妇人乳岩一证，原非产后之病，但乳岩、乳痈，皆疮生乳房，治此证者，混同施治，误世不小，不
得不分别论明也。其乳痈起于吹乳之一时，非同乳岩，由气血亏损于数载，始因妇女或不得意于翁姑夫婿，
或诸事忧虑郁遏，致肝脾二脏久郁而成。初起小核，结于乳内，肉色如故，如围棋子大，不痛不痒，十
数年后方成疮患。烂见肺腑，不可治矣。故初起之时，其人内热夜热，五心烦热，肢体倦瘦，月经不
调，宜早为治疗。益气养荣汤、加味逍遥散，多服渐散。气虚必大剂人参，专心久
服，其核渐消。若服攻坚解毒伤其正气，必致溃败。多有数年不溃者最危，溃则不治。周季芝云∶乳癖、乳
岩，结硬未溃，以活鲫鱼同生山药捣烂，入麝香少许，涂块上，觉痒极，勿搔动，隔衣轻轻揉之。七日一
涂，旋涂渐消。若荏苒岁月，以致溃腐，渐大类岩，色赤出水，深洞臭秽，用归脾汤等药，可延岁月。若误
用攻伐，危殆迫矣。曾见一妇，乳房结核如杯数年，诸治不效，因血崩后，日服人参两许月余，参尽二斤，
乳核霍然。此证有月经者尚轻，如五六十岁无经者，不可轻易看也。
益气养荣汤 治瘰 、结核、流注，一切郁热毒瓦斯。
人参 白术（土炒） 茯苓（各一钱） 当归（二钱） 川芎 白芍（酒炒。各八分） 熟地（二三
钱） 黄 （蜜炙，一钱五分） 桔梗（一钱或八分） 贝母（去心，一钱二分） 香附（七八分）
橘皮 炙草（各五分）
生姜引，水煎服。
加味逍遥散（见上卷胎逆上逼门，附逍遥散下。） 归脾汤（见上卷胎漏小产门。）
妇人乳岩这一病症，原本不是产后才会得的病。但是乳岩和乳痈，都是在乳房上生疮，治疗这些病症的人，常常把它们混为一谈来治疗，误人不浅，所以不得不分别论述清楚。
乳痈起因于“吹乳”（乳汁淤积）这种突发情况，不同于乳岩。乳岩是由于气血在数年间逐渐亏损，起初是因为妇女在公婆、丈夫处不得意，或者因各种事情忧虑郁结，导致肝、脾两脏长期郁滞而形成的。初起时，乳房内出现小硬结，皮肤颜色如常，大小像围棋子，不痛不痒，经过十数年才发展成溃烂的疮患。一旦溃烂深入肺腑，就无法治愈了。所以在初起阶段，患者会有内热、夜间发热、五心烦热（手心、脚心及心胸烦热）、肢体疲倦消瘦、月经不调等症状，应当尽早治疗。服用益气养荣汤、加味逍遥散，多服一段时间可使硬结逐渐消散。如果是气虚严重，必须用大剂量人参，专心久服，其硬结会逐渐消退。如果服用攻坚解毒的药物损伤正气，必然导致溃败。有很多数年不溃烂的反而最危险，一旦溃烂就无法治疗了。周季芝说：乳癖、乳岩，结块坚硬未溃烂时，可以用活鲫鱼同生山药捣烂，加入少许麝香，涂抹在肿块上，感到极痒时，不要搔抓，隔着衣服轻轻揉搓。每七天涂抹一次，边涂边消。如果拖延岁月，以致溃烂腐败，渐渐类似岩症，颜色发红流水，深洞臭秽，可用归脾汤等药物，可以延长寿命。如果误用攻伐药物，就会危及生命。曾见过一位妇女，乳房结核如杯子大小已有数年，各种治疗无效，因为在血崩之后，每天服用约一两人参，持续月余，人参总共用了二斤，乳房硬结突然消失。这个证候有月经的还较轻，如果是五六十岁没有月经的，不可轻易看待。
益气养荣汤 治疗瘰疬、结核、流注，以及一切郁热毒邪。
人参 白术（土炒） 茯苓（各一钱） 当归（二钱） 川芎 白芍（酒炒。各八分） 熟地黄（二三钱） 黄芪（蜜炙，一钱五分） 桔梗（一钱或八分） 贝母（去心，一钱二分） 香附（七八分） 橘皮 炙甘草（各五分）
生姜为引，水煎服。
The condition of "Breast Rock" (Ru Yan, a type of breast cancer) in women is originally not a disease occurring postpartum. However, both Breast Rock and Breast Carbuncle manifest as sores on the breast. Practitioners often treat these conditions indiscriminately, causing significant harm to the public; therefore, it is necessary to distinguish and discuss them separately.
Breast Carbuncle arises from "Blown Milk" (Chui Ru, acute milk stasis), which is different from Breast Rock. Breast Rock results from the gradual depletion of Qi and Blood over several years. It initially stems from women experiencing dissatisfaction with their parents-in-law or husbands, or from prolonged worry and depression regarding various matters, leading to long-term stagnation in the Liver and Spleen organs. In the early stage, small nodules form within the breast, with normal skin color, sized like a Go stone, painless and non-itchy. After ten or more years, they develop into ulcerative sores. Once the ulceration penetrates deep into the lungs and intestines, it becomes incurable. Therefore, at the initial stage, patients may experience internal heat, night fever, five-palm heat (heat sensation in the palms, soles, and chest), limb fatigue and emaciation, and irregular menstruation. Early treatment is advisable. Taking Yi Qi Yang Rong Tang (Qi-Nourishing and Blood-Supplementing Decoction) and Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) for an extended period can gradually dissipate the nodules. If Qi deficiency is severe, large doses of Ren Shen (Ginseng Radix et Rhizoma) should be taken exclusively and for a long time, allowing the nodules to gradually subside. If hard-draining and detoxifying herbs are used, damaging the healthy Qi, it will inevitably lead to溃败 (溃败, collapse/ulceration). Cases that do not ulcerate for many years are particularly critical; once ulcerated, they are untreatable. Zhou Jizhi stated: For Ru Pi (Breast Fibroadenoma) and Ru Yan, when the lump is hard and un-ulcerated, one can mash a live crucian carp together with fresh Dioscorea opposita (Shan Yao) and apply a small amount of Moschus (She Xiang) to the lump. When extreme itching occurs, do not scratch; gently rub through clothing. Apply once every seven days, and the lump will gradually diminish. If time passes until ulceration and putrefaction occur, resembling rock-like lesions with redness, weeping fluid, deep foul-smelling cavities, Gui Pi Tang (Spleen-Restoring Decoction) and other medicines can be used to prolong life. Misusing attacking/draining methods will lead to imminent danger. I once saw a woman with breast tubercles the size of a cup for several years, where all treatments failed. After suffering from metrorrhagia (blood flooding), she took approximately one qian of Ren Shen daily for over a month, consuming a total of two jin of Ginseng, after which the breast nodule suddenly disappeared. This condition is milder in women who still have menstruation; for those aged fifty or sixty without menstruation, it must not be viewed lightly.
Yi Qi Yang Rong Tang treats Luo Li (scrofula), He Jie (tubercles), Liu Zhu (flowing abscesses), and all types of stagnant heat and toxic vapors.
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Rhizoma, stir-fried with soil), Fu Ling (Poria, each 1 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Bai Shao (Paeoniae Radix Alba, wine-fried, each 8 fen), Shu Di Huang (Rehmanniae Radix Praeparata, 2-3 qian), Huang Qi (Astragali Radix, honey-fried, 1.5 qian), Jie Geng (Platycodonis Radix, 1 qian or 8 fen), Bei Mu (Fritillariae Bulbus, heart removed, 1.2 qian), Xiang Fu (Cyperi Rhizoma, 7-8 fen), Ju Pi (Citri Reticulatae Pericarpium), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata, each 5 fen).
Use Sheng Jiang (Zingiberis Rhizoma Recens) as a guide, decoct in water and take orally.
Jia Wei Xiao Yao San (See Volume I, section on Fetal Reversal Pressing Upwards, attached under Xiao Yao San.)
Gui Pi Tang (See Volume I, section on Fetal Leakage and Miscarriage.)