乳汁乃气血所化，故人冲任之脉盛，脾胃之气强，则乳汁多而浓，衰弱则淡而少，治宜壮脾胃，滋化源。
气血壅闭不行，宜通草、土瓜根、漏芦以疏之。
血气衰弱不行，宜猪蹄、鲫鱼、生地、当归之类以润之，玉露散（补六十二）。加味四物汤（补六十一）。通乳汤（和
四十三。）俱可补血以通乳汁。
非气血虚而不摄，则满而流溢。当以人之强弱，乳汁之浓淡，验其虚实也。
肝经血热，加味逍遥散。（补二十一）
肝经郁怒，加味归脾汤。（补三）
胀急而痛，漏芦散。（散三十）
气血虚弱，十全大补汤。（补三十九）
足阳明之脉，从缺盆下乳内廉。足阳明之经，夹脐上行，至胸中而散。其经为邪热攻冲，则血为之击搏，气为之留
滞。击搏则痛作，留滞则肿生。此由乳汁壅积，与气相击搏故也。或忿怒所逆，郁闷所遏，浓味所酿，以致厥阴之气
不行，故窍不通而汁不得出。治法宜疏厥阴之滞，清阳明之热，青皮、生甘草节、栝蒌、银花、当归、没药、皂角、橘
叶、橘核，少佐以酒，随意消息可也。
瘀血上攻，忽然两乳伸长，细小如肠，直过小腹，痛不可忍。用川芎、当归，煎浓汁，不服时，又用此二味烧烟，
令病患吸之。使瘀血消而乳自愈。
元气素弱，失于调养，以致血气不能收摄故也。
气血虚弱，十全大补汤。（补三十九）
肿胀 痛，肝经虚热也。加味逍遥散。（补二十一）
乳汁是由气血化生而成的，所以人的冲脉和任脉（调节月经及生殖功能的主要经脉）充盛，脾胃之气强健，那么乳汁就会多而且浓稠；如果衰弱，乳汁就会清淡且量少。治疗应当以强壮脾胃、滋养生化之源为主。
如果是气血壅滞闭塞导致乳汁不行，适宜用通草、土瓜根、漏芦来疏通。
如果是血气衰弱导致乳汁不行，适宜用猪蹄、鲫鱼、生地、当归之类来滋润。玉露散（补六十二）。加味四物汤（补六十一）。通乳汤（和四十三。）都可以用来补血以通利乳汁。
如果不是因为气血虚弱而不能固摄，而是乳汁满溢流出，应当根据人的体质强弱、乳汁的浓淡来判断是虚证还是实证。
乳房胀急且疼痛，使用漏芦散。（散三十）
足阳明胃经，从缺盆（锁骨上窝）向下经过乳头的内侧。足阳明胃经，夹脐上行，至胸中而分散。如果该经脉受到邪热攻冲，血液就会相互搏击，气机就会留滞。搏击则产生疼痛，留滞则形成肿胀。这是由于乳汁壅积，与气机相互搏击的缘故。或者是由于忿怒导致气机逆乱，郁闷导致气机遏阻，厚味饮食酿生湿热，以致厥阴肝经的气机运行不畅，所以乳窍不通而乳汁不得排出。治疗方法应当疏泄厥阴肝经的滞气，清泻阳明胃经的热邪，可用青皮、生甘草节、栝蒌、银花、当归、没药、皂角、橘叶、橘核，少量佐以酒，根据具体情况灵活调整剂量即可。
瘀血向上攻冲，突然两乳伸长，细小如肠，直连小腹，疼痛难以忍受。使用川芎、当归，煎煮成浓汁服用；如果不愿服药，也可将这两味药烧烟，让病患吸入其烟雾。使瘀血消散，乳房自然痊愈。
Milk is transformed from Qi and Blood. Therefore, when the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) are abundant, and the Qi of the Spleen and Stomach is strong, milk will be plentiful and thick; if deficient, it will be thin and scanty. Treatment should focus on strengthening the Spleen and Stomach and nourishing the source of transformation.
If Qi and Blood are stagnant and blocked, preventing lactation, Tongcao (Tetrapanacis Medulla), Tugua Gen (Trichosanthes Kirilowii Root), and Loulu (Euphorbiae Humifusae Herba) should be used to unblock the flow.
If Qi and Blood are weak and failing to produce milk, Pig's Trotters, Crucian Carp, Shengdi Huang (Rehmanniae Radix), and Dang Gui (Angelicae Sinensis Radix) should be used to moisten and nourish. Yulu San (Supplement 62), Jiawei Siwu Tang (Modified Four Substances Decoction) (Supplement 61), and Tongru Tang (Lactation Promoting Decoction) (Harmony 43) can all be used to tonify Blood and promote lactation.
If milk flows excessively not due to Qi and Blood deficiency failing to hold it, but rather due to fullness, one must assess excess or deficiency based on the patient's physical strength and the thickness of the milk.
For Heat in the Liver Channel manifesting as Blood Heat, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is indicated. (Supplement 21)
For Depression and Anger affecting the Liver Channel, Jiawei Guipi Tang (Modified Restore the Spleen Decoction) is indicated. (Supplement 3)
For distension, urgency, and pain, Loulu San (Euphorbia Powder) is indicated. (Disperse 30)
For Qi and Blood deficiency, Shiquan Dabu Tang (Ten Ingredients Great Tonifying Decoction) is indicated. (Supplement 39)
The Foot-Yangming Stomach Meridian descends from Quepen (Clavicular Fossa) along the medial aspect of the breast. The Foot-Yangming Meridian ascends flanking the umbilicus and disperses in the chest. If this meridian is attacked by pathogenic heat, blood is driven into combat-like turbulence, and Qi becomes stagnant. Turbulence causes pain, while stagnation leads to swelling. This results from milk accumulation clashing with Qi. Alternatively, anger may cause Qi rebellion, depression may obstruct Qi, and rich foods may generate damp-heat, leading to impaired circulation of Qi in the Jueyin Liver Channel. Consequently, the orifices remain closed, and milk cannot exit. The treatment method should involve soothing the stagnation of the Jueyin Liver and clearing the heat of the Yangming Stomach. Qingpi (Citri Reticulatae Pericarpium Viride), raw Gancao Jie (Glycyrrhizae Radix et Rhizoma nodes), Gualou (Trichosanthis Fructus), Yin Hua (Lonicerae Japonicae Flos), Dang Gui (Angelicae Sinensis Radix), Moyao (Myrrha), Zaojiao (Gleditsiae Sinensis Spina), Ju Ye (Citri Reticulatae Folium), and Ju He (Citri Reticulatae Semen) may be used, with a small amount of wine added as an adjuvant, adjusted according to circumstances.
If stasis attacks upward, causing sudden elongation of both breasts, becoming thin and intestine-like, extending directly to the lower abdomen with unbearable pain, use Chuanxiong (Ligustici Chuanxiong Rhizoma) and Dang Gui (Angelicae Sinensis Radix). Decoct them into a concentrated liquid for oral administration. If oral intake is refused, burn these two herbs and have the patient inhale the smoke. This dissipates stasis, and the breasts heal naturally.
If Yuan Qi (Primal Qi) has been inherently weak and neglected in care, resulting in the inability of Qi and Blood to consolidate and retain, this indicates a deficiency pattern.
For Qi and Blood deficiency, Shiquan Dabu Tang (Ten Ingredients Great Tonifying Decoction) is indicated. (Supplement 39)
For swelling and pain, attributed to Deficient Heat in the Liver Channel, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is indicated. (Supplement 21)