人有乳上生痈，先肿后痛，寒热往来，变成疡痈，此症男女皆有，而妇人居多。盖妇生子，抱儿食乳，
偶然困睡，儿以口气吹之，乳内之气塞不通，遂成乳疾。此时若以解散之药治之，可随手而愈。倘因循失治，
而乳痈之症成矣。男子则不然，阳明胃火炽盛，不上腾于口舌，而中
壅于乳房，乃生此症。乳痈不比他处之痈有阴阳之别，故
治法亦无阴阳之判，但别其先后之虚实耳。初起多为邪实，溃烂乃为正虚也。虽然，邪之有余，仍是正之不足，
治宜补中散邪，乃万全之道，正不必分先宜攻而后宜补也。方用和乳汤∶
当归（一两） 蒲公英（一两） 贝母（三钱） 天花粉（三钱） 甘草（二钱） 穿山甲（一片）
水煎服，一剂而乳通肿亦消矣，不必二剂也。此方用贝母、花粉者，消胃中之壅痰也，壅散而乳房之气通矣。
佐以公英、山甲解其热毒，利其关窍，自然不攻而毒散矣。惟恐前药过于迅速，加当归、甘草补正和解，则正无
伤而邪自退，何虑余毒不行而变乳岩哉？
秘诀∶
和乳一两归蒲公，三钱贝母花粉同，
山甲一片二钱草，服下一服乳房通
此症用消化无形汤亦效∶
金银花（一两） 当归（一两） 甘草（三钱） 天花粉（三钱） 通草（一钱） 紫背天葵（五钱）
水煎服，一剂即消。
秘诀∶
又有消化无形汤，银花一两当归行，
甘粉三钱通草一，紫背天葵五钱良。
人有先生乳痈，收口后不慎房事，以致复行溃烂，变成乳岩，现出无数小口，而疮口更加腐烂，似蜂窝之
状，肉向外生，终年累月不愈，服败毒之药而愈甚，人以为毒深结于乳房也，谁知是气血大虚乎？夫乳痈成岩，
肉向外生，而筋束乳头，则伤乳即伤筋也。此症必须急救，否则有筋弛难长之虞矣。夫筋弛而又泄精，泄精则
损伤元气，安得不变出非常乎？当失精之后，即用补精填髓之药，尚不致如此之横，今既因虚而成岩，复见岩
而败毒，不已虚而益虚乎？无怪其愈治而愈坏也。治之法，必须大补其气血以生其精，不必再泻其毒，以其病
无毒可泻耳。方用化岩汤∶
茜草根（二钱） 白芥子（二钱） 人参（一两） 忍冬藤（一两） 黄 （一两） 当归（一两）
白术（土炒，二两） 茯苓（三钱）
水煎服，连服二剂而生肉红润，再服二剂而脓尽痛止，又二剂漏管重长，又二剂痊愈，再二剂永不复发矣。
此方全在补气补血，而不事消痰化毒之治。忍冬虽为消毒之药，其性亦补，况入于补药之中，亦纯乎补矣。
惟是失精变岩，似宜补精，乃不补精而止补气血，何也？盖精不可以速生，补精之功甚缓，不若补其气血，气
血旺则精生矣。且乳房属阳明之经，既生乳痈，未能多气多血，补其气血，则阳明之经既旺，自然生液生精以
灌注于乳房，又何必复补其精，以牵制参 之功乎？此所以不用生精之味耳。
秘诀∶
化岩汤中茜草根，二两白芥一两参，
忍冬 归亦一两，白术二两苓三钱。
方用延仁汤亦效∶
人参（一两） 当归（一两） 白术（一两） 熟地（一两） 麦冬（一两） 山茱萸（五钱） 甘草（一钱）
陈皮（五分）
水煎服，四剂效。
秘诀∶
乳岩宜用延仁汤，参归术地麦两襄，
山萸五钱一钱草，陈皮五分四剂良。
人有左乳忽肿如桃，皮色不变，又不痛，身体发热，形容渐瘦，人以为痰气郁结也，谁知是肝气之不舒乎？
夫乳属阳明，而乳痈宜责之阳明胃经，余独言肝者何也？盖阳明胃土，最怕肝木之克，肝气不舒，则胃气亦不
舒耳。况乳又近于两胁，正肝之部位也。与肝相远，尚退缩而不敢舒，与肝为邻，亦何敢恣肆而吐气哉？气不
舒而肿满之形成，漫肿无头不痛不赤，正显其畏惧也。治之法，不必治阳明之胃，但治肝经之郁，自然毒消肿
解矣。方用加味逍遥散∶
柴胡（二钱） 川芎（一钱） 甘草（一钱） 人参（一钱） 当归（三钱） 白术（三钱） 半夏（三钱）
茯苓（三钱） 陈皮（三钱） 栝蒌仁（三钱） 白芍（五钱）
水煎服，服十剂而内消，去栝蒌再服十剂不再发矣。
逍遥散善解肝气之郁，肝气郁解而胃气自舒矣。况益之栝蒌、半夏、陈皮，专能治胸中之积痰，痰去则肿亦易
消也。
秘诀∶
逍遥加味二钱胡，芎草人参一钱煮，
归术夏苓陈三钱，蒌仁亦三白芍五。
此症用归芍二通汤亦效∶
当归（一两） 白芍（五钱） 柴胡（三钱） 木通（一钱） 通草（一钱） 枳壳（二钱） 穿山甲（一片）
山楂（十个） 桃仁（十粒） 花粉（三钱）
水煎服，二剂效，继续服。
秘诀∶
归芍二通治乳岩，当归一两芍五钱，
柴粉三钱二通一，枳壳山甲楂桃全。
妇人产后，忽两乳细小，下垂过腹，疼痛难忍，人以为悬痈也，谁知是胃经气血之燥乎？盖胃为水谷之海，
而多气多血之腑也。夫产后亡血过多，则胃中空虚，而饮食不能遽进，即进饮食，而各脏腑取给于胃甚急，则
胃气困矣。胃气困而胃血则燥矣。胃血燥无以解各脏腑之纷争，且小儿又索母乳，则内外取资于胃，胃无以应。
乳房者，胃之外廓也；乳头者，胃之门户也。胃苦内之纷争，欲避出于外而不可得，况小儿日夜吮咂，则两乳
细小下垂，以至于
腹，有外遁难藏，入地无门之状，此倒悬切肤之痛，至危之症也。治之法，急救胃气，而益之补血之味，则胃
气润而不燥，胃气和平，自然分给于脏腑，又何至外痛而倒悬哉？方用解悬汤∶
人参（二两） 川芎（二两） 当归（四两） 荆芥（三钱） 炮姜（一钱） 麦冬（一两） 益母草（三钱）
水煎服，四剂而乳头收，再四剂痊愈矣。此方用人参以生胃气于无何有之乡；用当归、川芎以生新血于危
急之地；用荆芥、益母草以解脏腑之纷争，得归于经络；用麦冬、炮姜者，因阳明胃火之燥，未免火动而延烧，
产后不宜寒凉之药，故用麦冬微寒之品，少解其火势之烈也。
秘诀∶
乳垂疼痛解悬汤，参芎二两四归襄，
荆芥三钱益母草，炮姜一钱麦两尝。
此症方用玉浆丹亦效∶
人参（二两） 玄参（二两） 麦冬（二两） 当归（一两） 生地（一两） 麻黄（一钱） 五味子（一钱）
水煎服，二剂效。
秘诀∶
润胃益气是玉浆，人参玄参麦二两，
归地一两麻黄钱，五味同麻二剂康。
有人乳房上生了痈肿，先出现肿胀，随后感到疼痛，伴有寒热交替的症状，最终演变为溃疡性痈肿。这种病症男女都可能得，但女性居多。这是因为妇女生育后，怀抱婴儿并哺乳，偶尔在困倦睡眠时，婴儿用口气吹向乳头，导致乳内气机阻塞不通，从而形成乳疾。此时如果使用具有疏散解表作用的药物进行治疗，可以随手痊愈。倘若拖延延误治疗，就会形成真正的乳痈。
男子则不是这样，是由于阳明胃火炽盛，不上腾于口舌，而是中焦壅滞于乳房，才生出此症。乳痈不同于身体其他部位的痈肿有阴阳属性的区别，因此治疗方法也没有严格的阴阳之分，只需辨别发病初期和后期的虚实情况即可。初起多为邪气实盛，溃烂后则是正气虚弱。虽然如此，邪气的有余，本质上仍是正气的不足，治疗应当以补益中气、散除邪气为主，这才是万全之道，不必拘泥于先攻邪后补正的固定程序。方剂使用和乳汤：当归（一两）、蒲公英（一两）、贝母（三钱）、天花粉（三钱）、甘草（二钱）、穿山甲（一片），水煎服，服用一剂后乳汁通畅，肿胀也会消退，不需要服用第二剂。此方使用贝母、天花粉，是为了消除胃中的壅滞之痰，痰浊消散则乳房气机得以通畅。辅以蒲公英、穿山甲解除热毒，疏通关窍，自然不用强力攻伐而毒邪自散。只是担心前面的药力过于迅猛，所以加入当归、甘草来补益正气、调和诸药，这样正气不受损伤而邪气自然退去，何必担忧余毒不能排出而转变为乳岩（乳腺癌）呢？
秘诀歌诀：
和乳汤由一两当归、一两蒲公英组成，加上三钱贝母和三钱天花粉，一片穿山甲和二钱甘草，服用一剂后乳房气机通畅。
此症使用消化无形汤也有效：金银花（一两）、当归（一两）、甘草（三钱）、天花粉（三钱）、通草（一钱）、紫背天葵（五钱），水煎服，服用一剂即可消退。
秘诀歌诀：
又有消化无形汤，金银花一两配合当归行气，甘草和天花粉各三钱，通草一钱，紫背天葵五钱疗效好。
有的人先生了乳痈，在疮口收敛愈合后不慎进行房事，导致病情复发溃烂，转变为乳岩，现出无数小孔，疮口更加腐烂，状似蜂窝，肌肉向外翻生，终年累月不愈。服用败毒的药物反而加重，人们以为这是毒邪深结于乳房所致，殊不知这是气血极度虚弱的表现。乳痈转化为岩，肌肉向外翻生，且筋脉束缚乳头，那么损伤乳房就是损伤筋脉。此症必须紧急救治，否则有筋脉松弛难以生长的危险。筋脉松弛而又泄精，泄精则会损伤元气，怎么能不变生这种异常病症呢？在失精之后，即使立即使用填补精髓的药物，尚不至于发展到如此严重的地步，如今既然因为虚损而形成了乳岩，又见到岩症就使用败毒之法，这不是使虚者更虚吗？难怪越治越坏。治疗的方法，必须大补气血以滋生精髓，不必再泻解毒邪，因为这个病已经没有毒可泻了。方剂使用化岩汤：茜草根（二钱）、白芥子（二钱）、人参（一两）、忍冬藤（一两）、黄芪（一两）、当归（一两）、白术（土炒，二两）、茯苓（三钱），水煎服，连续服用两剂后肌肉生长红润，再服两剂脓液排尽疼痛停止，又服两剂漏管重新生长，再服两剂痊愈，最后再服两剂永不复发。此方的关键在于补气补血，而不从事消痰化毒的治疗。忍冬虽然具有消毒作用，但其性质也是补益的，何况放入补药之中，更是纯粹的补益了。只是对于因失精导致的乳岩，似乎应该补精，为何不补精只补气血呢？这是因为精髓不可以快速生成，补精的功效很慢，不如补益气血，气血旺盛则精髓自然产生。而且乳房属于阳明经，既然生了乳痈，说明该处未能多气多血，补益气血，则阳明经气旺盛，自然能生津液生精髓以灌注于乳房，又何必再补充精髓，以牵制人参、黄芪的功效呢？这就是不使用生精药物的原因。
秘诀歌诀：
化岩汤中含有茜草根，二两白芥子和一两人参，忍冬藤和当归各一两，白术二两、茯苓三钱。
方剂使用延仁汤也有效：人参（一两）、当归（一两）、白术（一两）、熟地黄（一两）、麦冬（一两）、山茱萸（五钱）、甘草（一钱）、陈皮（五分），水煎服，服用四剂见效。
秘诀歌诀：
乳岩适宜使用延仁汤，人参、当归、白术、熟地、麦冬各一两，山茱萸五钱、甘草一钱，陈皮五分，服用四剂疗效好。
有人左侧乳房突然肿胀如桃子大小，皮色不变，也不疼痛，身体发热，形体逐渐消瘦，人们以为是痰气郁结所致，殊不知是肝气不舒展造成的。乳房属于阳明经，乳痈应当责之于阳明胃经，我唯独提及肝脏是什么原因呢？盖因阳明胃土最怕肝木的克制，肝气不舒展，则胃气也不舒展。况且乳房靠近两胁，正是肝脏的部位。与肝相距较远的气机，尚且退缩不敢舒展，与肝相邻的乳房，又怎敢恣意放肆地吐露气息呢？气机不舒展而导致肿满形成，漫肿无头、不痛不红，正显现出其畏惧的状态。治疗的方法，不必治疗阳明胃经，只需治疗肝经的郁结，自然毒邪消退、肿胀解散。方剂使用加味逍遥散：柴胡（二钱）、川芎（一钱）、甘草（一钱）、人参（一钱）、当归（三钱）、白术（三钱）、半夏（三钱）、茯苓（三钱）、陈皮（三钱）、栝蒌仁（三钱）、白芍（五钱），水煎服，服用十剂内部消散，去掉栝蒌再服十剂不再复发。
逍遥散善于解除肝气的郁结，肝气郁结解除则胃气自然舒展。况且加上栝蒌、半夏、陈皮，专门能治疗胸中的积痰，痰浊去除则肿胀也容易消散。
秘诀歌诀：
逍遥散加味，柴胡二钱，川芎、甘草、人参各一钱煮服，当归、白术、半夏、茯苓、陈皮各三钱，栝蒌仁三钱、白芍五钱。
此症使用归芍二通汤也有效：当归（一两）、白芍（五钱）、柴胡（三钱）、木通（一钱）、通草（一钱）、枳壳（二钱）、穿山甲（一片）、山楂（十个）、桃仁（十粒）、天花粉（三钱），水煎服，服用两剂见效，继续服用。
秘诀歌诀：
归芍二通汤治疗乳岩，当归一两、白芍五钱，柴胡、天花粉各三钱，木通、通草各一钱，枳壳、穿山甲、山楂、桃仁齐全。
妇人产后，突然两乳房变小，下垂过腹，疼痛难忍，人们以为是悬痈，殊不知是胃经气血干燥所致。胃是水谷之海，是多气多血的脏腑。产后失血过多，则胃中空虚，饮食不能立刻进食，即使进食，各脏腑向胃索取营养非常急切，则胃气被困顿。胃气困顿则胃血变得干燥。胃血干燥无法解决各脏腑之间的纷争，且小儿又索取母乳，则内外都向胃索取资源，胃无法应对。乳房是胃的外廓；乳头是胃的门户。胃苦于内部的纷争，想要逃避到外部却不可得，况且小儿日夜吮吸，导致两乳房细小下垂，以至于腹部，呈现出外逃难藏、入地无门的状况，这是倒悬般的切肤之痛，是非常危险的病症。治疗的方法，紧急救助胃气，并增加补血的味道，则胃气滋润而不干燥，胃气平和，自然分给各脏腑，又何至于外部疼痛和倒垂呢？方剂使用解悬汤：人参（二两）、川芎（二两）、当归（四两）、荆芥（三钱）、炮姜（一钱）、麦冬（一两）、益母草（三钱），水煎服，服用四剂后乳头收回，再服四剂痊愈。此方用人参在无何有之乡（指虚无缥缈之处，喻指根本之地）生发胃气；用当归、川芎在危急之地生发新血；用荆芥、益母草解除脏腑间的纷争，使其归于经络；用麦冬、炮姜的原因，是因为阳明胃火干燥，未免火动而延烧，产后不宜使用寒凉药物，故用麦冬微寒之品，稍微缓解火势的猛烈。
秘诀歌诀：
乳垂疼痛使用解悬汤，人参、川芎各二两，当归四两，荆芥三钱、益母草、炮姜一钱、麦冬一两。
此症方剂使用玉浆丹也有效：人参（二两）、玄参（二两）、麦冬（二两）、当归（一两）、生地（一两）、麻黄（一钱）、五味子（一钱），水煎服，服用两剂见效。
There are cases where a carbuncle (boil) develops on the breast, initially presenting with swelling followed by pain, accompanied by alternating aversion to cold and fever, eventually transforming into an ulcerative carbuncle. This condition can occur in both men and women, but is more common in women. This is because after childbirth, women hold infants and breastfeed; occasionally, while drowsy or sleeping, an infant may blow air towards the nipple, causing the Qi within the breast milk ducts to become obstructed and blocked, thereby forming a breast disease. At this stage, if treated with herbs that have dispersing and resolving properties, it can be cured readily. However, if treatment is delayed or neglected, a true Ru Yong (Breast Carbuncle) will form.
In men, the situation is different. It arises from excessive fire in the Yangming Stomach channel, which does not ascend to the mouth and tongue but instead stagnates in the middle jiao and obstructs the breasts, leading to this condition. Unlike carbuncles elsewhere on the body, Ru Yong does not strictly differentiate between Yin and Yang types; therefore, treatment methods do not rigidly adhere to Yin-Yang distinctions. Instead, one must distinguish between deficiency and excess at the initial and later stages. The initial stage is mostly characterized by pathogenic excess, while the stage of ulceration indicates righteous Qi deficiency. Nevertheless, the presence of pathogenic excess is essentially due to a lack of righteous Qi. Treatment should focus on tonifying the Middle Jiao and dispersing pathogens, which is the safest approach. There is no need to rigidly follow a sequence of attacking pathogens first and tonifying later. The formula used is He Ru Tang (Harmonizing Breast Decoction): Dang Gui (Radix Angelicae Sinensis, 1 liang), Pu Gong Ying (Herba Taraxaci, 1 liang), Bei Mu (Bulbus Fritillariae Cirrhosae, 3 qian), Tian Hua Fen (Radix Trichosanthis, 3 qian), Gan Cao (Radix Glycyrrhizae, 2 qian), Chuan Shan Jia (Squama Manis, 1 slice). Decoct in water and take orally. After one dose, lactation will resume and swelling will subside; a second dose is unnecessary. Bei Mu and Tian Hua Fen are used to eliminate phlegm stagnation in the Stomach; once the phlegm dissipates, the Qi in the breasts flows freely. Pu Gong Ying and Chuan Shan Jia assist in clearing heat-toxin and unblocking orifices, allowing the toxin to disperse without aggressive purgation. To prevent the previous herbs from being too harsh, Dang Gui and Gan Cao are added to tonify righteous Qi and harmonize the formula. This ensures righteous Qi remains intact while pathogens retreat, alleviating concerns about residual toxins transforming into Ru Yan (Breast Cancer).
Secret Formula:
He Ru Tang contains 1 liang Dang Gui and 1 liang Pu Gong Ying, combined with 3 qian Bei Mu and 3 qian Tian Hua Fen, 1 slice Chuan Shan Jia and 2 qian Gan Cao. One dose unblocks the breast Qi.
The condition can also be effectively treated with Xiao Hua Wu Xing Tang (Transform and Dissolve Formless Toxin Decoction): Jin Yin Hua (Flos Lonicerae Japonicae, 1 liang), Dang Gui (1 liang), Gan Cao (3 qian), Tian Hua Fen (3 qian), Tong Cao (Medulla Tetrapanacis, 1 qian), Zi Bei Tian Kui (Herba Sarcandrae Glabrae, 5 qian). Decoct in water and take orally. One dose leads to resolution.
Secret Formula:
Xiao Hua Wu Xing Tang uses 1 liang Jin Yin Hua and Dang Gui for circulation, 3 qian each of Gan Cao and Tian Hua Fen, 1 qian Tong Cao, and 5 qian Zi Bei Tian Kai for good effect.
Some patients develop Ru Yan (Breast Cancer) after the initial Ru Yong ulcer heals, due to improper sexual activity. This causes recurrence and ulceration, manifesting as numerous small holes, with the wound becoming increasingly rotten, resembling a honeycomb, with flesh protruding outward. It fails to heal over months or years. Taking detoxifying herbs worsens the condition. People assume deep-seated toxin accumulation in the breast, but it is actually severe deficiency of Qi and Blood. When Ru Yong transforms into Ru Yan, with flesh protruding and tendons binding the nipple, damaging the breast damages the tendons. This condition requires urgent rescue; otherwise, there is a risk of tendon laxity preventing regeneration. Tendon laxity combined with essence loss (from sexual activity) damages Yuan Qi, leading to such abnormalities. Even if essence-tonifying herbs were used immediately after essence loss, the condition would not be this severe. Now, since Ru Yan has formed due to deficiency, using detoxifying herbs upon seeing Ru Yan only exacerbates the deficiency. No wonder the condition deteriorates with treatment. The method must be to greatly tonify Qi and Blood to generate Essence, rather than draining toxins, as there is no toxin left to drain. The formula used is Hua Yan Tang (Transform Rock Decoction): Qian Cao Gen (Radix Rubiae Cordifoliae, 2 qian), Bai Jie Zi (Semen Mustardis, 2 qian), Ren Shen (Radix Ginseng, 1 liang), Ren Dong Teng (Caulis Lonicerae Japonicae, 1 liang), Huang Qi (Radix Astragali Membranacei, 1 liang), Dang Gui (1 liang), Bai Zhu (Rhizoma Atractylodis Macrocephalae, stir-fried with earth, 2 liang), Fu Ling (Poria, 3 qian). Decoct in water and take orally. Two doses result in healthy, reddish flesh growth; two more doses stop pain and clear pus; two further doses regenerate fistulous tracts; two more doses achieve cure; and two final doses prevent recurrence. This formula focuses entirely on tonifying Qi and Blood, avoiding phlegm-resolving and detoxifying strategies. Although Ren Dong Teng clears toxins, its nature is also tonifying, especially when combined with other tonics. Why not tonify Essence directly for Ru Yan caused by essence loss? Because Essence cannot be generated quickly; tonifying Essence is slow. Tonifying Qi and Blood is more effective; abundant Qi and Blood naturally generate Essence. Moreover, the breasts belong to the Yangming channel. Since Ru Yong occurred, the channel lacks sufficient Qi and Blood. Tonifying them strengthens the Yangming channel, which naturally generates fluids and Essence to nourish the breasts, negating the need for direct Essence tonification that might hinder the action of Ren Shen and Huang Qi. Thus, no essence-generating herbs are used.
Secret Formula:
Hua Yan Tang contains Qian Cao Gen, 2 liang Bai Jie Zi, 1 liang Ren Shen, 1 liang each of Ren Dong Teng and Dang Gui, 2 liang Bai Zhu, and 3 qian Fu Ling.
Yan Ren Tang (Nourishing Benevolence Decoction) is also effective: Ren Shen (1 liang), Dang Gui (1 liang), Bai Zhu (1 liang), Shu Di Huang (Prepared Radix Rehmanniae, 1 liang), Mai Dong (Radix Ophiopogonis, 1 liang), Shan Zhu Yu (Fructus Corni, 5 qian), Gan Cao (1 qian), Chen Pi (Pericarpium Citri Reticulatae, 5 fen). Decoct in water and take orally. Effective after four doses.
Secret Formula:
For Ru Yan, Yan Ren Tang is suitable: 1 liang each of Ren Shen, Dang Gui, Bai Zhu, Shu Di, and Mai Dong; 5 qian Shan Yu, 1 qian Gan Cao, 5 fen Chen Pi. Four doses yield good results.
In some cases, the left breast suddenly swells like a peach, with unchanged skin color and no pain, accompanied by fever and gradual emaciation. People attribute this to Phlegm-Qi stagnation, but it is actually due to Liver Qi constraint. The breasts belong to the Yangming channel, and Ru Yong is typically attributed to the Yangming Stomach channel. Why mention the Liver? Because Earth (Stomach) fears Wood (Liver) control. If Liver Qi is constrained, Stomach Qi is also constrained. Furthermore, the breasts are near the hypochondrium, the domain of the Liver. Qi far from the Liver shrinks back in fear; Qi adjacent to the Liver dares not expand freely. This constrained Qi causes swelling without a head, non-painful and non-red, reflecting this "fear." Treatment should not target the Yangming Stomach but rather resolve Liver Qi stagnation, after which toxin resolves and swelling subsides. The formula used is Jia Wei Xiao Yao San (Modified Free Wanderer Powder): Chai Hu (Radix Bupleuri, 2 qian), Chuan Xiong (Rhizoma Chuanxiong, 1 qian), Gan Cao (1 qian), Ren Shen (1 qian), Dang Gui (3 qian), Bai Zhu (3 qian), Ban Xia (Rhizoma Pinelliae Preparatum, 3 qian), Fu Ling (3 qian), Chen Pi (3 qian), Gua Lou Ren (Semen Benincasae, 3 qian), Bai Shao (Radix Paeoniae Alba, 5 qian). Decoct in water and take orally. Internal resolution occurs after ten doses; removing Gua Lou and continuing for ten doses prevents recurrence.
Xiao Yao San effectively resolves Liver Qi stagnation; once resolved, Stomach Qi relaxes. Adding Gua Lou, Ban Xia, and Chen Pi specifically treats accumulated Phlegm in the chest; removing Phlegm facilitates swelling resolution.
Secret Formula:
Modified Xiao Yao San uses 2 qian Chai Hu, 1 qian each of Chuan Xiong, Gan Cao, and Ren Shen; 3 qian each of Dang Gui, Bai Zhu, Ban Xia, Fu Ling, and Chen Pi; 3 qian Gua Lou Ren and 5 qian Bai Shao.
Gui Shao Er Tong Tang (Angelica and Peony Double-Unblocking Decoction) is also effective: Dang Gui (1 liang), Bai Shao (5 qian), Chai Hu (3 qian), Mu Tong (Caulis Akebiae, 1 qian), Tong Cao (1 qian), Zhi Ke (Fructus Aurantii, 2 qian), Chuan Shan Jia (1 slice), Shan Zha (Fructus Crataegi, 10 pieces), Tao Ren (Semen Persicae, 10 kernels), Hua Fen (3 qian). Decoct in water and take orally. Effective after two doses; continue taking.
Secret Formula:
Gui Shao Er Tong Tang treats Ru Yan: 1 liang Dang Gui, 5 qian Bai Shao, 3 qian each of Chai Hu and Hua Fen, 1 qian each of Mu Tong and Tong Cao, plus Zhi Ke, Chuan Shan Jia, Shan Zha, and Tao Ren.
After childbirth, some women experience sudden shrinkage of both breasts, hanging down past the abdomen, with unbearable pain. People mistake this for Xuan Yong (Hanging Carbuncle), but it is actually dryness of Qi and Blood in the Stomach channel. The Stomach is the Sea of Water and Grain, rich in Qi and Blood. Postpartum blood loss leaves the Stomach empty, preventing immediate food intake. Even if food is taken, organs urgently draw resources from the Stomach, exhausting Stomach Qi. Exhausted Stomach Qi leads to dry Stomach Blood. Dry Stomach Blood cannot mediate organ conflicts. Meanwhile, the infant demands milk, increasing demand on the Stomach. The breasts are the outer shell of the Stomach; nipples are its gates. The Stomach, troubled internally, tries to escape outward but cannot. With day-and-night suckling, the breasts shrink and hang low, creating a desperate sensation of having nowhere to hide. This "inverted hanging" pain is critical. Treatment must urgently support Stomach Qi and add blood-nourishing herbs to moisten the Stomach, restore harmony, and allow proper distribution to organs, preventing external pain and drooping. The formula used is Jie Xuan Tang (Release Hanging Decoction): Ren Shen (2 liang), Chuan Xiong (2 liang), Dang Gui (4 liang), Jing Jie (Herba Schizonepetae, 3 qian), Pao Jiang (Prepared Rhizoma Zingiberis, 1 qian), Mai Dong (1 liang), Yi Mu Cao (Herba Leonuri, 3 qian). Decoct in water and take orally. Nipples retract after four doses; full recovery after eight doses. Ren Shen generates Stomach Qi from the void; Dang Gui and Chuan Xiong generate new blood in crisis; Jing Jie and Yi Mu Cao resolve organ conflicts and guide Qi to meridians; Mai Dong and Pao Jiang address Yangming Stomach Fire dryness. Since postpartum patients should avoid cold herbs, Mai Dong’s slight coolness moderates the fire without harming the constitution.
Secret Formula:
Jie Xuan Tang for drooping painful breasts: 2 liang each of Ren Shen and Chuan Xiong, 4 liang Dang Gui, 3 qian Jing Jie, 3 qian Yi Mu Cao, 1 qian Pao Jiang, 1 liang Mai Dong.
Yu Jiang Dan (Jade Paste Pill/Decoction) is also effective: Ren Shen (2 liang), Xuan Shen (Radix Scrophulariae, 2 liang), Mai Dong (2 liang), Dang Gui (1 liang), Sheng Di Huang (Raw Radix Rehmanniae, 1 liang), Ma Huang (Herba Ephedrae, 1 qian), Wu Wei Zi (Fructus Schisandrae, 1 qian). Decoct in water and take orally. Effective after two doses.
Secret Formula:
Yu Jiang Dan moistens the Stomach and benefits Qi: 2 liang each of Ren Shen, Xuan Shen, and Mai Dong; 1 liang each of Dang Gui and Sheng Di; 1 qian Ma Huang and Wu Wei Zi. Two doses bring health.