丹溪云∶妇人不得于夫，不得于舅姑，忧怒郁遏，时日累积，脾气消沮，肝气横逆，遂成
隐核，如鳖棋子，不痛不痒，十数年后，方为疮陷，名曰乳岩。以其疮形嵌凹，似岩穴也，不可
治矣。若于始生之际，便能消释病根，使心清神安，然后施之治法，亦有可安之理。予族侄
妇年十八岁时曾得此证，审其形脉稍实，但性躁急，伉俪自偕，所难者从姑耳，遂以单方青
皮汤，间以加减四物汤，行经络之剂，两月而安。
此病多因浓味湿热之痰停蓄膈间，与滞乳相搏而成，又有滞乳因儿口气吹嘘而成，又
有拗怒气激滞而生者。 石膏烧桦皮栝蒌子甘草节青皮，皆神效药也。妇人此病，若早治
之便可立消，有月经时悉是轻病，五六十后无月经时，不可作轻易看也。（经通肝气能散，经
止则血枯矣）
一妇年六十，浓味郁气而形实多妒，夏无汗而性急，忽左乳结一小核，大如棋子，不痛，
自觉神思不佳，不知食味，才半月，以人参调青皮、甘草末，入生姜汁细细呷，一日夜五六
次，至五七日消矣。此乃妒岩之始，不早治，隐至五年十年以后发，不痛不痒，必于乳下溃一
窍如岩穴，出脓，又或五七年十年，虽饮食如故，洞见五内乃死（惜哉）。惟不得于夫者有
之，妇人以夫为天，失于所天，乃能生此。此谓之岩者，以其如穴之嵌岈空洞，而外无所见，
故名曰岩。患此者必经久淹延，惟此妇治之早，正消患于未形，余者皆死，凡十余人。又治
一初嫁之妇，只以青皮甘草与之安。
龚氏曰∶妇人乳岩始有核肿，如鳖棋子大，不痛不痒，五七年方成疮。初便宜多服疏
气行血之药，须情思如意则可愈，如成疮之后，则如岩穴之凹，或如人口有唇，赤汁脓水
浸淫胸腹，气攻疼痛，用五灰膏去蠹肉生新肉，渐渐收敛。此疾多生于忧郁积忿，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。
薛氏曰∶乳岩乃七情所伤，肝经血气枯槁之证，大抵郁闷则脾气阻，肝气逆，遂成隐核，
不痛不痒，人多忽之，最难治疗。若一有此，宜戒七情，远浓味，解郁结，更以养血气之药治
之，庶可保全，否则不治。唯一妇服益气养荣汤百余剂，血气渐复，更以木香饼灸之，喜其
谨疾，年余而消。余不信，乃服克伐行气之剂，如流气饮败毒散，反大如覆碗，自出清脓，不
敛而殁。
李氏曰∶有郁怒伤肝脾，结核如鳖棋子大，不痛不痒，五七年后，外肿紫黑，内渐溃
烂，名曰乳岩，滴尽气血方死，急用十六味流气饮及单青皮汤兼服，虚者只用清脾解郁汤，
或十全大补汤，更加清心静养，庶可苟延岁月。经年以后，必于乳下溃一穴出脓，及中年
无夫妇人，死尤速。惟初起不分通何经络，急用葱白寸许，生半夏一枚，捣烂，为丸如芡实
大，以绵塞之，如患左塞右鼻，患右塞左鼻，二宿而消。（有如是之神）
青皮散 治乳岩初起如鳖棋子，不痛不痒，须趁早服之，免致年久溃烂。
青皮 甘草
上为末，用人参煎汤，入生姜汁调，细细呷之，一日夜五六次，至消乃已，年少妇人只
用白汤调下。
十六味流气饮 治乳岩。
当归 川芎 白芍 黄 人参 官桂 浓朴 桔梗 枳壳 乌药 木通 槟榔 白芷 防风
紫苏 甘草
上锉一剂，水煎，食远临卧频服，外用五灰膏去其蠹肉，生新肉，渐渐收敛。（五灰膏见
痔漏门。乳岩之病，大都生于郁气，盖肝主怒，其性条达，郁而不舒，则曲其挺然之质，乳头
属厥阴经，其气与痰时为累积，故成结核，兹以风药从其性，气药行其滞，参、 、归、芍以
补气血，官桂血药以和血脉，且又曰木得桂而枯，乃伐木之要药，其不定分两者，以气血有
浓薄，病邪有浅深，又欲人权轻重也） 乳痈加青皮。
益气养荣汤 治抑郁及劳伤血气，颈项两乳或四肢肿硬，或软而不赤不痛，日晡微
热，或溃而不敛，并皆治之。
人参 白术（炒，各二钱） 茯苓 陈皮 贝母 香附子 当归（酒拌） 川芎 黄 （盐水拌炒）
熟地黄（酒拌） 芍药（炒） 桔梗 甘草（炒，各一钱）
上锉一剂，加生姜三片，水煎，食远服（此方以六君子汤去半夏加贝母，合四物汤，外加
香附黄 桔梗者也，为调理之剂）。胸痞，减人参、熟地黄各三分；口干，加五味子、麦门冬；
往来寒热，加软柴胡、地骨皮；脓清，加人参、黄 ；脓多，加川芎、当归；脓不止，加人参、黄
、当归；肌肉迟生，加白蔹、官桂。
木香饼 治一切气滞结肿，或痛或闪 ，及风寒所伤作痛，并效。
木香（五钱） 生地黄（一两）
上木香为末，地黄杵膏和匀，量患处大小作饼，置肿处，以热熨火熨之。
朱丹溪说：妇女若对丈夫不满，或对公婆不悦，导致忧愁愤怒、气机郁结，时日累积后，脾气受损耗竭，肝气横逆妄行，于是形成隐蔽的硬结，形状像鳖裙上的棋子，不痛也不痒。经过十数年后，才会溃烂成凹陷的疮口，名为“乳岩”。因为疮形嵌凹，如同山岩洞穴一般，此时已不可治愈了。如果在初起之时，就能化解病根，使心境清静、神志安宁，然后再施以治疗手段，也还有安稳痊愈的道理。我的族侄媳妇十八岁时曾患此病，诊察其形体脉象稍显实盛，但性格急躁，夫妻和睦，难以相处的是婆婆。于是我用单方青皮汤，间杂使用加减四物汤等疏通经络的药物，两个月后病情安定。
这种病大多因嗜食肥甘厚味，导致湿热之痰停滞蓄积在膈间，与滞留的乳汁相互搏结而成；又有因婴儿口气吹嘘导致乳汁滞涩而形成的；还有因拗怒激惹导致气滞而生的。石膏、烧过的桦树皮、栝蒌子、甘草节、青皮，都是疗效神奇的药物。妇女患此病，若能早期治疗便可立即消除；有月经时，多属轻症；到了五六十岁绝经后，血枯经止，就不可轻视看待了。（因为经通则肝气能散，经止则血枯）
有一位六十岁的妇人，因嗜食浓味、情志郁结且形体壮实、生性嫉妒，夏季无汗且性情急躁，忽然左侧乳房结出一个如棋子大小的硬核，不痛，自觉精神不佳，不知食物滋味。才半个月，用人参调服青皮、甘草粉末，加入生姜汁细细呷饮，一昼夜五六次，到五至七日便消除了。这是妒性乳岩的初期，若不早治，隐伏五年十年后发作，不痛不痒，必定在乳房下方溃破一个如岩穴般的孔窍，流出脓液，或者再过五七年甚至十年，虽然饮食如常，但五脏六腑洞见（衰竭），最终死亡（可惜啊）。只有对丈夫不满的妇女才会有这种情况，妇女视丈夫为天，失去依靠，才能生出此病。称之为“岩”，是因为它像洞穴一样嵌空凹陷，外表看不出来，所以叫作岩。患此病的人往往病程长久拖延，只有这位妇人治疗得早，正是防患于未然，其余十几人都死了。我又治疗了一位刚出嫁的妇人，只用青皮和甘草便使其安康。
龚氏说：妇女乳岩起初有肿块，如鳖棋子大小，不痛不痒，五七年后才变成疮疡。初期适宜多服用疏气行血的药物，必须心情舒畅如意才能痊愈。如果已成疮之后，则像岩穴凹陷，或像人口唇状，赤色汁水和脓水浸淫胸腹，气攻疼痛，用五灰膏去除腐肉、生成新肉，渐渐收敛。此疾多生于忧郁积愤，中年未破溃者尚可治疗，已成疮者终不可治，宜服用十六味流气饮。
薛氏说：乳岩是由于七情所伤，导致肝经血气枯槁的病证。大抵郁闷则脾气阻滞，肝气逆乱，于是形成隐蔽硬结，不痛不痒，人们多忽视它，最难治疗。一旦有此病，宜戒除七情波动，远离肥甘厚味，解开心结，再用养血气的药物治疗，或许可以保全性命，否则无法治愈。只有一位妇人服用益气养荣汤百余剂，血气逐渐恢复，又用木香饼灸治，庆幸她谨慎治病，一年多后消散。我不信邪，另一位妇人却服用克伐行气的药剂，如流气饮、败毒散，反而肿块大如倒扣的碗，自行流出清稀脓液，不收敛而死亡。
李氏说：有因郁怒损伤肝脾，结核如鳖棋子大小，不痛不痒，五七年后，外部肿胀紫黑，内部逐渐溃烂，名为乳岩，滴尽气血后才死亡。急用十六味流气饮及单方青皮汤兼服，体虚者只用清脾解郁汤，或十全大补汤，再加上清心静养，或许可以苟延残喘。经过年以后，必定在乳房下方溃破一个孔窍流出脓液，以及中年无配偶的妇女，死亡尤其迅速。只有在初起时不分属于哪条经络，急用葱白一寸许，生半夏一枚，捣烂，做成如芡实大小的丸药，用棉絮塞入鼻孔，如患左乳塞右鼻，患右乳塞左鼻，两个晚上即可消除。（真是神奇如此）
青皮散：治疗乳岩初起如鳖棋子大小，不痛不痒，须趁早服用，以免导致年久溃烂。
药材：青皮、甘草。
制法用法：研为粉末，用人参煎汤，加入生姜汁调匀，细细呷饮，一昼夜五六次，直到消散为止。年少妇人只用白开水调服。
十六味流气饮：治疗乳岩。
药材：当归、川芎、白芍、黄芪、人参、官桂、厚朴、桔梗、枳壳、乌药、木通、槟榔、白芷、防风、紫苏、甘草。
制法用法：锉碎一剂，水煎，饭后及临睡前频繁服用。外用五灰膏去除腐肉，生成新肉，渐渐收敛。（五灰膏见痔漏门。乳岩之病，大都生于郁气，盖肝主怒，其性条达，郁而不舒，则扭曲其挺然之质。乳头属厥阴经，其气与痰时常累积，故成结核。兹以风药顺从其性，气药行其滞涩，参、芪、归、芍以补气血，官桂作为血药以和血脉，且又说“木得桂而枯”，乃是伐木的要药。此处不定分两钱，是因为气血有浓薄，病邪有浅深，又欲权衡轻重。）若为乳痈，加青皮。
益气养荣汤：治疗抑郁及劳伤导致的血气不足，颈项、两乳或四肢肿硬，或软而不红不痛，傍晚微热，或溃破而不收敛，皆主治。
药材：人参、白术（炒，各二钱）、茯苓、陈皮、贝母、香附子、当归（酒拌）、川芎、黄芪（盐水拌炒）、熟地黄（酒拌）、芍药（炒）、桔梗、甘草（炒，各一钱）。
制法用法：锉碎一剂，加生姜三片，水煎，饭后服用。（此方以六君子汤去半夏加贝母，合四物汤，外加香附、黄芪、桔梗组成，为调理之剂。）若胸痞，减人参、熟地黄各三分；口干，加五味子、麦门冬；往来寒热，加软柴胡、地骨皮；脓液清稀，加人参、黄芪；脓多，加川芎、当归；脓不止，加人参、黄芪、当归；肌肉生长迟缓，加白蔹、官桂。
木香饼：治疗一切气滞结肿，或痛或闪挫，以及风寒所致疼痛，均有效。
药材：木香（五钱）、生地黄（一两）。
制法用法：将木香研为粉末，生地黄捣成膏，混合均匀，根据患处大小做成饼，置于肿处，用热熨或火熨之法加热。
Zhu Danxi stated: If a woman is dissatisfied with her husband or in-laws, leading to accumulated sorrow and anger, and qi stagnation over time, the Spleen Qi will be depleted, and Liver Qi will rebel horizontally. Consequently, hidden nodules form, resembling turtle shell scutes, painless and non-itchy. After ten or more years, they ulcerate into sunken sores, named "Ru Yan" (Breast Rock). Because the sore shape is sunken like a rocky cave, it becomes incurable at this stage. However, if at the initial onset, one can resolve the root cause, keeping the mind clear and spirit peaceful, and then apply treatment methods, there is a possibility of stabilization and recovery. My clan's niece-in-law suffered from this condition at age eighteen. Upon examination, her physique and pulse were slightly excess, but her temperament was irritable. While she lived harmoniously with her husband, she had difficulty with her mother-in-law. I prescribed Qingpi Tang (Green Peel Decoction) as a single formula, interspersed with Jiawei Siwu Tang (Modified Four Substance Decoction) and other agents to unblock meridians. She stabilized after two months.
This disease mostly arises from damp-heat phlegm accumulating in the diaphragm due to rich dietary flavors, which combats with stagnant breast milk. It can also result from infant breath causing milk stasis, or from rebellious anger triggering qi stagnation. Shigao (Gypsum Fibrosum), burnt Huapi (Bark of Betula Platyphylla), Gualouzi (Trichosanthis Fructus Seed), Gancaojie (Licorice Joint), and Qingpi (Aurantii Fructus Immaturus) are all miraculous drugs. For women with this disease, early treatment can eliminate it immediately. During menstruation, it is generally mild; however, after menopause at fifty or sixty, when menses cease and blood dries up, it must not be taken lightly. (When menstruation flows, Liver Qi can disperse; when it stops, blood dries.)
A sixty-year-old woman, prone to rich foods, emotional depression, with a robust physique and jealous nature, who sweated little in summer and had an impatient temper, suddenly developed a small nodule in the left breast, size of a chess piece, painless. She felt mentally poor and lost taste for food. Within half a month, she took Ren Shen (Ginseng Radix) powder mixed with Qingpi and Gancao (Licorice Root), administered with fresh ginger juice, sipped slowly, five or six times day and night. The nodule disappeared within five to seven days. This was the beginning of "Du Yan" (Jealousy Breast Rock). If not treated early, it may lie dormant for five to ten years before erupting painlessly and itchlessly, ulcerating below the breast like a cave, discharging pus. Or, after five to ten more years, despite normal diet, the internal organs become visible/exhausted, leading to death (regrettably). This specifically occurs in women unsatisfied with their husbands, as women view their husband as heaven; losing this support generates this disease. It is called "Yan" because it resembles a hollow, embedded cave, invisible externally. Patients usually suffer long delays. Only this woman was treated early, preventing disaster before manifestation; the other dozen or so died. I also treated a newlywed woman, curing her with only Qingpi and Gancao.
Gong stated: Breast rock initially presents as a swelling like a turtle scute, painless and itchless, becoming an ulcer after five to seven years. Initially, it is best to take many qi-regulating and blood-moving herbs. Recovery requires mental satisfaction. Once ulcerated, it resembles a rocky hollow or human lips, with red fluid and pus soaking the chest and abdomen, causing qi-attack pain. Use Wuhui Gao (Five Ashes Ointment) to remove necrotic tissue and generate new flesh, gradually contracting. This disease often stems from chronic depression and resentment. Middle-aged women without ulceration can still be treated; those with ulcers are ultimately incurable. One should take Shiliuwei Liuqi Yin (Sixteen-Ingredient Flowing Qi Decoction).
Xue stated: Breast rock is a syndrome of Liver meridian blood and qi exhaustion caused by the Seven Emotions. Generally, depression blocks Spleen Qi and rebels Liver Qi, forming hidden nodules that are painless and itchless. People often ignore them, making them hardest to treat. If this occurs, one must regulate emotions, avoid rich foods, resolve stagnation, and treat with blood-nourishing and qi-tonifying herbs to preserve life; otherwise, it is untreatable. One woman took Yiqi Yangrong Tang (Tonify Qi and Nourish Blood Decoction) for over a hundred doses, gradually restoring blood and qi, and used Muxiang Bing (Costus Cake) moxibustion. Fortunately, she was diligent, and it resolved in over a year. Another woman, whom I doubted, took attacking and qi-moving agents like Liuqi Yin and Baidu San (Eliminate Toxin Powder), causing the mass to enlarge like an inverted bowl, discharging clear pus, failing to contract, and dying.
Li stated: Depression and anger injure the Liver and Spleen, forming tubercles like turtle scutes, painless and itchless. After five to seven years, the exterior swells purple-black, and the interior ulcerates, named Breast Rock. Death follows when blood and qi are exhausted. Urgently use Shiliuwei Liuqi Yin combined with single-formula Qingpi Tang. For deficiency, use Qingpi Jieyu Tang (Clear Spleen and Resolve Depression Decoction) or Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction), plus mental clarity and rest, to prolong life. After years, an ulcer will appear below the breast discharging pus. Women past middle age without spouses die especially fast. At the very beginning, regardless of meridian involvement, urgently use Congbai (Scallion White) about one cun and Sheng Banxia (Pinellia Rhizoma Raw) one piece, pounded into pills the size of Euryale Seed (Qianshi). Insert into the nostril opposite the affected breast (left breast -> right nostril, right breast -> left nostril). It resolves in two nights. (Such efficacy is miraculous.)
Qingpi San (Green Peel Powder): Treats early Breast Rock resembling turtle scutes, painless and itchless. Take early to prevent long-term ulceration.
Ingredients: Qingpi (Aurantii Fructus Immaturus), Gancao (Licorice Root).
Preparation: Grind to powder. Decoct Ren Shen (Ginseng Radix), mix with fresh ginger juice, and sip slowly. Five to six times daily until resolved. Young women take with plain water.
Shiliuwei Liuqi Yin (Sixteen-Ingredient Flowing Qi Decoction): Treats Breast Rock.
Ingredients: Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Huangqi (Astragali Radix), Renshen (Ginseng Radix), Guanzi Gui (Cinnamomi Ramulus), Houpo (Magnoliae Officinalis Cortex), Jiegeng (Platycodonis Radix), Zhike (Aurantii Fructus), Wuyao (Tsaoko Fructus), Mutong (Akebiae Caulis), Binglang (Arecae Semen), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Zisu (Perillae Folium), Gancao (Licorice Root).
Preparation: Cut into pieces for one dose. Decoct in water. Take frequently after meals and before bed. Externally apply Wuhui Gao (Five Ashes Ointment) to remove necrotic tissue and generate new flesh, gradually contracting. (See Hemorrhoids and Fistulas section for Wuhui Gao. Breast Rock mostly arises from depressed qi. The Liver governs anger and has a spreading nature; depression prevents smooth flow, distorting its upright quality. The nipple belongs to the Jueyin Meridian, where qi and phlegm accumulate, forming tubercles. Here, wind herbs follow its nature, qi herbs move stagnation, Ginseng, Astragalus, Angelica, and Peony tonify blood and qi, and Cinnamon acts as a blood herb to harmonize vessels. Also, "Wood withers with Cinnamon," making it a key drug for subduing Wood. Dosage varies based on blood/qi thickness and pathogen depth.) Add Qingpi for Ru Yong (Breast Abscess).
Yiqi Yangrong Tang (Tonify Qi and Nourish Blood Decoction): Treats depression and labor-induced blood/qi deficiency, causing swelling/hardness in neck, breasts, or limbs, or softness without redness/pain, afternoon fever, or non-healing ulcers.
Ingredients: Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried, 2 qian each), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Beimu (Fritillariae Bulbus), Xiangfu (Cyperi Rhizoma), Danggui (Angelicae Sinensis Radix, wine-treated), Chuanxiong (Chuanxiong Rhizoma), Huangqi (Astragali Radix, salt-water stir-fried), Shudihuang (Rehmanniae Radix Praeparata, wine-treated), Shaoyao (Paeoniae Radix, stir-fried), Jiegeng (Platycodonis Radix), Gancao (Licorice Root, stir-fried, 1 qian each).
Preparation: Cut into pieces for one dose. Add three slices of fresh ginger. Decoct in water. Take after meals. (This formula combines Liujunzi Tang minus Banxia plus Beimu, merged with Siwu Tang, plus Xiangfu, Huangqi, and Jiegeng, serving as a regulating agent.) For chest fullness, reduce Renshen and Shudihuang by 0.3 qian each; for dry mouth, add Wuweizi (Schisandrae Fructus) and Maidong (Ophiopogonis Radix); for alternating chills and fever, add Chaihu (Bupleuri Radix) and Gudupi (Lycii Cortex); for thin pus, add Renshen and Huangqi; for excessive pus, add Chuanxiong and Danggui; for non-stopping pus, add Renshen, Huangqi, and Danggui; for slow muscle regeneration, add Bailian (Hedyotis Diffusae Herba) and Guanzi Gui.
Muxiang Bing (Costus Cake): Treats all qi-stagnation swellings, whether painful or sprained, and pain from wind-cold invasion.
Ingredients: Muxiang (Aucklandiae Radix, 5 qian), Shengdihuang (Rehmanniae Radix Recens, 1 liang).
Preparation: Grind Muxiang to powder. Pound Shengdihuang into paste. Mix evenly. Form into cakes according to lesion size. Apply to swollen area and heat via hot compress or moxibustion.