Source원문
兩乳之間, 廣九寸半. 《靈樞》
Translation영역
The span between the two breasts is nine and a half chon.
Yeongchu 靈樞
Formulas · Text · Donguibogam 東醫寶鑑
The Breast
Yu
한글 유 · Pinyin Ru
What a man keeps in the kidney a woman keeps here — milk that will not come and milk that will not stop, the blown breast, the abscess, and the lump that hardens over ten years
乳
The chapter opens with a symmetry: a man's root is the kidney and a woman's the breast, above and below differing but the root of life the same. Then the practical half. Milk that will not flow is of two kinds — too full to pass, or too little to come — and the first is opened while the second is fed, with trotter broth, tetrapanax and a wooden comb drawn down the breast thirty strokes at a time. Milk that comes before the birth is called weeping breast; milk in a woman with no child to take it is dried with barley sprout. The middle sections are mastitis: the breast belongs to the yang brightness and the nipple to the reverting yin, so anger blocks the duct and rich food heats the blood until it suppurates, and the chapter is emphatic that a knife must not be used. The last section is the hardest. A lump that grows through years of grief and swallowed anger, painless and unmoving, which after ten years or more sinks into an ulcer with a hollow like a cave — 妳巖, breast rock. The Bogam says it can be treated only while it is still a lump, that once it has broken open nothing will answer, and that a woman past fifty with an abscess in the breast is better left alone to finish her natural years.
2.1 The Measurement Between the Breasts 乳間度數
2.2 In Man the Kidney and in Woman the Breast Is the Root 男女乳腎爲根本
Source원문
男子以腎爲重, 婦人以乳爲重. 上下不同, 而性命之根一也. 《直指》
Translation영역
In a man the kidney is what weighs most; in a woman the breast. Above and below they differ, but the root of nature and life is one.
Clinical note임상 주석
性命之根一也 — the root is one, differently placed. The Jikji's symmetry is the reason the Bogam gives the breast a chapter of its own among the outer forms rather than filing it under the Women chapter.
Jikji 直指
Source원문
女人屬陰, 陰極則必自下而上衝, 故乳房大而陰戶縮也. 男子屬陽, 陽極則必自上而下降, 故陰莖垂而乳頭縮也. 《入門》
Translation영역
A woman belongs to yin, and yin at its height must surge from below upward, so the breasts are large and the genitals drawn in. A man belongs to yang, and yang at its height must descend from above, so the penis hangs and the nipples are drawn in.
Immun 入門
2.3 Milk Not Flowing After Birth Has Two Kinds 産後乳汁不行有二
Source원문
乳汁不行有二種. 有氣血盛而壅閉不行者, 有氣血弱而枯涸不行者. 虛當補之, 實當疎之. 疎用通草ㆍ漏蘆ㆍ土瓜輩, 補用鍾乳粉ㆍ猪蹄ㆍ鯽魚之類. 《三因》
Translation영역
Milk not flowing is of two kinds: there is that which does not flow because the qi and blood are exuberant and it is congested and shut, and that which does not flow because the qi and blood are weak and it has dried up. The vacuous should be supplemented and the replete coursed. For coursing use tetrapanax, rhaponticum, trichosanthes root and their kind; for supplementing, stalactite powder, pig's trotter, crucian carp and their kind.
Clinical note임상 주석
The division a nursing mother is still sorted into: engorged and blocked, or simply not producing. The first is opened and the second fed, and the chapter never confuses them.
Samin 三因
Source원문
累經産而無乳者, 亡津液故也, 須服滋益之藥以動之. 雖有乳却又不甚多者, 須服通經之藥以動之, 仍以羹臛引之. 盖婦人之乳資於衝脉與胃經通故也. 大抵婦人素有疾在衝任經者, 乳汁少而色黃, 所生之兒怯弱多病. 《良方》
Translation영역
Where a woman has borne many children and has no milk, it is because the fluids are lost, and enriching and boosting medicines should be taken to stir it. Where there is milk but not much of it, medicines that free the channels should be taken to stir it, drawn on with broths and stews. For a woman's milk draws on the penetrating vessel, which communicates with the stomach channel. In general, where a woman has a long-standing disease in the penetrating and controlling vessels, the milk is scant and yellow in colour and the child she bears is timid, weak and often ill.
Clinical note임상 주석
資於衝脉與胃經通 — milk draws on the penetrating vessel, which communicates with the stomach channel. The anatomical claim behind every broth in this section: milk is made from food, so the mother is fed.
Yangbang 良方
Source원문
氣血虛弱乳汁少者, 鍾乳粉 二錢, 漏蘆濃煎湯調服. 或猪懸蹄 一隻, 通草 五兩, 煮汁服. 或鯽魚ㆍ木通煮汁服亦好. 《入門》
Translation영역
Where the qi and blood are vacuous and weak and the milk scant: stalactite powder 2 don stirred into a thick decoction of rhaponticum; or one pig's dewclaw with 5 nyang of tetrapanax boiled and the juice taken; or crucian carp and akebia boiled and the juice taken, which is also good.
Immun 入門
2.4 Bringing Down the Milk 下乳汁
Translation영역
Where the qi is stagnant and the milk scant, Rhaponticum Powder is appropriate; where the qi is blocked and the milk scant, Gushing Spring Powder.
Immun 入門
Source원문
益元散方見暑門以冷薑湯或井水調, 日三服, 下乳汁最妙. 《入門》
Translation영역
Boost the Origin Powder formula in the Summerheat chapter stirred into cold ginger decoction or well water, three times a day, is best of all for bringing down the milk.
Immun 入門
Translation영역
For bringing down the milk: Pig's Trotter Decoction formula above, Free the Milk Decoction, Tetrapanax Decoction, the Immediate Effect Formula, and Stalactite Powder that is, the method of taking the stalactite powder above.
Donguibogam · Yu
Source원문
立效方, 治乳汁不行. 萵苣子ㆍ糯米 各一合, 細硏, 水一椀攪勻, 入甘草末一字, 煎頻頻呷服, 妙. 《丹心》
Translation영역
The Immediate Effect Formula treats milk that does not flow. Cuscuta and glutinous rice one hop each, finely ground, stirred evenly into a wan of water with 1 ja of powdered licorice added; decoct and take often — excellent.
Dansim 丹心
2.5 Milk Issuing Before the Birth 産前乳出
Source원문
産前乳汁自出者, 謂之乳泣, 生子多不育. 産後乳汁自出, 盖是身虛, 宜服補藥以止之. 《良方》
Translation영역
Where milk issues of itself before the birth, it is called weeping breast, and the child born is often not reared. Where milk issues of itself after the birth, it is because the body is vacuous, and supplementing medicines should be taken to stop it.
Clinical note임상 주석
乳泣, the weeping breast. Leaking colostrum in late pregnancy, which the tradition read as a bad sign for the child; the same leaking after birth is read only as weakness in the mother, and treated by feeding her.
Yangbang 良方
2.6 Where There Is No Child the Milk Should Be Dried 無兒則當消乳
Source원문
無子飮乳, 乳房脹痛, 要消乳, 麥芽 二兩炒爲末, 分作四貼, 每用白湯調下. 《正傳》
Translation영역
Where there is no child to drink the milk and the breasts are distended and painful, and the milk is to be dried: barley sprout 2 nyang stir-fried and powdered, divided into four doses, each taken stirred into plain hot water.
Clinical note임상 주석
Barley sprout to dry up milk. It is still the standard, still in the same quantity, and still works — one of the clearest survivals of a classical prescription into present practice.
Jeongjeon 正傳
Source원문
一方, 要消乳, 麥芽末四物湯煎水調服, 卽止. 《入門》
Translation영역
Another method: to dry the milk, powdered barley sprout taken stirred into a decoction of Four Substances Decoction, and it stops.
Immun 入門
Source원문
産後乳膨, 麥芽末飮調服之自消. 《丹心》
Translation영역
Where the breasts swell after birth, powdered barley sprout taken in a drink disperses it of itself.
Dansim 丹心
2.7 Blown Breast and Jealous Milk 吹乳妬乳
Source원문
乳房陽明所經, 乳頭厥陰所屬. 乳子之母不知調養, 忿怒所逆, 鬱悶所遏, 厚味所養, 以致厥陰之血不行, 故竅閉而汁不通; 陽明之血沸騰, 故熱甚而化膿. 亦有所乳之子膈有滯痰, 口氣焮熱, 含乳而睡, 熱氣所吹, 遂成結核, 謂之吹乳. 於初起時便須忍痛揉令稍軟, 吮令汁透, 自可消散. 失此不治, 必成癰癤. 《丹心》
Translation영역
The breast is where the yang brightness passes, and the nipple belongs to the reverting yin. Where a nursing mother does not know how to regulate and nourish herself — anger counterflowing, depression and oppression barring the way, rich flavours feeding it — the reverting yin's blood does not move, so the orifice shuts and the milk does not pass; and the yang brightness's blood boils, so the heat is severe and turns to pus. There are also cases where the suckling child has stagnant phlegm in the diaphragm and hot breath, and falls asleep with the nipple in its mouth, so that the hot qi blows on it and a hard core forms — this is called blown breast. At the very beginning one must bear the pain and knead it until it is somewhat soft, and have it sucked so that the milk comes through, and it may disperse of itself. Miss this and leave it untreated, and it will surely become an abscess.
Clinical note임상 주석
忍痛按令稍軟, 捻令汁透 — bear the pain, press until it softens, and squeeze until the milk comes through. That is the whole treatment of an early blocked duct, and it is what is taught now. The name 吹乳, blown breast, comes from the notion that the sleeping child's hot breath blows into the nipple.
Dansim 丹心
Source원문
嬰兒未能吮乳, 或爲兒口氣所吹, 或斷乳之時捻出不盡, 皆令乳汁停蓄其間, 與血氣搏, 始而腫痛, 繼而結硬, 至於手不能近, 則謂之妬乳. 《直指》
Translation영역
Where the infant cannot draw the breast, or the child's breath has blown on it, or at weaning the milk was not all squeezed out, in every case the milk stands and gathers within and strikes against the blood and qi: at first there is swelling and pain, then a hard knot, and when it comes to the hand not being able to come near, it is called jealous milk.
Jikji 直指
Source원문
吹乳一曰吹妳. 産前乳房結核名爲內吹妳, 産後結核名爲外吹妳, 幷宜芷貝散. 《入門》
Translation영역
Blown breast is also called blown nipple. A hard core in the breast before the birth is named the inner blown nipple, and one after the birth the outer blown nipple; for both, Angelica and Fritillaria Powder is appropriate.
Immun 入門
Source원문
産後宜勤擠乳汁, 不宜令乳汁蓄積. 蓄積不去, 便結惡汁於內, 引熱溫壯, 結堅掣痛, 大渴引飮, 乳腫急痛, 手不得近, 以成妬乳, 非癰也. 急灸兩手魚際二七壯, 斷癰脉也. 不復惡手近乳, 汁亦自出, 便可手助迮捋之, 則乳汁大出, 皆如膿狀. 內服連翹湯卽五香連翹湯, 方見癰疽門, 外以赤小豆末塗之便差. 《資生》
Translation영역
After the birth the milk should be diligently squeezed out and not allowed to gather. Gathering and not being drawn off, it binds into foul milk within, drawing heat and fever, binding hard with a pulling pain, with great thirst and drinking, the breast swollen with urgent pain and the hand unable to come near — this makes jealous milk, and it is not an abscess. Quickly moxa Eoje on both hands fourteen cones, which cuts off the abscess pulse. Then the hand no longer hurts to come near the breast, the milk comes out of itself, and one may help it out by squeezing, so that the milk pours out, all of it like pus. Inwardly take Forsythia Decoction that is, Five Fragrances Forsythia Decoction, formula in the Welling Abscess chapter, and outwardly smear on powdered adzuki bean, and it mends.
Clinical note임상 주석
妬乳, 非癰也 — jealous milk, and it is not an abscess. The distinction matters because it decides the treatment: engorgement is emptied and an abscess is drained, and the chapter insists the first is not yet the second.
Jasaenggyeong 資生經
Translation영역
Tangerine Peel Powder, Victory Gold Elixir, Gleditsia and Clam Shell Powder, Immediate Effect Powder, Sparrow Droppings Powder and the Ironing Method are appropriate.
Donguibogam · Yu
2.8 Breast Abscess 乳癰
Source원문
多因厚味濕熱之痰停蓄膈間, 與滯乳相搏而成. 亦有兒口氣吹噓而成, 又有怒氣激滯而生. 煆石膏ㆍ燒樺皮ㆍ瓜蔞子ㆍ甘草節ㆍ靑皮皆神效藥也. 婦人此病, 若早治之便可立消. 月經行時悉是輕病, 五六十後無月經時, 不可作輕易看也. 《丹心》
Translation영역
It mostly comes of the phlegm of rich flavours and damp heat standing in the diaphragm and striking against stagnant milk. There are also cases made by the child's breath blowing on it, and others engendered by anger rousing and stagnating. Calcined gypsum, burnt birch bark, trichosanthes seed, licorice nodes and green tangerine peel are all divinely effective medicines. In a woman, if this disease is treated early it disperses at once. While the menses are still coming it is all light disease; after fifty or sixty when there are no menses, it must not be looked on as easy.
Clinical note임상 주석
The last sentence is the chapter's most serious observation. A breast lump in a woman still menstruating is usually benign; one after the menopause is not to be taken lightly. Danxi is drawing the same line a clinician draws now, on the same ground.
Dansim 丹心
Translation영역
Where the core has been long, distending within with pain, swollen hard outside so the hand cannot come near, perhaps with cold and heat and headache, it is called breast abscess. For one not yet opened, Divinely Effective Trichosanthes Powder and Inner Expression Cimicifuga Decoction; for one already opened, Inner Expression Ten Diffusions Powder formula in the Welling Abscess chapter and Eight Substances Decoction formula in the Vacuity Taxation chapter.
Donguibogam · Yu
Source원문
婦人乳癰, 四十以下血氣周流, 患此可療. 年事旣高, 血氣耗澁, 患此難瘳. 惡寒發熱, 煩燥大渴, 是其候也. 甚則嘔吐無已, 盖毒氣上衝所致也. 生薑甘桔湯方見癰疽最爲咽間要藥, 乳粉托裏散方見癰疽最能返出毒氣, 二香散方見癰疽加瓜蔞根止嘔止渴, 兩得其便. 更佐萬金一醉膏, 能事畢矣. 《直指》
Translation영역
In a woman's breast abscess, under forty the blood and qi circulate and it can be cured; where the years are already high and the blood and qi are wasted and rough, it is hard to cure. Aversion to cold with fever, vexation, restlessness and great thirst are its signs; at worst there is vomiting without end, caused by the toxic qi surging upward. Fresh Ginger, Licorice and Platycodon Decoction formula in the Welling Abscess chapter is the essential medicine for the throat; Milk Powder Inner Expression Powder formula in the Welling Abscess chapter is best able to turn the toxic qi back out; Two Fragrances Powder formula in the Welling Abscess chapter with trichosanthes root added stops the vomiting and the thirst at once. Assist further with Ten Thousand Gold One Drunkenness Paste, and the work is done.
Jikji 直指
Translation영역
At its first rising the garlic-interposed moxa method in the Acupuncture chapter is appropriate, and needle and knife are strictly forbidden. For those who can drink, Ten Thousand Gold One Drunkenness Paste with chuanxiong and angelica 1 nyang each added — two doses and it answers; for those who do not drink wine, Trichosanthes Powder.
Clinical note임상 주석
切忌鍼刀 — needle and knife strictly forbidden. The chapter repeats the prohibition three times, and 2.9 says that using them recklessly brings the patient into danger. In an era without antisepsis, opening a breast abscess with a blade was a worse risk than leaving it.
Immun 入門
Source원문
婦人兩乳間出黑頭瘡, 瘡頂陷下作黑眼子, 其脉弦洪按之細小, 宜服內托升麻湯. 《正傳》
Translation영역
Where a black-headed sore comes out between a woman's breasts with the top of the sore sunken into a black eye, and the pulse is stringlike and surging but fine and small on pressure, Inner Expression Cimicifuga Decoction should be taken.
Jeongjeon 正傳
Source원문
乳癰作痛, 乃血氣凝滯不散也, 宜加味芷貝散. 《回春》
Translation영역
A painful breast abscess is the blood and qi congealed and stagnant and not dispersing: Supplemented Angelica and Fritillaria Powder is appropriate.
Hoechun 回春
Source원문
乳癰已潰未潰, 通用丹參膏.
Translation영역
For breast abscess whether opened or not, Salvia Paste is used generally.
Donguibogam · Yu
2.9 The Method of Treating Breast Abscess 乳癰治法
Source원문
以靑皮疎厥陰之滯, 石膏淸陽明之熱, 生甘草節行汚濁之血, 瓜蔞子消腫導毒. 或加沒藥ㆍ靑橘葉ㆍ皂角刺ㆍ金銀花ㆍ當歸頭. 或湯或散, 隨意加減, 須以少酒佐之. 若加艾火兩三壯於腫處, 其效尤捷. 若妄用鍼刀, 必致危困. 《丹心》
Translation영역
Green tangerine peel to course the reverting yin's stagnation; gypsum to clear the yang brightness's heat; raw licorice nodes to move the foul turbid blood; trichosanthes seed to disperse the swelling and lead out the toxin. Myrrh, green tangerine leaf, gleditsia thorn, honeysuckle and angelica heads may be added. Made as a decoction or a powder, added to and subtracted from at will, and a little wine should assist it. If two or three cones of moxa are added on the swelling, the effect is quicker still; but if needle and knife are used recklessly, it must bring the patient into danger.
Clinical note임상 주석
Four medicinals with the job of each named in four graphs. It is the clearest statement of method in the chapter, and every breast formula registered here can be read off it.
Dansim 丹心
Source원문
乳癰未潰, 以靑皮ㆍ瓜蔞ㆍ橘葉ㆍ連翹ㆍ川芎ㆍ桃仁ㆍ皂角刺ㆍ甘草節, 右剉, 水煎入酒服. 已潰, 以人參ㆍ黃芪ㆍ川芎ㆍ當歸ㆍ白芍藥ㆍ靑皮ㆍ連翹ㆍ瓜蔞仁ㆍ甘草節煎服. 《丹心》
Translation영역
For a breast abscess not yet opened: green tangerine peel, trichosanthes, tangerine leaf, forsythia, chuanxiong, peach kernel, gleditsia thorn and licorice nodes, cut up, decocted in water with wine added. For one already opened: ginseng, astragalus, chuanxiong, angelica, white peony, green tangerine peel, forsythia, trichosanthes seed and licorice nodes, decocted and taken.
Clinical note임상 주석
The same formula twice with the emphasis moved: before it opens, things that break and disperse; after, ginseng, astragalus and peony to close it. It is the principle the Sores chapter uses throughout.
Dansim 丹心
2.10 A Hard Core Long Standing Becomes Breast Rock 結核久成妳巖
Source원문
婦人憂怒抑鬱, 時日積累, 脾氣消沮, 肝氣橫逆, 遂成隱核, 如鼈碁子, 不痛不痒. 十數年後, 方爲瘡陷, 名曰妳巖, 以其瘡形嵌凹似巖穴也, 不可治矣. 若於始作便能消釋病根, 使心淸神安, 然後施之治法, 亦有可安之理. 《丹心》
Translation영역
Where a woman's grief, anger and pent-up depression pile up day upon day, the spleen qi is worn down and the liver qi runs crosswise, and there forms a hidden core like a turtle or a go-stone, neither painful nor itching. After ten years and more it becomes a sunken sore, named breast rock, because the shape of the sore is hollowed like a cave in a rock — and it cannot be treated. But if at the very beginning the root of the disease can be dissolved, the mind made clear and the spirit quiet, and the method of treatment then applied, there is a principle by which it may yet be settled.
Clinical note임상 주석
不痛不痒 — neither painful nor itching, and ten years or more before it breaks down. A hard painless lump that ulcerates years later into a crater is breast cancer, described exactly, and 巖 — rock — is the graph that became 癌, the modern word for cancer.
Dansim 丹心
Source원문
婦人積傷憂怒, 乳房結核, 不痛不痒, 五七年後, 外腫紫黑, 內漸潰爛, 名曰乳巖, 滴盡氣血方死. 急用十六味流氣飮及單煮靑皮湯. 虛者只用淸肝解鬱湯, 淸心靜養, 庶可苟延歲月. 《入門》
Translation영역
Where a woman's grief and anger have damaged her over and over, a hard core forms in the breast, neither painful nor itching; after five or seven years the outward swelling is purple-black and within it rots away by degrees — this is named breast rock, and she dies only when the blood and qi have dripped away to the last. Quickly use Sixteen Flavours Flow the Qi Drink and Green Tangerine Peel Alone Decoction. For the weak use only Clear the Liver and Resolve Depression Decoction, with a clear mind and quiet nurture, and she may perhaps eke out some years.
Clinical note임상 주석
庶可苟延歲月 — she may perhaps eke out some years. The Immun is not promising a cure and does not pretend to; the treatment is offered as palliation, and the chapter is honest about that.
Immun 入門
Source원문
妳巖初宜多服疎氣行血之藥, 須情思如意則可愈. 此疾多生於憂鬱積忿中年婦人. 未破者尙可治, 成瘡者終不可治. 《正傳》
Translation영역
At the outset of breast rock, medicines that course the qi and move the blood should be taken freely, and the feelings and thoughts must go as one wishes for it to heal. This disease mostly arises in middle-aged women of grief, depression and stored-up anger. One not yet broken open may still be treated; one that has become a sore cannot be treated at all.
Jeongjeon 正傳
Translation영역
For a hard core in the breast, Angelica and Fritillaria Powder and Tangerine Leaf Powder are appropriate.
Donguibogam · Yu
Source원문
一婦年六十, 性急多妬, 忽左乳結一核大如碁子, 不痛. 卽以人參湯調靑皮ㆍ甘草末, 入薑汁細細呷, 一日夜五六次, 至六七日消矣. 《丹心》
Translation영역
A woman of sixty, hasty by nature and much given to jealousy, suddenly formed a core in the left breast the size of a go-stone, painless. Green tangerine peel and licorice powder were stirred into a ginseng decoction with ginger juice added and given in small sips, five or six times a day and night; by the sixth or seventh day it had dispersed.
Dansim 丹心
Translation영역
A woman of restless nature, ill at ease with her mother-in-law, grew a hidden core in the breast. Green Tangerine Peel Alone Decoction was given, alternating with a modified Four Substances Decoction with medicines added to move the channels and networks, and in two months' treatment she was well. Both of these were breast rock at its very beginning, and so they healed easily.
Clinical note임상 주석
難於後姑 — ill at ease with her mother-in-law. Danxi records the household as part of the history, and the chapter's whole aetiology for this disease is a life of swallowed anger.
Dansim 丹心
2.11 Breast Abscess in the Aged Is Not Treated 乳癰年高不治
Source원문
凡乳癰結核, 四十已下可治, 五十已上不可治. 治之則死, 不治則自得終其天年. 《得效》
Translation영역
In breast abscess with a hard core, under forty it may be treated; over fifty it may not. Treat it and she dies; leave it untreated and she gets to finish her natural years.
Deukhyo 得效
Source원문
千金曰, 女人患乳癰, 四十以下治之多愈, 四十以上治之多死, 不治則自終其天年. 予有親婦年七十, 生乳癰, 令外科用鍼刀治之, 時雖暫快, 未幾而殂. 方知千金之說信也. 歷試皆然. 《資生》
Translation영역
The Cheongeum says: where a woman suffers breast abscess, under forty treating it mostly heals, over forty treating it mostly kills, and untreated she finishes her natural years of herself. I had a kinswoman of seventy who developed a breast abscess; I had a surgeon treat it with needle and knife, and though she was eased for a time, before long she died. Then I knew the Cheongeum's saying to be true, and I have found it so in every case since.
Clinical note임상 주석
A physician recording his own mistake and what it cost. What he is describing under 「breast abscess in the aged」 is almost certainly cancer, and the lesson he draws — that cutting hastened her death — is the one his century could draw. The Bogam prints it without softening it.
Jasaenggyeong 資生經
2.12 A Cracked Nipple 妳頭破裂
Source원문
妳頭裂, 取秋後冷露茄子花裂開者, 陰乾燒灰, 水調付. 未秋時開花亦可用. 《得效》
Translation영역
For a cracked nipple, take the aubergine flowers that have split open under the cold dew after autumn, dry them in the shade, burn them to ash and apply mixed with water. Flowers opened before autumn may also be used.
Deukhyo 得效
Source원문
乳頭裂破, 或小兒吹乳, 血乾自裂開, 多痛. 丁香爲末付裂處, 如燥, 津唾調付. 《正傳》
Translation영역
Where the nipple cracks and breaks, or where the child's blowing has dried the blood so that it splits of itself, there is much pain. Powdered clove applied to the crack; if it is dry, mix it with saliva and apply.
Jeongjeon 正傳
Source원문
乳栗破, 小有生者必大補. 人參ㆍ白朮ㆍ黃芪ㆍ當歸ㆍ川芎ㆍ連翹ㆍ白芍藥ㆍ甘草 各一錢. 右剉, 作一貼, 水煎服. 《丹心》
Translation영역
Where the breast nodule has broken and there is a little healing, it must be greatly supplemented: ginseng, white atractylodes, astragalus, angelica, chuanxiong, forsythia, white peony and licorice 1 don each. Cut up, make one packet, decoct in water and take.
Dansim 丹心
2.13 The Hanging Breast Pattern 乳懸證
Source원문
産後瘀血上攻, 忽兩乳伸長細小如腸, 直過小腹, 痛不可忍, 名曰乳懸, 危證也. 川芎ㆍ當歸 各一斤, 濃煎湯不時溫服. 再用二斤逐旋燒烟, 安在病人面前卓子下, 令病人曲身低頭, 將口鼻及病乳常吸烟氣. 未甚縮, 再用一料. 猶不復舊, 則用如聖膏貼頂上方見婦人. 《入門》
Translation영역
Where after childbirth static blood attacks upward and suddenly both breasts stretch out long and thin as a gut, reaching straight down past the lower abdomen, with pain that cannot be borne, it is named the hanging breast, and it is a critical pattern. Chuanxiong and angelica 1 geun each, decocted thick and taken warm at any hour; and another two geun burnt in turn to make smoke, set under a table in front of the patient, and have her bend her body and lower her head so that mouth, nose and the diseased breasts constantly breathe in the smoke. If they have not drawn in much, use another batch; if they still do not return to their old state, use As-Sage Paste applied to the crown of the head formula in the Women chapter. — Uihak Immun 入門
Clinical note임상 주석
Four geun of chuanxiong and angelica, half drunk and half burnt as smoke to be breathed in over hours. It is the largest quantity of any single pair in the book, and 乳懸 is so rare that the Bogam's is one of the few descriptions of it anywhere.
Immun 入門
2.14 Breast Disease Differs in Man and Woman 男女乳疾不同
Translation영역
Breast disease in a man differs slightly from a woman's: in a woman the liver and stomach are damaged, in a man the liver and kidney. Anger-fire and bedchamber exertion past measure bring the liver to dryness and the kidney to deficiency, and this too can bind into a lump, or make it swell and pain. Sixteen Flavours Flow the Qi Drink and Clear the Liver and Resolve Depression Decoction are appropriate both formulas above.
Clinical note임상 주석
The same lump, reached by a different route. A woman's breast disease is read through the liver and stomach because the stomach channel runs through the breast and milk is made of grain qi; a man has no such traffic there, so what is left is the liver channel and the kidney behind it, and the cause named is anger and sexual exhaustion rather than stagnant milk. The treatment is accordingly the same two formulas the chapter has already given for bound breast lumps, not a separate class of medicine.
Immun 入門
2.15 Simple Medicinals 單方
Source원문
凡二十種.
Translation영역
Twenty kinds in all.
Donguibogam · Yu
Source원문
石膏 下乳汁. 取二兩水煎服, 日三. 《本草》 ○乳癰初發, 煆爲細末, 取三錢溫酒調下. 《直指》
Translation영역
Gypsum (石膏): Brings down the milk. Take 2 nyang, decoct it in water and take, three times a day (Boncho 本草). ○ At the first onset of a breast abscess: calcine it, powder it fine, and take 3 don stirred into warm wine. (Jikji 直指)
Clinical note임상 주석
The section answers two complaints and almost nothing else: milk that will not come, and a breast that has become hot and hard. 乳癰, breast abscess, is mastitis and its abscess, and the chapter's word for its early stage is 妬乳, the jealous breast — an engorged, blocked, inflamed breast in a nursing woman. The modern management is to keep the breast emptied, by feeding or expressing, with antibiotics for an established mastitis and drainage for a collected abscess; an abscess will not resolve on a poultice.
Boncho 本草 · Jikji 直指
Source원문
山藥 生者治吹乳腫痛. 擣爛付上卽消, 速去之, 恐肉腐. 《醫鑑》
Translation영역
Chinese yam (山藥): The fresh root treats the blown breast with swelling and pain. Pound it to a mash and apply it, and the swelling disperses; take it off quickly, for fear the flesh should rot.
Clinical note임상 주석
速去之, 恐肉腐 — take it off quickly, for fear the flesh should rot. A stated time limit on a poultice, and a reason given, which is rare. Fresh yam mucilage is irritant enough to blister thin skin, and the compiler had evidently seen it happen. 吹乳, the blown breast, is the chapter's third term for the same condition, and the image is of air blown into the breast and swelling it.
Uigam 醫鑑
Source원문
益母草 治妬乳欲成癰. 生擣爛付之卽差. 乾則爲末, 水調付之. 《本草》
Translation영역
Motherwort (益母草): Treats the jealous breast about to become an abscess. Pound it fresh to a mash and apply it, and it is cured. If dried, powder it and apply it mixed with water.
Clinical note임상 주석
欲成癰, about to become an abscess — the chapter is careful about the stage, and the distinction matters as much now as then: an inflamed breast that has not yet collected can settle with emptying and antibiotics, while one that has needs draining.
Boncho 本草
Source원문
蒲黃草 治妬乳及乳癰腫痛. 取生根擣付腫上, 日二易. 食之亦良. 取葉煎服亦好. 《本草》
Translation영역
Cattail (蒲黃草): Treats the jealous breast and breast abscess with swelling and pain. Take the fresh root, pound it and apply it over the swelling, changed twice a day. Eating it is also good, and decocting the leaves and taking them is good too.
Boncho 本草
Source원문
麥門冬 下乳汁. 去心爲末, 每二錢, 酒磨犀角約一錢, 同調服, 不過二服便下. 《得效》
Translation영역
Liriope (麥門冬): Brings down the milk. Remove the core, powder it, and take 2 don each time with about 1 don of rhinoceros horn ground in wine, stirred together and taken; in no more than two doses the milk comes.
Clinical note임상 주석
**Rhinoceros horn is not to be used.** All rhinoceros species are on CITES Appendix I, the trade is prohibited, and demand for the horn is what has driven them to the edge of extinction; buffalo horn is the substitute in licensed preparations. 酒磨, ground in wine, is the preparation reserved for the hardest animal materials, which will not give anything up to boiling.
Deukhyo 得效
Source원문
黃瓜蔞 治乳癰腫痛. 取一二箇連皮子剉碎, 好酒二升煮取一升, 時時溫服. 酒盡又煮服, 卽愈. ○子亦下乳汁. 炒爲末, 酒調下一錢. ○根亦下乳汁. 擣爲末, 水調下一錢. 《本草》
Translation영역
Trichosanthes fruit (黃瓜蔞): Treats breast abscess with swelling and pain. Take one or two fruits, cut them up with skin and seeds together, boil them in 2 seung of good wine down to 1 seung, and take it warm from time to time. When the wine is finished, boil more and take it, and it is cured. ○ The seed also brings down the milk: parch it, powder it, and take 1 don stirred into wine. ○ The root also brings down the milk: pound it to a powder and take 1 don stirred into water.
Clinical note임상 주석
Three drugs from one plant — fruit, seed and root — and the fruit is the corpus's chief medicinal for a breast abscess, the base of the standard formula 瓜蔞散. The whole fruit with skin and seeds, boiled in wine, is still how it is prepared for this indication in Korean and Chinese practice.
Boncho 本草
Source원문
通草 下乳汁. 剉一兩水煎服之. 《本草》
Translation영역
Rice-paper plant (通草): Brings down the milk. Cut up 1 nyang, decoct it in water and take.
Clinical note임상 주석
通草 is the drug most closely identified with milk production in East Asian practice — the name means to free what is blocked, and it is given for a blocked flow of any kind. It appears again below in the pig's-trotter broth, which is the classic combination.
Boncho 本草
Source원문
王瓜根 下乳汁. 擣爲末, 酒服一錢, 日三. 《本草》
Translation영역
Wild cucumber root (王瓜根): Brings down the milk. Pound it to a powder and take 1 don in wine, three times a day.
Boncho 本草
Source원문
蒲公英 治妬乳及乳癰腫痛. 洗淨擣爛, 同忍冬藤煎濃湯, 入酒少許服. 罷隨手欲睡, 是其功也, 睡覺卽安. 《丹心》 ○又採取水煮汁飮之. 又爛擣付患處, 立消. 《入門》
Translation영역
Dandelion (蒲公英): Treats the jealous breast and breast abscess with swelling and pain. Wash it clean, pound it to a mash, decoct it strongly together with honeysuckle vine, add a little wine and take it. Afterwards one at once wants to sleep, and that is the drug working; on waking from the sleep there is ease (Dansim 丹心). ○ Or gather it, boil it in water and drink the liquid. Or pound it to a mash and apply it to the affected place, and the swelling disperses at once. (Immun 入門)
Clinical note임상 주석
罷隨手欲睡, 是其功也 — afterwards one wants to sleep at once, and that is the drug working. A stated expected response, and a humane one: the patient is told that the drowsiness is part of it and not a worry. Dandelion with honeysuckle is the corpus's standard pair for hot swellings and remains the reference combination for mastitis in Korean and Chinese practice.
Dansim 丹心 · Immun 入門
Source원문
靑桑葉 治乳硬作痛. 取嫩葉生擣細, 調米飮, 貼病處. 《得效》
Translation영역
Green mulberry leaf (靑桑葉): Treats a hardened, painful breast. Take the young leaves, pound them fine while fresh, mix them with rice water and paste them on the affected place.
Deukhyo 得效
Source원문
靑皮 治吹乳不痒不通, 腫硬如石. 焙爲末, 酒調服二錢, 神驗. 《本草》
Translation영역
Green tangerine peel (靑皮): Treats the blown breast that neither itches nor flows, swollen and hard as stone. Bake it, powder it, and take 2 don stirred into wine — of proven effect.
Clinical note임상 주석
腫硬如石, swollen and hard as stone, is the breast of a severe engorgement or an established abscess, and 不通, not flowing, is the key to it: the milk is not getting out. Green tangerine peel is the corpus's drug for a breast blocked by constraint, and it is still the one reached for where the trouble is read as stagnation rather than heat.
Boncho 本草
Source원문
赤小豆 下乳汁. 水煮取汁飮之卽下. 《本草》 ○治妬乳乳癰. 硏爛和酒, 去滓溫服, 以滓付患處, 卽效. 《得效》
Translation영역
Adzuki bean (赤小豆): Brings down the milk. Boil it in water, take the liquid and drink it, and the milk comes (Boncho 本草). ○ For the jealous breast and breast abscess: grind it to a mash, mix it with wine, strain off the dregs and take the liquid warm, and apply the dregs to the affected place — effective. (Deukhyo 得效)
Clinical note임상 주석
The liquid taken and the dregs applied, nothing wasted — a pattern that recurs through the Bogam's poultice entries and the most economical form a prescription can take.
Boncho 本草 · Deukhyo 得效
Source원문
蔓菁 治乳癰痛寒熱. 取根葉洗淨, 入鹽擣付, 熱卽換, 三五度卽差. 《本草》
Translation영역
Turnip (蔓菁): Treats breast abscess with pain and alternating chills and fever. Take the root and leaves, wash them clean, add salt and pound them, and apply; change it as soon as it grows hot, and in three or five changes it is cured.
Clinical note임상 주석
寒熱, chills and fever, is the systemic part of the picture, and it is the sign that turns a blocked breast into an infection needing antibiotics. 熱卽換, change it as soon as it grows hot, is a cooling compress used properly: it is changed when it stops being cool.
Boncho 本草
Source원문
螃蟹 治吹乳神效. 螃蟹去足, 用蓋燒存性爲末, 每二錢, 黃酒調下. 《醫鑑》
Translation영역
Crab (螃蟹): Treats the blown breast, marvellously effective. Take a crab, remove the legs, use the carapace burnt with its nature preserved and powdered, and take 2 don a dose stirred into yellow wine.
Clinical note임상 주석
燒存性, burnt with its nature preserved, is the standard instruction for charring an animal material without reducing it to ash — the shell is heated in a closed vessel until black but not white. What it yields is chitin charcoal and calcium carbonate.
Uigam 醫鑑
Source원문
蜘蛛 治吹乳及乳癰. 蜘蛛三ㆍ紅棗三, 棗去核, 每入蛛一箇夾於內, 炒熟, 口嚼吃, 以燒酒送下, 立效. 《醫鑑》
Translation영역
Spider (蜘蛛): Treats the blown breast and breast abscess. Three spiders and three red jujubes: stone the jujubes, put one spider inside each, parch them through, chew them and swallow them down with distilled spirits — effective at once.
Clinical note임상 주석
A spider sealed inside a jujube and roasted — the fruit is the vehicle and the disguise at once, and the method is the same containment trick the Distension chapter uses to carry euphorbia inside a boiled date. Spiders are not a drug; several common species can envenom a mouth.
Uigam 醫鑑
Source원문
鹿角 治妬乳. 石上磨取白汁塗之, 乾則又塗. 幷令人嗍却黃水, 卽消. 《本草》
Translation영역
Deer antler (鹿角): Treats the jealous breast. Grind it on a stone, take the white liquid and paint it on, and when it dries paint it again. At the same time have someone suck out the yellow fluid, and the swelling disperses.
Clinical note임상 주석
令人嗍却黃水 — have someone suck out the yellow fluid, which is the one instruction in the section that addresses the actual problem. A breast that is not being emptied is what keeps a mastitis going, and emptying it, by feeding or expressing, is still the first thing to do. The antler paste is incidental.
Boncho 本草
Source원문
牛鼻 治乳無汁. 作羹空心食之, 三兩日有汁下無限. 《本草》
Translation영역
Ox muzzle (牛鼻): Treats a breast with no milk. Make a soup of it and eat it on an empty stomach, and in two or three days the milk comes without limit.
Clinical note임상 주석
The muzzle for the breast — a correspondence of parts, the mouth that sucks standing for the breast that is sucked. What the patient got was a long-boiled collagen broth, taken warm on an empty stomach, which is good food for a nursing woman whatever the reasoning.
Boncho 本草
Source원문
猪四蹄 行婦人乳脉. 《本草》 ○産婦氣血衰少, 絶無乳汁. 猪蹄四隻ㆍ通草 四兩, 水一斗同煮, 得四五升, 取汁連飮. 飮了, 用梳頭木梳於乳上梳下, 卽效. 《丹心》
Translation영역
Pig's trotters (猪四蹄): Move the milk vessels in a woman (Boncho 本草). ○ Where a woman who has given birth is depleted in qi and blood and has no milk at all: four pig's trotters and 4 nyang of rice-paper plant, boiled together in 1 mal of water down to 4 or 5 seung; take the liquid and drink it continuously. After drinking, take a wooden hair comb and comb downward over the breast — effective. (Dansim 丹心)
Clinical note임상 주석
The best entry in the section, and the one still in use: pig's trotters boiled with rice-paper plant is the classic Korean and Chinese prescription for a poor milk supply, and it is a rich gelatinous broth given to a woman who is depleted after childbirth. The comb stroked downward over the breast is massage toward the nipple, which is exactly what is taught now for a blocked duct — the comb is a tool for doing it evenly.
Boncho 本草 · Dansim 丹心
Source원문
野猪脂 治乳無汁. 取一匙, 和一盞溫酒服, 日三, 乳卽下. 且多乳汁, 可供五兒. 《本草》
Translation영역
Wild boar fat (野猪脂): Treats a breast with no milk. Take a spoonful, mix it with a jan of warm wine and take it, three times a day, and the milk comes. Moreover the milk is plentiful, enough to supply five children.
Clinical note임상 주석
可供五兒, enough for five children, is the section's most cheerful claim. Alcohol in fact reduces the milk ejection reflex and passes into the milk, so wine three times a day is the wrong vehicle for a nursing woman; the fat itself is simply calories, which a woman feeding a baby does need.
Boncho 本草
Source원문
猫兒毛 治乳勞癰爛見心者. 取腹下毛燒存性爲末, 入輕粉少許, 淸油調塗. 《入門》
Translation영역
Cat's fur (猫兒毛): Treats the taxation breast abscess, ulcerated so that the core is visible. Take the fur from the belly, burn it with its nature preserved and powder it, add a little calomel, and apply it mixed with clear oil.
Clinical note임상 주석
**Calomel is not to be used.** It is mercurous chloride and it is absorbed through broken skin; applied to an open ulcer it goes straight into the circulation, and this is the most dangerous prescription in the chapter. 乳勞癰爛見心者 — a breast abscess of long standing, ulcerated down to the core — is a chronic breast abscess, a tuberculous breast, or an ulcerating carcinoma, and a breast ulcer that does not heal needs a biopsy. Twenty simples, and the ones to keep are the two that treat the mechanics: emptying the breast, and the trotter broth for a mother who is not eating enough.
Immun 入門
2.16 Acupuncture and Moxibustion 鍼灸法
Source원문
妬乳, 取太淵.
Translation영역
For jealous milk, take Taeyeon (太淵, LU9).
Donguibogam · Yu
Source원문
乳癰, 取膺窓ㆍ乳中ㆍ乳根ㆍ巨虛下廉ㆍ太衝ㆍ復溜.
Translation영역
For breast abscess, take Eungchang (膺窓, ST16), Yujung (乳中, ST17), Yugeun (乳根, ST18), Geoheo-haryeom (巨虛下廉, ST39), Taechung (太衝, LR3) and Bongnyu (復溜, KI7).
Donguibogam · Yu
Source원문
乳癰諸藥不能止痛, 足三里穴鍼入五分, 痛立止. 《綱目》
Translation영역
Where in breast abscess no medicine can stop the pain, needle Jok-samni (足三里, ST36) to five pun and the pain stops at once.
Clinical note임상 주석
Jok-samni for a pain nothing else will touch. The breast lies on the stomach channel and Samni is that channel's uniting point, so the chapter's last line is its first principle applied: 乳房陽明所經, the breast is where the yang brightness passes.
Gangmok 綱目
About this translation 凡例
Base text: Donguibogam (東醫寶鑑, 1613 first edition), Outer Form, Volume 3, Breast chapter. The Chinese text is collated against the public-domain Wikisource transcription and a printed edition; original character forms (脉, 人參) are retained. Terminology follows Wiseman & Feng, A Practical Dictionary of Chinese Medicine. Translation and clinical notes are original to this site. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.