痘出围绕若环珠，毒气壅滞宜早图，清热解毒为妙剂，毒解浆生患自除。
[注]
痘名环珠者，以出而围绕，形若环珠也，此毒气壅滞所致，
以早图治，以清热解毒汤主之，使毒解浆生，其患自除矣。
(清热解毒汤) 方见见点证治。
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视之有点按无形，参差紫黯若浮萍，速用凉血攻毒剂，能使毒松色转红o
[注]
浮萍者，视之有点，按之无形，参差不齐，痘色紫黯，状如浮萍也，
此乃血瘀毒炽，非急攻不可，速用凉血攻毒饮攻之，
能使毒松色转红活，庶可望生。
(凉血攻毒饮) 方见见点证治。
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条文：100
痘形连贯颗碎密，上阔下细蟹爪形，起胀根松毒始解，清热解毒服有功。
[注]
蟹爪者，痘形连贯，颗粒碎密，上阔下细，如蟹爪之状，
急用清热解毒汤治之，使连贯处起胀根松，其毒可解也。
(清热解毒汤) 方见见点证治。
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条文：101
痘形歪斜复扁阔，无顶无盘名□沙，通圣归宗酌量用，顶起根松痘始佳。
[注]
□沙者，痘形扁阔歪斜不圆，无顶无盘，若□沙细小，
宜先用松肌通圣散主之，
若色紫黯者，归宗汤主之，能顶起根松，始为佳境。
(松肌通圣散)方见蒙头证治
(归宗汤)方见发热证治。
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痘疹发出后，颗粒围绕排列如同环珠，这是毒气壅滞所致，应当尽早谋划治疗，以清热解毒为妙方，待毒气解除、浆液生成，病患自然痊愈。
[注]
痘疹名为“环珠”，是因为痘疹发出后围绕排列，形状像环状的珠子，这是由毒气壅滞引起的，应当尽早治疗，以清热解毒汤为主方，使毒气解除、浆液生成，其病患自然消除。
（清热解毒汤）方剂见“见点证治”章节。
观察痘疹，视之有斑点，按压却无隆起形态，参差不齐，颜色紫暗如同浮萍，应迅速使用凉血攻毒的方剂，能使毒气松动、颜色转为红润。
[注]
所谓“浮萍”，是指视之有斑点，按压却无隆起形态，参差不齐，痘色紫暗，形状如同浮萍，这是血瘀毒炽盛的表现，非紧急攻下不可，应迅速使用凉血攻毒饮进行攻治，能使毒气松动、颜色转为红活，才有望生存。
（凉血攻毒饮）方剂见“见点证治”章节。
条文：100
痘形连贯且颗粒细碎密集，上部宽下部细，形状如蟹爪，痘体起胀后根部松软则毒气始解，服用清热解毒汤会有功效。
[注]
所谓“蟹爪”，是指痘形连贯，颗粒细碎密集，上部宽下部细，形状像蟹爪，应紧急使用清热解毒汤治疗，使连贯之处起胀、根部松软，其毒气即可解除。
（清热解毒汤）方剂见“见点证治”章节。
条文：101
痘形歪斜且复盖扁阔，没有顶端和底盘，名为“□沙”，通圣散与归宗汤酌情选用，待顶端隆起、根部松软，痘疹才算良好。
[注]
所谓“□沙”，是指痘形扁阔歪斜不圆，没有顶端和底盘，若□沙细小，宜先用松肌通圣散为主方，如果颜色紫暗，则以归宗汤为主方，能使其顶端隆起、根部松软，才是佳境。
（松肌通圣散）方剂见“蒙头证治”章节。
（归宗汤）方剂见“发热证治”章节。
After the eruption of smallpox (or chickenpox), the lesions are arranged in a ring-like pattern resembling beads. This condition is caused by the stagnation and accumulation of toxic heat, requiring early intervention. The optimal treatment is to clear heat and detoxify; once the toxin is resolved and pustules form, the illness will naturally subside.
[Note]
The term "Huanzhu" (Ring Beads) refers to eruptions that appear surrounded in a ring, shaped like circular beads. This is caused by the stagnation of toxic qi. Early treatment is essential. The primary formula is Qingre Jiedu Tang (Clear Heat and Detoxify Decoction). Once the toxin is cleared and pus forms, the condition resolves spontaneously.
(The formula for Qingre Juedu Tang is found in the section on "Treatment of Manifesting Spots".)
Upon observation, spots are visible but feel flat upon palpation. They are irregular in shape, purple-dark in color, and resemble floating duckweed. One should promptly use a blood-cooling and toxin-attacking formula. This can loosen the toxin and cause the color to turn red.
[Note]
"Fuping" (Floating Duckweed) describes lesions that appear as spots visually but are flat to the touch, irregular in arrangement, and purple-dark in color, resembling floating duckweed. This indicates blood stasis with intense toxicity, which requires urgent attacking treatment. Promptly use Liangxue Gongdu Yin (Cool Blood and Attack Toxin Decoction) to treat it. If successful, the toxin loosens and the color becomes red and vibrant, offering hope for survival.
(The formula for Liangxue Gongdu Yin is found in the section on "Treatment of Manifesting Spots".)
Article 100:
The lesions are continuous, granular, fine, and dense. The upper part is wide while the lower part is narrow, resembling crab claws. When the lesions swell and their bases become loose, the toxin begins to resolve. Administration of Qingre Jiedu Tang (Clear Heat and Detoxify Decoction) yields merit.
[Note]
"Xiezha" (Crab Claws) refers to lesions that are continuous, with fine and dense granules, wide at the top and narrow at the bottom, resembling the shape of crab claws. Urgently treat with Qingre Jiedu Tang (Clear Heat and Detoxify Decoction) so that the continuous areas swell and the bases become loose, allowing the toxin to be resolved.
(The formula for Qingre Jiedu Tang is found in the section on "Treatment of Manifesting Spots".)
Article 101:
The lesions are tilted, flattened, and broad. Lacking a distinct apex and base, they are named "Qisha". Tongsheng San (Universal Salvation Powder) or Guizong Tang (Guizong Decoction) should be used according to circumstances. Only when the apex rises and the base becomes loose is the prognosis favorable.
[Note]
"Qisha" refers to lesions that are flattened, broad, tilted, and not round, lacking an apex and a base. If Qisha is fine and small, Songji Tongsheng San (Relax Muscle Universal Salvation Powder) should be used first. If the color is purple-dark, Guizong Tang (Guizong Decoction) should be used. When the apex rises and the base becomes loose, the condition reaches an ideal state.
(The formula for Songji Tongsheng San is found in the section on "Treatment of Head Covering".)
(The formula for Guizong Tang is found in the section on "Treatment of Fever".)