条文：102
痘夹血泡因肺热，或紫或赤微甚别 内服凉血解毒汤，外用针刺出恶血。
[注]
痘当起胀时，忽有小泡夹痘而出 渐渐长成，如白果大，
毒甚则紫，毒微则赤，皆谓之血泡，此因毒热在肺，传于皮肤，大小不一，
须内服凉血解毒汤，外用银针刺破，流出恶血，方保无恙，
若不急治，听其自破，恶汁流染 痘亦因之赤烂矣，治者宜详记之。
(凉血解毒汤)方见结痂落痂证治。
%
条文：103
水泡湿淫克脾经，手足稠密身而轻，内服加味保元剂，外涂胡荽官粉灵。
[注]
水泡者，形大皮薄，内含一包清水，
盖因湿淫之气侵克脾经，
故身面俱少，手足独密，以四肢属脾故也，
须服加味保元汤，外出银针刺破，以胡荽酒调官粉涂患处，
若延迟不治，变成痒塌，则难救矣。
(加味保元汤) 人参 猪苓 泽泻 白术土炒 黄耆蜜炙 赤茯苓 甘草炙
引用生姜水煎服。
(方歌)
加味保元功最捷，人参猪苓共泽泻，白术黄耆赤茯苓，甘草生姜同一列。
(胡荽酒)
胡荽四两切碎 黄酒半筋同煎，勿令泄气，候温调官粉，搽敷破处。
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条文：104
疮未起胀肉肿浮，皮光色艳最堪愁，赤艳羌活救苦治，淡红参归大补求，
通身尽赤毒热炽，速以归宗及早投。
[注]
痘当起胀时，自头及身，渐次同痘浮起，此气领血载，其毒外发也，
如头身之肉先肿，皮包赤艳而痘疮不肿，
此为毒邪有余，不受正制，宜用羌活救苦汤，
若皮包淡红者，乃气血不足，不能拘摄毒气，宜用参归大补汤治之，
更有通身皮肤尽赤，此为毒火炽盛，前灼血分，宜用归宗汤。
(羌活救苦汤) 蔓荆子 羌活 牛蒡子炒 升麻 黄耆 川芎连翘去心
桔梗 白芷 防风 人中黄 引用荷叶水煎服。
(方歌)
羌活救昔汤最良，升麻川芎合羌防，牛蒡黄耆白芷翘，蔓荆桔梗人中黄。
(参归大补汤) 人参 当归 黄耆 甘草 白芷 川芎 防风紫草茸 木香
南山查 厚朴姜炒 桔梗 引用生姜水煎服。
(方歌)
参归大补最有灵，参耆当归桔川芎，防风白芷木香草，厚朴山查紫草茸。
(归宗汤) 方见发热证治。
%
条文：102
痘疹中夹杂血泡是由于肺热所致，颜色或紫或赤，以此区分毒邪的轻重。内服凉血解毒汤，外用针刺放出恶血。
[注]
痘疹在起胀阶段时，突然有小水泡夹杂在痘疹中长出，逐渐长成如白果大小，毒邪重则呈紫色，毒邪轻则呈红色，都称为血泡，这是因为毒热在肺，传变到皮肤，大小不一，必须内服凉血解毒汤，外用银针刺破，流出恶血，才能保全无虞，如果不紧急治疗，听任其自行破裂，恶汁流出沾染，痘疹也会因此红肿溃烂，医者应当详细记录这一点。
（凉血解毒汤）方剂见结痂落痂证治章节。
条文：103
水泡是由于湿邪过盛克制脾经所致，手足部位密集而身体其他部位较轻，内服加味保元剂，外涂胡荽官粉灵验。
[注]
水泡的特点是形体大、皮薄，内含一包清水，大概是因为湿邪之气侵克脾经，所以身体面部较少，唯独手足部位密集，因为四肢属于脾的缘故，必须服用加味保元汤，外出银针刺破，用胡荽酒调匀官粉涂抹患处，如果延迟不治疗，变成瘙痒塌陷，就难以救治了。
（加味保元汤）人参 猪苓 泽泻 白术土炒 黄耆蜜炙 赤茯苓 甘草炙
引用生姜水煎服。
（方歌）
加味保元功效最快捷，人参猪苓共配泽泻，白术黄耆赤茯苓，甘草生姜同列一方。
（胡荽酒）
胡荽四两切碎，黄酒半筋同煎，不要令香气泄出，候温调匀官粉，搽敷于破溃处。
条文：104
痘疮尚未起胀但肌肉肿胀浮肿，皮肤光亮色泽鲜艳最令人忧愁，若色赤艳用羌活救苦汤治疗，若色淡红用参归大补汤寻求疗效，若通身尽赤说明毒热炽盛，速以归宗汤及早投用。
[注]
痘疹在起胀阶段时，从头部及身体，逐渐随痘疹一同浮起，这是气引领血载，毒邪向外发散的征象，如果头身部位的肉先肿，皮肤包裹着赤艳之色而痘疮本身不肿，这是毒邪有余，不受正气制约，适宜使用羌活救苦汤，如果皮肤包裹着淡红色，乃是气血不足，不能拘摄毒气，适宜使用参归大补汤治疗，更有通身皮肤全部发红，这是毒火炽盛，前灼伤血分，适宜使用归宗汤。
（羌活救苦汤）蔓荆子 羌活 牛蒡子炒 升麻 黄耆 川芎 连翘去心 桔梗 白芷 防风 人中黄 引用荷叶水煎服。
（方歌）
羌活救苦汤最良效，升麻川芎合羌防，牛蒡黄耆白芷翘，蔓荆桔梗人中黄。
（参归大补汤）人参 当归 黄耆 甘草 白芷 川芎 防风 紫草茸 木香 南山查 厚朴姜炒 桔梗 引用生姜水煎服。
（方歌）
参归大补最有灵验，参耆当归桔梗川芎，防风白芷木香草，厚朴山查紫草茸。
（归宗汤）方见发热证治章节。
Clause: 102
The appearance of blood blisters (Xue Pao, blood-filled vesicles) within smallpox is caused by Lung heat; the color may be purple or red, distinguishing the severity of the toxin. Internally administer Liang Xue Jie Du Tang (Cool Blood and Resolve Toxin Decoction); externally, use needle puncture to drain the foul blood.
[Note]
When smallpox enters the distension stage, small vesicles suddenly appear interspersed with the pustules, gradually enlarging to the size of a ginkgo nut. If the toxin is severe, the color is purple; if mild, it is red. All are termed blood blisters. This occurs because toxic heat resides in the Lung and transmits to the skin, varying in size. One must internally administer Liang Xue Jie Du Tang (Cool Blood and Resolve Toxin Decoction) and externally puncture with a silver needle to drain the foul blood, ensuring safety. If not treated urgently and allowed to rupture spontaneously, the foul exudate will spread, causing the pustules to become red and ulcerated. Physicians should record this carefully.
(The formula Liang Xue Jie Du Tang [Cool Blood and Resolve Toxin Decoction] is found in the section on Crusting and Scabbing.)
Clause: 103
Water blisters (Shui Pao, clear fluid-filled vesicles) result from excessive dampness overcoming the Spleen meridian; they are dense on the hands and feet but lighter on the rest of the body. Internally administer Jia Wei Bao Yuan Ji (Modified Bao Yuan Formula); externally apply Hu Su Guan Fen Ling (Coriander and Official Powder Liniment).
[Note]
Water blisters are characterized by large size and thin skin, containing a sac of clear fluid. This is likely due to damp pathogenic factors invading and overcoming the Spleen meridian. Therefore, they are scarce on the face and body but dense on the hands and feet, as the four limbs belong to the Spleen. One must take Jia Wei Bao Yuan Tang (Modified Bao Yuan Decoction), puncture with a silver needle, and apply official powder mixed with coriander wine to the affected area. If treatment is delayed, it may transform into itching and collapse, becoming difficult to save.
(Jia Wei Bao Yuan Tang [Modified Bao Yuan Decoction]: Ren Shen (Ginseng Radix), Zhu Ling (Polyporus), Ze Xie (Alisma Rhizome), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Huang Qi (Astragali Radix, honey-fried), Chi Fu Ling (Poria with Red Core), Gan Cao (Licorice Root, roasted).
Decoct with fresh ginger water for oral administration.
(Verse Formula)
Jia Wei Bao Yuan acts most swiftly,
Ren Shen, Zhu Ling, and Ze Xie together;
Bai Zhu, Huang Qi, and Chi Fu Ling,
With Gan Cao and fresh ginger in one list.
(Hu Su Jiu [Coriander Wine])
Four liang of chopped Coriandri Fructus (Hu Su Zi/Hu Su Ye context implies herb, here likely leaf/stem given "cut up"), half jin of yellow wine, decoct together without letting the aroma escape. When warm, mix with official powder and apply to the ruptured area.
Clause: 104
Before the smallpox rises and distends, the flesh swells and floats; the skin is smooth and brightly colored, causing great worry. If bright red, treat with Qiang Huo Jiu Ku Tang (Notopterygium Decoction for Saving from Misery); if pale red, seek efficacy with Shen Gui Da Bu Tang (Ginseng and Angelica Great Tonification Decoction). If the entire body is red, indicating blazing toxic heat, quickly administer Gui Zong Tang (Gui Zong Decoction) early.
[Note]
When smallpox enters the distension stage, from head to body, it gradually rises along with the pustules. This indicates that Qi leads and Blood carries, allowing the toxin to emerge outward. If the flesh of the head and body swells first, with the skin appearing bright red while the pustules themselves do not swell, this signifies excess toxic pathogens not restrained by healthy Qi. Use Qiang Huo Jiu Ku Tang (Notopterygium Decoction for Saving from Misery). If the skin appears pale red, it indicates deficiency of Qi and Blood, unable to contain the toxic Qi; use Shen Gui Da Bu Tang (Ginseng and Angelica Great Tonification Decoction). Furthermore, if the entire body's skin is completely red, this indicates blazing toxic fire burning the Blood level; use Gui Zong Tang (Gui Zong Decoction).
(Qiang Huo Jiu Ku Tang [Notopterygium Decoction for Saving from Misery]: Man Jing Zi (Vittatae Chrysanthemi Fructus), Qiang Huo (Notopterygii Rhizoma et Radix), Niu Bang Zi (Arctii Fructus, stir-fried), Sheng Ma (Cimicifugae Rhizoma), Huang Qi (Astragali Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Lian Qiao (Forsythiae Fructus, heart removed), Jie Geng (Platycodonis Radix), Bai Zhi (Angelicae Dahuricae Radix), Fang Feng (Saposhnikoviae Radix), Ren Zhong Huang (Human Excrement Yellow).
Decoct with lotus leaf water for oral administration.
(Verse Formula)
Qiang Huo Jiu Ku Tang is excellent,
Sheng Ma and Chuan Xiong combined with Qiang and Fang;
Niu Bang, Huang Qi, Bai Zhi, and Lian Qiao,
Man Jing, Jie Geng, and Ren Zhong Huang.
(Shen Gui Da Bu Tang [Ginseng and Angelica Great Tonification Decoction]): Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), Huang Qi (Astragali Radix), Gan Cao (Licorice Root), Bai Zhi (Angelicae Dahuricae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Fang Feng (Saposhnikoviae Radix), Zi Cao Rong (Arnebiae Radix), Mu Xiang (Aucklandiae Radix), Nan Shan Zha (Crataegi Fructus), Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger), Jie Geng (Platycodonis Radix).
Decoct with fresh ginger water for oral administration.
(Verse Formula)
Shen Gui Da Bu is most spiritual,
Ren Shen, Huang Qi, Dang Gui, Jie Geng, and Chuan Xiong;
Fang Feng, Bai Zhi, Mu Xiang, and herbs,
Hou Po, Shan Zha, and Zi Cao Rong.
(The formula Gui Zong Tang [Gui Zong Decoction] is found in the section on Fever.)