王海藏先生云∶痘疮出而烦痛，用木香五物主之，更用芒硝为末，以猪胆汁调敷之。若身后痛，属膀胱经也，用羌
活荆芥甘草汤。身前痛，属肺金也，用升麻葛根紫草汤。身侧痛，属胆经也，用连翘防风汤。四肢痛，属胃经也，用防
风芍药甘草汤，以急止之。盖恐叫号伤气，忍痛伤血，而变症也。若热毒盛者，用东垣消毒散，或仙方活命饮。食鸡鱼
葡萄酒物者，用东垣清胃散、生犀汁。若发热饮冷，大便调和，用四物、连翘、牡丹皮。若发热饮冷，大便秘结，脾胃
实热也，用清凉饮。若发热作渴饮汤者，脾胃虚热也，用七味白术散。大凡痘切不可食毒物，恐作痛致伤元气，轻者反
重，重者难治，大人亦然。
一小儿痘疮作痛，色赤饮冷，此热毒炽盛也，用活命饮末二服痛止，用东垣消毒散一服，诸症悉退而瘥。若非此药，
必作疔毒之类。
一小儿痘 痛出血，诊其母有肝火，用小柴胡汤加山栀、生地，母子服之顿愈，又用加味逍遥散而痊。
一小儿痘痛不止，色淡欲陷，此痛伤元气也，先用仙方活命饮一剂而痛止，用八珍汤而靥。
一妇人时疫将愈，出痘发热，体倦痛甚，昏愦饮汤，脉洪数，按之如丝，用十全大补汤，调朱砂末一钱，二剂其痛
顿止，食进体健，仍用前汤十余剂而愈。
一男子痘疮痛甚，先用仙方活命饮一剂，其痛顿止，又用东垣消毒散一剂，精神如常而靥。
一小儿痘疮痛甚，脉有力，此邪气实也，用活命饮末二钱，痛止起发。又用东垣消毒散而靥。
一小儿痘赤痛，用活命饮末二钱痛止，用当归、黄 、金银花将愈，用四君、当归、芍药而靥。
一小儿痘赤痛，发热饮冷，大便不通，脉洪数而有力，用活命饮加大黄一服，痛亦顿减，更用东垣消毒散一服，如
期而愈。
一小儿痘疮红活 痛，作渴饮冷，手足并热，余谓此痘属形病俱实，非清热解毒不能杀其势，当用活命饮、化 汤。
不信，另服鼠粘子汤，痘 胀大，其色如赭，先用前药二剂，肿痛悉止，乃用鼠粘子汤而愈。
一小儿痘疮 痛，服鼠粘子汤之类，患痘疔三枚甚苦，用隔蒜灸，服活命饮，痛止贯脓；又用东垣消毒散而靥。
一小儿遍身发热，两足犹甚，作渴饮汤，脉洪数而无力，此禀肾经虚热也，用地黄丸料加当归、黄 ，大剂煎与恣
次，三日服数剂，热渴全止，又数剂而愈。
一小儿痘疮热痛，服败毒药，四肢患痘痈，寒热发渴，余谓当补元气，不信果殁。
木香五物汤 治出痘烦痛
青木香（四两） 丁香（一两） 熏陆香 白矾（各一两） 麝香（一钱）
上每服五钱，水煎。热盛加犀角一两。施银台常用此方，其效如神。
鼠粘子汤 治痘疮欲出未透，皮肤发热，眼赤心烦，咽痛不利等症。（减地骨皮、防风，名消毒散）
鼠粘子（四钱炒，杵） 荆芥（二钱） 防风（五分） 地骨皮（一钱）
上为末，每服一二钱，白汤调下。
仙方活命饮 治痘疮 痛，热盛者服之顿衰，势弱者服之顿愈，真圣药也。
东垣清胃散
托里消毒散（三方见痘痈）
射干鼠粘子汤（方见痘咽痛）
东垣消毒散（方见夹疹痘，一名救苦汤）
羌活荆芥甘草汤（即此三味等分）
柴胡山栀连翘防风汤（即此四味等分）
连翘防风汤（方见痘疔）
防风芍药甘草汤（即此二味等分）
化 汤（方见水痘麻痘）
清凉饮
消毒散（二方见大便不通）
四圣散（方见痘出不快）
犀角消毒饮
隔蒜灸法（二方见痘疔）
王海藏先生曾说：痘疮发出后出现烦躁疼痛，使用木香五物汤主治，另外用芒硝研成粉末，以猪胆汁调和后外敷。如果身体后面疼痛，属于膀胱经病变，使用羌活荆芥甘草汤。身体前面疼痛，属于肺金病变，使用升麻葛根紫草汤。身体侧面疼痛，属于胆经病变，使用连翘防风汤。四肢疼痛，属于胃经病变，使用防风芍药甘草汤，必须紧急治疗。这是因为担心患儿因剧烈疼痛而呼叫号哭损伤气机，或因强忍疼痛导致血行不畅，从而引发变证。如果热毒炽盛者，使用东垣消毒散，或者仙方活命饮。食用鸡肉、鱼类、葡萄酒等发物者，使用东垣清胃散、生犀汁。如果出现发热且想喝冷饮，大便通畅调和的，使用四物汤、连翘、牡丹皮。如果出现发热且想喝冷饮，大便秘结不通的，这是脾胃实热证，使用清凉饮。如果出现发热、口渴且想喝热汤的，这是脾胃虚热证，使用七味白术散。大凡患痘疮时不可食用有毒或刺激性食物，恐怕引起疼痛进而损伤元气，轻症反而加重，重症难以治愈，成人也是如此。
有一个小儿患痘疮疼痛，痘色红赤，想喝冷饮，这是热毒炽盛的证候，服用仙方活命饮粉末两剂后疼痛停止，再服用东垣消毒散一剂，所有症状全部消退而痊愈。如果不是用这些药物，必然会发生疔毒之类的恶变。
有一个小儿患痘疮疼痛并出血，诊察其母亲有肝火旺盛的情况，使用小柴胡汤加山栀、生地，母子同服后立刻痊愈，随后又服用加味逍遥散而完全康复。
有一个小儿患痘疮疼痛不止，痘色淡白且有下陷趋势，这是疼痛损伤了元气，先用仙方活命饮一剂使疼痛停止，再用八珍汤使痘疮结痂愈合。
有一位妇人患时疫即将痊愈时出痘，伴有发热，身体疲倦且疼痛剧烈，神志昏沉迷糊，想喝热汤，脉象洪大而数，但重按如丝线般微弱，使用十全大补汤，调入朱砂末一钱，服用两剂后疼痛立刻停止，食欲恢复，身体强健，仍然继续服用前药十余剂而痊愈。
有一名男子患痘疮疼痛剧烈，先用仙方活命饮一剂，疼痛立刻停止，又服用东垣消毒散一剂，精神恢复正常而结痂愈合。
有一个小儿患痘疮疼痛剧烈，脉象有力，这是邪气实盛的证候，使用仙方活命饮粉末二钱，疼痛停止，痘疮起发。随后又服用东垣消毒散而结痂愈合。
有一个小儿患痘疮红赤疼痛，使用仙方活命饮粉末二钱后疼痛停止，接着使用当归、黄芪、金银花治疗至将愈阶段，最后用四君子汤、当归、芍药使痘疮结痂愈合。
有一个小儿患痘疮红赤疼痛，发热想喝冷饮，大便不通，脉象洪大而有力，使用仙方活命饮加大黄服用一剂，疼痛也立刻减轻，随后又服用东垣消毒散一剂，如期痊愈。
有一个小儿患痘疮红活疼痛，口渴想喝冷饮，手足都发热，我认为此痘属于形证与病证俱实的类型，非清热解毒不能遏制其势头，应当使用仙方活命饮、化斑汤。患者不信，另服鼠粘子汤，结果痘疮肿胀变大，颜色像赭石一样暗红，先用之前的药物（指仙方活命饮和化斑汤）两剂，肿痛全部停止，然后才用鼠粘子汤而痊愈。
有一个小儿患痘疮疼痛，服用了鼠粘子汤之类的药物，患处长了三枚痘疔非常痛苦，使用隔蒜灸法，服用仙方活命饮，疼痛停止并贯脓；随后又服用东垣消毒散而结痂愈合。
有一个小儿遍身发热，双足尤其严重，口渴想喝热汤，脉象洪大而无力，这是禀受肾经虚热的体质，用地黄丸的药料加入当归、黄芪，大剂量煎煮让患儿随意多次服用，三天内服用数剂，热渴全部停止，又服用数剂而痊愈。
有一个小儿患痘疮热痛，服用了败毒药，四肢长出痘痈，出现寒热交替、口渴的症状，我认为应当补益元气，患者不信，果然死亡。
木香五物汤 治疗出痘后的烦躁疼痛
青木香（四两） 丁香（一两） 熏陆香 白矾（各一两） 麝香（一钱）
以上药物每次服用五钱，用水煎煮。热势盛者加犀角一两。施银台常用此方，效果神奇。
鼠粘子汤 治疗痘疮欲出未透，皮肤发热，眼睛红赤心烦，咽喉疼痛不利等症状。（减去地骨皮、防风，名为消毒散）
鼠粘子（四钱炒熟捣碎） 荆芥（二钱） 防风（五分） 地骨皮（一钱）
以上药物研成粉末，每次服用一二钱，用白开水调服。
仙方活命饮 治疗痘疮疼痛，热盛者服用后立刻衰退，势弱者服用后立刻痊愈，真是圣药啊。
射干鼠粘子汤（方剂见“痘咽痛”章节）
羌活荆芥甘草汤（即这三味药等分）
柴胡山栀连翘防风汤（即这四味药等分）
防风芍药甘草汤（即这两味药等分）
消毒散（上述二方见“大便不通”章节）
四圣散（方剂见“痘出不快”章节）
隔蒜灸法（上述二方见“痘疔”章节）
Mr. Wang Haicang stated: When pox erupt accompanied by irritability and pain, Muxiang Wuwu Tang (Wood Fragrance Five-Substance Decoction) should be used as the primary treatment. Additionally, Mangxiao (Natrii Sulfas) is ground into powder and mixed with pig bile for topical application. Pain in the posterior body indicates involvement of the Bladder Meridian; Qianghuo Jingjie Gancao Tang (Notopterygium, Schizonepeta, and Licorice Decoction) is prescribed. Pain in the anterior body indicates involvement of the Lung Metal; Shengma Gegen Zicao Tang (Cimicifuga, Pueraria, and Arnebia Decoction) is prescribed. Pain on the sides of the body indicates involvement of the Gallbladder Meridian; Lianqiao Fangfeng Tang (Forsythia and Saposhnikovia Decoction) is prescribed. Pain in the four limbs indicates involvement of the Stomach Meridian; Fangfeng Shaoyao Gancao Tang (Saposhnikovia, Peony, and Licorice Decoction) is prescribed, and it must be treated urgently. This is because one fears that crying out in pain will damage Qi, and enduring pain without relief may impair Blood circulation, leading to complicated syndromes. In cases where heat-toxin is abundant, Dongyuan Xiaodu San (Dongyuan's Detoxification Powder) or Xianfang Huoming Yin (Immortal Formula for Saving Lives Decoction) should be used. For those who have consumed chicken, fish, wine, or other stimulating foods, Dongyuan Qingwei San (Dongyuan's Stomach-Clearing Powder) and Shengxi Zhi (Raw Rhinoceros Horn Juice) are indicated. If fever is present with a desire for cold drinks but bowel movements are regular, Siwu Tang (Four Substances Decoction), Lianqiao (Forsythia), and Mudanpi (Tree Peony Bark) are used. If fever is present with a desire for cold drinks and constipation, this indicates Excess Heat in the Spleen and Stomach; Qingliang Yin (Cooling and Clearing Decoction) is used. If fever is present with thirst and a desire for hot drinks, this indicates Deficiency Heat in the Spleen and Stomach; Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder) is used. Generally, during pox, toxic or stimulating foods must be avoided to prevent pain from damaging Yuan Qi (Original Qi); mild cases may worsen, and severe cases may become difficult to treat. The same applies to adults.
A child suffered from painful pox with red lesions and a desire for cold drinks, indicating blazing heat-toxin. After taking two doses of Xianfang Huoming Yin (Immortal Formula for Saving Lives Decoction) powder, the pain ceased. One dose of Dongyuan Xiaodu San (Dongyuan's Detoxification Powder) was then administered, resulting in the resolution of all symptoms and recovery. Without these medicines, conditions would likely deteriorate into Ding Du (carbuncles).
A child suffered from painful pox with bleeding. Examination revealed the mother had Liver Fire. Xiao Chaihu Tang (Minor Bupleurum Decoction) was modified with Zhizi (Gardenia Fruit) and Shengdi Huang (Rehmannia Root). Both mother and child took it, resulting in immediate improvement. Subsequently, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) was used for complete recovery.
A child suffered from incessant pox pain with pale lesions showing signs of sinking. This indicated pain damaging Yuan Qi (Original Qi). First, one dose of Xianfang Huoming Yin (Immortal Formula for Saving Lives Decoction) stopped the pain. Then, Bazhen Tang (Eight Treasures Decoction) was used to promote scabbing.
A woman recovering from an epidemic disease developed pox with fever, fatigue, severe pain, confusion, and a desire for hot drinks. Her pulse was flooding and rapid but thread-like upon deep pressure. Shiquan Dabu Tang (Complete Great Tonifying Decoction) was administered with one qian of Cinnabar powder. After two doses, pain ceased immediately, appetite returned, and strength recovered. She continued with the same decoction for over ten doses until cured.
A man suffered from severe pox pain. One dose of Xianfang Huoming Yin (Immortal Formula for Saving Lives Decoction) stopped the pain immediately. One dose of Dongyuan Xiaodu San (Dongyuan's Detoxification Powder) restored his spirit and promoted scabbing.
A child suffered from severe pox pain with a forceful pulse, indicating Excess pathogenic factors. Two qian of Xianfang Huoming Yin (Immortal Formula for Saving Lives Decoction) powder stopped the pain and promoted eruption. Dongyuan Xiaodu San (Dongyuan's Detoxification Powder) was then used to promote scabbing.
A child suffered from red, painful pox. Two qian of Xianfang Huoming Yin (Immortal Formula for Saving Lives Decoction) powder stopped the pain. Danggui (Angelica Sinensis), Huangqi (Astragalus), and Jinyinhua (Honeysuckle) were used as the condition improved. Finally, Sijunzi Tang (Four Gentlemen Decoction), Danggui (Angelica Sinensis), and Shaoyao (Peony) were used to promote scabbing.
A child suffered from red, painful pox with fever, desire for cold drinks, and constipation. The pulse was flooding, rapid, and forceful. One dose of Xianfang Huoming Yin (Immortal Formula for Saving Lives Decoction) modified with Dahuang (Rhubarb) reduced pain immediately. One dose of Dongyuan Xiaodu San (Dongyuan's Detoxification Powder) led to recovery as expected.
A child suffered from red, active, painful pox with thirst and desire for cold drinks, and hot hands and feet. I reasoned this was a case of both form and syndrome being Excess. Only clearing heat and detoxifying could curb the momentum. Xianfang Huoming Yin (Immortal Formula for Saving Lives Decoction) and Hua Ban Tang (Spot-Dissolving Decoction) were indicated. The patient did not believe this and took Niubangzi Tang (Arctium Decoction) instead. The pox swelled, becoming dark red like ochre. Two doses of the previously mentioned medicines stopped swelling and pain. Niubangzi Tang (Arctium Decoction) was then used for final recovery.
A child suffered from painful pox after taking Niubangzi Tang (Arctium Decoction). Three Ding Du (carbuncles) formed, causing great suffering. Garlic-partitioned moxibustion was applied, and Xianfang Huoming Yin (Immortal Formula for Saving Lives Decoction) was taken. Pain ceased, and suppuration occurred. Dongyuan Xiaodu San (Dongyuan's Detoxification Powder) was then used to promote scabbing.
A child had fever all over the body, especially in the legs, with thirst and a desire for hot drinks. The pulse was flooding, rapid, and deficient. This indicated congenital Deficiency Heat of the Kidney Meridian. Dihuang Wan (Rehmannia Pill) formula was modified with Danggui (Angelica Sinensis) and Huangqi (Astragalus). Large doses were prepared for frequent consumption over three days. After several doses, fever and thirst ceased completely. Several more doses led to full recovery.
A child suffered from hot, painful pox and took cooling/blood-cooling drugs. Carbuncles developed on the four limbs with alternating chills and fever, and thirst. I advised tonifying Yuan Qi (Original Qi). The patient refused and died.
Muxiang Wuwu Tang (Wood Fragrance Five-Substance Decoction) treats irritability and pain following pox eruption.
Qingmuxiang (Aquilaria Agallocha Wood), Dingxiang (Caryophylli Flos), Xunluxiang (Frankincense), Baijian (Alumen), each 1 liang; Qingmuxiang 4 liang; Shexiang (Moschus) 1 qian.
Take 5 qian per dose, decoct in water. Add Xijiao (Rhinoceronis Cornu) 1 liang if heat is severe. This formula is commonly used by Shi Yintai with miraculous effects.
Niubangzi Tang (Arctium Decoction) treats pox that are about to erupt but not fully transparent, skin fever, red eyes with irritability, and sore throat. (Removing Digupi and Fangfeng yields Xiaodu San/Detoxification Powder).
Niubangzi (Arctii Fructus) 4 qian (stir-fried and crushed), Jingjie (Schizonepetae Herba) 2 qian, Fangfeng (Saposhnikoviae Radix) 5 fen, Digupi (Lycii Cortex) 1 qian.
Grind into powder. Take 1-2 qian per dose, mixed with warm water.
Xianfang Huoming Yin (Immortal Formula for Saving Lives Decoction) treats painful pox. It rapidly reduces severity in excess heat cases and cures weak cases. It is truly a sacred medicine.
Dongyuan Qingwei San (Dongyuan's Stomach-Clearing Powder).
Tuoli Xiaodu San (Interior-Supporting Detoxification Powder) (See "Pox Carbuncle" for the above three formulas).
Shegan Niubangzi Tang (Belamcanda and Arctium Decoction) (See "Pox Sore Throat" for formula).
Dongyuan Xiaodu San (Dongyuan's Detoxification Powder) (See "Pox with Rash", also known as Jiuku Tang/Suffering-Relieving Decoction).
Qianghuo Jingjie Gancao Tang (Notopterygium, Schizonepeta, and Licorice Decoction) (Equal parts of these three herbs).
Chaihu Zhizi Lianqiao Fangfeng Tang (Bupleurum, Gardenia, Forsythia, and Saposhnikovia Decoction) (Equal parts of these four herbs).
Lianqiao Fangfeng Tang (Forsythia and Saposhnikovia Decoction) (See "Pox Carbuncle" for formula).
Fangfeng Shaoyao Gancao Tang (Saposhnikovia, Peony, and Licorice Decoction) (Equal parts of these two herbs).
Hua Ban Tang (Spot-Dissolving Decoction) (See "Chickenpox and Smallpox" for formula).
Qingliang Yin (Cooling and Clearing Decoction).
Xiaodu San (Detoxification Powder) (See the above two formulas under "Constipation").
Sisheng San (Four Saints Powder) (See "Slow Pox Eruption" for formula).
Xijiao Xiaodu Yin (Rhinoceros Horn Detoxification Decoction).
Garsuanjiufa (Garlic-Partitioned Moxibustion Method) (See the above two methods under "Pox Carbuncle").