胸前出痘贵稀轻，攒聚粘连毒热凝，速用凉膈攻毒饮，免使枭毒内里攻。
[注]
胸膈乃心肺二经部位，出痘稀少方吉 倘攒簇于此，名曰攒胸，
乃毒热所致也，当以凉膈攻毒饮主之，则枭毒不内侵矣。
(凉膈攻毒饮)栀子生 黄连生 石膏生 荆芥 紫花地丁 枳壳麸炒
桔梗 玄参 生地 牛蒡子炒研 大黄 赤芍 甘草生 薄荷 木通
引加灯心竹叶水煎服。
(方歌)
凉膈攻毒治攒胸，栀连石膏荆地丁 枳桔玄参生地蒡，大黄芍草薄木通。
%
断桥之痘形甚异，腰间纳无上下密，气血阻滞毒热壅，归宗峻攻痘出吉．
[注]
痘名断桥者，腰间绝无一点，惟身上下稠密也，
盖枭毒壅于上下，气血阻于中宫，故致上下隔断而成最恶之证，
宜用归宗汤攻之，使无痘处透出，方化为吉也。
(归宗汤) 方见发热证治。
%
腰为肾候痘宜疏，连珠环违奈何如，治宜攻毒莫少待，归宗急服患能除。
[注]
腰为肾候，痘宜稀疏，若连珠环遶，名曰腰缠，此毒伏于肾也，
治以攻毒为主，宜用归宗汤治之。
(归宗汤) 方见发热证治。
%
囊腹腹前痘如囊，枭毒冲突势猖狂，透毒松肌通圣散，攻毒归宗汤甚良。
[注]
腹前出痘状如囊聚，名曰囊腹，是枭毒冲突，势甚猖狂也，
此地近于脏腑，毒易内攻，须先用松肌通圣散透发其毒，
再用归宗汤以攻其毒，使地界分明，根脚松动，庶无虑矣。
(松肌通圣散)方见蒙头证治 。
(归宗汤)方见发热证治。
%
胸前出痘以稀少、轻浅为吉，若密集攒聚、粘连成片，则是毒热凝结之象，需迅速使用凉膈攻毒饮，以免凶险之毒内侵脏腑。
[注]
胸膈部位属于心和肺两经所主，此处出痘稀少才是吉祥之兆；倘若痘疹在此处簇拥聚集，称为“攒胸”，这是由毒热所致，应当以凉膈攻毒饮为主方治疗，这样凶险的毒邪就不会向内侵袭了。
（凉膈攻毒饮）生栀子、生黄连、生石膏、荆芥、紫花地丁、麸炒枳壳、桔梗、玄参、生地黄、炒研牛蒡子、大黄、赤芍、生甘草、薄荷、木通。
引药加灯心草、竹叶，用水煎服。
（方歌）
凉膈攻毒治攒胸，栀连石膏荆地丁，枳桔玄参生地蒡，大黄芍草薄木通。
断桥证型的痘疹形态非常特殊，腰部完全没有痘疹，而身体上下部位却十分稠密，这是因为气血阻滞、毒热壅盛所致，宜用归宗汤峻猛攻伐，待痘疹透出则转为吉利。
[注]
痘疹称为“断桥”的，是指腰部绝对没有一颗痘疹，只有身体上下部分稠密分布。这是因为凶险的毒邪壅塞于上下，气血阻绝于中焦脾胃，导致上下隔断，从而形成最为恶劣的证候，适宜使用归宗汤进行攻伐，使无痘之处透出痘疹，才能转化为吉兆。
（归宗汤）方剂详见发热证治章节。
腰部是肾脏的外候，痘疹应当稀疏，若如连珠般环绕腰部，该怎么办呢？治疗应当以攻毒为主，不可稍作等待，急服归宗汤可使病患痊愈。
[注]
腰部是肾脏的外候，痘疹应当稀疏；如果像串珠一样环绕腰部，称为“腰缠”，这是毒邪潜伏在肾脏所致，治疗应以攻毒为主，适宜使用归宗汤进行治疗。
（归宗汤）方剂详见发热证治章节。
腹部前方出的痘疹状如囊袋聚集，凶险毒邪冲突，势头猖狂，需用透毒松肌通圣散透发毒邪，再用攻毒的归宗汤效果很好。
[注]
腹部前方出的痘疹形状如同囊袋聚集，称为“囊腹”，这是凶险毒邪冲突，势头非常猖狂的表现。此部位靠近脏腑，毒邪容易内攻，必须先用松肌通圣散透发其毒邪，再用归宗汤攻伐其毒邪，使病位界限分明，痘根松动，这样才无需担忧。
（松肌通圣散）方剂详见蒙头证治章节。
（归宗汤）方剂详见发热证治章节。
Acne eruption on the chest is auspicious when sparse and mild; if they cluster densely and adhere to one another, it indicates condensation of pathogenic heat and toxicity. One must quickly administer Liangge Gongdu Yin (Cool the Diaphragm and Attack Toxicity Decoction) to prevent the fierce toxicity from attacking the interior.
[Annotation]
The chest and diaphragm are the regions governed by the Heart and Lung meridians. It is auspicious for acne eruptions to be sparse in this area. If they cluster here, it is named "Cuan Xiong" (Accumulated Chest), which is caused by pathogenic heat and toxicity. It should be primarily treated with Liangge Gongdu Yin (Cool the Diaphragm and Attack Toxicity Decoction), so that the fierce toxicity will not invade inwardly.
(Liangge Gongdu Yin [Cool the Diaphragm and Attack Toxicity Decoction]): Zhi Zi (Gardeniae Fructus), Huang Lian (Coptidis Rhizoma), Shi Gao (Gypsum Fibrosum), Jing Jie (Schizonepetae Herba), Zi Hua Di Ding (Violae Herba), Zhi Ke (Aurantii Fructus, bran-fried), Jie Geng (Platycodonis Radix), Xuan Shen (Scrophulariae Radix), Sheng Di Huang (Rehmanniae Radix), Niu Bang Zi (Arctii Fructus, fried and ground), Da Huang (Rhei Radix et Rhizoma), Chi Shao (Paeoniae Radix Rubra), Gan Cao (Glycyrrhizae Radix et Rhizoma), Bo He (Menthae Haplocalycis Herba), Mu Tong (Akebiae Caulis).
Guiding herbs: Deng Xin Cao (Junci Medullia) and Zhu Ye (Bambusae Folium), decocted in water for oral administration.
(Verse for the Formula):
Liangge Gongdu treats Cuan Xiong,
Zhi, Lian, Shi Gao, Jing, Di Ding.
Zhi, Jie, Xuan, Shen, Sheng Di, Bang,
Da Huang, Shao, Cao, Bo, Mu Tong.
The morphology of acne in the "Duan Qiao" (Broken Bridge) pattern is very unusual. There are no eruptions on the waist, while the upper and lower body are dense. This is due to obstruction of Qi and Blood and congestion of pathogenic heat and toxicity. Using Guizong Tang (Guizong Decoction) for vigorous attack is auspicious as it promotes the emergence of acne.
[Annotation]
Acne named "Duan Qiao" refers to a condition where absolutely no eruptions appear on the waist, only the upper and lower parts are dense. This occurs because fierce toxicity congests the upper and lower regions, while Qi and Blood are obstructed in the middle Jiao (Spleen and Stomach), causing a separation between upper and lower, resulting in the most malignant syndrome. It is suitable to use Guizong Tang (Guizong Decoction) for attack, allowing eruptions to emerge from the areas without acne, thereby transforming into an auspicious outcome.
(Guizong Tang [Guizong Decoction]): See the section on Treatment of Fever Syndrome.
The waist is the external manifestation of the Kidney; acne should be sparse. What if they form a chain-like ring around the waist? Treatment should focus on attacking toxicity without delay; urgently taking Guizong Tang can eliminate the illness.
[Annotation]
The waist is the external manifestation of the Kidney; acne should be sparse. If they surround the waist like a string of pearls, it is named "Yao Chan" (Waist Entanglement), indicating that toxicity is latent in the Kidney. Treatment should prioritize attacking toxicity, and it is suitable to use Guizong Tang (Guizong Decoction) for treatment.
(Guizong Tang [Guizong Decoction]): See the section on Treatment of Fever Syndrome.
Acne erupting on the anterior abdomen resembles bags clustering together; fierce toxicity conflicts with each other, and the momentum is rampant. Songji Tongsheng San (Songji Tongsheng Powder) should be used to vent the toxicity, and Guizong Tang (Guizong Decoction) for attacking toxicity is very effective.
[Annotation]
Acne erupting on the anterior abdomen, shaped like clustered bags, is named "Nang Fu" (Baggy Abdomen). This indicates that fierce toxicity is conflicting, and the momentum is extremely rampant. This area is close to the Zang-Fu organs, making it prone to internal attack by toxicity. One must first use Songji Tongsheng San (Songji Tongsheng Powder) to vent the toxicity, and then use Guizong Tang (Guizong Decoction) to attack the toxicity. This ensures clear boundaries of the disease site and loosens the roots of the acne, thus eliminating worries.
(Songji Tongsheng San [Songji Tongsheng Powder]): See the section on Treatment of Meng Tou Syndrome.
(Guizong Tang [Guizong Decoction]): See the section on Treatment of Fever Syndrome.