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，由气血气损于数载，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
余参尽两斤，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
妇女乳岩这一病症，原本不是产后才得的病。但是乳岩和乳痈，都是在乳房上生疮。治疗这个病的人，常常把它们混在一起治疗，误人不浅，不得不分别论述清楚。乳痈起于“吹乳”（乳汁淤积）这种突发情况，不同于乳岩，乳岩是由于气血亏损经过数年积累，起初因为妇女在公婆、丈夫处不得意，或者诸事忧虑压抑，导致肝脾两脏长期郁结而成。初起时小核结在乳房内，皮肤颜色如常，像围棋子那么大，不痛不痒，十数年后，才形成疮患，烂穿肺腑，就无法治疗了。所以在初起的时候，病人会有内热、夜间发热、五心烦热、肢体疲倦消瘦、月经不调等症状，应当尽早治疗，服用益气养荣汤或加味逍遥散，多服后肿块会逐渐消散。气虚必须用大剂量人参，专心久服，肿块才能逐渐消除。如果服用攻坚解毒的药物，损伤正气，必然导致溃败。有很多数年不溃的反而最危险，一旦溃破就无法治疗了。周季芝说：乳癖、乳岩，结块坚硬未溃破时，用活鲫鱼同生山药捣烂，加入少许麝香，涂在肿块上，感觉极痒，不要搔动，隔着衣服轻轻揉搓，七天涂一次，边涂边消。如果拖延岁月，以致溃烂腐败，渐渐类似岩石，色红流水，深洞臭秽，用归脾汤等药，可以延长寿命。如果误用攻伐药物，危险就迫在眉睫了。曾见过一个妇人，乳房结核如杯状，数年各种治疗无效，因为在血崩之后，每天服用人参一两左右，一个多月吃完一斤人参，乳核突然消失。这个病有月经的还较轻，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，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，熟地黄二三钱，黄芪（蜜炙）一钱五分，桔梗一钱或八分
Breast cancer (Ru Yan) in women is originally not a disease that occurs only after childbirth. However, both breast cancer (Ru Yan) and breast abscess (Ru Yong) manifest as sores on the breasts. Those who treat this condition often confuse the two and apply similar treatments, causing significant harm to the world; therefore, it is necessary to distinguish and clarify them separately. Breast abscess (Ru Yong) arises from "blown milk" (milk stasis) as an acute onset, which is different from breast cancer (Ru Yan). Breast cancer (Ru Yan) results from Qi and Blood deficiency accumulated over several years. Initially, due to women's dissatisfaction with their parents-in-law or husbands, or from various worries and depressions, the Liver and Spleen organs become long-term stagnant, leading to the disease. At the initial stage, a small nodule forms within the breast, with normal skin color, about the size of a Go stone, painless and non-itchy. After ten or more years, it develops into a sore, rotting through to the lungs and intestines, becoming incurable. Therefore, at the initial stage, patients may experience internal heat, night fever, five-palm heat (heat sensation in palms, soles, and chest), fatigue and emaciation of limbs, and irregular menstruation. Early treatment is advisable, using Yi Qi Yang Rong Tang (Qi-Nourishing and Blood-Supplementing Decoction) or Jia Wei Xiao Yao San (Modified Free Wanderer Powder). With prolonged use, the nodules will gradually dissipate. For Qi deficiency, large doses of Ren Shen (Ginseng Radix) must be used, taken continuously and exclusively, so that the nodules can gradually disappear. If hard-breaking and detoxifying medicines are taken, damaging the healthy Qi, it will inevitably lead to ulceration and collapse. Many cases that do not ulcerate for several years are the most critical; once ulcerated, they are untreatable. Zhou Jizhi stated: For Ru Pi (breast lump) and Ru Yan (breast cancer), when the mass is hard and not yet ulcerated, grind a live crucian carp together with fresh Dioscorea Rhizome (Shan Yao) until pasty, add a small amount of Moschus (She Xiang), and apply it to the mass. It will feel extremely itchy; do not scratch. Gently rub it through clothing. Apply once every seven days; with repeated application, it will gradually dissolve. If time passes and it leads to ulceration and putrefaction, resembling a rock, with redness, weeping fluid, deep foul-smelling cavities, Gui Pi Tang (Restore the Spleen Decoction) and other medicines can prolong life. If attacking and purging medicines are mistakenly used, danger approaches immediately. I once saw a woman with a breast tumor like a cup, for whom various treatments over several years were ineffective. After suffering from metrorrhagia (blood flooding), she took approximately one qian of Ren Shen (Ginseng Radix) daily. In over a month, she consumed two jin of Ginseng Radix, and the breast tumor suddenly disappeared. This condition is milder in women who still have menstruation; for those aged fifty or sixty who no longer menstruate, it should not be taken lightly!
Yi Qi Yang Rong Tang (Qi-Nourishing and Blood-Supplementing Decoction): Treats scrofula (Luo Li), tubercles, flowing deposits, and all types of stagnant heat and toxic vapors. Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma, stir-fried with soil), Fu Ling (Poria) each 1 qian; Dang Gui (Angelicae Sinensis Radix) 2 qian; Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba, stir-fried with wine) 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.