之。以巾覆乳上。令热彻内数十遍。取瘥为
度也
治妇人妒乳乳痈。（出本草）
取车脂熬令热。涂之亦和热酒服。
治妒乳。
用榆木药生服一两。顿佳。
（附论）
气血运行通畅，则上行化为乳汁，下行化为月经。上下通达，不失常度，这称为健康人。应当通畅却出现阻塞，就会引起疼痛、发热、肿胀和浸淫溃烂。适宜用赤龙皮汤及天麻汤清洗患处，外敷二物飞乌膏及飞乌散效果更佳。如果是初起阶段，可以外敷黄芩漏芦散，以及黄连胡粉散也都很有效。吹奶、妒乳、乳痈，其病机实质是一样的，只是病情轻重不同而已。轻症称为吹奶、妒乳，重症称为乳痈。
方剂
升麻托里汤（又名内括升麻汤，出自《济生拔萃方》），治疗妇女双乳间长出黑头疮，疮顶塌陷，形成黑色眼状凹陷。
组成：升麻、葛根、连翘（各一钱半），肉桂、黄柏（各三钱），当归身、黄芪、炙甘草（各一钱）。
治疗妒乳乳房生疮的方子。（出自《千金方》）
组成：蜂房、猪腹甲中间的泥土、车辙中的泥土（各等分，另一版本多用车毂脂一味药）。以上三味药研为细末，用醋调和后外敷。
黄连胡粉膏散（出自《千金方》）
组成：黄连（二两）、胡粉（十分）、水银（一两，同研至消散）。以上三味药，将黄连捣为细末，三物混合均匀。
漏芦散，治疗乳汁不时外泄，蓄积于体内，遂成痈肿，名为妒乳。
组成：漏芦（一两）、黄芩（一两，去黑心）、米粉（半两）。以上三味药，捣为细散，用水调如膏状，涂于乳房上。
治疗妒乳的方子。（出自《千金方》）
上方将自死的蛇烧成灰，与猪脂混合涂抹，效果很好。
赤龙皮汤（出自《大全良方》），治疗乳疮。
上方取槲皮切三升，加水一斗，煮至五升。春夏季节冷用，秋冬季节温用，分次清洗乳房，也可用于清洗各种深部溃烂久不愈合的疮口。
天麻草汤（出自《大全良方》）
上方取天麻草切五升，加水一斗半，煎取一斗。根据寒热情况分次清洗乳房，以止痒。这种草的叶子像麻叶，冬天生长，颜色同金。
飞乌膏（出自《大全良方》）
上方取烧朱砂产生的水银黑烟（名曰铅丹，散两钱，加热令焦燥），矾石三两烧制成粉，都用绢筛过。
兵部手集治疗妒乳乳房硬结欲成脓使其消散，以及乳房初起微红，不及时治疗会致死。（出自《肘后方》）
上方取鹿角在石头上磨取白汁涂抹，干了再涂，注意不要让手接触。并用嘴吸吮排出黄水，一天左右即可消散。另一版本是烧……
一方（出自《便产须知》），治疗妒乳。《便产须知》说，产妇的乳汁，不宜积蓄，恶汁不出，在内形成热结，导致肿胀。
上方用连翘汤，通利排泄恶热毒。
一方（出自《大全良方》）
上方取生地黄汁涂抹，若感觉热，就用口吸出汁液吐掉。如果不吸出汁液，必然蓄积，肯定会发生痈肿。用酸醋调匀涂抹也可以。
治疗妒乳。（出自《肘后方》）
右侧用梁上的灰尘，用醋调和后涂抹。也可治疗阴部肿胀。
治疗女子妒乳肿胀。
上方取蔓菁根生捣后，加盐、醋、酱和水煮取汁液清洗，洗五六次痊愈。又捣碎混合鸡蛋清封贴，也很好。
治疗妒乳及痈。（出自《本草》）
用研米石捶煮令热，熨烫乳房，取两个捶，交替使用。用毛巾覆盖乳房，令热气透入内部数十遍，以痊愈为度。
(Attached Discussion)
When Qi and Blood circulate smoothly, they transform upward into milk and downward into menstruation. When the upper and lower parts are unobstructed and do not deviate from normal regulation, this is called a healthy person. If obstruction occurs where patency is required, it leads to pain, heat, swelling, and exudation. It is appropriate to wash with Chilongpi Decoction (Red Dragon Bark Decoction) and Tianma Tang (Gastrodia Decoction), and applying Erwu Feiwu Gao (Two-Ingredient Fly Black Ointment) and Feiwu San (Fly Black Powder) yields good results. In the initial stage, Huangqin Loulu San (Scutellaria and Rhapontic Rhizome Powder) or Huanglian Hufen San (Coptis and Lead Carbonate Powder) can be applied externally. Chuinai (Blown Milk), Dulru (Jealousy of Milk), and Ruyong (Breast Abscess) share the same pathological essence, differing only in severity. Mild cases are termed Chuinai and Dulru, while severe cases are termed Ruyong.
Formulas
Shengma Tuoli Tang (Shengma Supporting Interior Decoction) (also known as Neikuo Shengma Tang, sourced from *Jisheng Bahui Fang*), treats black-headed sores appearing between the breasts of women, where the sore top collapses forming a black eye-like depression.
Ingredients: Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Lianqiao (Forsythiae Fructus) (each 1.5 qian); Rougui (Cinnamomi Cortex), Huangbai (Phellodendri Cortex) (each 3 qian); Dangguishen (Angelicae Sinensis Radix Corpus), Huangqi (Astragali Radix), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma) (each 1 qian).
Formula for treating Dulru with breast sores (sourced from *Qianjin Fang*).
Ingredients: Fengfang (Vespa Nidus), Tuzhongtu from pig belly plate, Chezhetuzhongtu (soil from cart ruts) (equal parts; another version adds one ingredient, Cheguzhi/cart axle grease). The above three ingredients are ground into powder and mixed with vinegar for external application.
Huanglian Hufen Gao San (Coptis and Lead Carbonate Ointment/Powder) (sourced from *Qianjin Fang*)
Ingredients: Huanglian (Coptidis Rhizoma) (2 liang), Hufen (Lead Carbonate) (10 fen), Shuiyin (Mercurius) (1 liang, ground together until dissolved). The above three ingredients: grind Huanglian into powder, mix the three substances evenly.
Loulu San (Rhapontic Rhizome Powder), treats milk leaking at irregular times, accumulating internally, eventually forming an abscess, named Dulru.
Ingredients: Loulu (Euphorbiae Humifusae Herba) (1 liang), Huangqin (Scutellariae Radix) (1 liang, remove black heart), Mixianfen (Tapioca Starch) (0.5 liang). The above three ingredients are ground into fine powder, mixed with water to form a paste-like consistency, and applied on the breast.
Formula for treating Dulru (sourced from *Qianjin Fang*).
The above method involves burning a naturally dead snake to ash, mixing with pig fat (Zhu Gao) for application, which is highly effective.
Chilongpi Tang (Red Dragon Bark Decoction) (sourced from *Daquan Liang Fang*), treats breast sores.
Take Hulpi (Quercus variabilis bark), cut 3 sheng, add 1 dou of water, boil down to 5 sheng. Use cold in spring and summer, warm in autumn and winter. Divide to wash the breasts; also suitable for washing deep, chronic, ulcerated sores.
Tianmacao Tang (Gastrodia Herb Decoction) (sourced from *Daquan Liang Fang*)
Take Tianmacao (Gastrodiae Rhizoma herb), cut 5 sheng, add 1.5 dou of water, decoct to obtain 1 dou. Wash the breasts according to temperature preferences to relieve itching. This herb has leaves resembling hemp leaves, grows in winter, and its color is similar to gold.
Feiwu Gao (Fly Black Ointment) (sourced from *Daquan Liang Fang*)
Take the black smoke (lead tetroxide/Qian Dan) produced by burning Zhusha (Cinnabaris) to produce mercury (named Caizhe, scatter 2 qian, heat until dry and charred), Fanshi (Alumen) 3 liang calcined into powder, all sifted through silk.
*Bingbu Shouji* treats Dulru where the breast is hard and about to suppurate, aiming to dissipate it, and for early-stage breast redness; if not treated urgently, it can be fatal (sourced from *Zhouhou Fang*).
Take Lu Jiao (Cervi Cornu Deinchium) and grind on a stone to extract white juice for application. Reapply when dry. Avoid hand contact. Also, suck out yellow fluid using mouth suction. Within a day, it should dissipate. Another version involves burning...
One formula (sourced from *Bianchan Xuzhi*) treats Dulru. *Bianchan Xuzhi* states that postpartum milk should not accumulate; if foul fluids do not exit, they form internal heat knots, causing swelling.
Use Lianqiao Tang (Forsythia Decoction) to promote the discharge of foul heat toxins.
One formula (sourced from *Daquan Liang Fang*)
Apply fresh Shengdihuang Zhi (Rehmanniae Radix Juice) externally. If heat is felt, suck out the juice and spit it out. If not sucked out, accumulation will inevitably lead to abscess. Mixing with sour vinegar for application is also acceptable.
Treating Dulru (sourced from *Zhouhou Fang*).
Use dust from roof beams (Liangshang Chen), mixed with vinegar for application. Also treats genital swelling.
Treating female Dulru swelling.
Take Manjing Gen (Brassica rapa var. trilocularis root), crush raw, mix with salt, vinegar, soy sauce, and water, boil to extract juice for washing. Wash 5-6 times for recovery. Alternatively, crush and mix with egg white (Jizi Bai) for sealing application, which is also excellent.
Treating Dulru and abscess (sourced from *Bencao*).
Use a rice-grinding stone heated by boiling, apply hot compress to the breast. Take two stones, use alternately. Cover the breast with a towel, allowing heat to penetrate deeply dozens of times, until cured.
Treating female Dulru and breast abscess (sourced from *Bencao*).
Take Chezhi (Cartilage grease/Fat), heat and apply. Can also be taken with hot wine.
Treating Dulru.
Take Yumu Yao (Elm wood medicine), take 1 qian orally in one dose, effect is good.