一彤云绕顶 其痘遍身俱好，但头顶一片红赤者，此乃热毒聚于膀胱也。须清利之。
一紫云灌顶 其痘遍身俱好，但头顶紫干陷伏不起者是也，不治。
一督元至栏 气会足心之下，名涌泉穴，若于此中见痘，即痘势已全，而获最
美，一云，凡于此处先红先灌者，大非佳兆，宜急保元。
一乌纱覆顶 其症必咽喉哑塞，喘促气粗，是血衰气败，而元阳脱也，不治。
一梨花漫顶 此因气血虚寒，不能振发光泽耳。急用保元汤加天雄，尤或可救。
一云掩天庭 一名覆釜，一名蒙头，其痘遍身磊落光泽，惟额上一片血泡，如云
者，是也。此乃心家客热炽甚耳。宜急用犀角之类服之。
一紫萍铺额 其症则热甚咽痛而闷乱发狂，治宜急用清利解毒为主。
一乌纱落额 其候额上一片黑气罩定，是元阳气血并绝也。不治。
一灰扑印堂 此症是心家少血也。若兼腹胀咽干之候者，治宜补气血为主，而兼
托里，宜保元汤加芎桂红花主之，如至于鼻者，则名中流抵柱、又名毒滞迎香，是又属
于肺也。
一红纱拂面 此宜凉血解毒为主，如痘多而连肉红者，不治。
一杨花扑面 此宜内托散加天雄主之。
一赤珠绕唇 此乃脾经极热也。宜急清火解毒。
一乌饭沾唇 此症必声哑神昏，目睛不转，四肢厥冷，三朝七日乃死。
一霞锦穿胸 此因火毒炽甚，不治之症也。
一紫云布胸 此乃血凝气滞毒来攻胸也。其症必切牙战掉，口唇焦裂，甚或顷刻
而死。
一黑棋排胸 此心火亢极，真脏色见，三朝决死，火性迅速也。
一柳絮飞胸 此乃血气枯弱也。宜保元汤加芎归桂附主之。
一桃花映背 六痘遍身红活，光绽圆满，但背上红稠密，治宜清火凉心解毒为
主。
一紫萍浮背 其痘背上稠密红紫连片者是也，不治。
一毒壅三仓 一名缦胸。其痘胸前成片，此五脏之募系焉，气会聚焉，心胞络注
焉。决无生理。
一花钿斜堆 其痘两鬓独多，若至紫赤者，尤宜清热化毒。
一黑砂落背 此症尤为不治。
一枭炎蔽聪 一名锁音。其痘在耳独多者是也。耳为肾窍，忌先见先靥，如耳热
黑色防变，黑归肾，为凶。
一云铺鱼背 此五脏血已枯尽也。不治。
一赤鳞穿腹 此乃胃家热甚，故大便秘坚、小便淋涩、治宜和解。
一三阴凑毒 足大拇指是太冲穴，属厥阴。足心是涌泉穴，属足少阴。足股旁是
商丘穴，属太阴，若毒凑者凶。
一白梨堕腹 此系气血皆败也。半月之间必发惊而死。
一葡萄落地 其痘臀尻间红紫，片若葡萄者不治。
一烂粟居臀 其痘遍身俱好，惟臀上一片如粟壳臭烂者是也。急宜为补托下元，
或有可生。
一榴花散野 凡诸痘俱好，惟四肢红赤，唇口崩裂者，是心脾肺三经热甚也。治
宜凉血清火解毒为主。
一荷钱透水 一名脱腮，其痘独两腮稠密是也。若至焦紫神暗者，凶。
一杨花堕枝 其痘独四肢灰白者是也。此因气凝血滞耳，宜八珍汤加附子主之。
一枭聚两颐 一名胭脂拍面，一名橘壳脸。其痘两脸紫赤独多者，是也。此因肝
肺热甚，宜急清热解毒。
一、彤云绕顶：全身痘疹均正常，唯独头顶一片红赤，这是热毒聚集在膀胱所致。必须采用清热利湿的方法治疗。
二、紫云灌顶：全身痘疹均正常，唯独头顶紫暗干枯、凹陷不起的，属于不治之症。
三、督元至栏：气会穴位于足心下方，名为涌泉穴。如果在此处见到痘疹，说明痘势已经全面透发，且预后最好；另一种说法是，凡是此处先发红或先灌浆的，是大凶之兆，应当紧急保固元气。
四、乌纱覆顶：症状必然咽喉哑塞、气喘急促、呼吸粗重，这是血衰气败、元阳脱失的表现，属于不治之症。
五、梨花漫顶：这是因为气血虚寒，不能振奋并显现光泽所致。紧急使用保元汤加入天雄，或许还可以救治。
六、云掩天庭：又名覆釜，又名蒙头。其痘疹遍身磊落有光泽，唯独额头上一片血泡，如同云朵一般，这就是此症。这是心经客热炽盛所致。应当紧急服用犀角类药物。
七、紫萍铺额：症状则是热邪极盛，咽喉疼痛且烦闷狂乱，治疗应当紧急以清热利湿解毒为主。
八、乌纱落额：候诊时额头上一片黑气笼罩固定，这是元阳和气血同时断绝的表现。属于不治之症。
九、灰扑印堂：此症是心家血液不足所致。如果兼有腹胀、咽干的症状，治疗应当以补益气血为主，兼用托里法，宜用保元汤加川芎、桂枝、红花来主治。如果痘疹蔓延到鼻子部位，则名叫中流抵柱，又名毒滞迎香，这又归属于肺经病变。
十、红纱拂面：此症适宜以凉血解毒为主。如果痘疹多且连成片状红色肉芽的，属于不治之症。
十二、赤珠绕唇：这是脾经极热所致。应当紧急清火解毒。
十三、乌饭沾唇：此症必然声音嘶哑、神志昏迷、眼球不转动、四肢厥冷，通常在发病后第三日或第七日死亡。
十四、霞锦穿胸：这是因为火毒炽盛至极，属于不治之症。
十五、紫云布胸：这是血凝气滞、毒邪攻冲胸部所致。症状必然咬紧牙关、身体战栗发抖、口唇焦裂，甚至顷刻间死亡。
十六、黑棋排胸：这是心火亢盛到了极点，真脏色显露，由于火性迅速，通常在第三天决定死亡。
十七、柳絮飞胸：这是血气枯弱所致。宜用保元汤加川芎、当归、桂枝、附子来主治。
十八、桃花映背：全身痘疹红活、光绽圆满，但背部红稠密，治疗应当以清火、凉心、解毒为主。
十九、紫萍浮背：其痘疹在背部稠密、红紫连成一片的，属于不治之症。
二十、毒壅三仓：又名缦胸。其痘疹胸前成片，这里是五脏募穴所在，气机汇聚之处，心包络注输之地。绝无生机。
二十一、花钿斜堆：其痘疹在两鬓特别多的，如果发展到紫红色，尤其应当清热化毒。
二十二、黑砂落背：此症尤为不治。
二十三、枭炎蔽聪：一名锁音。其痘疹在耳朵特别多的就是此症。耳为肾之窍，忌讳痘疹先在耳部出现或先结痂。如果耳部发热变黑，防止病情变化，黑色归属肾，为凶兆。
二十四、云铺鱼背：这是五脏血液已经枯竭殆尽。属于不治之症。
二十五、赤鳞穿腹：这是胃家热邪极盛，所以大便秘结坚硬、小便淋沥涩痛，治疗应当以和解为主。
二十六、三阴凑毒：足大拇指处是太冲穴，属厥阴肝经。足心处是涌泉穴，属足少阴肾经。大腿旁侧是商丘穴，属足太阴脾经。如果毒邪聚集于此，预后凶险。
二十七、白梨堕腹：这是气血都败坏所致。半月之内必然因惊风发作而死。
二十八、葡萄落地：其痘疹在臀部尾闾之间红紫，片状如同葡萄的，属于不治之症。
二十九、烂粟居臀：其痘疹遍身均好，唯独臀部上一片如粟壳般臭烂的，应当紧急进行补益托毒、温补下元的治疗，或许还有生机。
三十、榴花散野：凡是各种痘疹都好，唯独四肢红赤、嘴唇口角崩裂的，这是心、脾、肺三经热邪极盛所致。治疗应当以凉血、清火、解毒为主。
三十一、荷钱透水：一名脱腮。其痘疹唯独在两腮稠密的即是此症。如果发展到焦紫色、神气昏暗的，为凶兆。
1. Crimson Clouds Surrounding the Crown: The pustules cover the entire body normally, except for a patch of crimson redness on the crown of the head. This indicates heat-toxin accumulating in the Bladder (Bladder Organ). It requires clearing heat and promoting diuresis.
2. Purple Clouds Pouring Over the Crown: The pustules cover the entire body normally, except for the crown of the head which is purple, dry, and sunken without rising. This is incurable.
3. Du Meridian Reaching the Barrier: The Qi Hui point is located below the sole of the foot, named Yongquan (KI-1, Springing Well). If pustules appear here, it indicates that the eruption has fully manifested and prognosis is excellent; alternatively, some say if redness or pus formation appears first at this site, it is a very bad omen, requiring urgent preservation of Yuan Qi (Original Qi).
4. Black Gauze Covering the Crown: Symptoms inevitably include hoarseness and blockage of the throat, panting, and coarse breathing. This indicates depletion of blood and failure of Qi, with loss of Yuan Yang (Original Yang). This is incurable.
5. Pear Blossoms Spreading Over the Crown: This is due to deficiency and cold of Qi and Blood, unable to stimulate luster. Urgently use Baoyuan Tang (Preserve the Origin Decoction) added with Tianxiong (Aconiti Lateralis Radix Preparata), which may still be curable.
6. Clouds Obscuring the Forehead: Also known as "Overturned Cauldron" or "Covered Head". The pustules are distinct and lustrous over the whole body, except for a patch of blood blisters on the forehead like clouds. This is caused by intense guest-heat in the Heart (Heart Organ). Urgently administer substances like Rhinoceros Horn (now substituted with Water Buffalo Horn).
7. Duckweed Spreading on the Forehead: Symptoms include extreme heat, sore throat, restlessness, and madness. Treatment should urgently focus on clearing heat, promoting diuresis, and detoxifying.
8. Black Gauze Falling on the Forehead: A patch of black qi covers the forehead firmly. This indicates simultaneous exhaustion of Yuan Yang and Blood/Qi. This is incurable.
9. Ash Dusting the Yintang Area: This condition indicates insufficient blood in the Heart. If accompanied by abdominal distension and dry throat, treatment should primarily tonify Qi and Blood while supporting the interior. Use Baoyuan Tang (Preserve the Origin Decoction) added with Chuanxiong (Ligustici Chuanxiong Rhizoma), Guizhi (Cinnamomi Ramulus), and Honghua (Carthami Flos). If it extends to the nose, it is called "Pillar in Midstream" or "Toxin Stagnating at Yingxiang", belonging to the Lung (Lung Organ).
10. Red Silk Brushing the Face: Treatment should primarily cool blood and detoxify. If pustules are numerous and form continuous red flesh patches, it is incurable.
11. Poplar Flowers Facing the Face: Treatment should use Neituo San (Internal Support Powder) added with Tianxiong (Aconiti Lateralis Radix Preparata).
12. Red Beads Circling the Lips: This is due to extreme heat in the Spleen Channel (Spleen Organ). Urgently clear fire and detoxify.
13. Black Rice Staining the Lips: Symptoms inevitably include hoarseness, coma, fixed eyes, and cold limbs. Death occurs on the third or seventh day.
14. Rosy Brocade Piercing the Chest: This is due to extremely intense fire-toxin. This is an incurable condition.
15. Purple Clouds Spreading on the Chest: This is caused by blood stasis and Qi stagnation with toxin attacking the chest. Symptoms inevitably include clenched teeth, tremors, and cracked, scorched lips, possibly leading to death within moments.
16. Black Chess Pieces Arranged on the Chest: This indicates extreme hyperactivity of Heart Fire and appearance of the True Zang color. Due to the rapid nature of fire, death is decided by the third day.
17. Willow Catkins Flying on the Chest: This is due to withered and weak Qi and Blood. Use Baoyuan Tang (Preserve the Origin Decoction) added with Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Guizhi (Cinnamomi Ramulus), and Fuzi (Aconiti Lateralis Radix Preparata).
18. Peach Blossoms Reflecting on the Back: Pustules all over the body are red, vibrant, blooming, and round, but densely red on the back. Treatment should primarily clear fire, cool the Heart, and detoxify.
19. Duckweed Floating on the Back: Pustules on the back are dense, red-purple, and forming continuous patches. This is incurable.
20. Toxin Obstructing the Three Granaries: Also known as "Silk Chest". Pustules form patches on the chest, which is the location of the Front-Mu points of the Five Zang Organs, where Qi gathers, and where the Pericardium Channel pours. There is no hope for survival.
21. Flower Studs Slanting in Piles: Pustules are particularly numerous on the temples. If they turn purple-red, especially clear heat and resolve toxin.
22. Black Sand Falling on the Back: This condition is particularly incurable.
23. Owl Flame Obscuring Hearing: Also known as "Locked Voice". Pustules are particularly numerous in the ears. The ear is the opening of the Kidney (Kidney Organ); it is contraindicated for pustules to appear or crust over first in the ears. If the ears become hot and black, beware of transformation; black corresponds to the Kidney, indicating an ominous sign.
24. Clouds Spreading on Fish Back: This indicates complete exhaustion of blood in the Five Zang Organs. This is incurable.
25. Red Scales Piercing the Abdomen: This is due to extreme heat in the Stomach (Stomach Organ), resulting in hard constipation and scanty, painful urination. Treatment should focus on harmonizing.
26. Three Yin Channels Gathering Toxin: The big toe area is Taichong (LR-3), belonging to the Jueyin Liver Channel. The sole is Yongquan (KI-1), belonging to the Foot-Shaoyin Kidney Channel. The side of the thigh is Shangqiu (SP-5), belonging to the Foot-Taiyin Spleen Channel. If toxin gathers here, the prognosis is ominous.
27. White Pear Falling into the Abdomen: This indicates failure of both Qi and Blood. Within half a month, convulsions will occur leading to death.
28. Grapes Falling to the Ground: Pustules between the buttocks and coccyx are red-purple and patch-like, resembling grapes. This is incurable.
29. Rotten Millet Dwelling on the Buttocks: Pustules are normal everywhere else, except for a patch on the buttock resembling rotten millet husks with a foul odor. Urgently perform tonification and support to expel toxin, and warm the Lower Yuan (Lower Original). Survival may be possible.
30. Pomegranate Flowers Scattered in the Wild: All pustules are normal, except for redness on the four limbs and cracking of lips and mouth. This indicates extreme heat in the Heart, Spleen, and Lung channels. Treatment should primarily cool blood, clear fire, and detoxify.
31. Lotus Coins Penetrating Water: Also known as "Detached Cheeks". Pustules are exclusively dense on both cheeks. If they become scorched-purple and spirit dull, it is ominous.
32. Poplar Flowers Falling from Branches: Pustules are exclusively gray-white on the four limbs. This is due to Qi coagulation and Blood stagnation. Use Bazhen Tang (Eight Treasures Decoction) added with Fuzi (Aconiti Lateralis Radix Preparata).
33. Owls Gathering on Both Cheeks: Also known as "Rouge Slapping the Face" or "Orange Peel Face". Pustules are exceptionally numerous and purple-red on both cheeks. This is due to extreme heat in the Liver and Lung organs. Urgently clear heat and detoxify.