目病之由风热成，痘毒火郁上攻睛，赤肿涩痛洗肝散，翳膜遮睛龙胆从。
[注]
目病固多由风热而起也，夫痘蕴非常之热，自里达外，
气血弱，则不能逐主降外出，火郁上攻，目斯病矣，
如赤肿疼痛，瘾涩流泪，不能开者，以洗肝散主之，
翳膜遮睛，隐涩羞明者，加味龙胆汤主之。
(洗肝散)
羌活 归尾 防风 山栀仁 谷精草 薄荷 生甘草 川芎 水煎食后服。
(方歌)
洗肝散治目痛疼，羌活归尾及防风，山栀仁同谷精草，药荷甘草配川芎。
(龙胆汤)
防风 木贼草 密蒙花 蝉蜕 蔓荆子 龙胆草 菊花 黄连 白芷 蒺藜 水煎。
(方歌)
翳遮龙胆汤堪夸，防风木贼密蒙花，蝉蜕蔓荆龙胆菊，黄连白芷蒺藜佳。
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痘中杂证
脾经脉络绕唇口，出痘始终贵润红，紫裂焦黑急宜治，葛根解毒二方从。
[注]
脾经之脉，络绕于唇口，故经曰：六府之华在唇。
必津液充足，气血和畅，唇口方能红润，故出痘之始终以此为贵，
不然一为毒火所制，则毒乘于中，热炽于外，不惟不能红润，
且或赤紫，或焦裂者，治皆不可缓也，
初宜加味升麻葛根汤，起胀后，则以黄连解毒汤治之。
(加味升麻葛根汤)
赤芍 栀子 藿香 升麻 葛根 生甘草 防风 石膏 水煎服。
(方歌)
加味升麻葛根汤，赤芍栀子与藿香，升麻葛根生甘草，防风石膏共煎尝。
(黄连解毒汤) 方见结痂落痂证治。
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痘中杂证
目病多由风热之邪引起，痘毒之火郁结上攻于眼睛，若出现眼睛红肿胀痛、干涩疼痛，应使用洗肝散治疗；若出现翳膜遮蔽视线，应使用龙胆汤（加味龙胆汤）治疗。
[注]
目病固然多由风热引起。痘毒蕴藏着剧烈的热邪，自体内达于体表。如果气血虚弱，就不能驱赶主气下降外出，导致火邪郁结上攻，眼睛因此患病。如果出现眼睛红肿胀痛、眼睑隐涩流泪、不能睁开的症状，以洗肝散为主治方剂；如果出现翳膜遮蔽视线、隐涩羞明的症状，以加味龙胆汤为主治方剂。
(洗肝散)
羌活、当归尾、防风、山栀仁、谷精草、薄荷、生甘草、川芎，水煎，饭后服用。
(方歌)
洗肝散治疗眼目疼痛，包含羌活、当归尾及防风，山栀仁配合谷精草，薄荷与甘草配伍川芎。
(龙胆汤)
防风、木贼草、密蒙花、蝉蜕、蔓荆子、龙胆草、菊花、黄连、白芷、蒺藜，水煎。
(方歌)
翳膜遮蔽用龙胆汤值得夸赞，包含防风、木贼、密蒙花，蝉蜕、蔓荆子、龙胆草、菊花，黄连、白芷、蒺藜效果佳。
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痘症中的杂证
脾经的脉络环绕嘴唇和口部，出痘期间始终贵在唇色红润。如果唇色紫暗、开裂、焦黑，必须紧急治疗，应遵循葛根解毒汤的两个方剂进行治疗。
[注]
脾经的脉络，络绕于嘴唇和口部，所以医经说：六腑的荣华表现在嘴唇。
必须津液充足，气血和畅，嘴唇和口部才能红润，所以出痘的全过程以此为贵。
否则一旦为毒火所制约，则毒邪乘虚侵入中焦，热邪炽盛于外，不仅不能红润，
而且可能出现赤紫色，或者焦裂的情况，治疗都不可迟缓。
初期宜用加味升麻葛根汤，起胀期后，则以黄连解毒汤治疗。
(加味升麻葛根汤)
赤芍、栀子、藿香、升麻、葛根、生甘草、防风、石膏，水煎服。
Ocular diseases are mostly caused by wind-heat pathogens. When the heat of smallpox toxins stagnates and attacks upward to the eyes, if redness, swelling, dryness, and pain occur, Xi Gan San (Washing Liver Powder) should be used for treatment; if nebulae obscure vision, Long Dan Tang (Gentian Decoction) should be used.
[Note]
Ocular diseases are indeed often initiated by wind-heat. The heat of smallpox toxins accumulates intensely, extending from the interior to the exterior. If Qi and Blood are weak, they cannot drive the main Qi downward and outward, causing fire to stagnate and attack upward, resulting in eye disease. If symptoms such as redness, swelling, pain, eyelid stiffness with tearing, and inability to open the eyes occur, Xi Gan San (Washing Liver Powder) is the primary formula. If nebulae obscure vision accompanied by stiffness and photophobia, Jia Wei Long Dan Tang (Modified Gentian Decoction) is the primary formula.
(Xi Gan San / Washing Liver Powder)
Qiang Huo (Notopterygii Rhizoma et Radix), Dang Gui Wei (Angelicae Sinensis Radix caudex), Fang Feng (Saposhnikoviae Radix), Shan Zhi Ren (Gardeniae Semen), Gu Jing Cao (Euphrasiae Herba), Bo He (Menthae Haplocalycis Herba), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma). Decoct in water, take after meals.
(Formula Song)
Xi Gan San treats ocular pain, containing Qiang Huo, Dang Gui Wei, and Fang Feng; Shan Zhi Ren combined with Gu Jing Cao, Pei Bo (Peppermint) and Gan Cao paired with Chuan Xiong.
(Long Dan Tang / Gentian Decoction)
Fang Feng (Saposhnikoviae Radix), Mu Zei Cao (Equiseti Herba), Mi Meng Hua (Callicosiae Flos), Chan Tui (Cicadae Periostracum), Man Jing Zi (Viticis Fructus), Long Dan Cao (Gentianae Radix), Ju Hua (Chrysanthemi Flos), Huang Lian (Coptidis Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Ji Li (Tribuli Fructus). Decoct in water.
(Formula Song)
For nebulae obscuring vision, Long Dan Tang is praiseworthy, containing Fang Feng, Mu Zei, and Mi Meng Hua; Chan Tui, Man Jing Zi, Long Dan Cao, and Ju Hua; Huang Lian, Bai Zhi, and Ji Li are excellent.
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Miscellaneous Syndromes in Smallpox
The meridians of the Spleen channel surround the lips and mouth. Throughout the course of smallpox eruption, it is most valuable for the lips to remain moist and reddish. If they become purple, cracked, or scorched black, urgent treatment is required, following the two formulas of Ge Gen Jie Du Tang (Kudzu Root Detoxifying Decoction).
[Note]
The meridians of the Spleen channel loop around the lips and mouth; thus, the classics state: "The splendor of the six fu organs manifests in the lips."
Only when fluids are sufficient and Qi and Blood flow smoothly can the lips and mouth appear reddish and moist. Therefore, throughout the eruption of smallpox, this condition is highly valued.
Otherwise, once constrained by toxic heat, the toxin invades the middle jiao, and heat blazes on the exterior. Not only will they fail to be reddish and moist,
but they may also turn crimson-purple or become scorched and cracked. Treatment must not be delayed.
In the early stage, Jia Wei Sheng Ma Ge Gen Tang (Modified Ephedra and Kudzu Root Decoction) should be used. After the swelling phase begins, Huang Lian Jie Du Tang (Coptis Decoction for Resolving Toxicity) should be used.
(Jia Wei Sheng Ma Ge Gen Tang / Modified Ephedra and Kudzu Root Decoction)
Chi Shao (Paeoniae Radix Rubra), Zhi Zi (Gardeniae Fructus), Huo Xiang (Agastaches Herba), Sheng Ma (Cimicifugae Rhizoma), Ge Gen (Puerariae Lobatae Radix), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma), Fang Feng (Saposhnikoviae Radix), Shi Gao (Gypsum Fibrosum). Decoct in water and take orally.
(Formula Song)
Jia Wei Sheng Ma Ge Gen Tang contains Chi Shao, Zhi Zi, and Huo Xiang; Sheng Ma, Ge Gen, and Sheng Gan Cao; Fang Feng and Shi Gao are decocted together for consumption.
(Huang Lian Jie Du Tang / Coptis Decoction for Resolving Toxicity) See the section on Scabbing and Scab Falling syndromes for the formula.
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Miscellaneous Syndromes in Smallpox