此物发痘疮最妙，或以紫草、甘草煎汤调服尤佳。
万全散（阮氏） 治痘疮出不红润。
防风 人参 蝉蜕（各等分）
上细切，每服四钱，水一盏，入薄荷三叶，煎六分，温服。热而实者，加升麻。
安斑汤（汤氏）
紫草 木通（各五分） 蝉蜕 防风（各三分） 甘草（二分）
上细切，水一钟，煎五分，温服。
一证，外实之人，皮膏浓，肉腠密，毒瓦斯难以发泄，因出不快，宜消毒饮、透肌散。如大便秘实，于消毒饮内加大
黄、栀子仁，煎服。疮出太稠，宜犀角地黄汤、张氏解毒防风汤。血气不足，宜十奇散，咽嗌不利，宜如圣汤加薄荷、
枳壳。口中气热，咽痛，口舌生疮，宜甘露饮子。惊风搐搦，宜抱龙丸。烦渴，宜独参汤、黄 六一汤。
透肌散
紫草茸 绿升麻 粉甘草（各一钱）
上细切，水煎服，或与消毒饮同煎服，尤妙。
如圣汤
桔梗（二钱） 甘草（一钱）
一方加牛蒡子、麦门冬（各一钱）
上细切，水煎，时时服之。
抱龙丸（见惊风门）
辨外证逆顺（十三）
身体温暖者顺，寒凉者逆。能食大便实者顺，不能食大便利者逆。
辨外证轻重（十四）
轻者∶作三次出，大小不一，头面稀少，耳中无，根窠红活，肥满光泽。
重者∶一齐并出，如蚕种布，灰白色泻利而渴，身温腹胀，头温足冷。
辨痘疮初末形证（十五）
微者，其邪在腑，发为细疹，状如蚊喙所螫，点点赤色，俗名麸疮。甚者，其邪在脏，为痘疮。状如豌豆，根赤头
白，穴出脓水，俗名 疮。二、三日始见，微微欲出，如粟如黍，或如绿豆，或如水珠，光泽明净者佳。四日，大小不
等，根窠红，光泽者轻，如稠密陷顶并泻者重。六日、七日，疮形肥红光泽者轻，如身热气喘、口干腹胀、足指冷者，
重。八日、九日，长足红满，疮蜡色者轻，如寒战闷乱、腹胀烦渴、气急切牙者，重之至也。十日、十一日，疮当结靥
痂欲落之时，将愈。十二、十三日，当靥而不靥者为逆，身稍热，利之以防其余毒，身不壮热，或腹胀，或泻渴，用十
二味异功散救之。
辨不药而愈（十六）
痘脚稀疏，根窠红绽，不泻不渴，乳食不减，四肢温和，身无大热。
以上六证，并不须服药，惟宜善加调护，须使房室温盎，屏诸秽气，忌见外人，毋犯房色，及往来妇人月水并腋臭
者，皆不可近，惟宜烧大黄、苍术以辟恶气，勿宜烧沉檀、降真、乳香、脑麝。帏帐之内，宜悬胡荽，或以胡荽浸洒喷
床帐，并烧木香为佳。夫痘疮之毒，最怕秽恶之气触犯，切不可信僧道看经解秽，况无纤毫之力，而反恐被其秽恶之气
触犯，亦不可恃其能解而不预防，戒之戒之！
辨五不治证（十七）
痒塌，寒战切牙，渴不止。痘紫黑色，喘喝不宁。灰白色，陷顶，腹胀。头温足冷，闷乱饮水。气促，泄泻，渴。
辨疹有阴阳二证（十八）
赤疹属阳，遇清凉而消。白疹属阴，遇温暖而减。
伤寒时气发斑附（十九）
温毒发斑，宜玄参升麻汤；重，用荆防败毒散。
胃烂斑，因阳明胃实失下，或下之太早所致，宜化斑汤、庞氏石膏汤。时气斑，宜石膏汤。阳毒斑，胃实之人误服
热剂，或加以风暑，宜阳毒升麻汤。
玄参升麻汤
玄参（去苗洗） 升麻 甘草（各一钱半）
上煎服。
荆防败毒散
柴胡 甘草 人参 桔梗 川芎 茯苓 枳壳 前胡 羌活 独活 荆芥穗 防风（各四分）
上细切，作一服，水一盏，煎七分，温服。或加薄荷五叶。
化斑汤（即白虎汤加玄参也。）
石膏汤（庞氏）
香豉（一合） 葱白（五钱） 石膏（一两） 栀子（一钱） 生姜（五钱） 大青 升麻 芒硝（各一钱半）
上细切，作一服，水一升半，煮取七合，去渣，下芒硝，放温，徐徐服之。
阳毒升麻汤
升麻 犀角（镑） 射干 黄芩 人参 甘草（各一钱）
上细切，作一服，水一盏半，煎至一盏，食前温服。
辨疮后余毒（二十）
一、毒瓦斯流于太阴脾经，则痈发四肢手腕，并膝膑肿痛，宜消毒饮。重者，十六味流气饮加附子或酒浸大黄煎服，
及必胜膏、蚬子水等敷之。
消毒饮（方见前。）
十六味流气饮
川芎 川归 芍药 防风 人参 木香 黄 桂心 桔梗 白芷 槟榔 浓朴 乌药 甘草 紫苏 枳壳（各四
分）
上细切，作一服，水一盏，煎七分服。气血虚而自利者，加熟附子。大便实，加大黄。
必胜膏
马齿苋（杵汁） 猪膏脂 石蜜
上以三味共熬为膏，涂肿处。
蚬子水
蚬子（不拘多少，活者，以水养五日，旋取此水洗手面，渐生肉，无瘢痕）
一、毒瓦斯流于太阴肺经，则 内并手腕肿，流为赤痈毒，宜消毒饮、如圣汤、五福化毒丹、雄黄解毒丸利之。气血
虚者，十补汤加桔梗、枳壳、犀角煎服。咽喉不利或肿痛，宜薄荷如圣汤。
五福化毒丹（方见惊风门。）
每两分作十二丸，一岁儿，一丸分作四服，用薄荷水化下。疮余毒上攻，口齿，涎血臭气，以生地黄自然汁化一丸，
用翎刷入口内。
如圣汤（方见前。）
雄黄解毒丸
郁金 雄黄（研飞，各一钱半） 巴豆（去皮膜油，四十粒）
上为细末，醋煮面糊为丸，如绿豆大，每服二、三丸，熟茶清下，量儿大小与之。
一、毒瓦斯流入大肠，则便脓血，或下肠垢，或大便秘结，宜犀角地黄汤。身烦热渴，宜黄连解毒汤。热势盛者，小
承气汤。下利者，黄连解毒汤、黄连阿胶丸、驻车丸。
黄连阿胶丸
黄连（三两） 阿胶（炒成珠子，一两） 茯苓（去皮，二两）
上以黄连、茯苓同为细末，水调阿胶末搜和为丸，如梧桐子大，每服二十丸，温米饮送下。
驻车丸
阿胶（炒成珠，醋煮膏） 当归（去芦，各十五两） 黄连（三十两） 干姜（炮，十两）
上为末，以阿胶膏和成饼，丸如梧桐子大，每服二十丸，食前清米饮下，日三服。小儿，丸如麻子大，量儿大小加
减。
一、痘疮入眼，宜决明散、密蒙花散、拨云散、蛤粉散。
决明散
草决明 赤芍药 天花粉 甘草
上各等分，为细末，每服半钱匕，食后茶清调下。
密蒙花散
密蒙花 青葙子 决明子 车前子
上各等分，为细末，用羊肝一片，破而为三，掺药入肝内令均，却仍捣合并为一，以酒水湿纸七重包裹，于 灰中
煨熟，勿令焦，焙干研末，入麝香少许，每服二钱重，食后米饮调下。
拨云散
羌活 防风 甘草（炙） 柴胡（各等分）
上为细末，每服二钱，水一盏，煎七分，食后、临卧服，薄荷汁、茶清或菊花苗煎汤调皆可，忌藏盐、 酱、湿面、
炙、炊气及一切发风动火之物。
蛤粉散
谷精草 海蛤粉（各等分）
上为细末，每服二钱匕，用 猪肝二两许，以竹刀批开，掺药在
内卷了，外以青箭箬包裹，麻线扎缚定，用水一碗煮令熟，入小口瓶内熏眼，候温取食之，日一服，不过十服遂退。
一、热毒流于三阳之后经，则腮项结核肿痛，宜荆防败毒散、托里十补散减桂服，消毒饮倍加忍冬藤煎服。
荆防败毒散（方见前伤寒时气发斑附条。） 托里十补散（即十奇散也。方见前辨形气病条。） 消毒饮
（方见前。）
（祖传方）
凡痘后，不问痈毒发于何经，初起红肿时，却用黑、绿、赤三豆，以酸醋浸研浆，时时以鹅翎刷之，随手退去，其
效如神。
（医案）
一小儿痘后二十日不大便，其粪燥作痛垂死，曾用大黄、芒硝、枳壳、巴豆等药，及用蜜导法，又服香油一碗许，
俱不通。愚令一人以真麻油含口内，用小竹筒一个，纳谷道中、吹油入肠内，须臾即通，真良方也。
古人拯治痘疮要法（二十一）
王氏《指迷》云∶痘疮亦时气之一端，一人受症，传染其余。又云∶疮疹有热则易出，一出遍及于肌肤。
张氏焕曰∶痘子气均则出快，盖血随气行，气逆则血滞。
王氏曰∶疹者脾所生，脾虚肝旺乘之，木能胜土，热动心神而生惊。
钱氏曰∶肝风心火，二脏交争而致搐。又曰∶痘症未形而先
搐，大忌凉心。盖疮属心，心主血，心寒则血不能行，痘欲出而不可得也，切须慎之。大抵治惊惟平肝、利小便、均气
最妙。
仁斋杨氏曰∶大热当利小便，宜五苓散、导赤散。小热当解毒，宜消毒饮、四圣散。
陷伏倒靥黑陷∶
一证，变坏归肾黑陷，宜钱氏百祥丸、宣风散。
一证，外感风寒所致，冬时宜五积散减麻黄，加桂心、紫草。春
时，不换金正气散加川芎、白芷、防风，或风邪所袭，宜消风散加紫草，兼服。
一证，乳食所伤，内气壅遏，宜杨氏调解散，或四君子汤加缩砂、木香、川芎、紫草。大便自利，宜附子理中汤。
一证，或因父母不谨犯房事、月水及乳母腋气秽浊诸忤所致，
宜阮氏辟秽丹焚而熏之，仍以胡荽酒 帏帐，及悬胡荽于床帐中，甚者以胡荽汤化下苏合香丸，兼涂熏亦妙，圣制再苏
散神效。
一证，毒瓦斯入里黑陷，宜猪尾膏神验。
不换金正气散
浓朴（姜制） 藿香（去梗） 甘草（炙） 半夏（汤泡七次，去皮脐） 苍
术（米泔浸） 陈皮（各五分）
上细切，作一服，生姜三片，枣二枚，水一盏，煎七分服。
辟秽丹
苍术 北细辛 甘松 川芎 乳香（另研） 降真香（各等分）
上为细末，烈火焚之。今世俗例以黄茶烧烟熏之，最好。
再苏散 治痘疮触犯毒瓦斯入内。
明白矾 地龙（去土炒，各一两）
上为末，每服半钱，用猪尾血一橡斗许，用新汲水少许调下，不拘时。
猪尾膏 即前龙脑膏，钱氏用小 猪尾取血研用之。
凡痘疮脓汁不干，盖疮出太盛，表虚难靥，以致脓水粘衣着席，湿痛不能转侧，宜白龙散、败草散等敷之。
白龙散
黄牛粪日干，火 成灰，取心中白者为末，帛裹敷之。
败草败
用盖屋及墙背上远年腐草，洗净焙干为细末，帛裹敷之，及铺床席上，佳。
天花散（冯氏） 治痘后失音。
天花粉 桔梗 白茯苓（去皮） 诃子肉 石菖蒲 甘草（各等分）
上为末，用水调半匙在碗内，外以小竹七茎，黄荆七条，缚作一束，点火在碗内煎，临卧服。
凡孕妇身发痘疮，宜冯氏罩胎散。若胎动不安，宜独圣散、安
胎饮。身热甚，宜木香参苏饮。或疮稠密，宜十齐散倍芍药、当归，
减桂，加香附、乌药。如胎已五月，则半夏、桂心之属，俱不必禁。
罩胎散
赤茯苓 白术 川归 白芍药 赤芍药 北柴胡 干葛 人
参桔梗 条芩 防风 陈皮 荆芥 枳壳 紫草 阿胶 糯米
白芷 甘草 川芎 缩砂 大热加郁金（各三分）
上细切，作一服，水一盏半，煎至一盏，干柿蒂七个，野苎根七
寸，甜瓜蒂一个，用银器煎，以荷叶盖定，熬至八分去渣，仍用荷叶盖复，空心温服。
独圣散 用连壳缩砂，慢火炒去壳，为末，每服半匙，热酒调下。胎动则服，服后觉胎热则安矣。
安胎散
大腹皮（酒洗极净，焙干，再用乌豆汁洗） 人参 陈皮 白术 白芍
药川归 川芎 香附米（童子尿浸） 砂仁 紫苏 茯苓 甘草（各半钱）
上细切，作一服，水一盏半，灯草七茎，糯米一 ，煎一盏，食前温服。
沧州翁先生跋云∶凡乳婴之与童草,当歧为两途以治之。乳婴当兼治乳母，俾其气血清和，饮食有节，投以调气通茶
之剂以酿其乳，使儿饮之，则其疮心肥满光泽，无陷伏之忧。童草之子，必当备切其脉，审其表里虚实以汗下之。苟不
实不虚，则但保其冲和，使脾气流畅，则肺金籍母之助，易于灌脓，速于成痂，无倒塌之患。或至壮盛而肤腠浓密，尤
须预为汗解。或大便结与溲涩者，尤宜下之利之，庶无患也。余证则当于药内倍其分两，百无一失，学人宜致思焉。
这种药物对于发出痘疮最为巧妙，或者用紫草、甘草煎煮汤剂调服尤其好。
万全散（出自阮氏）：治疗痘疮发出后颜色不红润。
配方：防风、人参、蝉蜕（各等分）。
制法与用法：将药材细细切碎，每次服用四钱，加水一盏，放入三片薄荷叶，煎至剩余六分水量，温服。若患者热象明显且体质实盛，加入升麻。
安斑汤（出自汤氏）：
配方：紫草、木通（各五分）；蝉蜕、防风（各三分）；甘草（二分）。
制法与用法：将药材细细切碎，加水一钟，煎至剩余五分水量，温服。
另一种证候：对于外表实盛的人，皮肤膏脂厚，肌肉腠理致密，毒邪难以发泄，导致痘疮发出不畅，适宜使用消毒饮、透肌散。如果大便秘结坚实，在消毒饮中加入大黄、栀子仁，煎服。如果痘疮出得太稠密，适宜使用犀角地黄汤、张氏解毒防风汤。如果血气不足，适宜使用十奇散；咽喉不利，适宜使用如圣汤加薄荷、枳壳。口中气息热，咽痛，口舌生疮，适宜使用甘露饮子。出现惊风抽搐，适宜使用抱龙丸。烦躁口渴，适宜使用独参汤、黄 六一汤。
透肌散：
配方：紫草茸、绿升麻、粉甘草（各一钱）。
制法与用法：将药材细细切碎，用水煎服，或者与消毒饮同煎服，效果尤其奇妙。
如圣汤：
配方：桔梗（二钱）、甘草（一钱）。
另一方：加牛蒡子、麦门冬（各一钱）。
制法与用法：将药材细细切碎，用水煎，时时服用。
辨外证逆顺（第十三条）：
身体温暖的为顺证，寒凉的为逆证。能进食、大便干实的为顺证，不能进食、大便稀溏的为逆证。
辨外证轻重（第十四条）：
轻症：分三次发出，大小不一，头面部稀少，耳中无痘，根脚红活，饱满光泽。
重症：一齐并发，像蚕种分布一样密集，呈灰白色，伴有腹泻和口渴，身体温热但腹部胀满，头部温热而足部寒冷。
辨痘疮初末形证（第十五条）：
轻微的，邪气在腑，发为细疹，形状像蚊子叮咬的痕迹，点点红色，俗名麸疮。严重的，邪气在脏，形成痘疮。形状像豌豆，根红头白，穴中流出脓水，俗名痘疮。发病二、三天开始显现，微微欲出，像粟米、黍米，或像绿豆，或像水珠，光泽明净的为佳。第四天，大小不等，根脚红，光泽的为轻症，如稠密、顶陷并伴有腹泻的为重症。第六、七天，疮形肥红光泽的为轻症，如身热气喘、口干腹胀、脚趾冷的为重证。第八、九天，长足红满，疮色蜡黄的为轻症，如寒战闷乱、腹胀烦渴、气急咬牙的为极重证。第十、十一日，痘疮应当结痂欲落之时，即将痊愈。第十二、十三日，应当结痂而不结痂的为逆证，身体稍热，用利下法以防余毒残留；身体不壮热，或腹胀，或泻渴，用十二味异功散来救治。
辨不药而愈（第十六条）：
痘脚稀疏，根脚红绽，不腹泻不口渴，乳食不减，四肢温和，身体没有大热。
以上六种证候，都不需要服药，只宜善于调养护理，必须使房间温暖，屏除各种秽气，忌讳见外人，不要犯房事，以及避免接触往来妇女的月经期和腋臭者，这些人都不可靠近，只宜烧大黄、苍术来辟除恶气，不宜烧沉香、檀香、降真香、乳香、冰片、麝香。帷帐之内，宜悬挂胡荽（香菜），或者用胡荽浸水喷洒床帐，并烧木香为佳。痘疮的毒邪，最怕秽恶之气触犯，切不可相信僧道念经解秽，况且他们毫无力量，反而恐怕被他们的秽恶之气触犯，也不可倚仗他们能解秽而不做预防，切记切记！
辨五不治证（第十七条）：
瘙痒塌陷，寒战咬牙，口渴不止。痘色紫黑，气喘喝叫不安宁。痘色灰白，顶陷，腹胀。头部温热足部寒冷，闷乱想喝水。气促，泄泻，口渴。
辨疹有阴阳二证（第十八条）：
赤疹属阳，遇清凉而消退。白疹属阴，遇温暖而减轻。
伤寒时气发斑附（第十九条）：
温毒发斑，适宜玄参升麻汤；重症，用荆防败毒散。
胃烂斑，因阳明胃实失于攻下，或攻下太早所致，适宜化斑汤、庞氏石膏汤。时气斑，适宜石膏汤。阳毒斑，胃实之人误服热性药剂，或加上风暑侵袭，适宜阳毒升麻汤。
玄参升麻汤：
配方：玄参（去苗洗净）、升麻、甘草（各一钱半）。
制法与用法：煎服。
荆防败毒散：
配方：柴胡、甘草、人参、桔梗、川芎、茯苓、枳壳、前胡、羌活、独活、荆芥穗、防风（各四分）。
制法与用法：细细切碎，作一服量，加水一盏，煎至七分，温服。也可加五片薄荷。
石膏汤（庞氏方）：
配方：香豉（一合）、葱白（五钱）、石膏（一两）、栀子（一钱）、生姜（五钱）、大青、升麻、芒硝（各一钱半）。
制法与用法：细细切碎，作一服量，加水一升半，煮取七合，去渣，下芒硝，放温，徐徐服之。
阳毒升麻汤：
配方：升麻、犀角（镑片）、射干、黄芩、人参、甘草（各一钱）。
制法与用法：细细切碎，作一服量，加水一盏半，煎至一盏，饭前温服。
辨疮后余毒（第二十条）：
一、毒邪流于太阴脾经，则痈肿发于四肢手腕，并膝膑肿痛，适宜消毒饮。重症，十六味流气饮加附子或酒浸大黄煎服，及必胜膏、蚬子水等敷之。
消毒饮（方见前文）。
十六味流气饮：
配方：川芎、川归、芍药、防风、人参、木香、黄芪、桂心、桔梗、白芷、槟榔、浓朴、乌药、甘草、紫苏、枳壳（各四分）。
制法与用法：细细切碎，作一服量，加水一盏，煎七分服。气血虚而自利者，加熟附子。大便实，加大黄。
必胜膏：
配方：马齿苋（捣汁）、猪膏脂、石蜜。
制法与用法：将三味共同熬制成膏，涂于肿处。
蚬子水：
配方：蚬子（不拘多少，活的，以水养五日，随时取此水洗手面，渐生肉，无瘢痕）。
一、毒邪流于太阴肺经，则鼻内并手腕肿，流为赤痈毒，适宜消毒饮、如圣汤、五福化毒丹、雄黄解毒丸利之。气血虚者，十补汤加桔梗、枳壳、犀角煎服。咽喉不利或肿痛，适宜薄荷如圣汤。
五福化毒丹（方见惊风门）。
每两分作十二丸，一岁婴儿，一丸分作四服，用薄荷水化下。疮余毒上攻，口齿病变，涎血臭气，以生地黄自然汁化一丸，用翎毛刷入口内。
如圣汤（方见前文）。
雄黄解毒丸：
配方：郁金、雄黄（研飞，各一钱半）、巴豆（去皮膜油，四十粒）。
制法与用法：上为细末，醋煮面糊为丸，如绿豆大，每服二、三丸，熟茶清送下，根据婴儿大小给予剂量。
一、毒邪流入大肠，则便脓血，或下肠垢，或大便秘结，适宜犀角地黄汤。身烦热渴，适宜黄连解毒汤。热势盛者，小承气汤。下利者，黄连解毒汤、黄连阿胶丸、驻车丸。
黄连阿胶丸：
配方：黄连（三两）、阿胶（炒成珠子状，一两）、茯苓（去皮，二两）。
制法与用法：将黄连、茯苓同为细末，水调阿胶末搜和为丸，如梧桐子大，每服二十丸，温米饮送下。
驻车丸：
配方：阿胶（炒成珠，醋煮膏）、当归（去芦，各十五两）、黄连（三十两）、干姜（炮，十两）。
制法与用法：上为末，以阿胶膏和成饼，丸如梧桐子大，每服二十丸，食前清米饮下，日三服。小儿，丸如麻子大，根据婴儿大小加减。
决明散：
配方：草决明、赤芍药、天花粉、甘草。
制法与用法：上各等分，为细末，每服半钱匕，食后茶清调下。
密蒙花散：
配方：密蒙花、青葙子、决明子、车前子。
制法与用法：上各等分，为细末，用羊肝一片，破而为三，掺药入肝内令均，却仍捣合并为一，以酒水湿纸七重包裹，于灰中煨熟，勿令焦，焙干研末，入麝香少许，每服二钱重，食后米饮调下。
拨云散：
配方：羌活、防风、甘草（炙）、柴胡（各等分）。
制法与用法：上为细末，每服二钱，水一盏，煎七分，食后、临卧服，薄荷汁、茶清或菊花苗煎汤调皆可，忌藏盐、酱、湿面、炙、炊气及一切发风动火之物。
蛤粉散：
配方：谷精草、海蛤粉（各等分）。
制法与用法：上为细末，每服二钱匕，用猪肝二两许，以竹刀批开，掺药在内卷了，外以青箭箬包裹，麻线扎缚定，用水一碗煮令熟，入小口瓶内熏眼，候温取食之，日一服，不过十服遂退。
一、热毒流于三阳之后经，则腮项结核肿痛，适宜荆防败毒散、托里十补散减桂服，消毒饮倍加忍冬藤煎服。
荆防败毒散（方见前伤寒时气发斑附条）。托里十补散（即十奇散也。方见前辨形气病条）。消毒饮（方见前）。
（祖传方）
凡痘后，不问痈毒发于何经，初起红肿时，却用黑、绿、赤三豆，以酸醋浸研浆，时时以鹅翎刷之，随手退去，其效如神。
（医案）
一小儿痘后二十日不大便，其粪燥作痛垂死，曾用大黄、芒硝、枳壳、巴豆等药，及用蜜导法，又服香油一碗许，俱不通。愚令一人以真麻油含口内，用小竹筒一个，纳谷道中、吹油入肠内，须臾即通，真良方也。
古人拯治痘疮要法（第二十一条）
王氏《指迷》说：痘疮也是时气的一种，一人受症，传染其余。又说：疮疹有热则易出，一出遍及于肌肤。
张氏焕说：痘子气均则出快，盖血随气行，气逆则血滞。
王氏说：疹者脾所生，脾虚肝旺乘之，木能胜土，热动心神而生惊。
钱氏说：肝风心火，二脏交争而致搐。又说：痘症未形而先搐，大忌凉心。盖疮属心，心主血，心寒则血不能行，痘欲出而不可得也，切须慎之。大抵治惊惟平肝、利小便、均气最妙。
仁斋杨氏说：大热当利小便，宜五苓散、导赤散。小热当解毒，宜消毒饮、四圣散。
陷伏倒靥黑陷：
一证，变坏归肾黑陷，适宜钱氏百祥丸、宣风散。
一证，外感风寒所致，冬时宜五积散减麻黄，加桂心、紫草。春时，不换金正气散加川芎、白芷、防风，或风邪所袭，宜消风散加紫草，兼服。
一证，乳食所伤，内气壅遏，适宜杨氏调解散，或四君子汤加缩砂、木香、川芎、紫草。大便自利，适宜附子理中汤。
一证，或因父母不谨犯房事、月水及乳母腋气秽浊诸忤所致，适宜阮氏辟秽丹焚而熏之，仍以胡荽酒洒帏帐，及悬胡荽于床帐中，甚者以胡荽汤化下苏合香丸，兼涂熏亦妙，圣制再苏散神效。
一证，毒邪入里黑陷，适宜猪尾膏神验。
不换金正气散：
配方：浓朴（姜制）、藿香（去梗）、甘草（炙）、半夏（汤泡七次，去皮脐）、苍术（米泔浸）、陈皮（各五分）。
制法与用法：细细切碎，作一服量，生姜三片，枣二枚，水一盏，煎七分服。
辟秽丹：
配方：苍术、北细辛、甘松、川芎、乳香（另研）、降真香（各等分）。
制法与用法：上为细末，烈火焚之。今世俗例以黄茶烧烟熏之，最好。
再苏散 治疗痘疮触犯毒邪入内。
配方：明白矾、地龙（去土炒，各一两）。
制法与用法：上为末，每服半钱，用猪尾血一橡斗许，用新汲水少许调下，不拘时。
凡痘疮脓汁不干，盖疮出太盛，表虚难靥，以致脓水粘衣着席，湿痛不能转侧，适宜白龙散、败草散等敷之。
白龙散：
配方：黄牛粪日干，火 成灰，取心中白者为末，帛裹敷之。
败草散：
用盖屋及墙背上远年腐草，洗净焙干为细末，帛裹敷之，及铺床席上，佳。
天花散（冯氏方） 治疗痘后失音。
配方：天花粉、桔梗、白茯苓（去皮）、诃子肉、石菖蒲、甘草（各等分）。
制法与用法：上为末，用水调半匙在碗内，外以小竹七茎，黄荆七条，缚作一束，点火在碗内煎，临卧服。
凡孕妇身发痘疮，适宜冯氏罩胎散。若胎动不安，适宜独圣散、安胎饮。身热甚，适宜木香参苏饮。或疮稠密，适宜十齐散倍芍药、当归，减桂，加香附、乌药。如胎已五月，则半夏、桂心之属，俱不必禁。
罩胎散：
配方：赤茯苓、白术、川归、白芍药、赤芍药、北柴胡、干葛、人参、桔梗、条芩、防风、陈皮、荆芥、枳壳、紫草、阿胶、糯米、白芷、甘草、川芎、缩砂、大热加郁金（各三分）。
制法与用法：细细切碎，作一服量，加水一盏半，煎至一盏，干柿蒂七个，野苎根七寸，甜瓜蒂一个，用银器煎，以荷叶盖定，熬至八分去渣，仍用荷叶盖复，空心温服。
独圣散 用连壳缩砂，慢火炒去壳，为末，每服半匙，热酒调下。胎动则服，服后觉胎热则安矣。
安胎散：
配方：大腹皮（酒洗极净，焙干，再用乌豆汁洗）、人参、陈皮、白术、白芍药、川归、川芎、香附米（童子尿浸）、砂仁、紫苏、茯苓、甘草（各半钱）。
制法与用法：细细切碎，作一服量，加水一盏半，灯草七茎，糯米一 ，煎一盏，食前温服。
沧州翁先生跋语说：凡是哺乳婴儿与儿童，应当分为两途来治疗。哺乳婴儿应当兼治乳母，使其气血清和，饮食有节，投以调气通茶之剂以酿其乳，使儿饮之，则其疮心肥满光泽，无陷伏之忧。儿童之子，必当切脉，审其表里虚实以汗下之。如果不实不虚，则只需保其冲和，使脾气流畅，则肺金籍母之助，易于灌脓，速于成痂，无倒塌之患。或至壮盛而肤腠浓密，尤须预为汗解。或大便结与溲涩者，尤宜下之利之，庶无患也。其余证候则应当在药内倍其分两，百无一失，学人宜致思焉。
This substance is most excellent for inducing the eruption of smallpox, or it is particularly good to take it mixed with a decoction prepared from *Arnebiae Radix et Rhizoma* (Zicao, 紫草) and *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草).
Wanquan San (from Master Ruan): Treats smallpox eruptions that lack ruddy color.
Ingredients: *Saposhnikoviae Radix* (Fangfeng, 防风), *Panacis Ginseng Radix* (Renshen, 人参), *Bombyx Batryticatus* (Chantui, 蝉蜕) in equal parts.
Preparation and Administration: Finely cut the herbs. Take four qian per dose, add one sheng of water, three leaves of *Menthae Haplocalycis Herba* (Bohe, 薄荷), decoct until six fen remains, and take warm. For patterns with excess heat and fullness, add *Rhizoma Cimicifugae* (Shengma, 升麻).
Anban Tang (from Master Tang):
Ingredients: *Arnebiae Radix et Rhizoma* (Zicao, 紫草), *Akebiae Caulis* (Mutong, 木通) each five fen; *Bombyx Batryticatus* (Chantui, 蝉蜕), *Saposhnikoviae Radix* (Fangfeng, 防风) each three fen; *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) two fen.
Preparation and Administration: Finely cut the herbs. Add one zhong of water, decoct until five fen remains, and take warm.
Another pattern: In individuals with exterior excess, where skin fat is thick and muscle pores are dense, toxic factors cannot easily dissipate, leading to slow eruption. It is appropriate to use Xiaodu Yin (Detoxification Decoction) or Touji San (Muscle-Penetrating Powder). If there is hard constipation, add *Radix Rheomi* (Dahuang, 大黄) and *Semen Ziziphi Spinosae* (Zhizi Ren, 栀子仁) to Xiaodu Yin and decoct. If eruptions are too dense, Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) or Zhangshi Jiedu Fangfeng Tang (Master Zhang’s Detoxification and Wind-Dispersing Decoction) is appropriate. For deficiency of blood and qi, Shiqi San (Ten Wonders Powder) is appropriate; for throat obstruction, Rusheng Tang (Like-Sage Decoction) added with *Menthae Haplocalycis Herba* (Bohe, 薄荷) and *Aurantii Fructus* (Zhike, 枳壳) is appropriate. For hot breath in the mouth, sore throat, and sores on the tongue and mouth, Ganlu Yin (Sweet Dew Decoction) is appropriate. For convulsions due to wind-stroke, Baolong Wan (Dragon-Holding Pill) is appropriate. For irritability and thirst, Dushen Tang (Single Ginseng Decoction) or Huang [Lian] Liuyi Tang ([Coptis] Six-One Decoction) is appropriate.
Touji San:
Ingredients: *Arnebiae Radix et Rhizoma* (Zicaorong, 紫草茸), *Rhizoma Cimicifugae* (Lvshengma, 绿升麻), *Glycyrrhizae Radix et Rhizoma* (Fengancao, 粉甘草) each one qian.
Preparation and Administration: Finely cut, decoct in water and take, or decoct together with Xiaodu Yin for superior effect.
Rusheng Tang:
Ingredients: *Platycodonis Radix* (Jiegeng, 桔梗) two qian, *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) one qian.
Alternative Formula: Add *Bupleuri Radix* (Niubangzi, 牛蒡子) and *Ophiopogonis Tuber* (Maimendong, 麦门冬) each one qian.
Preparation and Administration: Finely cut, decoct in water, and take frequently.
Baolong Wan (See section on Convulsions/Wind-Stroke).
Differentiating Favorable and Unfavorable External Signs (13):
Warm body indicates favorable prognosis; cold body indicates unfavorable. Ability to eat and solid stool indicate favorable; inability to eat and loose stool indicate unfavorable.
Differentiating Severity of External Signs (14):
Mild cases: Erupt in three waves, varying in size, sparse on head and face, none in ears, roots are red and vibrant, plump and glossy.
Severe cases: Erupt all at once, densely distributed like silkworm eggs, grayish-white, accompanied by diarrhea and thirst, body warm but abdomen distended, head warm but feet cold.
Differentiating Early and Late Manifestations of Smallpox (15):
Mild cases: Pathogen is in the Fu organs, erupting as fine rashes resembling mosquito bites, dotted red, commonly known as Bran Pox. Severe cases: Pathogen is in the Zang organs, forming true smallpox. Resembling peas, with red roots and white heads, pustules exuding pus and water, commonly known as Smallpox. Visible after two to three days, faintly emerging like millet grains, or like mung beans, or like water droplets; those that are glossy and clear are good. On the fourth day, varying sizes with red roots and glossiness indicate mild cases; those that are dense, depressed at the apex, and accompanied by diarrhea indicate severe cases. On the sixth and seventh days, plump, red, and glossy lesions indicate mild cases; those with fever, panting, dry mouth, abdominal distension, and cold toes indicate severe cases. On the eighth and ninth days, fully grown, red, and full lesions with waxy color indicate mild cases; those with chills, confusion, abdominal distension, irritability, thirst, rapid breathing, and teeth grinding indicate extreme severity. On the tenth and eleventh days, when scabs form and fall off, recovery is imminent. On the twelfth and thirteenth days, failure to scab when expected is unfavorable; if the body is slightly hot, use purgatives to prevent residual toxicity; if not high fever, or with abdominal distension, diarrhea, or thirst, use Shi’erwei Yigong San (Twelve-Ingredient Extraordinary Merit Powder) to rescue.
Differentiating Self-Healing Without Medication (16):
Sparse footprints of pox, red and spreading roots, no diarrhea or thirst, normal milk/food intake, warm limbs, no high fever.
For the above six patterns, medication is not required; only careful nursing is needed. The room must be kept warm, avoiding all foul odors. Avoid contact with outsiders, sexual activity, menstruating women, and those with axillary odor. Burning *Radix Rheomi* (Dahuang, 大黄) and *Atractylodis Rhizoma* (Cangzhu, 苍术) is recommended to dispel evil qi. Burning Agarwood, Sandalwood, Aquilariae Lignum Resinatum (Xiangchen, 沉香), Dalbergiae Odoriferae Lignum (Tanxiang, 檀香), Liquidambaris Resina (Ruxiang, 乳香), and Borneolum Syntheticum (Nashexiang, 脑麝) should be avoided. Hanging Coriandrum Sativum Herba (Husui, 胡荽) inside curtains, spraying bed curtains with Husui infusion, and burning Costus Root (Muxiang, 木香) are beneficial. The toxicity of smallpox fears foul odors most; do not trust monks or Daoists to chant scriptures to cleanse impurities, as they have no power and may introduce more foul odors. Do not rely on them without prevention. Beware!
Differentiating Five Incurable Patterns (17):
Itching and collapse, chills with teeth grinding, unquenchable thirst. Purple-black pox, panting and restless. Grayish-white, depressed apex, abdominal distension. Warm head, cold feet, confusion with desire to drink. Rapid breathing, diarrhea, thirst.
Differentiating Yin and Yang Patterns of Rashes (18):
Red rashes belong to Yang, subsiding with cooling. White rashes belong to Yin, subsiding with warming.
Appendix: Macules Caused by Cold Damage and Seasonal Epidemics (19):
Macules from Warm Toxicity: Xuan Shen Sheng Ma Tang (Scrophulariae Radix and Cimicifugae Rhizome Decoction); for severe cases, Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Decoction to Overcome Toxin).
Macules from Gastric Rot: Caused by Yangming stomach excess failing to be purged, or purged too early. Hua Ban Tang (Macule-Dissolving Decoction) or Pangshi Shigao Tang (Master Pang’s Gypsum Decoction).
Macules from Seasonal Epidemics: Shigao Tang (Gypsum Decoction).
Yang Toxic Macules: Occur in stomach-excess patients who mistakenly took hot medicines, or combined with wind-heat. Yangdu Shengma Tang (Yang-Toxic Cimicifuga Decoction).
Xuan Shen Sheng Ma Tang:
Ingredients: *Scrophulariae Radix* (Xuanshen, 玄参 - remove buds and wash), *Rhizoma Cimicifugae* (Shengma, 升麻), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) each one qian half.
Preparation and Administration: Decoct and take.
Jing Fang Bai Du San:
Ingredients: *Bupleuri Radix* (Chaihu, 柴胡), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草), *Panacis Ginseng Radix* (Renshen, 人参), *Platycodonis Radix* (Jiegeng, 桔梗), *Chuanxiong Rhizome* (Chuanxiong, 川芎), *Poria* (Fuling, 茯苓), *Aurantii Fructus* (Zhike, 枳壳), *Peucedani Radix* (Qianhu, 前胡), *Notopterygii Rhizoma et Radix* (Qianghuo, 羌活), *Angelicae Dahuricae Radix* (Duhuo, 独活), *Schizonepeta Spike* (Jingjiesui, 荆芥穗), *Saposhnikoviae Radix* (Fangfeng, 防风) each four fen.
Preparation and Administration: Finely cut, make one dose, add one sheng of water, decoct to seven fen, take warm. Can add five leaves of *Menthae Haplocalycis Herba* (Bohe, 薄荷).
Hua Ban Tang (i.e., Baihu Tang plus Scrophulariae Radix).
Shigao Tang (Master Pang):
Ingredients: *Sojae Semen Praeparatum* (Xiangchi, 香豉) one he, *Allium Fistulosum* (Congbai, 葱白) five qian, *Gypsum Fibrosum* (Shigao, 石膏) one liang, *Gardeniae Fructus* (Zhizi, 栀子) one qian, *Zingiberis Rhizoma Recens* (Shengjiang, 生姜) five qian, *Isatidis Folium* (Daqing, 大青), *Rhizoma Cimicifugae* (Shengma, 升麻), *Mirabilite* (Mangxiao, 芒硝) each one qian half.
Preparation and Administration: Finely cut, make one dose, add one and a half sheng of water, boil to obtain seven he, strain, add Mangxiao, let cool to warm, and take slowly.
Yangdu Shengma Tang:
Ingredients: *Rhizoma Cimicifugae* (Shengma, 升麻), *Rhinoceros Cornu* (Xijiao, 犀角 - shaved), *Belamcandae Rhizome* (Shegan, 射干), *Scutellariae Radix* (Huangqin, 黄芩), *Panacis Ginseng Radix* (Renshen, 人参), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) each one qian.
Preparation and Administration: Finely cut, make one dose, add one and a half sheng of water, decoct to one sheng, take warm before meals.
Differentiating Residual Toxicity After Sores (20):
1. Toxicity flowing into the Taiyin Spleen Meridian causes abscesses on limbs and wrists, swelling and pain in knees and patellae. Xiaodu Yin (Detoxification Decoction) is appropriate. For severe cases, Shi Liuwei Liuqi Yin (Sixteen-Ingredient Qi-Circulating Decoction) added with *Aconiti Lateralis Radix Praeparata* (Fuzi, 附子) or wine-soaked *Radix Rheomi* (Dahuang, 大黄) is appropriate, along with Biseng Gao (Victory Ointment) and Clam Water applied externally.
Xiaodu Yin (Formula seen earlier).
Shi Liuwei Liuqi Yin:
Ingredients: *Chuanxiong Rhizome* (Chuanxiong, 川芎), *Angelicae Sinensis Radix* (Chuan Gui, 川归), *Paeoniae Radix Alba* (Shaoyao, 芍药), *Saposhnikoviae Radix* (Fangfeng, 防风), *Panacis Ginseng Radix* (Renshen, 人参), *Aquilariae Lignum Resinatum* (Muxiang, 木香), *Astragali Radix* (Huangqi, 黄芪), *Cinnamomi Cortex* (Guixin, 桂心), *Platycodonis Radix* (Jiegeng, 桔梗), *Angelicae Dahuricae Radix* (Baizhi, 白芷), *Arecae Semen* (Binglang, 槟榔), *Magnoliae Officinalis Cortex* (Nongpo, 浓朴), *Linderæ Fructus* (Wuyao, 乌药), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草), *Perillae Folium* (Zisu, 紫苏), *Aurantii Fructus* (Zhike, 枳壳) each four fen.
Preparation and Administration: Finely cut, make one dose, add one sheng of water, decoct to seven fen and take. For deficiency of blood and qi with spontaneous diarrhea, add Prepared *Aconiti Lateralis Radix* (Shu Fuzi, 熟附子). For solid stool, add *Radix Rheomi* (Dahuang, 大黄).
Biseng Gao:
Ingredients: *Portulacae Herba* (Machixian, 马齿苋 - crushed for juice), *Porcine Fat* (Zhigaoshi, 猪膏脂), *Rock Sugar* (Shimi, 石蜜).
Preparation and Administration: Boil the three ingredients together into an ointment and apply to swollen areas.
Clam Water:
Ingredients: Clams (any amount, live ones kept in water for five days, take this water to wash hands and face; flesh will gradually grow back without scars).
1. Toxicity flowing into the Taiyin Lung Meridian causes swelling inside the nose and wrists, manifesting as red abscesses. Xiaodu Yin, Rusheng Tang, Wufu Huadu Dan (Five Blessings Detoxifying Pellets), and Xionghuang Jiedu Wan (Realgar Detoxifying Pills) are appropriate to promote drainage. For deficiency of blood and qi, Shibu Tang (Ten Tonics Decoction) added with *Platycodonis Radix*, *Aurantii Fructus*, and *Rhinoceros Cornu* is appropriate. For throat obstruction or swelling/pain, Bohe Rusheng Tang (Mint Like-Sage Decoction) is appropriate.
Wufu Huadu Dan (Formula seen in Convulsions section).
Divide one liang into twelve pills. For a one-year-old infant, divide one pill into four doses, dissolve in Mint Water and administer. For residual toxin attacking upwards causing oral/dental issues, bloody saliva, and foul odor, dissolve one pill in fresh juice of *Rehmanniae Radix* (Shengdihuang, 生地黄) and brush into the mouth with a feather.
Rusheng Tang (Formula seen earlier).
Xionghuang Jiedu Wan:
Ingredients: *Curcumae Radix* (Yujin, 郁金), *Realgar* (Xionghuang, 雄黄 - ground and washed) each one qian half, *Crotonis Fructus* (Badou, 巴豆 - peeled, membrane removed, oil drained) forty grains.
Preparation and Administration: Make into fine powder, use vinegar-boiled wheat paste to form pills the size of mung beans. Take two or three pills per dose, washed down with strong tea liquor, adjusted according to infant size.
1. Toxicity flowing into the Large Intestine causes pus and blood in stool, passage of intestinal mucus, or constipation. Xijiao Dihuang Tang is appropriate. For restlessness, fever, and thirst, Huanglian Jiedu Tang (Coptis Detoxification Decoction) is appropriate. For intense heat, Xiao Chengqi Tang (Minor Order the Qi Decoction). For diarrhea, Huanglian Jiedu Tang, Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pills), or Zhuche Wan (Parking Chariot Pills) are appropriate.
Huanglian Ejiao Wan:
Ingredients: *Coptidis Rhizoma* (Huanglian, 黄连) three liang, *Colla Corii Asini* (Ejiao, 阿胶 - fried until bead-like) one liang, *Poria* (Fuling, 茯苓 - peeled) two liang.
Preparation and Administration: Grind Huanglian and Fuling into fine powder, mix with Ejiao powder using water to form pills the size of paulownia seeds. Take twenty pills per dose, washed down with warm rice drink.
Zhuche Wan:
Ingredients: *Colla Corii Asini* (Ejiao, 阿胶 - fried to beads, boiled in vinegar to paste), *Angelicae Sinensis Radix* (Danggui, 当归 - remove radicle) fifteen liang each, *Coptidis Rhizoma* (Huanglian, 黄连) thirty liang, *Zingiberis Rhizoma* (Ganjiang, 干姜 - processed) ten liang.
Preparation and Administration: Make into powder, bind with Ejiao paste into cakes, form pills the size of paulownia seeds. Take twenty pills per dose before meals, washed down with clear rice drink, three times daily. For children, make pills the size of hemp seeds, adjust dosage according to child's size.
1. If smallpox enters the eyes, Jumingsan, Mimenghua San, Boyun San, and Haifen San are appropriate.
Juming San:
Ingredients: *Cassiae Semen* (Caojueming, 草决明), *Paeoniae Radix Rubra* (Chishaoyao, 赤芍药), *Trichosanthis Radix* (Tianhuafen, 天花粉), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草).
Preparation and Administration: Equal parts, grind into fine powder. Take half a qian bi per dose, taken after meals with tea liquor.
Mimenghua San:
Ingredients: *Glochidion Flower* (Mimenghua, 密蒙花), *Celosiae Semen* (Qingxiangzi, 青葙子), *Cassiae Semen* (Juemingzi, 决明子), *Plantaginis Semen* (Cheqianzi, 车前子).
Preparation and Administration: Equal parts, grind into fine powder. Take one slice of sheep liver, split into three, mix medicine evenly inside, recombine, wrap in seven layers of paper moistened with wine and water, bake in ashes until cooked but not burnt, dry, grind into powder, add a little *Moschus* (Shexiang, 麝香). Take two qian per dose after meals with rice drink.
Boyun San:
Ingredients: *Notopterygii Rhizoma et Radix* (Qianghuo, 羌活), *Saposhnikoviae Radix* (Fangfeng, 防风), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草 - honey-fried), *Bupleuri Radix* (Chaihu, 柴胡) equal parts.
Preparation and Administration: Grind into fine powder. Take two qian per dose, add one sheng of water, decoct to seven fen. Take after meals and before sleep. Can be taken with Mint Juice, Tea Liquor, or Chrysanthemum Seedling Decoction. Avoid salt, soy sauce, wet dough, roasted food, cooking fumes, and all wind-mobilizing and fire-activating substances.
Haifen San:
Ingredients: *Glechomae Herba* (Gujingcao, 谷精草), *Concha Meretricis et Cyclinae* (Haige Fen, 海蛤粉) equal parts.
Preparation and Administration: Grind into fine powder. Take two qian bi per dose. Take about two liang of pig liver, slice open with a bamboo knife, sprinkle medicine inside, roll up, wrap in green bamboo leaves, tie with hemp thread. Boil in one bowl of water until cooked. Place in a narrow-necked bottle to fumigate the eyes. When warm, consume. One dose daily, resolves within ten doses.
1. Heat-toxin flowing into the meridians after the Three Yang causes swelling and pain of lymph nodes in cheeks and neck. Jing Fang Bai Du San, Tuoli Shibu San (Interior-Supporting Ten Tonics Powder - reduce Cinnamon), and Xiaodu Yin doubled with *Lonicerae Japonicae Caulis* (Rendongteng, 忍冬藤) are appropriate.
Jing Fang Bai Du San (See Cold Damage Appendix). Tuoli Shibu San (i.e., Shiqi San. See Differentiation of Shape and Qi). Xiaodu Yin (See earlier).
(Ancestral Formula)
After smallpox, regardless of which meridian the abscess/toxin appears, when initially red and swollen, use Black, Green, and Red beans soaked in sour vinegar, ground into paste. Brush frequently with a goose feather; it recedes immediately with miraculous effect.
(Medical Case)
A child had not had a bowel movement for twenty days after smallpox. Stool was dry and painful, nearing death. Previously used *Radix Rheomi*, *Mirabilite*, *Aurantii Fructus*, *Crotonis Fructus*, honey suppositories, and drank about a bowl of sesame oil, all ineffective. I instructed someone to hold real sesame oil in their mouth, insert a small bamboo tube into the rectum, and blow the oil into the intestines. Bowel movement occurred shortly after. Truly an excellent formula.
Essential Methods of Ancients for Treating Smallpox (21)
Master Wang’s *Zhi Mi* states: Smallpox is a type of seasonal epidemic; one person contracts it and infects others. Also states: Rashes with heat erupt easily, covering the skin upon eruption.
Master Zhang Huan states: Uniform qi leads to fast eruption; blood follows qi, qi reversal causes blood stagnation.
Master Wang states: Rashes are generated by the Spleen. Spleen deficiency with Liver excess allows Wood to overcome Earth; heat agitates the Heart Spirit causing fright.
Master Qian states: Liver Wind and Heart Fire struggle causing convulsions. Also states: Convulsions before rash formation strongly contraindicate cooling the Heart. Rashes belong to the Heart; Heart governs Blood. Heart cold prevents Blood circulation, preventing rash eruption. Be very cautious. Generally, treating fright requires soothing the Liver, promoting urination, and regulating Qi.
Master Yang Renzhai states: For high heat, promote urination with Wuling San (Five-Ingredient Powder with Poria) or Dao Chi San (Guide Out Redness Powder). For mild heat, detoxify with Xiaodu Yin or Sisheng San (Four Saints Powder).
Depression, Inversion, and Black Depression:
1. Pattern transforming into Kidney-related black depression: Qian’s Baixiang Wan (Baixiang Pills) and Xuanfeng San (Wind-Releasing Powder) are appropriate.
2. Pattern caused by external Wind-Cold: In winter, Wuji San (Five Accumulations Powder) minus *Ephedrae Herba* (Mahuang, 麻黄), plus *Cinnamomi Cortex* (Guixin, 桂心) and *Arnebiae Radix et Rhizoma* (Zicao, 紫草). In spring, Buhuanjin Zhengqi San (Unchanging Metal Upright Qi Powder) plus *Chuanxiong Rhizome*, *Angelicae Dahuricae Radix*, *Saposhnikoviae Radix*; or if attacked by Wind Evil, Xiaofeng San (Wind-Dispersing Powder) plus *Arnebiae Radix et Rhizoma*, taken concurrently.
3. Pattern caused by damage from milk/food, internal Qi obstruction: Yang’s Jieji San (Regulating and Harmonizing Powder) or Sijunzi Tang (Four Gentlemen Decoction) added with *Amomi Fructus* (Suosha, 缩砂), *Aquilariae Lignum Resinatum* (Muxiang, 木香), *Chuanxiong Rhizome*, *Arnebiae Radix et Rhizoma*. For spontaneous diarrhea, Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction) is appropriate.
4. Pattern caused by parents' impropriety regarding sexual activity, menstruation, or nurse's axillary foul odor: Burn Ruan’s Bihui Dan (Evil-Dispelling Pellet) to fumigate. Spray bed curtains with Coriander Wine, hang Coriander in bed curtains. For severe cases, dissolve Suhexiang Wan (White Musk Pill) in Coriander Decoction, apply and fumigate. Shengzhi Zaisu San (Reviving Powder) is miraculously effective.
5. Pattern of toxicity entering interior causing black depression: Zhuwei Gao (Pig Tail Ointment) is highly effective.
Buhuanjin Zhengqi San:
Ingredients: *Magnoliae Officinalis Cortex* (Nongpo, 浓朴 - ginger-processed), *Agastaches Herba* (Huoxiang, 藿香 - remove stem), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草 - honey-fried), *Pinelliae Tuber* (Banxia, 半夏 - boiled seven times, peel removed), *Atractylodis Rhizoma* (Cangzhu, 苍术 - rice water-soaked), *Citri Reticulatae Pericarpium* (Chenpi, 陈皮) each five fen.
Preparation and Administration: Finely cut, make one dose, add three slices of ginger, two dates, one sheng of water, decoct to seven fen and take.
Bihui Dan:
Ingredients: *Atractylodis Rhizoma* (Cangzhu, 苍术), *Asari Radix et Rhizoma* (Beixixin, 北细辛), *Nardostachyos Radix et Rhizoma* (Gansong, 甘松), *Chuanxiong Rhizome* (Chuanxiong, 川芎), *Liquidambaris Resina* (Ruxiang, 乳香 - separately ground), *Aquilariae Lignum Resinatum* (Xiangchen, 降真香) equal parts.
Preparation and Administration: Grind into fine powder, burn fiercely. Currently, common practice is to burn yellow tea smoke for fumigation, which is best.
Zaisu San: Treats smallpox contracted by toxic factors entering internally.
Ingredients: *Alumen* (Mingfan, 明白矾), *Pheretima* (Dilong, 地龙 - remove soil and stir-fry) each one liang.
Preparation and Administration: Grind into powder. Take half a qian per dose, mix with a small amount of fresh well water and pig tail blood, take anytime.
Zhuwei Gao: Same as Longnao Gao mentioned earlier; Master Qian used blood from young pigs ground for application.
If smallpox pus does not dry because eruptions were too abundant, exterior deficiency makes scabbing difficult, causing pus to stick clothes and mats, leading to damp pain and immobility: Baisheng San (White Dragon Powder) and Baicao San (Decayed Grass Powder) applied externally are appropriate.
Baisheng San:
Ingredients: Cow dung dried in sun, burned to ash, take the white center, grind into powder, wrap in silk and apply.
Baicao San:
Use old rotten grass from roofs and walls, wash clean, dry, grind into fine powder, wrap in silk and apply, or spread on beds/mats. Good.
Tianhua San (Master Feng): Treats loss of voice after smallpox.
Ingredients: *Trichosanthis Radix* (Tianhuafen, 天花粉), *Platycodonis Radix* (Jiegeng, 桔梗), *Poria* (Baifuling, 白茯苓 - peeled), *Terminalia Chebulae Fructus* (Heziren, 诃子肉), *Acori Tatarinowii Rhizoma* (Shichangpu, 石菖蒲), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) equal parts.
Preparation and Administration: Grind into powder. Mix half a spoonful with water in a bowl. Bind seven stalks of small bamboo and seven branches of Huangjing (Yellow Thatch Grass? Note: Text says Huang Jing 黄荆, likely Vitex negundo or similar aromatic shrub) into a bundle. Ignite bundle over the bowl to steam/decoct. Take before sleep.
For pregnant women developing smallpox: Feng’s Zao Tai San (Fetal-Covering Powder) is appropriate. For fetal movement instability: Dusheng San (Single Saint Powder) or Antai Yin (Fetal-Calming Decoction). For high fever: Muxiang Rensu Yin (Costus and Ginseng Perilla Decoction). If eruptions are dense: Shiqi San (Ten Complete Powder) doubled with *Paeoniae Radix Alba* and *Angelicae Sinensis Radix*, reduced Cinnamon, added *Cyperi Rhizoma* (Xiangfu, 香附) and *Linderæ Fructus* (Wuyao, 乌药). If fetus is five months old, *Pinelliae Tuber* and *Cinnamomi Cortex* need not be prohibited.
Zao Tai San:
Ingredients: *Poria* (Chifuling, 赤茯苓), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Angelicae Sinensis Radix* (Chuan Gui, 川归), *Paeoniae Radix Alba* (Baishaoyao, 白芍药), *Paeoniae Radix Rubra* (Chishaoyao, 赤芍药), *Bupleuri Radix* (Beichaihu, 北柴胡), *Puerariae Lobatae Radix* (Gange, 干葛), *Panacis Ginseng Radix* (Renshen, 人参), *Platycodonis Radix* (Jiegeng, 桔梗), *Scutellariae Radix* (Tiaoqin, 条芩), *Saposhnikoviae Radix* (Fangfeng, 防风), *Citri Reticulatae Pericarpium* (Chenpi, 陈皮), *Schizonepeta Spike* (Jingjie, 荆芥), *Aurantii Fructus* (Zhike, 枳壳), *Arnebiae Radix et Rhizoma* (Zicao, 紫草), *Colla Corii Asini* (Ejiao, 阿胶), *Glucinis Semen* (Nuomi, 糯米), *Angelicae Dahuricae Radix* (Baizhi, 白芷), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草), *Chuanxiong Rhizome* (Chuanxiong, 川芎), *Amomi Fructus* (Suosha, 缩砂), *Curcumae Radix* (Yujin, 郁金 - for high heat) each three fen.
Preparation and Administration: Finely cut, make one dose, add one and a half sheng of water, decoct to one sheng. Add seven dried persimmon calyxes, seven cun of wild ramie root, one sweet melon calyx. Decoct in silver vessel, cover with lotus leaf, boil to eight fen, strain, cover again with lotus leaf, take warm on empty stomach.
Dusheng San: Use Amomi Fructus with shell, stir-fry slowly on low heat to remove shell, grind into powder. Take half a spoonful per dose, mixed with hot wine. Take if fetal movement occurs; if fetal heat is felt after taking, the fetus will be calm.
Antai San:
Ingredients: *Betel Nut* (Dafupi, 大腹皮 - washed thoroughly in wine, dried, washed again in black bean juice), *Panacis Ginseng Radix* (Renshen, 人参), *Citri Reticulatae Pericarpium* (Chenpi, 陈皮), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Paeoniae Radix Alba* (Baishaoyao, 白芍药), *Angelicae Sinensis Radix* (Chuan Gui, 川归), *Chuanxiong Rhizome* (Chuanxiong, 川芎), *Cyperi Rhizoma* (Xiangfum, 香附米 - soaked in boy's urine), *Amomi Fructus* (Sharen, 砂仁), *Perillae Folium* (Zisu, 紫苏), *Poria* (Fuling, 茯苓), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) each half qian.
Preparation and Administration: Finely cut, make one dose, add one and a half sheng of water, seven stalks of Juncus (Dengcao, 灯草), one [measure] of glutinous rice, decoct to one sheng, take warm before meals.
Postscript by Mr. Weng of Cangzhou: Infants and children should be treated differently. Infants require treating the nurse simultaneously to ensure her Qi and Blood are clear and harmonious, diet regulated, and administered Qi-regulating and milk-promoting teas to nourish her milk, so the infant drinks it, resulting in plump, glossy sores without risk of depression. Children require pulse diagnosis to determine exterior/interior and deficiency/excess for sweating or purging. If neither deficient nor excess, maintain harmony, ensure Spleen Qi flows smoothly, aiding Lung Metal via Mother element, facilitating pus formation and scabbing quickly, avoiding collapse. If robust with dense pores, pre-emptive sweating is needed. If constipated or difficult urination, purging and draining are essential to avoid trouble. For other patterns, double the dosage, rarely failing. Scholars should ponder this.