【方歌】痘疔不与痘疮同，俗呼贼痘是其名，色紫黯黑硬如石，
诸证蜂起难灌脓。疔有多般须宜记，再审何处发其形。
卷帘疔生舌根底，大小不一最易明。火珠疔生鼻孔内，
阗塞喷火面赤红。眼沿生疔名忘汲，肿如封蛤热烦增。
豢虎疔于耳内见，肾毒攻耳致成形。燕窝疔生两腋下，
面赤谵语更肿疼。注命疔生足心里，紫筋直透足股中。
透肠疔在肛内发，痛如锥刺一般同。骊龙疔生尿孔内，
身热谵语便不通。法按疔名施医治，自然诸证悉能平。
【注】此证名多，治不一法。痘生五六日间，或三五枚，或六
七枚，杂于诸痘之间，其色紫黯，甚则黑硬如石，有此
以致诸证蜂起，不能灌脓。如卷帘疔生于舌根底，小如
黑豆，大似葡萄，令儿舌卷喉痛，急用银钩钩破，去净
恶血，随以苦茶漱口，搽拔疔散，再以冰片、硼砂、青
黛、黄连、薄荷、荆芥、炒僵蚕共为细末，吹用。火珠
疔生于鼻孔内，阗塞喷火，面赤眼红，亦用银钩钩破，
用黄连膏加冰片，滴入鼻孔，内服泻金散。忘汲疔生于
眼沿，肿如封蛤，烦热而紫，宜挑破用燕脂嚼汁点之，
兼蒲公英、菊花煎汤洗之。豢虎疔生于耳内，于脓成之
时，宜挑破搽拔疔散。燕窝疔生于腋下，肿硬面赤谵语
，如疔在左腋潜注，则右体之痘沈伏失色，右亦如之，
亦挑破去其根，用拔疔散搽之，服消毒饮子。注命疔生
两足心，肿硬如钱、如豆、如椒，有紫筋直透足股，挑
之去净恶血，用田螺水点之，次用慎火草绿豆浸胀，捣
烂敷之。透肠疔生肛门旁，在六七朝肿硬如锥，挑之，
银花、防风煎汤令洗之，次用轻粉、珍珠、冰片、白蔹
末涂之，内服黄连解毒汤。骊龙疔生尿孔内，于五六朝
身热、谵语、眼翻、肢厥、腹胀、小水闭涩，急用蟾酥
、牛黄、冰片、麝香研末，次用黄连细茶浓煎，候冷取
半匙调末，以细软稻心蘸之，送入孔内，服消毒饮子甚
效。
方剂：泻金散
组成：犀角（镑） 牛蒡子（炒，研）
红花 生地
桔梗 赤芍
紫苏 甘草（生，各一钱）
水煎服。
【方歌】泻金散治火毒疔，面赤眼红鼻内疼，犀蒡红花生地桔，
赤芍紫苏甘草生。
又方：消毒饮子
组成：白茯苓 生地
连翘（去心） 牛蒡子（炒，研）
红花 甘草（生）
犀角（镑） 木通
赤芍（各一钱）
灯心二十根，水煎服。
【方歌】消毒饮子苓生地，翘蒡红花甘草犀，木通芍药灯心共，
善却疔毒火证宜。
又方：拔疔散（见齿部牙疔）
黄连膏（见鼻部鼻疮）
田螺水（见臀部）
黄连解毒汤（见耳部黑疔）
【方歌】痘疔与普通的痘疮不同，民间称之为“贼痘”，其特点是颜色紫暗发黑、质地坚硬如石头，伴随各种症状蜂拥而起，难以化脓结痂。疔疮种类繁多，必须牢记，并仔细审查其发生的具体部位。卷帘疔生于舌根底部，大小不一，最容易辨认。火珠疔生于鼻孔内，堵塞鼻孔，感觉如火喷吐，面部赤红。眼沿生疔名为忘汲疔，肿胀如同蛤蟆，伴有烦热加重。豢虎疔见于耳内，由肾毒攻冲耳朵所致而成形。燕窝疔生于两腋下，伴有面赤、胡言乱语及更严重的肿痛。注命疔生于足心，紫色筋脉直通大腿中。透肠疔在肛门内发作，疼痛如同锥刺一般。骊龙疔生于尿道口内，伴有身热、胡言乱语、大小便不通。治疗时应根据疔疮的名称采取相应疗法，自然能使各种症状平息。
【注】此病证名称繁多，治疗方法不唯一。痘疮发出后五至六天，出现三五枚或六七枚，夹杂在其他痘疮之间，颜色紫暗，甚至黑硬如石头，因此导致各种症状蜂拥而起，不能灌脓。如果卷帘疔生于舌根底部，小如黑豆，大似葡萄，致使小儿舌头卷曲、喉咙疼痛，急需使用银钩挑破，排净恶血，随即用苦茶漱口，涂抹拔疔散，再将冰片、硼砂、青黛、黄连、薄荷、荆芥、炒僵蚕共同研成细末，吹入患处。火珠疔生于鼻孔内，堵塞感强且如火喷吐，面赤眼红，也用银钩挑破，使用黄连膏加冰片，滴入鼻孔，内服泻金散（Xiejin San, Metal-Draining Powder）。忘汲疔生于眼沿，肿胀如蛤蟆，烦热且色紫，宜挑破后用胭脂嚼碎取汁点涂，兼用蒲公英、菊花煎汤清洗。豢虎疔生于耳内，在脓液形成时，宜挑破并涂抹拔疔散。燕窝疔生于腋下，肿胀坚硬、面赤谵语，如果疔疮在左腋潜伏蔓延，则右侧身体的痘疮会沉伏失色，右侧亦然，也需挑破去根，用拔疔散涂抹，服用消毒饮子（Xiaodu Yinzi, Detoxification Decoction）。注命疔生于两足心，肿胀坚硬如铜钱、豆子或花椒，有紫色筋脉直通大腿，挑之排净恶血，用田螺水点涂，随后用慎火草和绿豆浸泡胀大后捣烂敷贴。透肠疔生于肛门旁，在发病第六七天肿胀坚硬如锥，挑破后，用金银花、防风煎汤令其清洗，随后用轻粉、珍珠、冰片、白蔹粉末涂抹，内服黄连解毒汤（Huanglian Jiedu Tang, Coptis Decoction for Resolving Toxins）。骊龙疔生于尿道口内，在发病第五六天出现身热、谵语、眼球上翻、四肢厥冷、腹胀、小便闭塞涩痛，急用蟾酥、牛黄、冰片、麝香研成粉末，随后用黄连和浓茶煎煮，待冷却后取半匙调匀药末，用细软稻心蘸取，送入孔内，服用消毒饮子效果极佳。
方剂：泻金散
组成：犀角（Rhinoceros Horn）（镑片）、牛蒡子（Burdock Fruit）（炒，研碎）、红花（Safflower）、生地（Rehmanniae Radix）、桔梗（Platycodon Root）、赤芍（Red Peony Root）、紫苏（Perilla Leaf）、甘草（Licorice Root）（生用，各一钱）。
水煎服。
【方歌】泻金散治疗火毒引起的疔疮，症见面赤、眼红、鼻内疼痛，药物包括犀角、牛蒡子、红花、生地、桔梗、赤芍、紫苏、生甘草。
又方：消毒饮子
组成：白茯苓（Poria）、生地（Rehmanniae Radix）、连翘（Forsythiae Fructus）（去心）、牛蒡子（Burdock Fruit）（炒，研碎）、红花（Safflower）、甘草（Licorice Root）（生用）、犀角（Rhinoceros Horn）（镑片）、木通（Akebia Stem）、赤芍（Red Peony Root）（各一钱）。
灯心二十根，水煎服。
[Verse] Dingchuang (Ding sores on smallpox) differs from ordinary smallpox; commonly called "Thief Smallpox," its characteristics are purple-dark or black color and hardness like stone. Various symptoms arise simultaneously, making it difficult to suppurate. There are many types of Ding sores that must be memorized, and one must carefully examine where they manifest. Juanli Ding (Rolling Curtain Ding) arises at the base of the tongue, varying in size and easily identified. Huozhu Ding (Fire Pearl Ding) arises inside the nostrils, causing blockage and a sensation of fire spitting out, with a red face. Wangji Ding (Forget-Thirst Ding) arises on the eyelids, swelling like a toad with increased irritability and heat. Huhan Ding (Taming Tiger Ding) is seen in the ears, formed by Kidney toxin attacking the ear. Yanyao Ding (Swallow's Nest Ding) arises in both axillae, accompanied by facial redness, delirium, and worsened swelling and pain. Zhuming Ding (Life-Directing Ding) arises in the soles of the feet, with purple veins extending straight into the thighs. Touchang Ding (Penetrating Intestine Ding) erupts inside the anus, with pain similar to needle pricking. Qilong Ding (Black Dragon Ding) arises inside the urethral meatus, accompanied by fever, delirium, and urinary/fecal obstruction. Treatment should follow the specific type of Ding, naturally resolving all symptoms.
[Commentary] This condition has many names and treatments vary. Five to six days after the eruption of smallpox, three to five or six to seven lesions may appear mixed among other pustules. Their color is purple-dark, even black and hard like stone, leading to simultaneous onset of various symptoms and failure to suppurate. If Juanli Ding arises at the base of the tongue, small as a black bean or large as a grape, causing the child's tongue to curl and throat pain, urgently use a silver hook to puncture it, drain all bad blood, rinse with bitter tea, apply Bading San (Ding-Extracting Powder), and then blow a fine powder made of Bingpian (Borneol), Pengsha (Borax), Qingdai (Indigo Naturalis), Huanglian (Coptidis Rhizoma), Bohe (Menthae Haplocalycis Herba), Jingjie (Schizonepetae Spica), and Chao Jiangcan (Stewed Silkworm) into the lesion. Huozhu Ding arises inside the nostrils, causing blockage and a fiery sensation, with red face and eyes; also puncture with a silver hook, apply Huanglian Gao (Coptis Ointment) with Bingpian (Borneol) dropped into the nose, and internally administer Xiejing San (Metal-Draining Powder). Wangji Ding arises on the eyelids, swelling like a toad, with irritability, heat, and purple discoloration; puncture and apply juice from chewed Erythrina seeds (Yanzhi), and wash with a decoction of Gongying (Taraxaci Herba) and Juhua (Chrysanthemi Flos). Huhan Ding arises in the ears; when pus forms, puncture and apply Bading San (Ding-Extracting Powder). Yanyao Ding arises in the axillae, with swelling, hardness, facial redness, and delirium; if the Ding in the left axilla spreads subtly, the smallpox on the right side will sink and lose color, and vice versa; puncture to remove the root, apply Bading San (Ding-Extracting Powder), and take Xiaodu Yinzi (Detoxification Decoction). Zhuming Ding arises in both soles, swelling and hardening like coins, beans, or peppercorns, with purple veins extending to the thighs; puncture to drain bad blood, apply Tianluo Shui (Snail Water), then apply a paste of Shenhuo Cao (Herba Siegesbeckiae) and soaked, mashed Lüdou (Vigna radiata). Touchang Ding arises beside the anus, swelling and hardening like a cone around the sixth or seventh day; puncture, wash with a decoction of Jinyinhua (Lonicerae Japonicae Flos) and Fangfeng (Saposhnikoviae Radix), then apply a powder of Qingfen (Calomel), Zhenzhu (Margarita), Bingpian (Borneol), and Bailian (Belamcandae Rhizoma), and internally administer Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxins). Qilong Ding arises inside the urethral meatus; around the fifth or sixth day, with fever, delirium, eye rolling, cold limbs, abdominal distension, and urinary retention/strangury, urgently use Chansu (Toad Venom), Niuhuang (Calculus Bovis), Bingpian (Borneol), and Shexiang (Moschus) ground into powder. Then, decoct Huanglian (Coptidis Rhizoma) with strong tea, let cool, take half a spoonful to mix with the powder, dip a soft rice stem in it, insert into the meatus, and take Xiaodu Yinzi (Detoxification Decoction) for excellent effect.
Formula: Xiejing San (Metal-Draining Powder)
Composition: Xijiao (Rhinoceros Horn) (shaved), Niubangzi (Burdock Fruit) (stir-fried, crushed), Honghua (Safflower), Shengdi (Rehmanniae Radix), Jiegeng (Platycodon Root), Chishao (Red Peony Root), Zisu (Perilla Leaf), Gancao (Licorice Root) (raw, each 1 qian).
Decoct in water and take orally.
[Verse] Xiejing San treats Ding caused by Fire-Toxin, with symptoms of red face, red eyes, and nasal pain; ingredients include Xijiao (Rhinoceros Horn), Niubangzi (Burdock Fruit), Honghua (Safflower), Shengdi (Rehmanniae Radix), Jiegeng (Platycodon Root), Chishao (Red Peony Root), Zisu (Perilla Leaf), and raw Gancao (Licorice Root).
Another Formula: Xiaodu Yinzi (Detoxification Decoction)
Composition: Baifuling (Poria), Shengdi (Rehmanniae Radix), Lianqiao (Forsythiae Fructus) (heart removed), Niubangzi (Burdock Fruit) (stir-fried, crushed), Honghua (Safflower), Gancao (Licorice Root) (raw), Xijiao (Rhinoceros Horn) (shaved), Mutong (Akebia Stem), Chishao (Red Peony Root) (each 1 qian).
With twenty roots of Dengxincao (Junci Medulla), decoct in water and take orally.
[Verse] Xiaodu Yinzi contains Ling (Poria), Shengdi (Rehmanniae Radix), Qiao (Forsythiae Fructus), Bang (Burdock Fruit), Honghua (Safflower), Gancao (Licorice Root), Xi (Rhinoceros Horn), Mutong (Akebia Stem), Shaoyao (Peony Root), and Dengxin (Junci Medella); it effectively eliminates Ding-Toxin and Fire syndromes.
Another Formula: Bading San (Ding-Extracting Powder) (see Dental Section, Tooth Ding)
Huanglian Gao (Coptis Ointment) (see Nasal Section, Nasal Sore)
Tianluo Shui (Snail Water) (see Gluteal Section)
Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxins) (see Auricular Section, Black Ding)