疹子收后身虽不见羸瘦，但时发壮热，烦躁不宁，搐掣惊悸，神昏志乱，此阴火衰耗致
余毒入肝而传于心也，宜养血安神，四物汤加
麦冬枣仁竹叶灯心甘草石菖蒲龙胆草茯神黄连为治，或以前药为末用，蒸饼，猪心血为丸，服之亦可。
疹后发热不除忽作搐者，不可与急惊风同论，用导赤散加麦冬，送安神丸。小便清长者治之易，短少者治之难。
疹后咽痛呛水，舌胎唇燥者，乃流毒心胃也，宜黄连解毒汤加连翘牛蒡治之，疹后痢下
脓血，里急后重者，毒入大肠也，先用三黄丸利之，次用黄连芍药汤治之。
疹出时曾作泻痢，未经清解，疹退后变为休息痢，不问红白里急后重，昼夜无度，余毒
在大肠也，须分虚实治之。实者三黄丸利之，虚者香连丸和之，后用黄芩汤养血行气为治。
疹后滞下不止，饮食不进，脉缓肢冷乃脾胃气虚也，先用理中汤，次用芎归六君子汤治之。
疹后壮热烦渴，利下鲜红，宜白头翁汤或芩连柏叶槐花枳壳荆芥炭之类治之。
疹后余热未尽，热甚而失血者，宜用犀角地黄汤或四物汤加茵陈木通犀角之类以利小便，俾热得下行而愈。
疹后浑身发热昼夜不退，此毒未尽解，邪火郁于肌肉之间，久则毛发焦干，皮肤枯槁，
肌肉羸瘦，为骨蒸劳瘵之证，急服芦荟肥儿丸加龙胆草当归连翘等治之。迟则变为睡则露
睛，口鼻气冷，手足厥逆， ，为慢脾不治之证，用清热除疳丸亦可。
疹后余热未尽，日夜烦燥，谵语狂乱，灯心汤下辰砂益元散，或辰砂五苓散（去桂术）加芩连地骨皮治之。
疹后耳痛红肿成脓，用 枯矾夜明砂胭脂边各一钱麝香二分同研，先用绵裹杖子榐
净，以药少许掺之，若日久不愈，宜服犀角饮解之。
疹后身热烦渴不已，乃虚烦也，宜竹叶石膏汤去半夏加干葛天花粉麦冬治之。
疹后壮热喘嗽痰血者，乃毒留于肺胃也，宜黄芩山栀知母贝母天花粉元参人中黄治
之。
疹后而复拂拂烦热，频作呕吐者，此毒尚未尽，留连于肺胃之间，宜化斑汤主之；大便
闭者，稍加大黄微利之。
疹后便溏干嗽，身热羸瘦，皮枯憔悴者，乃疳瘵之证，宜四君子汤加陈皮贝母黄连地
骨皮青蒿子龙胆草白芍药治之。如浑身壮热，未至羸瘦皮枯憔悴，但搐掣烦躁，此热在心
肝，以当归养血汤、黄连安神丸间服可也。
疹后微微嗽者用清肺饮加消毒饮主之。
疹后干嗽不已，因过于解散，以致肺气虚耗，宜补脾肺为主，用四君子汤加陈皮贝母归
身白芍米仁石斛治之。有用清火止嗽药，背渐驼肥 足细小者，有咳久而胸高肿满状如龟
背者，乃疹后久嗽则金衰，金衰则不能生水制木，木火刑金，盖肾主骨髓，肾无生气则骨枯
而髓减，风寒乘虚而入于髓内，其邪凝滞故腰脊不举而有斯疾。治法先以防风散驱其邪，后
以八味地黄丸加人参杜仲牛膝当归霍石斛何首乌米仁野黑豆兔丝子枸杞子巴戟肉萆 桑
寄生鹿茸蜜丸，又以驱风壮筋活血膏贴其突处，又以艾灸肺俞穴（第三椎骨下各开一寸
半）鬲俞穴（第七椎骨下各开一寸半）。
疹后嗽甚气喘，连声不住，甚至饮食汤水俱呛出，或咳血，此热毒乘肺而然也。宜服门
冬清肺饮加连翘主之；若胸高如龟背，肩耸而喘，血从口鼻而出，摇头摆颈，面色或青或白
或红，而色枯黯者，不可治然，亦有肺气虚为毒所遏而发喘连声不已，但无咳嗽，血出呛食
等证，宜清肺饮倍加人参治之。此又不可拘肺热之一端，而纯用清肺解毒之药也。
疹后痰嗽不已，午后发热者乃阴亏而火炎无制也。治宜壮水为主，以六味地黄丸加门冬知母治之。
疹后两目赤肿，壮热烦渴者，毒乘肺胃也。宜清胃解毒汤治之。
疹后痰嗽口疳，身热腹饱者，宜清胃汤加大腹皮枳壳治之。
疹后声哑不出，或嗽或喘，身热不退，日
久不愈，乃热毒克制肺金。宜清金降火汤加竹沥姜汁主之。
疹后热毒未尽，发疔发痈，肢节疼痛者，以羌活散微汗微下。
疹后热毒未尽，壮热烦躁，疮疥遍体，先以葛根汤加荆芥发之，次用犀角地黄汤。
疹色变黑，牙根黑烂，肉腐血出，臭息冲人者，用天生白马蹄放热瓦上炙过，存性，研
细擦患处，或三妙疳方，马鸣散主之。有齿溃鼻穿诸药不效者，急以牯牛粪后尖瓦上 ，同
人中白俱 存性，和川柏末研细吹之，则溃窍渐涨，齿龈俱生。若面颊浮肿，环口青黑，唇崩
鼻坏，穿颊破腮者死。如唇口多疮，其声嘎哑者曰狐惑，以化慝丸主之。若更烦躁失声者
死，外以文蛤散雄黄散搭之，内用人中黄使君子龙胆草川黄连五灵脂侵蒸饼为丸，滚水服
以清胃火，然或有得生者，不多见也。孕妇出疹当以四物汤加冬术条芩苏梗艾叶安胎清热
为主，使胎无虞，而疹易出没也；如胎气上冲急用苦葶苈艾叶煎汤磨槟榔汁服之，更宜多服上药为妙。
孕妇痧疹热毒蒸胎，胎多受伤，而母实无恙也。盖疹与痘不同，痘宜内实，故胎落而母
亡，疹宜内虚，故胎去而母存，孰若子母俱全之为愈也。
疹子消退后，虽然身体没有明显的消瘦虚弱，但时常出现高热、烦躁不安、抽搐惊悸、神志昏迷且思维混乱的症状。这是阴火衰耗导致余毒侵入肝脏并传至心脏所致，适宜采用养血安神的治法，使用四物汤（由当归、川芎、白芍、熟地黄组成）加入麦冬、酸枣仁、竹叶、灯心草、甘草、石菖蒲、龙胆草、茯神、黄连进行治疗；或者将上述药物研成粉末，用蒸饼和猪心血作为粘合剂制成丸药服用，也是可行的。
如果疹后发热不退，突然发生抽搐，不能将其与急惊风混为一谈，应使用导赤散（清心利尿方）加入麦冬，配合送服安神丸。如果小便清澈且长，治疗容易；如果小便短少，治疗则较难。
疹后咽喉疼痛、喝水呛咳、舌苔厚腻、嘴唇干燥的，是热毒流注于心胃二经的表现，适宜使用黄连解毒汤（清热燥湿泻火方）加入连翘、牛蒡子进行治疗。
疹后痢疾下脓血、里急后重的，是毒邪进入大肠所致，先用三黄丸（大黄、黄连、黄芩组成的泻下方）通利大便，随后用黄连芍药汤治疗。
出疹期间曾发生腹泻痢疾，未经过彻底清解，疹退后转变为休息痢（时发时止的慢性痢疾），无论红白痢、里急后重，昼夜无度发作，这是余毒滞留大肠所致，必须分辨虚实进行治疗。实证用三黄丸通利，虚证用香连丸调和，之后用黄芩汤养血行气以善后。
疹后痢疾不止，饮食不进，脉象缓弱、四肢冰冷的，是脾胃气虚所致，先用理中汤温中健脾，再用芎归六君子汤（四君子汤加川芎、当归）治疗。
疹后壮热、烦渴、排泄鲜红色血液的，适宜使用白头翁汤，或者黄芩、山栀、知母、贝母、天花粉、玄参、人中黄等药物治疗。
疹后余热未尽，热势严重导致出血的，适宜使用犀角地黄汤，或者四物汤加入茵陈、木通、犀角等以利小便，使热邪随小便下行而痊愈。
疹后浑身发热，昼夜不退，这是毒邪未尽解除，邪火郁结在肌肉之间，时间久了会导致毛发焦干、皮肤枯槁、肌肉消瘦，形成骨蒸劳瘵（类似结核病的热病）的证候，需急服芦荟肥儿丸加入龙胆草、当归、连翘等治疗。若延误时机，则会转变为睡眠时眼睛半睁、口鼻气息寒冷、手足厥冷的慢脾风不治之证，此时也可使用清热除疳丸。
疹后余热未尽，日夜烦躁、说胡话、狂乱躁动的，可用灯心草煎汤送服辰砂益元散，或者辰砂五苓散（去掉肉桂、白术）加入黄芩、黄连、地骨皮治疗。
疹后耳痛红肿化脓的，用枯矾、夜明砂、胭脂边各一钱，麝香二分，共同研磨成细末。先用棉团包裹棒子清理耳道，然后将少许药粉掺入患处。如果日久不愈，适宜服用犀角饮来解其毒。
疹后身热烦渴不止的，属于虚烦，适宜使用竹叶石膏汤去掉半夏，加入干葛、天花粉、麦冬治疗。
疹后壮热、气喘咳嗽、痰中带血的，是毒邪留滞于肺胃所致，适宜使用黄芩、山栀、知母、贝母、天花粉、玄参、人中黄治疗。
疹后再次感到轻微烦热，频繁呕吐的，这是毒邪尚未完全清除，留恋于肺胃之间，适宜以化斑汤为主治疗；如果大便闭塞，稍加大黄轻微通利即可。
疹后大便溏泄、干咳、身体发热消瘦、皮肤干枯憔悴的，属于疳瘵（小儿营养不良合并结核类疾病）的证候，适宜使用四君子汤加入陈皮、贝母、黄连、地骨皮、青蒿子、龙胆草、白芍药治疗。如果浑身壮热，尚未到消瘦皮枯憔悴的程度，只是有抽搐烦躁，这是热邪在心肝，可以交替服用当归养血汤和黄连安神丸。
疹后干咳不止，因为之前过度使用发散药物，导致肺气虚耗，应以补益脾肺为主，使用四君子汤加入陈皮、贝母、当归身、白芍、薏苡仁、石斛治疗。如果使用清火止咳药，导致背部逐渐驼起、四肢细小者，或者有咳嗽很久导致胸部高耸肿胀状如龟背者，这是因为疹后久咳导致肺金衰弱，肺金衰弱则不能生肾水以制约肝木，导致木火刑金。肾主骨髓，肾气无生机则骨骼枯萎、髓液减少，风寒乘虚侵入骨髓内部，邪气凝滞，所以腰脊无法抬起而患此疾。治疗方法先以防风散驱除外邪，后用八味地黄丸加入人参、杜仲、牛膝、当归、霍山石斛、何首乌、薏苡仁、野黑豆、菟丝子、枸杞子、巴戟天、萆薢、桑寄生、鹿茸，炼蜜为丸服用；同时用驱风壮筋活血膏贴敷突起处；并用艾灸肺俞穴（第三椎骨下旁开一寸半）、膈俞穴（第七椎骨下旁开一寸半）。
疹后咳嗽剧烈气喘，连续不断，甚至饮食汤水都呛出来，或者咳血，这是热毒侵袭肺部所致。适宜服用门冬清肺饮加入连翘治疗；如果胸部高耸如龟背，肩膀耸动而喘，血液从口鼻流出，摇头摆颈，面色或青或白或红，但色泽枯暗的，属于不可治之症。然而，也有因肺气虚被毒邪遏制而引发连续气喘，但没有咳嗽、咳血、呛食等症状的，适宜使用清肺饮加倍人参剂量治疗。这又不可拘泥于肺热一端，而单纯使用清肺解毒的药物。
疹后痰嗽不止，午后发热的，是阴液亏损而虚火炎上无制所致。治疗应以滋补肾阴为主，以六味地黄丸加入麦冬、知母治疗。
疹后两眼红肿，壮热烦渴的，是毒邪侵袭肺胃所致。适宜使用清胃解毒汤治疗。
疹后痰嗽、口疮、身体发热、腹部胀满的，适宜使用清胃汤加大腹皮、枳壳治疗。
疹后声音嘶哑不出声，或者咳嗽或者气喘，身体发热不退，日久不愈的，是热毒克制肺金所致。适宜使用清金降火汤加入竹沥、姜汁治疗。
疹后热毒未尽，发生疔疮痈肿，肢节疼痛的，用羌活散通过微微发汗、轻微通便来治疗。
疹后热毒未尽，壮热烦躁，全身疮疥，先用葛根汤加入荆芥发汗透疹，随后用犀角地黄汤治疗。
疹色变黑，牙根黑烂，肌肉腐烂出血，口臭冲人的，用天生白马蹄放在热瓦片上炙烤，保留药性，研细后擦涂患处，或者使用三妙疳方、马鸣散为主治疗。如果有牙齿溃烂、鼻子穿孔，各种药物无效的，急用牯牛粪后的尖瓦片上的垢，同人中白一起炙烤存性，和川柏末一起研细吹入鼻腔，则溃烂的窍道会逐渐愈合，齿龈重新生长。如果面颊浮肿，口周青黑，嘴唇崩裂，鼻子坏死，脸颊穿孔腮部破损的，预后不良。如果唇口多疮，声音嘶哑的称为狐惑病，以化慝丸为主治疗。如果更加烦躁失声的，预后不良，外用文蛤散、雄黄散敷贴，内服用人中黄、使君子、龙胆草、川黄连、五灵脂浸泡蒸饼为丸，滚水送服以清胃火，然而或许有得救的，但不多见。孕妇出疹应当以四物汤加入冬术、条芩、苏梗、艾叶安胎清热为主，使胎儿无忧，而疹子易于透发；如果胎气上冲，急用苦葶苈、艾叶煎汤磨槟榔汁服用，更宜多服用上述药物为好。
孕妇患痧疹，热毒熏蒸胎儿，胎儿多受损伤，而母亲实际上往往无恙。这是因为疹与痘不同，痘宜内实，所以胎落而母亡；疹宜内虚，所以胎去而母存，不如母子俱保全好。
After the rash subsides, although there is no obvious emaciation or weakness in the body, frequent high fever, irritability, restlessness, convulsions, palpitations with fright, coma, and mental confusion occur. This is caused by the depletion of Yin fire, allowing residual toxins to enter the Liver and transmit to the Heart. The appropriate treatment is to nourish blood and calm the spirit, using Siwu Tang (Four Substances Decoction) added with Ophiopogonis Radix (Maidong), Ziziphi Spinosae Semen (Suanzaoren), Bambusae Folium (Zhuye), Junci Medulla (Dengxincao), Glycyrrhizae Radix et Rhizoma (Gancao), Acori Tatarinowii Rhizoma (Shichangpu), Gentianae Radix (Longdancao), Alismae Rhizoma (Fuling/Fushen context implies Fushen here for calming), Coptidis Rhizoma (Huanglian). Alternatively, these herbs can be ground into powder, mixed with steamed dough and pig heart blood to form pills, which are also effective.
If fever persists after the rash and sudden convulsions occur, it should not be discussed as acute wind-stroke (Ji Jing Feng). Use Daochi San (Guide Out Redness Powder) added with Ophiopogonis Radix (Maidong), administered with Anshen Wan (Calming Spirit Pill). If urine is clear and long, the condition is easy to treat; if short, it is difficult.
Throat pain, choking on water, thick tongue coating, and dry lips after the rash indicate that toxic heat has flowed into the Heart and Stomach meridians. It is suitable to use Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxins) added with Forsythiae Fructum (Lianqiao) and Arctii Fructus (Niubangzi).
Dysentery with pus and blood, tenesmus, after the rash indicates toxin entering the Large Intestine. First, use Sanhuang Wan (Three Yellows Pill) to purge, then treat with Huanglian Shaoyao Tang (Coptis and Peony Decoction).
If diarrhea and dysentery occurred during the eruption and were not thoroughly cleared, transforming into intermittent dysentery (Xiuxi Li) after the rash recedes—regardless of red or white stool, tenesmus, occurring day and night without limit—it is residual toxin in the Large Intestine. One must differentiate deficiency and excess. For excess, use Sanhuang Wan to purge; for deficiency, use Xianglian Wan to harmonize. Afterwards, use Huangqin Tang (Scutellaria Decoction) to nourish blood and move qi.
Persistent dysentery after the rash, loss of appetite, slow pulse, and cold limbs indicate Spleen and Stomach Qi deficiency. First, use Lizhong Tang (Regulate the Middle Decoction), followed by Xionggui Liujunzi Tang (Chuanxiong and Angelica Six Gentlemen Decoction).
High fever, thirst, and passage of bright red blood after the rash should be treated with Baitouweng Tang (Pulsatilla Decoction) or herbs such as Scutellariae Radix (Qin), Gardeniae Fructus (Zhi), Anemarrhenae Rhizoma (Zhimu), Fritillariae Bulbus (Beimu), Trichosanthis Radix (Tianguafen), Scrophulariae Radix (Yuanshen), and Humanis Placenta (Renzhonghuang).
If residual heat remains after the rash, severe heat causes bleeding. Use Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) or Siwu Tang added with Artemisiae Scopariae Herba (Yinchen), Akebiae Caulis (Mutong), and Rhinoceros Cornu (Xijiao) to promote urination, allowing heat to descend via urine for recovery.
Whole-body fever persisting day and night after the rash indicates unresolved toxin, with evil fire stagnating between muscles. Prolonged cases lead to scorched hair, withered skin, and emaciated muscles, constituting a bone-steaming consumptive disease (Gu Zheng Lao Zhai). Urgently administer Lushu Feier Wan (Aloe and Child-Nourishing Pill) added with Gentianae Radix (Longdancao), Angelicae Sinensis Radix (Danggui), and Forsythiae Fructum (Lianqiao). Delay leads to slow spleen wind (Man Pi Feng), characterized by eyes half-open during sleep, cold breath from mouth/nose, and cold extremities, an untreatable condition. Qingre Chu Gan Wan (Clear Heat and Remove Malnutrition Pill) may also be used.
Residual heat after the rash causing day-and-night irritability, delirium, and madness can be treated with Dengxin Tang (Juncus Decoction) to deliver Chensha Yiyuan San (Cinnabar and Yuan Formula) or Chensha Wuling San (remove Guizhi and Baizhu) added with Huangqin, Huanglian, and Cortex Lycii (Digupi).
Ear pain, redness, swelling, and suppuration after the rash: grind Alum (Kufan), Chrysalis (Yemingcha), and Carminous Edge (Yanzhibian) each 1 qian, with Moschus (Shexiang) 2 fen. Clean the ear canal with cotton-wrapped stick, then insufficate a small amount of powder. If chronic, take Xijiao Yin (Rhinoceros Horn Drink) to resolve toxicity.
Unceasing fever and thirst after the rash indicate empty irritability. Use Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction), remove Banxia, add Puerariae Radix (Gange), Trichosanthis Radix (Tianguafen), and Ophiopogonis Radix (Maidong).
High fever, wheezing, cough, and hemoptysis after the rash indicate toxin lingering in Lung and Stomach. Treat with Huangqin, Gardeniae Fructus (Zhizi), Anemarrhenae Rhizoma (Zhimu), Fritillariae Bulbus (Beimu), Trichosanthis Radix (Tianguafen), Scrophulariae Radix (Yuanshen), and Humanis Placenta (Renzhonghuang).
Recurrence of mild irritability and frequent vomiting after the rash indicates incomplete toxin resolution lingering in Lung and Stomach. Use Huaban Tang (Spot-Resolving Decoction) as main formula; if constipated, add minor amount of Rhei Radix et Rhizoma (Dahuang) for mild purgation.
Loose stools, dry cough, fever, emaciation, and withered skin after the rash indicate malnutrition-consumption (Gan Zhai). Use Sijunzi Tang (Four Gentlemen Decoction) added with Citri Reticulatae Pericarpium (Chenpi), Fritillariae Bulbus (Beimu), Coptidis Rhizoma (Huanglian), Cortex Lycii (Digupi), Artemisiae Annuae Herba (Qinghaozi), Gentianae Radix (Longdancao), and Paeoniae Radix Alba (Shaoyao). If whole-body high fever exists without emaciation, only with convulsions and irritability, heat is in Heart and Liver; alternate Dangui Yangxue Tang (Angelica Blood-Nourishing Decoction) and Huanglian Anshen Wan (Coptis Calming Spirit Pill).
Mild cough after rash: use Qingfei Yin (Lung-Clearing Drink) added with Xiaodu Yin (Detoxification Drink).
Unceasing dry cough due to excessive dispersal leading to Lung Qi deficiency: focus on tonifying Spleen and Lung. Use Sijunzi Tang added with Citri Reticulatae Pericarpium (Chenpi), Fritillariae Bulbus (Beimu), Angelicae Sinensis Radix (Guishen), Paeoniae Radix Alba (Shaoyao), Coicis Semen (Yiren), and Dendrobii Caulis (Shihu). Misuse of cooling/cough-suppressing drugs may cause kyphosis and thin limbs. Chronic cough leading to chest protrusion like turtle back indicates Lung Metal deficiency failing to generate Kidney Water to control Liver Wood, resulting in Wood-Fire attacking Metal. Since Kidney governs marrow, lack of Kidney Qi leads to bone withering and marrow reduction, allowing Wind-Cold to invade marrow, stagnating and causing inability to lift waist/spine. Treat first with Fangfeng San (Saposhnikovia Powder) to expel pathogen, then Bayi Dihuang Wan (Eight-Ingredient Rehmannia Pill) added with Ginseng Radix et Rhizoma (Renshen), Eucommiae Cortex (Duzhong), Achyranthis Bidentatae Radix (Niuxi), Angelicae Sinensis Radix (Danggui), Dendrobii Caulis (Huoshihu), Polygoni Multiflori Radix (Heshouwu), Coicis Semen (Yiren), Soybean (Yheidou), Cuscutae Semen (Tusizi), Lycii Fructus (Gouqizi), Morinda Officinalis Radix (Bajirou), Dioscoreae Hypoglauca Rhizoma (Bixie), Taxilli Herba (Sangjisheng), and Cervi Cornu (Lurong), honey-pilled. Apply Qufeng Zhuangjin Huoxue Gao (Wind-Expelling, Tendon-Strengthening, Blood-Activating Paste) to protrusions. Moxibustion on Feishu (BL13, 1.5 cun lateral to lower border of 3rd thoracic vertebra) and Geshu (BL17, 1.5 cun lateral to lower border of 7th thoracic vertebra).
Severe cough with continuous wheezing, choking on fluids/food, or hemoptysis after rash indicates heat-toxin invading Lung. Take Mendong Qingfei Yin (Asparagus Lung-Clearing Drink) added with Forsythiae Fructum (Lianqiao). If chest protrudes like turtle back, shoulders shrug while wheezing, blood flows from mouth/nose, head shakes, neck sways, complexion varies but looks withered/dark, it is untreatable. However, if asthma results from Lung Qi deficiency obstructed by toxin, without cough/hemoptysis/choking, use Qingfei Yin with doubled Ginseng Radix et Rhizoma (Renshen). Do not rigidly adhere to lung-heat alone and use only clearing/ detoxifying drugs.
Phlegm-cough unceasing with afternoon fever after rash indicates Yin deficiency with uncontrolled flaming fire. Treatment focuses on strengthening Water (Kidney): Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) added with Ophiopogonis Radix (Mendong) and Anemarrhenae Rhizoma (Zhimu).
Red swollen eyes, high fever, and thirst after rash indicate toxin attacking Lung and Stomach. Use Qingwei Jiedu Tang (Stomach-Clearing and Detoxifying Decoction).
Phlegm-cough, oral ulcers, fever, and abdominal fullness after rash: use Qingwei Tang (Stomach-Clearing Decoction) added with Arecae Pericarpium (Dafupi) and Aurantii Fructus (Zhike).
Hoarseness/aphonia, cough/wheezing, persistent fever after rash, chronic non-healing, indicates heat-toxin suppressing Lung Metal. Use Qingjin Jianghuo Tang (Metal-Clearing and Fire-Descending Decoction) added with Phragmitis Rhizoma Juice (Zhuli) and Zingiberis Rhizoma Recens Juice (Jiangzhi).
Unresolved heat-toxin after rash causing carbuncles/furuncles and joint pain: use Qianghuo San (Notopterygii Rhizome Powder) for mild sweating and mild purgation.
Unresolved heat-toxin after rash with high fever, irritability, and generalized sores: first use Gegen Tang (Kudzu Decoction) added with Schizonepetae Herba (Jingjie) to release exterior, then use Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction).
Black rash color, black rotten gums, rotting flesh with bleeding, foul breath: roast natural white horse hoof on hot tile until charred externally but raw internally, grind fine, apply to lesion. Or use Sanmiao Gan Fang (Three Wonders Malnutrition Formula) or Ma Ming San (Horse Cry Powder). For tooth decay/nasal perforation unresponsive to other drugs: urgently scrape scale from cow dung on sharp tile, mix with Naringinis Pericarpium Rubrum (Renzhongbai), calcine together, mix with Phellodendri Cortex (Chuanbai), grind fine, insufflate into nose. Ulcerated apertures will heal, gums regenerate. If cheeks swell, perioral area turns cyanotic/black, lips collapse, nose rots, cheek/jaw perforates, prognosis is fatal. Multiple lip/mouth ulcers with hoarseness is called Huhu (Fox Infestation); treat with Huati Wan (Evil-Transforming Pill). If accompanied by irritability and voice loss, prognosis is fatal. Externally apply Wen Ge San (Clam Shell Powder) and Xionghuang San (Realgar Powder); internally use Humanis Placenta (Renzhonghuang), Quisqualis Fructus (Shijunzi), Gentianae Radix (Longdancao), Coptidis Rhizoma (Chuanhuilian), Trogopterori Faeces (Wulingzhi), soaked in steamed dough to form pills, taken with boiling water to clear Stomach fire. Survival is rare. Pregnant women with rash should primarily use Siwu Tang (Four Substances Decoction) added with Atractylodis Macrocephalae Rhizoma (Dongzhu), Scutellariae Radix (Tiaoqin), Perillae Caulis (Sugeng), and Zingiberis Rhizoma Praeparatum (Aiye) to calm fetus and clear heat, facilitating rash eruption. If fetal Qi rebels upward, urgently use Thladianthae Fructus (Ku Tingli) and Aiye decoction with Arecae Semen (Binglang) juice. More of the above herbs is advisable.
Pregnant women with sand-rash: heat-toxin steams the fetus, often injuring the fetus while the mother remains largely unharmed. Rash differs from smallpox: smallpox requires internal solidity, so if fetus falls, mother dies; rash requires internal emptiness, so if fetus is lost, mother survives. Ideally, both mother and child should survive.