膺窗、治乳痈寒热。卧不安。(铜)临泣、治乳痈。(见月事。)神封、治乳痈洒淅恶
(明同。)乳根、治乳痈凄惨寒(千有热字。)痛。不可按。三里、主乳痈(铜同。)有热。
(千)下廉、主乳痈惊痹胫重。(铜作喉痹 肿。)足跗不收。跟痛。神封、膺窗、主乳痈
寒热短气。卧不安。天溪、侠溪、主乳肿痈溃。论曰、产后宜勤挤乳。不宜令汁蓄积。
蓄积不去。便结不复出。恶汁于内引热。温壮结坚。牵掣痛。大渴引饮。乳急痛。手不得近
。成妒乳。非痈也。急灸两手鱼际二七壮。断痈脉也。不复恶手近。乳汁亦自出。便可手助
迮捋之。则乳汁大出。皆如脓状。内服连翘汤。外以小豆薄涂之。便瘥。又以绳横度口。
以度从乳上行。灸度头二七壮。(千翼)
千金论曰、女人患乳痈。四十以下。治之多瘥。四十以上。治之多死。不治、自终天年
有亲年七十。生乳痈。不信此论。令外科用刀仗开时暂虽快。未岁而殂。方知千金犹信也。
有捣地黄汁敷。有捣蔓菁叶或根敷。热即易之。有用白芷末温汤调敷效。
(乳少 吐奶)
乳根、疗乳痛。(明)肓门、(明同。)治妇人乳有余疾。(铜)千云、中极、主乳余疾。
气
冲、治难乳。子上抢心。(见月事。)府舍、厥气两乳。(见脾疼。)大泉、主妒乳膺胸痛。
(千)天溪、治乳肿贲膺。(见胸痛。)梁丘、(见惊。)地五会、治乳肿。天牖、主乳
肿。缺盆中肿。(千)足临泣、主乳肿。(见月事。)膻中、治乳汁少。(铜)明下云、奶脉
滞无汁。下火立愈。小儿吐奶。灸中庭一壮。(明下)小儿喉中鸣。咽乳不利。璇玑三壮
膺窗穴,治疗乳痈伴有寒热症状。患者睡眠不安稳。(出自《铜人腧穴针灸图经》)
临泣穴,治疗乳痈。(见于月经相关病症记载)
神封穴,治疗乳痈时出现的洒淅恶寒感。(明代文献记载相同)
乳根穴,治疗乳痈引起的凄惨寒冷感(千禄本《千金方》多一个“热”字)和疼痛。疼痛剧烈,不可按压。
足三里穴,主治乳痈(《铜人》记载相同),伴有发热。(千禄本《千金方》)
下廉穴,主治乳痈、惊痹、小腿沉重。(《铜人》作喉痹肿胀)。足背不能抬起,脚跟疼痛。
神封穴、膺窗穴,主治乳痈伴有寒热、短气、睡眠不安。
天溪穴、侠溪穴,主治乳房肿胀化脓溃破。
论述说:产后应当勤挤乳汁,不宜让乳汁蓄积。如果蓄积不去,就会凝结不再流出。恶毒的汁液在体内引发热邪,导致体温升高、结块坚硬,牵拉性疼痛,极度口渴想喝水,乳房急痛,手不敢触碰。这形成的是“妒乳”,并非真正的痈疽。应立即灸双手鱼际穴十四壮,以断绝痈脉。这样就不再怕手触碰,乳汁也会自然流出,此时就可以用手辅助挤压捋顺,乳汁就会大量排出,看起来都像脓状。内服连翘汤,外用赤小豆磨成薄粉涂抹,即可痊愈。又用绳子横量口部宽度,以此长度从乳头向上测量,在测量长度的末端处灸十四壮。(出自《千金翼方》)
《千金方》论述说:女性患乳痈,四十岁以下的人,治疗大多能痊愈;四十岁以上的人,治疗大多死亡。如果不治疗,也能活到自然寿命终结。有一位亲属七十岁,患了乳痈,不相信这个理论,让外科医生用刀切开,当时虽然痛快,但不到一年就去世了。这才知道《千金方》的话是可信的。
有的方法是用捣碎的地黄汁外敷;有的用捣碎的蔓菁叶或根外敷,变热了就更换;有的用白芷末温水调匀外敷,效果很好。
(乳汁少 吐奶)
乳根穴,治疗乳房疼痛。(明代文献)
肓门穴,(明代文献记载相同),治疗妇人乳房余疾。(《铜人》)
千禄本《千金方》说:中极穴,主治乳房余疾。
气冲穴,治疗难产、乳汁不通,胎儿上抢心胸。(见于月经相关病症记载)
府舍穴,厥气侵犯两侧乳房。(见于脾脏疼痛记载)
大泉穴,主治妒乳、胸部疼痛。(《千金方》)
天溪穴,治疗乳房肿胀波及胸部。(见于胸部疼痛记载)
梁丘穴,(见于惊风记载)
地五会穴,治疗乳房肿胀。
天牖穴,主治乳房肿胀,锁骨上窝肿胀。(《千金方》)
足临泣穴,主治乳房肿胀。(见于月经相关病症记载)
膻中穴,治疗乳汁少。(《铜人》)
明代文献下方注解说:奶脉滞涩无乳汁,下火针立即痊愈。
小儿吐奶,灸中庭穴一壮。(明代文献下方注)
小儿喉中鸣响,吞咽乳汁不利,灸璇玑穴三壮。
Yingchuang (ST16, Breast Window) treats breast abscess with chills and fever. The patient experiences restless sleep. (From *Tongren Shuxue Zhenjiu Tujing*)
Linqi (GB41, Foot Gaping) treats breast abscess. (Recorded in contexts related to menstruation).
Shenfeng (BL17, Divine Enclosure) treats the sensation of aversion to cold and shivering associated with breast abscess. (Same record in Ming dynasty texts).
Rugen (ST18, Breast Root) treats the desolate cold sensation (Qianlu edition of *Qianjin Fang* adds "heat") and pain associated with breast abscess. The pain is severe and cannot be pressed.
Zusanli (ST36, Leg Three Miles) primarily treats breast abscess (*Tongren* agrees), accompanied by heat. (Qianlu edition of *Qianjin Fang*).
Xialian (ST39, Lower Limb Hollow) primarily treats breast abscess, jing-bi (startling bi-syndrome), heaviness of the lower legs. (*Tongren* reads as throat bi-swelling). Inability to lift the dorsum of the foot, heel pain.
Shenfeng (BL17) and Yingchuang (ST16) primarily treat breast abscess accompanied by chills and fever, shortness of breath, and restless sleep.
Tianxi (ST22, Heavenly Stream) and Xiaxi (GB43, Gaping Stream) primarily treat breast swelling and abscess ulceration.
Discussion states: After childbirth, one should frequently express milk and not allow it to accumulate. If accumulation occurs and is not expelled, it will coagulate and fail to flow out. Toxic fluids within induce heat, leading to elevated temperature, firm induration, pulling pain, extreme thirst with desire to drink, urgent breast pain, and inability to touch the area with hands. This condition forms "Du Ru" (Jealous Breast), which is not a true abscess. Immediately moxa the Yuji points on both hands for fourteen moxibustion doses to sever the abscess pulse. This will eliminate fear of touch, and milk will flow naturally. At this point, manual assistance can be used to squeeze and guide the flow, resulting in large quantities of milk discharge, appearing like pus. Internally administer Liaoqiao Tang (Forsythia Decoction); externally apply a thin paste of Vigna angularis (Adzuki Bean). Recovery follows. Alternatively, measure the width of the mouth horizontally with a rope, use this length to measure upwards from the nipple, and moxa the end of the measurement for fourteen moxibustion doses. (From *Qianjin Yifang*)
The *Qianjin Fang* discussion states: For women suffering from breast abscess, those under forty years old are mostly cured by treatment; those over forty years old often die despite treatment. Without treatment, they may live out their natural lifespan. A relative aged seventy suffered from breast abscess but did not believe this theory. She allowed a surgeon to incise it with a knife. Although initially relieving, she died within a year. Only then did she realize the reliability of the *Qianjin Fang*.
Some methods involve applying crushed fresh Rehmanniae Radix juice; others use crushed leaves or roots of Brassica rapa var. trilocularis (Turnip) applied topically, changing when warm. Some use Angelicae Dahuricae Radix powder mixed with warm water for topical application, which is effective.
(Low Milk Supply / Regurgitation)
Rugen (ST18) treats breast pain. (Ming dynasty texts).
Huangmen (BL52, Blind Gate), (Ming dynasty texts agree), treats residual diseases of the breasts in women. (*Tongren*).
Qianlu edition of *Qianjin Fang* states: Zhongji (CV3, Central Pole) primarily treats residual breast diseases.
Qichong (ST30, Qi Rushing) treats difficult lactation and fetal movement pressing against the heart/chest. (Recorded in contexts related to menstruation).
Fushe (SP13, House Abode), jue-qi invades both breasts. (Recorded in contexts related to spleen pain).
Daquan (EX-UE1, Great Spring) primarily treats Du Ru (Jealous Breast) and chest pain. (*Qianjin Fang*).
Tianxi (ST22) treats breast swelling extending to the chest. (Recorded in contexts related to chest pain).
Liangqiu (ST34, Liangqiu), (Recorded in contexts related to wind-stroke/startling).
Diwuhui (LR4, Earth Five Meetings) treats breast swelling.
Tianyao (SI16, Heavenly Window) primarily treats breast swelling and swelling in the supraclavicular fossa. (*Qianjin Fang*).
Zulinqi (GB41) primarily treats breast swelling. (Recorded in contexts related to menstruation).
Danzhong (CV17, Chest Center) treats low milk supply. (*Tongren*).
Ming dynasty text footnote states: Stagnant milk vessels with no milk flow are cured immediately by fire needle therapy.
For infant regurgitation, moxa Zhongting (CV16, Middle Court) for one moxibustion dose. (Ming dynasty text footnote).
For infant throat resonance and difficulty swallowing milk, moxa Xuanji (CV21, Mysterious Pivot) for three moxibustion doses.