蛇皮痘出似蛇皮，隐隐簇簇漫无拘，毒轻归宗汤调治，毒重必胜猪尾宜。
[注]
痘出丛族，成片散漫无拘，名曰蛇皮，
见点之初，视其隐隐簇簇细密无伦，乃毒火所致，
以归宗汤攻其毒，甚者以必胜汤佐以猪尾膏救之。
(归宗汤)方见发热证治
(必胜汤)方见见点证治。
(猪尾膏)方见锁唇证治
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痘出形如蚕布种，枭毒势重逆而凶，速用归宗汤救治，毒松痘起可望生。
[注]
痘出稠密如蚕布种者，名曰蚕种，乃枭毒太重，凶逆之甚，
速用归宗汤攻之，使毒松痘起，方可望生。
(归宗汤)方见发热证治。
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痘形累累似燕窝，联系细密不成颗，外用燕脂点痘上，内服凉血解毒和。
[注]
痘出累累联系，细密不成颗粒，故谓之燕窝，
宜外用燕脂膏贴法，内服凉血解毒汤和之。
(燕脂膏) 方见蒙□证治。
(凉血解毒汤) 方见结痂落痂证治
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四五相连名鼠迹，周身为重少见轻，速用归宗攻毒热，相并成泡始堪生．
[注]
痘出四五粒，或六七粒相粘连者，名曰鼠迹，
见一二处者轻，见周身者为重，
速用归宗汤攻之，令相并成泡，其毒方解，始可望生。
(归宗汤) 方见发热证治
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痘形平伏无颗粒，团团钻聚若叠钱，外用燕脂调贴法，内服凉血攻毒痊。
[注]
痘已见点，平伏不起，颗粒不分，团团攒聚，状若叠钱者，
此血热毒盛也，外用燕脂膏贴之，内以凉血攻毒饮治之。
(燕脂膏)方见蒙□证治
(凉血攻毒饮)方见见点证治
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蛇皮痘的形态如同蛇皮，痘疹隐隐约约、簇拥成片，分布漫散而没有规律。若毒邪较轻，可用归宗汤进行调治；若毒邪深重，则宜使用必胜汤并配合猪尾膏救治。
[注]
痘疹出后丛聚成团，成片散漫无拘束，这种症状称为“蛇皮”。
在痘疹刚出现时，观察其隐隐约约、簇拥细密且无与伦比的状态，这是由毒火所致。
应当用归宗汤来攻逐毒邪，病情严重者，以必胜汤辅助，并佐以猪尾膏来挽救。
（归宗汤）方剂详见“发热证治”章节。
（必胜汤）方剂详见“见点证治”章节。
（猪尾膏）方剂详见“锁唇证治”章节。
痘疹的形态如同蚕布上的种子，枭毒之势沉重，属于逆证且凶险。应迅速使用归宗汤进行救治，若能使毒势松弛、痘疹隆起，则有望存活。
[注]
痘疹出得稠密，如同蚕布上的种子，这种情况称为“蚕种”，这是由于枭毒太重，极为凶逆。
应迅速使用归宗汤攻逐毒邪，使毒势松弛、痘疹隆起，方可抱有生存的希望。
（归宗汤）方剂详见“发热证治”章节。
痘疹形态累累相连，如同燕窝，连接细密但不能形成独立的颗粒。外用燕脂点涂于痘上，内服凉血解毒汤调和治疗。
[注]
痘疹出后累累相连，细密而不能形成颗粒，因此称之为“燕窝”。
适宜外用燕脂膏贴敷法，内服凉血解毒汤来调和。
（燕脂膏）方剂详见“蒙□证治”章节。
（凉血解毒汤）方剂详见“结痂落痂证治”章节。
四五粒相连称为“鼠迹”，遍布周身为重证，少见为轻证。应迅速使用归宗汤攻逐毒热，若痘疹相并融合成泡，始可期待生机。
[注]
痘疹出后四五粒，或六七粒相互粘连的，称为“鼠迹”。
仅在身体一二处出现的为轻证，遍布全身的为重证。
应迅速使用归宗汤攻逐毒邪，令其相互融合成泡，此时毒邪方能解除，始可抱有生存的希望。
（归宗汤）方剂详见“发热证治”章节。
痘疹形态平伏没有颗粒，团团聚集钻聚，状如叠放的铜钱。外用燕脂调匀贴敷，内服凉血攻毒饮治愈。
[注]
痘疹已经见点，但平伏不起，颗粒界限不分，团团攒聚，形状如同叠放的铜钱。
这是血热毒盛的表现，外用燕脂膏贴敷，内服凉血攻毒饮进行治疗。
（燕脂膏）方剂详见“蒙□证治”章节。
（凉血攻毒饮）方剂详见“见点证治”章节。
Snake-skin smallpox presents with a morphology resembling snake skin; the pustules appear faint and clustered, spreading diffusely without constraint. If the pathogenic toxin is mild, Guizong Tang (Return to Origin Decoction) should be used for regulation; if the toxin is severe, Bisheng Tang (Victory Decoction) combined with Zhuwei Gao (Pig Tail Ointment) is appropriate.
[Note]
When pustules emerge in clusters, forming sheets that spread diffusely without constraint, it is named "Snake Skin".
At the initial appearance of the spots, observing them as faint, clustered, dense, and unparalleled indicates they are caused by toxic fire.
Guizong Tang (Return to Origin Decoction) should be employed to attack the toxin; in severe cases, Bisheng Tang (Victory Decoction) should be assisted with Zhuwei Gao (Pig Tail Ointment) for rescue.
(The formula for Guizong Tang is found in the section on "Treatment of Fever Manifestations".)
(The formula for Bisheng Tang is found in the section on "Treatment at the Appearance of Spots".)
(The formula for Zhuwei Gao is found in the section on "Treatment of Locked Lip Manifestations".)
The morphology of the smallpox resembles seeds sown on mulberry cloth; the force of the fierce toxin is heavy, representing a adverse and ominous condition. One must quickly use Guizong Tang (Return to Origin Decoction) for rescue. If the toxin can be loosened and the pustules rise, survival may be hoped for.
[Note]
When smallpox emerges densely like seeds on mulberry cloth, it is named "Silkworm Seed". This is due to the excessive severity of the fierce toxin, representing extreme adversity and ominousness.
One must quickly use Guizong Tang (Return to Origin Decoction) to attack it, causing the toxin to loosen and the pustules to rise, so that there is hope for life.
(The formula for Guizong Tang is found in the section on "Treatment of Fever Manifestations".)
The morphology of the smallpox is piled up and connected, resembling a swallow's nest; the connections are fine and dense but do not form distinct granules. Apply Yanzhi externally to dot the pustules, and internally administer Liangxue Jiedu Tang (Cool Blood and Detoxify Decoction) to harmonize.
[Note]
When smallpox emerges piled up and connected, being fine and dense without forming granules, it is therefore called "Swallow's Nest".
It is suitable to use the external application method of Yanzhi Gao (Red Bean Paste Ointment), and internally take Liangxue Jiedu Tang (Cool Blood and Detoxify Decoction) to harmonize.
(The formula for Yanzhi Gao is found in the section on "Treatment of [Obscured Character] Manifestations".)
(The formula for Liangxue Jiedu Tang is found in the section on "Treatment of Crusting and Scab Falling Manifestations".)
Four or five grains connected are named "Rat Traces"; involving the whole body is severe, while rare occurrence is mild. Quickly use Guizong Tang (Return to Origin Decoction) to attack toxic heat. Only when they merge to form blisters can one expect survival.
[Note]
When smallpox emerges with four or five grains, or six or seven grains adhering to each other, it is named "Rat Traces".
Appearing in one or two places is mild; appearing over the entire body is severe.
Quickly use Guizong Tang (Return to Origin Decoction) to attack it, causing them to merge into blisters, at which point the toxin can be resolved, and survival can be expected.
(The formula for Guizong Tang is found in the section on "Treatment of Fever Manifestations".)
The morphology of the smallpox is flat and sunken without granules, gathering in circles and clustering like stacked coins. Apply Yanzhi externally for patching, and internally administer Liangxue Gongdu Yin (Cool Blood and Attack Toxin Drink) for cure.
[Note]
When smallpox spots have appeared but remain flat and sunken without rising, with indistinct granules, gathering in circles and clustering like stacked coins,
this is due to blood heat and abundant toxin. Apply Yanzhi Gao (Red Bean Paste Ointment) externally, and treat internally with Liangxue Gongdu Yin (Cool Blood and Attack Toxin Drink).
(The formula for Yanzhi Gao is found in the section on "Treatment of [Obscured Character] Manifestations".)
(The formula for Liangxue Gongdu Yin is found in the section on "Treatment at the Appearance of Spots".)