望痘 一名报痘,每见微热,气爽精旺神强,忽起点子,自一点以至十点余外,
其盘与顶甚焦,灌脓亦足,世每称上乘者矣。或有结痂之后,一发热而周身密布者,
亦有将结痂而复溃烂深潭,方乃周身才起者,毒伏于内,人不先察,幸其自起得以全
身,故遇极少之痘,必须细详耳后红纹,再阅周身纹路,以及面部气色,如非报痘,则
数点可云,全吉。若犹未也,必须银针挑破,初点胭脂封贴,则毒不内攻,后痘起发
亦得鲜少也。
赤痘 一名九焦,其痘起势光圆,易长易灌,根脚赤甚,似乎血热,然先后不
齐,三朝浆至随贯随回,以其九日之内必焦,故名九焦,是系腑症乃轻候也。
水痘 其发热起胀灌脓,形色状貌皆同,所以异者,惟出时顶色白亮,根脚散
大,浆色浅白,顶无痘眼是亦。府症。可无生死之虞,但升表太过后必变疮,而溃烂殊
大耗人元气耳。
石痘 此正痘中第一俦也。按之如石,易起,易贯,易靥,嘻笑如故,饮食如
常,三朝浆至七日浆回,十日功成矣。
木痘 其发热见纹俱似痘状,但出之时,忽然见点不一,而足至一二朝,渐觉粗
肥,至二三朝,反细而隐有形,无浆者,是也。是亦府症不必他虞,然此五种凡值痘症
时行偏多,此类相混故宜细辨。
望痘,又称报痘。每当患者出现轻微发热,精神清爽、精力旺盛且神气充足时,突然冒出痘点,从一点到十点以上,痘盘的底部和顶部非常焦枯,化脓也很充足,世人常称之为上乘的痘症。有的患者在结痂之后,再次发热导致周身密布痘点;也有即将结痂却又溃烂成深坑,此时全身才刚开始出痘的情况。这是因为毒邪潜伏在体内,人们没有预先察觉,幸好痘毒自行发出得以保全全身,所以遇到极少数的痘症,必须详细检查耳后的红纹,再观察全身的纹路以及面部的气色。如果不是典型的报痘,仅有几颗痘点可以称为全吉之兆。如果情况尚未明朗,必须用银针挑破初起的痘点,贴上胭脂膏封贴,这样毒邪就不会内攻,后续发出的痘点也会变得稀少。
赤痘,又称九焦。其痘疹起势光亮圆润,容易生长和化脓,根部颜色赤红严重,看似血热,但出痘先后不齐,第三天浆液到达后随即消退,因为在九天之内必然焦枯,所以名叫九焦。这属于腑症,是轻浅的候象。
水痘。其发热、起胀、化脓的过程,形色状貌都与正常痘症相同。所不同的是,发出时顶部颜色白亮,根部散大,浆液颜色浅白,顶部没有痘眼(凹陷)。这也属于腑症。可以没有生死之忧,但如果发表透疹太过,必然转变为疮疡,而且溃烂会极大地耗损人的元气。
石痘。这是正痘中的第一等。按上去像石头一样坚硬,容易起发,容易化脓,容易结痂,患者嘻笑如故,饮食照常,第三天浆液到达,第七天浆液回缩,十天即可痊愈。
木痘。其发热显现的纹理都类似痘症的样子,但在出痘时,忽然出现的痘点不一致,到了足有一两天时,逐渐觉得粗糙肥大,到了两三天时,反而变细而隐没有形,没有浆液的,就是这种。这也属于腑症,不必有其他担忧。然而这五种痘症凡是在痘症流行期间偏多,此类症状相互混淆,所以应当仔细辨别。
Wang Dou (Observation of Smallpox), also known as Bao Dou (Reporting Smallpox). Whenever a patient presents with slight fever, clear spirit, vigorous energy, and strong divine presence, smallpox spots suddenly appear. From one spot to more than ten, the base and apex are extremely scorched, and pus formation is sufficient. The world often regards this as a superior type of smallpox. In some cases, after scabbing has formed, a subsequent fever causes dense spotting all over the body. In other cases, just as scabs are about to form, deep ulcers appear, while the smallpox on the whole body only then begins to erupt. This occurs because pathogenic toxins are latent within the interior, and people fail to observe them in advance. Fortunately, the toxins self-extrude, allowing for preservation of the whole body. Therefore, when encountering rare cases of smallpox, one must carefully examine the red streaks behind the ears, review the patterns on the entire body, and observe the complexion of the face. If it is not typical Bao Dou, having only a few spots can be considered auspicious. If the situation remains unclear, one must use a silver needle to pierce the initial spots and apply a plaster made of carmine; this prevents the toxins from attacking inwardly, and subsequent eruptions will also be sparse.
Chi Dou (Red Smallpox), also known as Jiu Jiao (Nine Scorched). The eruption appears bright and round, easy to grow and fill with pus, with roots that are intensely red, resembling blood heat. However, the eruption is irregular in timing. By the third day, the fluid reaches but immediately recedes. Because it inevitably becomes scorched within nine days, it is named Jiu Jiao. This belongs to Fu-organ syndromes and represents a mild prognosis.
Shui Dou (Water Smallpox). The fever, swelling, and pus formation, along with color and shape, are identical to normal smallpox. The difference lies in that upon eruption, the apex is white and bright, the roots are scattered and enlarged, the fluid is pale white, and there is no central dimple at the apex. This also belongs to Fu-organ syndromes. There is no danger of life or death, but if the method of releasing the exterior is used too excessively, it will inevitably transform into sores, and the ulceration will greatly consume the person's Yuan Qi (Original Qi).
Shi Dou (Stone Smallpox). This is the first class among regular smallpox. It feels hard like stone upon palpation, rises easily, fills with pus easily, and forms crusts easily. The patient laughs and smiles as usual, and eats and drinks normally. By the third day, the fluid arrives; by the seventh day, the fluid recedes; and by the tenth day, the cure is accomplished.
Mu Dou (Wood Smallpox). The fever and visible skin markings resemble smallpox, but upon eruption, the spots appear inconsistently. After one or two days, they gradually feel coarse and swollen; after two or three days, they become thin and indistinct in form, lacking fluid. This also belongs to Fu-organ syndromes and requires no other concern. However, these five types of smallpox are prevalent during epidemics, and such conditions often mix together, so careful differentiation is necessary.