粤圣贤之杳貌兮，体崇高而难匹，（古医圣贤，去世杳逸，道体崇高，难可区林也。）啻童稚之脱象兮，
符今古而不易。（凡童雅患痘，实如脱换一番形象，古今时虽不同，其经道栏辅相符而不易也。）慨痘疹
之凶危兮，溯源流于阳毒，（慨痘疹之有凶危者，溯追其源，皆先天之阳毒耳。）造化之推迁兮，适气
运以感触。（夫痘不发则遐迩俱寂，发则连乡共邑。推迁无定者，因气运之所感触也。）精髓伏藏兮，
脾土生息，（夫痘未发之际，则藏伏于骨 。其既形于外，皆赖乎脾土生息之也。）正火荣发兮，禀赋
异籍。（夫痘必由热极而标者，是脾土之正火以荣发其机耳，然有稀少而美者，有稠密而凶者，是因禀赋
有异籍耳。）阴阳周全兮，从顺而不从逆，夫血以荣之，气以卫之，阴阳周旋，其间若顺经者，
则气自培而不伤，逆经者，势必倾而难活。要之，从顺而不从逆也。）五经峻达兮，百六十而不
一，（夫痘实五经之峻达，故宜别其所注之经，其痘辅有六百有余、而以五脏分注经络，俱别而不一。）
嘶冥瞽于三疑，揭九形之不识，（夫痘有三疑及九不识，乃圣贤之详揭，以欲闻后学之聋瞽也。）别形体
之少壮，判风气于南北。（言痘疮治法，宜分形体之虚实，年之少壮及风气南北之异也。）舍淑顺于两
仪，（阴阳两仪，舍聚辅丽淑顺之妙。）建中和于三极，（天地人是为三极，凡天时顺其令，地气振其
权，人事尽其谋，此谓建中和于三极矣，）一骑当先，万马齐力，（凡一颗呈形而诸痘便齐者，此谓
一骑当先，万马齐力也。太快宜防表虚。）片花落径，全枝失色。（凡颊颧五经地位要处，而如擦破
或结疔恶之类。则身上髓必灰陷爬脱矣。故曰片花落地径，全枝失色。）暗投鬼箭兮，翻睛惊厥
而不入，（凡热一日而见点者为鬼箭，乃死症也，如翻睛惊厥乃出者则可见，外虽不热而其内动已久，
故热透肌络，痘经于心，为极美之证，而鬼箭射不入身者也。）时值药铳兮，赋异嚣漓而反赋。（凡十
岁而出痘者，是为药铳。然时值如此，元气敦浓者，自可保全，禀赋浇漓，反致于成赋矣。）候正兮
鉴形，（凡热三日而见点者，是为正候，又当鉴形，形色之如何。）愆期兮势逼。（凡热七八日而痘见点
者为愆期。则元气消灼而势危迫矣。）望穹窿以建位兮，阳先驰，（穹窿者，天庭方广等处也，
痘望穹窿建
位，而先标焉，则阳气先驰，防其焦紫疔斑之害。）坠井谷以不达兮，阴垂惕。（凡足掌心等处乃井谷之
所杂也，痘若坠井谷以下达焉，则阴荣随阳，必不能鼎峻充溢矣。）希状元一枝，贴金钱于瑞壁，（凡鼻
额地阁之处，各呈一颗者，是为状元一技，而人所希仰之也。瑞壁者，脾之部位，乃则颐也。凡于此处
而标佳美，如贴金钱于瑞壁也。）嫌五鬼之弄朝，脱蛇皮以粘席。（凡五关之地，最嫌其细密而逆，恶
目鬼者，恶之之词也。更蛇皮断是门栩之弃痘，故欲其脱去而勿见也。）簧口无交兮，声翕扬，（簧口者，
盖口如笙簧之声也。凡痘标于唇之上下，势如双钳交绕，则声不能以翕扬矣，故如无交，则声自翕扬也。）
枢突连片兮，气淹塞。（凡颈锁气枢突内痘若连片，则犯乎肺经，随必声哑，而气塞矣。）离明蛤兮，
卷尘沙，（凡闭蛤而不开，则五官不弛于外，痘既鼎峻，然眼既封蛤，宜忌尘沙，青黑之色。）肺窍封
兮逐蜥蝎。（夫蜥蝎者，言窍中生痘毒也，谓鼻窍既封，自能鼎灌，犹宜防蜥蝎之患而逐之。）喉呷呷兮，
丹田伤，（凡声之源，出于丹田，若喉呷呷而声哑者，则知其丹田受伤矣。）眼碧碧兮，肝荣竭。（凡
眼碧色而无睛光者，则肝血之荣已枯竭矣。）荡紫萍于颧阜，知赤帝之反侧，（凡两颧阜焦紫如水荡紫萍贴
阜者，则知心经犯逆，而赤帝之门被反侧以耗乱矣。）放梅花于颐池，概脾君之失职。（凡两腮颐池，而带
梅花之白者，则脾君失传化之职，而为可概也。）胸前漫胀，鸱枭停翼，（凡胸前漫胀者，是因枭毒攻冲于
中。故曰鸱枭停翼。）呕吐无休，蛇虺缠腹。（凡见点而呕吐不已者，枭炎匿于腹内，如蛇虺之传注也。）八
门齐拥兮，森罗刀戟，（凡于八门一起拥出者，则如刀戟之森罗于间，必至于杀伤矣。）六栏次第兮，奇
英露 。（凡六缠之栏痘而次第渐透者，则气顺而道正如奇葩之英，甘露以 之者然。）根窠盘红兮，虽至
尾而不易，（凡痘根窠盘红鲜润，则自头至尾，何忧变易之虞！）形色脱元兮，竟已后而为逆。（凡形色
脱元，或红如胭脂，白如梅花，必后竟成逆而不治。）飞矢兮困于肺络，（凡痘眉心之处，如见形而似
飞矢，预知必有咳嗽等症，困于肺络矣。）劈剑兮强于心敌。（凡眉心之处见形而似劈剑之象，预知有衄
血等症，枭炎肆暴，强于心敌也。）识日轮之煦照兮，防枭炎与仇克，（凡在太阳发际之处，是为日轮
于此，而枭红罩锦，则为日轮煦照，痘犯肝必致焦紫，而枭炎于是以仇克也。）验风府之呈疔兮，
逐蚩尤于蛮貊。（风府在于脑后，颈项之间，凡此处而疔注焉、则如蚩尤之居于此，而作害矣，故宜逐之。
）鼻息梗痛兮，火珠阗实，（凡鼻内疼痛，肿梗者，此必火珠疔填，塞于中耳。）牙关紧闭兮，蜈蚣蹲 。
（凡牙关紧闭而不能开合者，此必有蜈蚣疔蹲 于间耳，宜急治之。）耳孔疔兮名豢虎，豢虎一呈嚼其
髓，治宜速乎钧穿，（凡痘耳孔生疔者，是名豢虎，则必嚼其精髓，如豢虎于囿内，宁有不噬人者乎？
故宜速宜钩穿，以绝其根缕。）眼沿疔兮曰亡汲，亡汲一生烁其荣，法又忌乎挑剔。（凡两眼红沿而生疔者，
是名亡汲。盖目为肝窍，无玄水以吸握之矣，故曰亡汲。然此处一破，则成为涌泉之漏，故忌挑剔，惟
以药治之。（小指见疔兮，眼睁睁。（凡小指生疔，则阳明透毒于肝，肝注于眼而必睁睁直定不转活矣。）
膝弯坐蝗兮，脚筋直，（凡两膝弯生疔则必脚筋抽直，疼痛而不舒畅者，即为察之。）丰丘拔帜兮，
耽睡卧而好食。（五经高处为丰丘，凡痘于此鼎峻稀少者。是为拔帜，则睡卧宁静，饮食倍常而吉。）
伤门流孛兮，拥烦燥而捶击，（五关为伤门，凡于此而痘密恶，或疔毒注结，则为流孛，必烦燥不安、
手足不宁，静而捶击矣。）弃倒 于腮田，为铁蛆之爵粒。（凡腮田之间，痘形如倒 ，则脾胃受伤，诸
痘亦为之渐坏，故如铁蛆之嚼粒焉。）畏水形于鼻柱，因疳虫之攻敌，（凡水形纹见于鼻梁者，必腹内
疳虫攻击而痘必受伤，宜畏而不宜见也。）不养 于青田，怕乘风而搏击，（青田者左太阳鬓底之际，
肝木之位也。肝属木为风，心属火为火，凡此处稀少色不焦紫者，是为不养， 猿聚泣于青田，而美者也。
盖恐肝心二经痘毒，则风从木起火逐风炎，枭恶之毒， 猿之凶乘风搏击，于众地矣。）不潜虿于阳池，
避螫螟之接翼。（夫螟乃食稻之虫，而阳池居阳球之中，凡此处而先紫黑，则螟螫于此，而潜虿于斯也，痘
必随为俱变，故宜避其接翼而潜虿也。）人中主司命之堂，（夫人中属于心，吉凶休咎咸验于斯，故为主
司命之堂也。）咽突居生杀之职。（夫咽突属肺，乃气出入之所系，美恶预呈于此也，故曰居生杀之职。）
传三日而不食兮，验脾关之隐突，（凡痘至三日，传脾之际，而腹胀不食者，须查脐封之处，脾之关也，
此处必有隐隐密突，而毒瓦斯拥甚未舒，故失和平之气也。）逾六朝而恶渴兮，视痘囊之紫黑。（凡痘过
六日，则宜毒瓦斯少解，如口恶渴异常者，是可见枭炎蒸灼甚极，其痘囊必致焦紫变黑。）手辅倏肿兮皮
光亮，岂钟育乎臃毒。（凡六七朝而两手浮肿光亮者，是因气虚，且系脾土不能以制水，非痈毒之钟育耳。）
牙床忽胀兮舌上卷，非偃枭于黑谷。（凡牙床肿胀其舌向上卷者，此必疔贮舌根毒凑于心
耳，非枭毒之逆于合谷而然也。）按涌陵之劳块兮，知HT 貅之透足，（夫涌泉、阴陵二穴。在于足心宛中之
间，凡并块牢结则知枭毒必透于是也，HT 貅者，猛兽也，喻其毒之恶耳。）观天柱之垂折兮，
谙精神之还壁。（凡痘而天柱垂折者，则知神明散精夺气，如璧之不能完赵，而不可复得也。）两肋叠
椒兮，肠鸣热极，（凡痘两肋叠见椒色者，必肠鸣热极而燔火攻熬，故色如是耳。）五俞撒网兮，头
多脸赤。（凡背后五俞密多布如撒网者，则头额之痘必多，两脸带赤而色不正矣。）啮指 舌兮，凶
魅归而塌迹，（凡常将指头啮咬而舌 者，则知毒澄于阳明，枭据于心络，其凶魁已归于花栏矣。有不
损于身而灭迹者耶。）仰天咬乳兮，痘魃印而难辟。（凡痘而不时头仰向天，咬乳啮齿者，则知癸元已
亡，鬼魃掌印，而难祛辟者也。）唇宫堆蜡于七期兮，要石榴之竦粒，（凡痘七日两唇先干，黄堆蜡者，是
胃未热，脾先热，浆黄不是黄，惟见方广两旁，颧阜所在，如石榴之竦粒者，期可谓之真浆而得保全者也。）
脓涕交流于九日兮，虽半浆而不贼。（凡痘至九日之间倘囊破而流脓，鼻封而流涕者，是虽气不完固，
然荣阴循 乎中。而枭毒变化泄于外，是即浆澄未足，犹可充灌而不为贼害也。） （时枭痒兮，非有犯于
秽液，凡八九朝 时，枭痒不正者，是气血嚣漓淫毒横行，民可俱以犯于秽液而概论哉！）摸衣捻缝兮，
岂可钧视乎邪色！（凡九十日而摸衣捻缝者，此痘毒凑里，而手足忙乱，岂可均以邪色视之。）覆釜兮似
秃疮，悬镜兮谬诸毒。（此二痘俱在九不识中，实相疑似而宜辨者也。）肤纹热红兮，丹瘤缠，（凡遍身大
热，皮肤隐起红纹者，是为丹瘤也。）胸阜幔胀兮，眉惨戚。（凡痘胸阜幔肿者，是凑毒于心而眉头惨
戚也。）七朝结鲤鲠于血池，虽空房而可积，（凡痘七朝结囊，并不充灌，而两股血池结起如鲤鲠一带硬
痛者，则知枭毒注会于此矣。然此上不冲心而无害，是即囊房中空，犹可充裕也。然窃谓前症，如仅言毒
之无妨则可，若固见空房，无浆之痘于七日，而又夹热毒之症，脓浆无自成枭毒，何由而化？竟未可保全
也？）二六起 杌机于项锁，虽充裕而非吉。（凡过十二朝，而项颈处重起 杌痘者，则毒盛而上升，纵
然充足，亦难保厥终也。然窃见痘后复出者，历多不死，盖 杌之出者，是余毒之未尽也。余毒之被其推
托而出者，是元气之振挠于内也，则胜于毒之伏内，而不能出者万万矣。况囊房又得充裕，是可见荣卫之
得并盛，余毒之化易臻矣。但颈项不可太密耳。）下灌上嚣兮曰糜鳞，上灌下嚣兮曰炼镝，糜鳞观其背座，
炼镝在乎颧石。（凡下体灌浆而美其头，而浇薄不能充盈者，是名糜。然糜者，麋也。以其上痘似糜，
而轻贱也。鳞者，麟也，以其下痘似麟而难得也。若头面俱已充贯饶美，而在下则浇漓不脓者是名炼
镝。炼镝者，刀剑光脱锋利之处也。盖头在上而犹刀剑锋利之处为要道也，然糜鳞尤重于背座之痘美者
为愈，而炼镝则重于两颧之处佳者为吉。）痘非嫌乎排密，（凡痘只求其经络之正而不逆，即虽排密亦非
所嫌也。）靥独忌乎黑突。（夫靥白如梅花，薄如片纸，固难保全，然黑突太甚，则重为倒靥，轻则余毒亦
宜忌之。）交骨不留乎游蚕，（交骨者，肾之部，在耳前一寸，凡有游蚕焦紫之形，则痘而不能鼎峻矣，
故欲不留于此处也。）中脘远避乎蜂螫，（中脘乃脾胃任脉之所发，其部在于脐上四寸，若此处而重密如
蜂螫者，则脾胃受伤矣，故宜远避之也。）究五关三杀之非轻，（五关者，心之关在胸臆，肝之关在眼
眶，脾之关在脐封，肺之关在气枢，肾之关在阳球。三杀者，盖起肾而不能表暴，一杀也；脾传而不能
充灌，二杀也；痂落而不能尽美，三杀也。凡此二端所系非轻，故宜详究之。）熟八门六栏之是益。（凡
痘有八门六栏，人能熟谙之，则有益于治痘之治矣。）贫富不可以二心，精微贵乎详察。（凡业是者。
须体天地好生之仁，贫富不可以二心，且理甚精微，尤宜潜心详察耳。）
二赋出自《玉髓》，相传既久，甚多鲁鱼之讹。今张逐一校正，且翻刻共有三部，今汇纂细注于下，
以便后学易解。
那些圣贤的面貌深远难测，他们的道体崇高，难以匹敌。（古代的医学圣贤，离世后踪迹渺茫，其道的本体崇高，难以穷尽探究。）就像孩童换牙脱去乳齿一样，（凡是儿童患痘疹，确实如同脱换了一番形象，虽然古今时代不同，但其经络运行的规律和辅助机制是相符且不变的。）感叹痘疹的凶险危急，追溯其源头在于阳毒。（感叹痘疹之所以有凶险危急的情况，追根溯源，都是先天禀受的阳毒所致。）造化的推移变迁，恰好因气运的感触而引发。（痘疹如果不发作，则远近都寂静无声；一旦发作，便连乡共邑。这种推移变化没有定数，是因为受到气运感触的影响。）精髓潜伏收藏，依靠脾土的滋养生息。（在痘疹未发之际，它潜伏在骨骼之中。等到显现于体表时，都依赖于脾土的滋养生息。）正火旺盛荣发，禀赋各有不同。（痘疹必然由热极而外发，这是脾土的正火在发挥其荣发的作用，然而有的稀少而美好，有的稠密而凶险，这是因为禀赋有所不同。）阴阳周全，顺从顺经而不从逆经。血用来荣养它，气用来卫护它，阴阳周旋其间，如果是顺经的，那么气自然培补而不受伤；如果是逆经的，势必倾覆而难以救活。总之，要顺从而不要逆反。）五经峻烈通达，百六十处各不相同。（痘疹实际上是五经的峻烈通达，所以应当辨别它所注足的经络，痘疹的辅位有六百多处，按照五脏分别注入经络，各自区别而不一。）使人在三疑上昏昧盲视，揭示九形却未能认识。（痘疹有三疑及九不识，这是圣贤详细揭示的，旨在唤醒后学的聋瞽无知。）辨别形体的小大壮弱，判断风气在南北的差异。（言痘疮的治疗方法，应当区分形体的虚实、年龄的少壮以及南北风气的差异。）在两仪中舍弃淑顺之美，（阴阳两仪，舍弃聚集辅丽淑顺的妙处。）在三极中建立中和之道，（天、地、人称为三极，凡是天时顺应其命令，地气振作其权柄，人事竭尽其谋略，这叫做在三极中建立中和。）一骑当先，万马齐力。（凡是有一颗呈现形态而其他痘疹便一齐出现的，这叫一骑当先，万马齐力。如果太快，应当防止表虚。）花瓣飘落路径，整枝失去颜色。（凡是脸颊颧骨等五经地位的要处，如果像擦破或结成疔疮恶症之类，那么身上的髓液必定灰陷爬脱。所以说片花落地径，全枝失色。）暗中投掷鬼箭，翻睛惊厥而不能入内。（凡是发热一天就出点的叫鬼箭，这是死症。如翻睛惊厥属于出痘者则可见效，外边虽然不热但内部动乱已久，所以热透肌络，痘疹经过心脏，是极美的证候，而鬼箭射不入身。）正值药铳之时，禀赋异于浇漓反而成为定数。（凡是十岁而出痘的，称为药铳。然而时机正值如此，元气敦厚浓重的，自然可以保全，禀赋浇薄漓散的，反而导致成为定局。）观察正候来鉴别形态，（凡是发热三天就出点的，称为正候，又应当鉴别形态，看它的形色如何。）错过期限则形势紧迫。（凡是发热七八天才出点的称为愆期。那么元气消灼而形势危迫了。）仰望穹窿以建立位置，阳气先驰。（穹窿是指天庭方广等处，痘疹望见穹窿建立位置而先标出，那么阳气先驰，要防备焦紫疔斑的危害。）坠落井谷而不能到达，阴垂警惕。（凡是足掌心等处是井谷所在混杂的地方，痘疹如果坠落井谷以下达，那么阴荣跟随阳，必定不能鼎盛充溢了。）希望得到状元一枝，在瑞壁上贴金钱。（凡是鼻额地阁之处，各呈一颗的，称为状元一枝，是人们所仰慕的。瑞壁是指脾的部位，即下颌。凡是在此处标出佳美，如同在瑞壁上贴金钱。）嫌弃五鬼弄朝，脱去蛇皮粘在席子上。（凡是五关之地，最嫌弃其细密而逆，厌恶目鬼，是厌恶之词。更说蛇皮断绝是门栩弃掉的痘疹，所以希望它脱去而不要见到。）簧口无交合，声音翕扬。（簧口，大概指口如笙簧之声。凡是痘疹标在唇之上下，势如双钳交绕，那么声音就不能翕扬了，所以如无交合，声音自然翕扬。）枢突连成片，气机淹塞。（凡是颈锁气枢突内痘疹若连成片，则犯肺经，随即必定声哑，而气塞了。）离明蛤闭，卷起尘沙。（凡是闭蛤而不开放，那么五官不弛于外，痘疹既已鼎盛，然而眼睛既封蛤，应当忌讳尘沙，青黑之色。）肺窍封闭，驱逐蜥蝎。（蜥蝎，言窍中生痘毒，谓鼻窍既封闭，自然能鼎灌，仍然应当防范蜥蝎之患而驱逐它。）喉间呷呷作响，丹田受伤。（声音之源出于丹田，如果喉间呷呷作响而声哑，就知道丹田受伤了。）眼色碧碧，肝血荣枯。（凡是眼色碧绿而无睛光的，那么肝血的荣养已经枯竭了。）荡涤紫萍于颧阜，知道赤帝反侧。（凡是两颧阜焦紫如水荡紫萍贴在阜上，就知道心经犯逆，而赤帝之门被反侧耗乱了。）放梅花于颐池，概叹脾君失职。（凡是两腮颐池，带有梅花的白色，那么脾君失传化之职，而可慨叹了。）胸前漫胀，鸱枭停翼。（凡是胸前漫胀的，是因为枭毒攻冲于中。所以说鸱枭停翼。）呕吐不停，蛇虺缠腹。（凡是见点而呕吐不已的，枭炎匿于腹内，如蛇虺的传注。）八门齐拥，森罗刀戟。（凡是于八门一起拥出的，则如刀戟森罗于间，必至于杀伤了。）六栏次第，奇英露润。（凡是六栏的痘疹而次第渐透的，则气顺而道正如奇葩之英，甘露滋润它一般。）根窠盘红，虽至尾而不易。（凡是痘根窠盘红鲜润，那么从头至尾，何忧变易之虞！）形色脱元，竟已后而为逆。（凡是形色脱元，或红如胭脂，白如梅花，必定后竟成逆而不治。）飞矢困于肺络，（凡是痘眉心之处，如见形而似飞矢，预知必有咳嗽等症，困于肺络了。）劈剑强于心敌。（凡是眉心之处见形而似劈剑之象，预知有衄血等症，枭炎肆暴，强于心敌也。）识别日轮的煦照，防范枭炎与仇克。（凡是太阳发际之处，是为日轮于此，而枭红罩锦，则为日轮煦照，痘犯肝必致焦紫，而枭炎于是以仇克也。）验证风府呈疔，驱逐蚩尤于蛮貊。（风府在于脑后，颈项之间，凡是此处而疔注焉，则如蚩尤之居于此，而作害矣，故宜逐之。）鼻息梗痛，火珠阗实。（凡是鼻内疼痛，肿梗者，此必火珠疔填，塞于中耳。）牙关紧闭，蜈蚣蹲踞。（凡是牙关紧闭而不能开合者，此必有蜈蚣疔蹲踞于间耳，宜急治之。）耳孔生疔名豢虎，豢虎一现嚼其髓，治疗宜速用钩穿。（凡是痘耳孔生疔的，是名豢虎，则必嚼其精髓，如豢虎于囿内，宁有不噬人者乎？故宜速宜钩穿，以绝其根缕。）眼沿生疔曰亡汲，亡汲一生烁其荣，法又忌挑剔。（凡是两眼红沿而生疔的，是名亡汲。盖目为肝窍，无玄水以吸握之矣，故曰亡汲。然此处一破，则成为涌泉之漏，故忌挑剔，惟以药治之。）小指见疔，眼睁睁。（凡是小指生疔，则阳明透毒于肝，肝注于眼而必睁睁直定不转活矣。）膝弯坐蝗，脚筋直。（凡是两膝弯生疔则必脚筋抽直，疼痛而不舒畅者，即为察之。）丰丘拔帜，耽睡卧而好食。（五经高处为丰丘，凡是痘于此鼎盛稀少者。是为拔帜，则睡卧宁静，饮食倍常而吉。）伤门流孛，拥烦燥而捶击。（五关为伤门，凡是于此而痘密恶，或疔毒注结，则为流孛，必烦燥不安、手足不宁，静而捶击矣。）弃倒靥于腮田，为铁蛆之爵粒。（凡是腮田之间，痘形如倒靥，则脾胃受伤，诸痘亦为之渐坏，故如铁蛆之嚼粒焉。）畏水形于鼻柱，因疳虫之攻敌。（凡是水形纹见于鼻梁者，必腹内疳虫攻击而痘必受伤，宜畏而不宜见也。）不养猿于青田，怕乘风而搏击。（青田者左太阳鬓底之际，肝木之位也。肝属木为风，心属火为火，凡是此处稀少色不焦紫者，是为不养，猿聚泣于青田，而美者也。盖恐肝心二经痘毒，则风从木起火逐风炎，枭恶之毒，猿之凶乘风搏击，于众地矣。）不潜虿于阳池，避螫螟之接翼。（夫螟乃食稻之虫，而阳池居阳球之中，凡是此处而先紫黑，则螟螫于此，而潜虿于斯也，痘必随为俱变，故宜避其接翼而潜虿也。）人中主司命之堂，（夫人中属于心，吉凶休咎咸验于斯，故为主司命之堂也。）咽突居生杀之职。（夫咽突属肺，乃气出入之所系，美恶预呈于此也，故曰居生杀之职。）传三日而不食，验脾关之隐突，（凡是痘至三日，传脾之际，而腹胀不食者，须查脐封之处，脾之关也，此处必有隐隐密突，而毒瓦斯拥甚未舒，故失和平之气也。）逾六朝而恶渴，视痘囊之紫黑。（凡是痘过六日，则宜毒瓦斯少解，如口恶渴异常者，是可见枭炎蒸灼甚极，其痘囊必致焦紫变黑。）手辅倏肿兮皮光亮，岂钟育乎臃毒。（凡是六七朝而两手浮肿光亮者，是因气虚，且系脾土不能以制水，非痈毒之钟育耳。）牙床忽胀兮舌上卷，非偃枭于黑谷。（凡是牙床肿胀其舌向上卷者，此必疔贮舌根毒凑于心耳，非枭毒之逆于合谷而然也。）按涌陵之劳块兮，知貔貅之透足，（夫涌泉、阴陵二穴。在于足心宛中之间，凡并块牢结则知枭毒必透于是也，貔貅者，猛兽也，喻其毒之恶耳。）观天柱之垂折兮，谙精神之还壁。（凡是痘而天柱垂折者，则知神明散精夺气，如璧之不能完赵，而不可复得也。）两肋叠椒兮，肠鸣热极，（凡是痘两肋叠见椒色者，必肠鸣热极而燔火攻熬，故色如是耳。）五俞撒网兮，头多脸赤。（凡是背后五俞密多布如撒网者，则头额之痘必多，两脸带赤而色不正矣。）啮指舐舌兮，凶魅归而塌迹，（凡是常将指头啮咬而舌舐者，则知毒澄于阳明，枭据于心络，其凶魁已归于花栏矣。有不损于身而灭迹者耶？）仰天咬乳兮，痘魃印而难辟。（凡是痘而不时头仰向天，咬乳啮齿者，则知癸元已亡，鬼魃掌印，而难祛辟者也。）唇宫堆蜡于七期兮，要石榴之竦粒，（凡是痘七日两唇先干，黄堆蜡者，是胃未热，脾先热，浆黄不是黄，惟见方广两旁，颧阜所在，如石榴之竦粒者，期可谓之真浆而得保全者也。）脓涕交流于九日兮，虽半浆而不贼。（凡是痘至九日之间倘囊破而流脓，鼻封而流涕者，是虽气不完固，然荣阴循乎中。而枭毒变化泄于外，是即浆澄未足，犹可充灌而不为贼害也。）时枭痒兮，非有犯于秽液，（凡是八九朝之时，枭痒不正者，是气血嚣漓淫毒横行，民可俱以犯于秽液而概论哉！）摸衣捻缝兮，岂可钧视乎邪色！（凡是九十日而摸衣捻缝者，此痘毒凑里，而手足忙乱，岂可均以邪色视之。）覆釜兮似秃疮，悬镜兮谬诸毒。（此二痘俱在九不识中，实相疑似而宜辨者也。）肤纹热红兮，丹瘤缠，（凡是遍身大热，皮肤隐起红纹者，是为丹瘤也。）胸阜幔胀兮，眉惨戚。（凡是痘胸阜幔肿者，是凑毒于心而眉头惨戚也。）七朝结鲤鲠于血池，虽空房而可积，（凡是痘七朝结囊，并不充灌，而两股血池结起如鲤鲠一带硬痛者，则知枭毒注会于此矣。然此上不冲心而无害，是即囊房中空，犹可充裕也。然窃谓前症，如仅言毒之无妨则可，若固见空房，无浆之痘于七日，而又夹热毒之症，脓浆无自成枭毒，何由而化？竟未可保全也？）二六起杌机于项锁，虽充裕而非吉。（凡是过十二朝，而项颈处重起杌痘者，则毒盛而上升，纵然充足，亦难保厥终也。然窃见痘后复出者，历多不死，盖杌之出者，是余毒之未尽也。余毒之被其推托而出者，是元气之振挠于内也，则胜于毒之伏内，而不能出者万万矣。况囊房又得充裕，是可见荣卫之得并盛，余毒之化易臻矣。但颈项不可太密耳。）下灌上嚣兮曰糜鳞，上灌下嚣兮曰炼镝，糜鳞观其背座，炼镝在乎颧石。（凡是下体灌浆而美其头，而浇薄不能充盈者，是名糜。然糜者，麋也。以其上痘似糜，而轻贱也。鳞者，麟也，以其下痘似麟而难得也。若头面俱已充贯饶美，而在下则浇漓不脓者是名炼镝。炼镝者，刀剑光脱锋利之处也。盖头在上而犹刀剑锋利之处为要道也，然糜鳞尤重于背座之痘美者为愈，而炼镝则重于两颧之处佳者为吉。）痘非嫌乎排密，（凡是痘只求其经络之正而不逆，即虽排密亦非所嫌也。）靥独忌乎黑突。（夫靥白如梅花，薄如片纸，固难保全，然黑突太甚，则重为倒靥，轻则余毒亦宜忌之。）交骨不留乎游蚕，（交骨者，肾之部，在耳前一寸，凡有游蚕焦紫之形，则痘而不能鼎峻矣，故欲不留于此处也。）中脘远避乎蜂螫，（中脘乃脾胃任脉之所发，其部在于脐上四寸，若此处而重密如蜂螫者，则脾胃受伤矣，故宜远避之也。）究五关三杀之非轻，（五关者，心之关在胸臆，肝之关在眼眶，脾之关在脐封，肺之关在气枢，肾之关在阳球。三杀者，盖起肾而不能表暴，一杀也；脾传而不能充灌，二杀也；痂落而不能尽美，三杀也。凡此二端所系非轻，故宜详究之。）熟八门六栏之是益。（凡是痘有八门六栏，人能熟谙之，则有益于治痘之治矣。）贫富不可以二心，精微贵乎详察。（凡是业是者。须体天地好生之仁，贫富不可以二心，且理甚精微，尤宜潜心详察耳。）
二赋出自《玉髓》，相传既久，甚多鲁鱼之讹。今张逐一校正，且翻刻共有三部，今汇纂细注于下，以便后学易解。
The countenance of the sages is profound and distant; their Dao body is lofty and difficult to match. (The ancient medical sages, having passed away, left traces that are elusive; the substance of their Dao is lofty, making it difficult to fully explore.) Like a child shedding milk teeth, (When children suffer from smallpox, it is indeed like shedding a new appearance; although the eras of ancient and modern differ, the meridians' pathways and supportive mechanisms remain consistent and unchanging.) Lamenting the ferocity and danger of smallpox, tracing its source to Yang Toxin. (Lamenting why smallpox has such dangerous situations, tracing back to the source, all stem from congenital Yang Toxin.) The progression of creation and transformation, coinciding with the influence of Qi dynamics. (If smallpox does not erupt, silence prevails everywhere; once erupted, it spreads across villages and towns. This unpredictable progression is due to the influence of Qi dynamics.) Essence and marrow lie hidden and stored, nourished by Spleen Earth. (Before smallpox erupts, it hides within the bones. Once manifested on the exterior, it relies entirely on the nourishment of Spleen Earth.) Proper Fire flourishes and emerges, endowment varies. (Smallpox must emerge from extreme heat; this is the Proper Fire of Spleen Earth playing its role in flourishing. However, some cases are sparse and beautiful, while others are dense and fierce, due to differences in endowment.) Yin and Yang are complete, following the smooth flow rather than the reverse. Blood nourishes it, Qi protects it. Yin and Yang circulate within; if following the smooth meridian path, Qi will naturally be nurtured without injury; if following the reverse path, collapse is inevitable and survival is difficult. In essence, one should follow the smooth and avoid the reverse.) The Five Meridians are峻烈 (intense) and accessible, differing in over 160 locations. (Smallpox is actually the intense accessibility of the Five Meridians, so one must distinguish which meridian it enters. There are over 600 supportive sites for smallpox, distributed among the Five Zang organs into various meridians, each distinct.) Causing confusion regarding the Three Doubts, revealing the Nine Forms yet failing to recognize them. (The Three Doubts and Nine Unrecognizable Forms of smallpox are detailed by the sages to awaken the deafness and blindness of later learners.) Distinguishing the size and strength of the physique, judging the differences in wind and Qi between North and South. (Regarding treatment methods for smallpox, one must differentiate the deficiency or excess of the physique, the youth or age of the patient, and the variations in wind and Qi between the North and South.) Abandoning the beauty of Shun (smoothness) in the Two Poles, (In the Two Poles of Yin and Yang, abandoning the subtle beauty of gathering and supporting Shun.) Establishing Zhonghe (Central Harmony) in the Three Extremities. (Heaven, Earth, and Humanity are called the Three Extremities. When Heaven's time follows its commands, Earth's Qi exerts its power, and Human affairs exhaust their strategies, this is establishing Zhonghe in the Three Extremities.) One rider leads the way, ten thousand horses exert force together. (When one pimple appears and all others follow immediately, this is called "One rider leads, ten thousand horses follow." If too rapid, one must guard against Exterior Deficiency.) Petals fall on the path, the whole branch loses color. (In critical areas of the Five Meridians such as cheeks and zygomatic arches, if lesions resemble abrasions or malignant carbuncles, the marrow in the body will likely sink and peel off. Hence, "petals fall on the path, the whole branch loses color.") Secretly throwing Ghost Arrows, eyes turning up and convulsing prevents entry. (Eruptions appearing after one day of fever are called Ghost Arrows, indicating a fatal condition. Conversely, eye-turning-up and convulsions during eruption can indicate efficacy. Although there may be no external heat, internal turmoil has been long-standing; thus heat penetrates muscle and collaterals, and the rash passes through the Heart, representing an extremely favorable sign where Ghost Arrows do not penetrate the body.) Timing matches the Medicine Cannon, endowment differs from dilute to becoming fixed fate. (Eruption at ten years old is called Medicine Cannon. Given this timing, those with robust Yuan Qi can be preserved, while those with dilute endowment may face a fixed negative outcome.) Observing the Correct Posture to discern form, (Eruption after three days of fever is the Correct Posture; one must then observe the form and color.) Missing the deadline implies urgent situation. (Eruption after seven or eight days of fever is called Delayed Deadline. This indicates consumed Yuan Qi and an urgent, dangerous situation.) Gazing at Qionglong to establish position, Yang Qi rushes first. (Qionglong refers to the broad forehead area. If smallpox establishes position here and marks early, Yang Qi rushes first, requiring caution against scorching purple carbuncle spots.) Falling into Jinggu (Well Valley) fails to reach, Yin hangs in vigilance. (Areas like the sole of the foot are mixed Jinggu sites. If smallpox falls below Jinggu, Yin Nourishment follows Yang but cannot achieve full abundance.) Hoping for the Scholar's First Branch, pasting gold coins on the Auspicious Wall. (A single pimple appearing on the nose, forehead, or chin is called the Scholar's First Branch, admired by people. The Auspicious Wall refers to the Spleen's area, i.e., the chin. Beauty here is likened to pasting gold coins on the Auspicious Wall.) Disliking the Five Ghosts playing court, shedding snake skin sticking to the mat. (The Five Passes are most disliked when dense and reverse. "Disliking Eye Ghost" expresses aversion. Shedding snake skin refers to discarding bad smallpox, hoping it sheds and disappears.) Huangkou (Reed Mouth) has no intersection, sound rises smoothly. (Huangkou refers to the mouth sounding like a reed instrument. If smallpox appears above and below lips crossing like pincers, sound cannot rise smoothly. Without intersection, sound rises naturally.) Shutu (Pivot Protrusion) connects in patches, Qi stagnates. (If smallpox in the neck/clavicle pivot area connects in patches, it invades the Lung Meridian, leading to hoarseness and Qi blockage.) Liming (Bright Fire) clam-shell closed, rolling up dust and sand. (If eyes are shut tight, five senses do not relax outward. With abundant smallpox, if eyes are sealed, one must avoid dust and sand, noting blue-black colors.) Lung orifice sealed, driving out Lixie (Geckos). (Lixie refers to toxin generating in orifices. If nasal orifices are sealed, natural filling occurs, but one must still guard against Lixie harm and drive it out.) Throat making 'xiaya' sounds, Dantian injured. (Sound originates from Dantian. Hoarse 'xiaya' sounds indicate Dantian injury.) Eyes greenish-blue, Liver Nourishment exhausted. (Greenish-blue eyes lacking luster indicate exhausted Liver Blood Nourishment.) Washing Purple Duckweed on Zygomatic Eminence, knowing Red Emperor's reversal. (Scorched purple on zygomatic eminences like purple duckweed indicates Heart Meridian invasion and disorder of the Red Emperor's gate.) Placing Plum Blossoms on Chin Pool, sighing at Spleen Lord's failure. (White plum-blossom patterns on cheek/chin pools indicate Spleen Lord's failure in transformation and transport.) Chest swelling broadly, Owl stopping wings. (Broad chest swelling indicates Owl Toxin attacking the center.) Vomiting ceaselessly, Viper coiling abdomen. (Ceaseless vomiting upon eruption indicates Owl Flame hiding in the abdomen like a viper.) Eight Gates crowded together, forest of swords and halberds. (Crowded eruptions in the Eight Gates resemble a forest of weapons, leading to damage.) Six Bars sequential, rare flowers exposed to dew. (Sequential transparency in Six Bars indicates smooth Qi and upright Dao, like rare flowers nourished by sweet dew.) Root nests coiled red, unchanged even to the tail. (Red, fresh, and moist root nests ensure stability from head to tail without fear of change.) Form and color losing Yuan, ultimately reversing later. (Form/color losing Yuan, whether red like rouge or white like plum blossoms, eventually becomes reverse and untreatable.) Flying arrows困 (trapped) in Lung collaterals, (Arrow-like shapes at glabella predict coughs, trapping Lung collaterals.) Splitting swords strong against Heart enemy. (Sword-like shapes at glabella predict epistaxis, indicating rampant Owl Flame overpowering the Heart.) Recognizing Sun Wheel's warmth, guarding against Owl Flame and enmity. (Hairline of Taiyang is Sun Wheel. Red covering brocade indicates warmth; if smallpox invades Liver, it scorches purple, causing Owl Flame conflict.) Verifying Fengfu presenting carbuncle, driving Chiyou to barbarous lands. (Fengfu is at the back of the neck. Carbuncles here act like Chiyou causing harm, requiring expulsion.) Nasal breathing obstructed and painful, Fire Pearl fills solidly. (Nasal pain and swelling indicate Fire Pearl Carbuncle blocking the middle ear.) Jaw tightly closed, Centipede squatting. (Locked jaw indicates Centipede Carbuncle, requiring urgent treatment.) Ear hole carbuncle named Huhan (Taming Tiger), Huhan appears chewing marrow, treatment requires fast hooking and piercing. (Carbuncles in ear holes are Taming Tigers, chewing essence. Fast intervention is needed to cut roots.) Eyelid carbuncle named Wangji (Perishing Well), Wangji life scorches nourishment, method forbids picking. (Red eyelid carbuncles are Perishing Wells. Eyes are Liver orifices lacking dark water absorption. Rupture causes Yongquan leakage, forbidding picking; only medicinal treatment allowed.) Little finger shows carbuncle, eyes staring wide. (Little finger carbuncles transmit Yangming toxin to Liver, affecting eyes, causing rigid staring.) Knee bends sit locusts, leg tendons straight. (Knee carbuncles cause leg tendon spasms and pain.) Fengqiu (Abundant Hill) pulls banner, indulging sleep and appetite. (High points of Five Meridians are Fengqiu. Sparse eruptions here pull the banner, indicating peaceful sleep and increased appetite, auspicious.) Shangmen (Injury Gate) flows Bo (comets),擁 (crowding) irritability and beating. (Dense/bad smallpox or carbuncle toxins in Five Passes/Shangmen are Comets, causing irritability and restlessness.) Abandoning inverted moles on Cheek Field, iron maggots gnawing grains. (Inverted mole shapes on cheek fields injure Spleen/Stomach, ruining other smallpox, like iron maggots gnawing.) Fearing water patterns on Nose Pillar, due to Worm Attack. (Water-pattern lines on nose bridge indicate abdominal worms attacking smallpox; feared, not desired.) Not nurturing Yuan (monkeys) on Qingtian (Green Fields), fearing wind riding to strike. (Left temple/Qingtian is Liver Wood/Wind position. Sparse/non-scorched eruptions here mean "not nurturing." Monkeys crying on Qingtian is beautiful. Fear: Liver/Heart toxins generate wind/fire, Owl toxins strike with wind.) Not hiding scorpions in Yangchi, avoiding stinging moths connecting wings. (Moths eat rice; Yangchi is in Yang Ball. Early purple/black here means moth stings/scorpion hiding, causing smallpox changes; avoid connection.) Renzhong governs Hall of Life, (Renzhong belongs to Heart, verifying fortune/misfortune, governing Life Hall.) Yantu (Throat Protrusion) holds duty of Life and Death. (Yantu belongs to Lung, controlling Qi entry/exit, showing good/bad omens, holding Life/Death duty.) Transferring three days without eating, verify Spleen Gate's hidden protrusion. (Day three, spleen transfer, bloating/no eating: check umbilical seal, Spleen Gate. Hidden protrusions indicate stuck toxin gas, losing harmony.) Exceeding six mornings with severe thirst, view smallpox sac's purple-black. (After day six, toxin should ease. Severe thirst indicates extreme Owl Flame burning, sacs turning scorched purple/black.) Hands suddenly swelling, skin bright, how could it nurture pus toxin? (Swollen bright hands on days 6-7 indicate Qi deficiency and Spleen failing to control Water, not pus toxin accumulation.) Gumbed suddenly swelling, tongue rolling up, not Owl lying in Black Valley. (Swollen gums and rolling tongue indicate carbuncle toxin at tongue root gathering at Heart, not Owl toxin reversing at Hegu.) Pressing Yongquan and Yinling labor knots, knowing Pixiu penetrates feet. (Yongquan and Yinling acupoints at foot center. Firm knots indicate Owl toxin penetration. Pixiu is a fierce beast, metaphor for evil toxin.) Observing Tianzhu hanging broken, understanding Spirit returning to wall. (Broken Tianzhu indicates scattered spirit and stolen Qi, like a broken jade wall unrecoverable.) Ribs stacked with pepper, intestinal rumbling extreme heat. (Pepper-colored spots on ribs indicate extreme intestinal heat and fire burning.) Five Shu points spread net, head many faces red. (Dense Five Shu points on back like a net predict many forehead smallpox and reddish, irregular facial colors.) Gnawing fingers licking tongue, evil spirits return and collapse tracks. (Gnawing fingers/licking tongues indicates toxin clarifying in Yangming, Owl occupying Heart collaterals, evil chiefs returning to flower bars. Harm is inevitable.) Looking up biting breast, smallpox demon seals hard to dispel. (Head tilting up, biting breast/teeth indicates Gui Yuan lost, Ghost Demon sealing, hard to dispel.) Lip palace piles wax at seven periods, needing pomegranate seeds. (Day seven, dry yellow lips indicate Stomach not hot but Spleen hot. True paste looks like pomegranate seeds on cheeks, ensuring preservation.) Pus and mucus flowing on ninth day, though half-paste not harmful. (Day nine, ruptured sacs/pus/nasal discharge indicate incomplete Qi but circulating Ying Yin. Owl toxin changes and exits externally. Though paste insufficient, it can fill without harm.) Owl itching at times, not offending filth fluids. (Days 8-9, abnormal itching indicates turbulent Qi/Blood and rampant toxin, not merely filth fluid offense.) Touching clothes twisting seams, how can equalize viewing evil colors! (Days 90+, touching clothes/seams indicates toxin gathering internally, limbs busy. Cannot view as mere evil colors.) Covered cauldron resembles bald sore, hanging mirror confuses various toxins. (These two types are in Nine Unrecognizable Forms, similar yet distinguishable.) Skin texture hot red, Danliou entangles. (Whole body high fever, raised red skin lines indicate Danliou.) Chest eminence slowly swelling, brows miserable. (Chest swelling indicates toxin gathering at Heart, brows looking miserable.) Seventh day knotting carp bone in Blood Pool, though empty room can accumulate. (Day seven, non-filled sacs, hard pain in groin like carp bone indicates Owl toxin gathering. Harmless if not hitting Heart. Empty sacs can still fill. However, if empty sacs persist day 7 with heat toxin, pus cannot form, preservation unlikely?) Days 26 rising Wuji mechanism at neck lock, though abundant not auspicious. (After day 12, recurring Wuji smallpox at neck indicates盛 (abundant) toxin rising. Even if full, final safety hard. Recurrence often survives; residual toxin pushed out indicates vigorous Yuan Qi, better than hidden toxin. Full sacs show healthy Ying/Wei, residual toxin transforming easily. But neck density must not be too high.) Lower pouring upper noisy called Milin, Upper pouring lower noisy called Liandi. Milin observes back seat, Liandi lies at zygomatic stone. (Lower body filling well but thin head is Milin (deer-like, cheap). Lower body like unicorn horn is Lin (rare). Head/face full but lower thin/non-pus is Liandi (sword edge). Head is crucial like sword edge. Milin better if back is good; Liandi better if cheeks are good.) Smallpox not disliked for density, (Seeking correct meridians, density is not disliked.) Moles alone dislike black protrusion. (White/plum-like/thin moles hard to preserve, but excessive black protrusion is inverted mole, residual toxin also avoided.) Jiaogu (Cross Bone) does not retain wandering silkworm, (Jiaogu is Kidney area, 1 cun before ear. Wandering silkworm/scorched purple shape prevents full eruption, avoided here.) Zhongwan far avoids bee sting, (Zhongwan is Spleen/Stomach/Ren Mai point, 4 cun above navel. Dense bee-sting-like eruptions injure Spleen/Stomach, avoided.) Investigating Five Passes and Three Kills not light, (Five Passes: Heart-chest, Liver-orbit, Spleel-umbilicus, Lung-air pivot, Kidney-Yang ball. Three Kills: Kidney rising but not surfacing (1); Spleen transmitting but not filling (2); Scabs falling but not beautiful (3). These matters are significant, investigate carefully.) Familiarizing Eight Gates and Six Bars is beneficial. (Knowing Eight Gates/Six Bars benefits smallpox treatment.) Rich and poor cannot have two hearts, subtlety values detailed observation. (Practitioners must embody Heaven/Earth's benevolence, treating rich/poor equally. Principles are subtle, requiring deep study.)
Two Fu poems originate from *Yu Sui*, transmitted for a long time, containing many errors. Zhang now corrects them one by one, and since there are three printed editions, I compile and annotate them below for easier understanding by later learners.