(附∶乳痈、吹乳、乳汁不通、乳闭)
妇人情思拂逆。久含郁怒，无由散越，致肝木气盛，乳房属肝，发于此也。始有小核如豆，
渐渐长大，经年累月，发则大痛肿溃，故如岩穴之状，血脓赤水淋漓，甚穿五内，终致不救。宜
如小棋子时，先服十六味流气饮（方见外科），次服主方。有穿溃者，姑与解毒托里散，外用去
腐生肌药治之。未破、已破，兼服蜡矾丸。
主方 贝母 栝蒌仁 青皮 柴胡 赤芍 当归 抚芎 木通（等分）水煎服。痛加乳香
、没药。
由暴感郁怒，气滞血凝而成。先宜忍痛用热手或手裹绵衣烘热重揉；次用葱熨、蒜灸、淋洗
诸法（见外科），必宜速散为妙。妇人因苦痛延挨，遂成大患。
主方 栝蒌仁（研） 金银花 贝母（各二钱） 天花粉 皂角刺 当归尾 穿山甲（研
）白芷梢 甘草节（各一钱）酒煎服。甚加乳香。
神效栝蒌散 乳痈未成即消，已成化水。瘰 、诸毒皆效（方见肠痈）
又方 栝蒌（二个），捣炒、研末，酒下效。或蛇蜕（一钱，烧），甘草末（五分），酒送
下。香油调敷。
葱熨法 葱捣，炒热，作饼罨患处，上用铜杓微火熨，汗出肿消。
敷方 蒲公英（春生路边，黄花如菊，后结绒球，茎至三寸）捣绞汁和酒饮，渣敷。
又 马鞭草，酒擂绞，加捶碎姜一块，热服一、二碗，渣敷患处。
又 五月五日粽箬烧灰，酒调二服安。吹乳亦宜葱熨揉散。
（附：乳痈、吹乳、乳汁不通、乳闭）
妇女的情志常常受到压抑。长期蕴含郁结之怒，无处宣泄发散，导致肝木之气过盛。乳房归属于肝经，因此病症发于此部位。起初出现如豆粒般的小硬块，逐渐长大，经过长年累月，发作时剧烈疼痛、肿胀溃烂，形状如同岩穴，流出血水、脓液和赤色液体淋漓不断，严重时穿透五脏内部，最终导致无法救治。应当在肿块还像小棋子大小的时候，先服用十六味流气饮（方剂见外科篇），接着服用主方。如果已经发生穿溃，暂且给予解毒托里散治疗，外用去腐生肌的药物进行调理。无论是否破溃，都兼服蜡矾丸。
主方：贝母、栝蒌仁、青皮、柴胡、赤芍、当归、抚芎、木通（各等分），用水煎煮后服用。疼痛剧烈者加入乳香、没药。
这是由于突然感受暴怒情绪，导致气机阻滞、血液凝滞而形成的。起初应当忍受疼痛，用热手或者用手包裹绵衣烘热后用力揉按；接着使用葱熨法、蒜灸法、淋洗法等（见外科篇），必须迅速消散才为妙。妇女因为痛苦而拖延忍耐，最终酿成大患。
主方：栝蒌仁（研磨）、金银花、贝母（各二钱）、天花粉、皂角刺、当归尾、穿山甲（研磨）、白芷梢、甘草节（各一钱），用酒煎煮后服用。病情严重者可加入乳香。
神效栝蒌散：对于乳痈，未成脓即可消除，已成脓可化为水液消散。对瘰疬、各种毒疮也有效（方剂见肠痈篇）。
又一方：栝蒌（两个），捣碎炒制后研成粉末，用酒送服有效。或者使用蛇蜕（一钱，烧存性）、甘草末（五分），用酒送下。也可用香油调匀后外敷。
葱熨法：将葱捣碎，炒热，做成饼状敷在患处，上面用铜勺在微火上熨烫，出汗后肿胀消退。
敷方：蒲公英（春季生长在路边，黄花像菊花，后来结成绒球，茎高达三寸），捣碎绞取汁液混合酒饮用，药渣外敷。
又一方：马鞭草，用酒擂碎绞汁，加入一块捶碎的生姜，热服一至两碗，药渣敷于患处。
(Attached: Ru Yong [Breast Abscess], Chui Ru [Blown Breast/Milk Stasis due to infant's breath], Zhi Li Bu Tong [Blocked Milk Flow], Bi Ru [Closed Breast])
Women's emotions are often frustrated. Long-held resentment and anger, with no outlet for release, lead to an excess of Liver Wood Qi. The breasts belong to the Liver channel; thus, pathology manifests here. Initially, a small nodule like a bean appears, gradually enlarging over years. When it erupts, it causes severe pain, swelling, and ulceration, resembling a rocky cave, with dripping blood, pus, and red fluid. In severe cases, it penetrates the five zang organs, ultimately leading to untreatable conditions. When the lump is still the size of a small chess piece, one should first administer Shiliuwei Liuqi Yin (Sixteen-Ingredient Qi-Regulating Decoction) (see Surgery section), followed by the Main Formula. If ulceration has occurred, temporarily administer Jiedu Tuoli San (Detoxifying and Supporting Interior Powder), treating externally with herbs that remove necrotic tissue and promote muscle regeneration. Whether broken or unbroken, Lafa Wan (Beeswax and Alum Pill) should be taken concurrently.
Main Formula: Beimu [Fritillaria Bulb], Gualou Ren [Trichosanthes Seed], Qingpi [Green Tangerina Peel], Chaihu [Bupleurum Root], Chishao [Red Peony Root], Danggui [Angelica Sinensis Root], Fuxiong [Ligusticum Chuanxiong Rhizome], Mutong [Akebia Caulis] (equal parts). Decoct in water and take orally. For severe pain, add Ruxiang [Frankincense] and Moyao [Myrrh].
This condition arises from sudden exposure to violent anger, resulting in Qi stagnation and Blood coagulation. Initially, one should endure the pain and use hot hands, or hands wrapped in cotton clothing heated by warmth, to knead firmly. Subsequently, employ methods such as Cong Yi [Scallion Moxibustion/Fomentation], Suan Jiu [Garlic Moxibustion], and Lin Xi [Washing/Soaking] (see Surgery section). Rapid resolution is essential. Women often delay treatment due to suffering, leading to major complications.
Main Formula: Gualou Ren [Trichosanthes Seed] (ground), Jinyinhua [Lonicerae Japonicae Flos], Beimu [Fritillaria Bulb] (each 2 qian), Tianhuafen [Trichosanthes Radix], Zaojiaoci [Gleditsiae Spina], Danggui Wei [Angelica Sinensis Tail], Chuanshanjia [Pangolin Scale] (ground), Baizhi Shao [Angelicae Dahuricae Radix Tip], Gancao Jie [Glycyrrhizae Radix et Rhizoma Joint] (each 1 qian). Decoct in wine and take orally. Add Ruxiang [Frankincense] if severe.
Shenxiao Gualou San [Miraculously Effective Trichosanthes Powder]: Eliminates Ru Yong [Breast Abscess] before suppuration forms; converts existing suppuration into fluid for absorption. Also effective for Luoli [Scrofula] and various toxins (Formula see Chang Yong [Intestinal Abscess]).
Another Prescription: Gualou [Trichosanthes Fruit] (two fruits), crushed, stir-fried, and ground into powder; take with wine for efficacy. Alternatively, She Tui [Ophichthidae Skin] (1 qian, burnt to ash), Gancao Mo [Licorice Powder] (0.5 qian); take with wine. Can also be mixed with sesame oil for external application.
Cong Yi Method [Scallion Fomentation]: Crush scallions, stir-fry until hot, form into cakes, and apply to the affected area. Place a copper ladle over the cake and warm gently over a low fire until sweating occurs, causing swelling to subside.
External Application Formula: Gongyingying [Taraxaci Herba] (grows by roadsides in spring, yellow flowers like chrysanthemum, later forming downy balls, stems up to 3 cun), crushed and juiced, mixed with wine for drinking; residue applied externally.
Another: Mabiancao [Verbenae Herba], pounded in wine and juiced, add one piece of crushed fresh ginger, drink hot one to two bowls, apply residue to the affected area.
Another: Zongruo [Bamboo Leaf used for wrapping Zongzi] burned to ash on the fifth day of the fifth lunar month, mixed with wine; two doses bring relief. Chui Ru [Milk Stasis] is also suitable for Cong Yi [Scallion Fomentation] and massage to disperse.