外以胡荽酒洗足。
初八日 险痘二天半，但唇肿，右颧肿，心脾之火甚也。足已温，痘苗稍大者即顶陷。
犀角（五钱） 全归（二钱） 银花（五钱） 苦桔梗（三钱） 红花（八分） 紫地丁（五钱）
甘草
（钱半） 楂炭（钱半） 连翘（三钱） 牛蒡子（二钱） 广皮（八分） 猪尾膏（三匙） 白茅根（
一两）
按∶白茅根秉燥金之体，感风木而花，内异于众草，生发最速，其性喜洁，故能化毒开
清。
其味甘凉，故能走肺胃而不伤肺胃之阴。《本草》称其主衄症，盖言其所当然，而不言其所
以然也。但此物性平和，不假以重权不为功，凡一切清窍病，用之最良。而痘症中护眼护喉
，走清导血分为尤良也。
初九日 险痘三天半，两眼两颧肉肿，疮不肿，心脾之火太甚也。血无不活，故今日不
加血药。
犀角（五钱） 连翘（三钱） 元参（五钱） 羚羊角（五钱） 苦桔梗（六钱） 银花（五钱）
紫地
丁（五钱） 甘草（钱半） 细生地（三钱） 牛蒡子（五钱） 白茅根（一两） 谷精草（三钱） 白
芷（二钱）
初十日 重险痘四天半，额滞于颏，颏滞于身，此阳火有余之象，虽不必大下，仍以败
毒为主，而提顶次之。
犀角（五钱） 银花（五钱） 羚羊角（五钱） 紫地丁（五钱） 黄芩（三钱） 苦桔梗（五钱）
次
生地（五钱） 牛蒡子（二钱） 元参（二钱） 甘草（二钱） 谷精草（三钱） 山连（钱半） 白茅
根（一两）
十二茶杯水，煮成五杯，分十次服。
十一日 五天半，已有行浆之势，不必提顶托浆，但喉沙声哑，趁此犹系外感用事之时
，仍
用昨日方开提肺气败毒，减其蒸腾炼毒之火，使归于平和，即行此等汤火痘之浆法，所谓道
无定体者此也。高明以为何如？仍用昨日方一帖，限明日黎明服完。
十二日 六天半，面已有浆，四肢腰背皆空，五更大便两次，痛快而溏，今晚已入气血
用事之关，须渐进补托，兼与清毒。
炙绵 （三钱） 犀角（三钱） 白芷（二钱） 冬白术（二钱） 白茅根（六钱） 党参（钱半）
苦桔梗（一钱） 茯苓块（三钱） 银花（三钱） 广皮炭（一钱）
日入后服。
十三日 七天半，头面浆已七八，腰背不足，四肢尚空。今日正是气血当令，已有痒态
，必得扶其不及，多得一分浆，少得一分后患，此身小痘多之定法也。
生绵 （五钱） 白芷（二钱） 广皮炭（钱半） 党参（三钱） 炙甘草（钱半） 红花（一钱）
冬白术（三钱，土炒黄） 茯苓块（三钱） 广木香（一钱）
十四日 浆足九天，于前方内去红花。
十五日 十天浆足色苍，情势圆绽，四肢陆续上浆，皮肤扪之平和，不冷亦不过热，脉
洪数
有力，合观皆情理之正，其不食畏缩，皆痛象也。痘多浆亦多，炼气血而成浆，痛亦情理之
正，断非陷症，议补气以胜痛，活络以定痛法，似不歧于路矣。
生绵 （三钱） 熟 （三钱） 炙甘草（三钱） 人参（五分） 乳香（八分） 没药（八分）
茯苓
块（三钱） 冬术（三钱） 广木香（一钱） 广皮（一钱） 老浓朴（六分） 白芷（二钱） 红花（
四分）
十六日 十一天，大势已有成功之象，犹须防其泄泻作痒。
防风（二钱） 洋参（一钱，炒黄） 炒冬术（二钱） 茯苓块（三钱） 炙甘草（一钱） 广皮
（一钱半，炒黑） 广木香（一钱，煨） 焦白芍（二钱）
十七日 十二天，小便长，大便滞，暂与宣化肠胃。
茯苓块 防风（钱半） 谷精草（三钱） 五谷虫 老浓朴（一钱）
十九日 十四天，痘后肺液受伤，渴而咳。
白茅根 象贝
某男 二十六日 风温发热三天，耳冷尻冷，已有微点，谨防天花，法宜辛凉解肌，芳
香透络，最忌三阳表药，多汗致成塌痒。
苦桔梗 牛蒡子（二钱，炒研） 桑叶（三钱） 甘草 芥穗（钱半） 连翘（三钱） 薄荷
银花（三钱） 白茅根（三钱）
当日晚大泻水粪，加∶
黄芩（三钱）。泻止。
二十七日 虚寒，痘二朝，甫二日，热退其半，神气安静，大便溏泄，布痘不多，亦属
匀称。但痘形遍阔根松，色亦过淡，观其皮色，脾经素有饮食伤损，议异功保元合法。
人参（一钱） 生于术（二钱） 生绵 （三钱） 云苓块（三钱） 广皮（二钱） 炙甘草（二
钱） 广木香（钱半）
二十八日 仍用前方。
初七日 十二朝，痘虽稀少，浆行薄弱，腰下尚未结痂，乘此机会，再用保元以助余浆
。
人参（一钱） 云苓块（三钱） 绵 （三钱） 苡仁（三钱） 炙甘草（钱半）
初八日 仍用前方一帖。
补案 辛巳年述癸卯初夏，余有涟水之游，长女甫二龄，于四月十一日见点，至二十五
日，
已半月矣，余适回家，见其情势鼓立者半，顶陷者半，根抱者半，散者半，毫无汁浆。本系
谢宝灵兄调治，因请同看。伊芳立一方，余视之曰∶此方如上得浆起，甘受重罚，此方如上
不起浆，亦受重罚。谢兄愕然曰∶足下左右皆受重罚，何故？余曰∶今且不必明言，明日来
视浆色。伊芳去后，余仍用其方，照方制念帖，加燕窝十二两，（此味原方所无） 大公鸡一只
，重九斤，紫河车一具，（此二味亦原方所有，但加重耳。）并药共十余斤，先分九锅煎，去
渣后并一锅煎，自早至暮，不敢草率，成浓膏得两碗许，令乃母饮半茶杯，小人饮半酒杯。
二鼓时其母因乳胀，谓余曰∶药甚灵。余无乳者已数日，今忽蓬蓬，岂非药力乎。余曰∶可
急令小孩吮之。彼曰∶小孩不得寐者已数日，今方熟睡，可惊之乎？余曰∶限期已紧，所以
令汝服药，为以乳汁上浆也，今乳胀可急与之。因促之醒，痛吮一饱，少时又寐，漏下三鼓
，清浆如露矣。未至四鼓，又令母女服药如前，四鼓未罢，浆如蜡色。五鼓以后，又如茶色
浓浓，如及时之浆。天明已十七朝矣，又延谢先生至，彼一视曰∶奇哉？何因得此？余曰∶用
君原方。彼比曰∶只添得燕窝一味，何神至此？余曰∶余作日云此方上得起浆，甘受重罚者
，以先生七八朝即用此方，彼时气血方壮，毫无浆汗，今已十五朝，气血消耗，岂能上浆乎
？余又谓此方不能上浆，亦受重罚者，以先生之方如错，小女早不活矣。因令伊芳视方之背，
伊芳见照方二十帖之文，又令视诸药渣，因谢曰∶余实不能。
女 二十日 十九朝痘后便溏而频，久则脾肾两伤，补涩为稳。
真云苓（五钱） 白术（三钱，土炒） 肉果霜（三钱） 半夏（一钱） 诃子肉（三钱） 生苡
仁（五钱）
二十四日 实脾利水之中，兼化清气。
于术（三钱，土炒） 五谷虫（三钱） 云苓块（五钱） 晚蚕砂（三钱） 薏仁（五钱） 蝉衣
（七枚） 地骨皮（三钱）
初一日 三十一天痘后解毒肿溃，补托之中，加以败毒。
人参（一钱） 银花（三钱） 云苓（三钱） 黄 （三钱） 苡仁（五钱） 于术（三钱） 炙甘
草（钱半） 五谷虫（三钱）
初四日 痘后余毒肿溃，稍加银花败毒，大便即溏，议于前方去银花，加肉果霜、诃子
肉。
人参（一钱） 五谷虫（二钱） 肉果霜（钱半） 黄 （三钱） 诃子肉（三钱，炒） 白云苓
（三钱） 炙甘草（钱半） 于术（三钱） 木香（一钱） 薏仁（五钱）
初七日 三十六朝，痘毒溃烂，应照溃疡例，即用痘科门中之保元合异功法。
绵 （五钱） 于术（二钱） 广皮（一钱） 炙甘草（二钱） 苡仁（三钱） 人参（一钱） 云
苓（五钱）
初八日 伤食暮热呕吐，痘后太饱之故，与止渴消食，热自止。（夜间不可吃粥。）
地骨皮（三钱） 苡仁（三钱） 云苓（三钱） 炒神曲（钱半） 半夏（二钱） 炒广皮（一钱）
男 二十日 风木司天之年，又当风木司令之候，风木内含相火，时有痘疹。无论但
受风
温，身热而不发痘，或因风温而竟发痘。或发斑疹，皆忌辛温表药，惟与幸凉解肌透络最稳
，此时医所不知。盖风淫所胜，治以辛凉，佐以苦甘，《内经》之正法也。
苦桔梗（三钱） 大力子（钱半） 鲜芦根（五钱） 甘草（一钱） 桑叶（三钱） 薄荷（八分
汗多不用） 连翘（三钱） 芥穗（一钱） 银花（三钱）
二帖。此方治初痘起，最能化多为少，凉络而易出，见点亦服此。
二十一日申刻，险兼逆痘二天，痘色焰红，唇赤舌赤，见点繁琐，三五成群，毒参阳位
，勉与凉血败毒。
苦桔梗（三钱） 地龙（三钱） 连翘（三钱） 人中黄（三钱） 桃仁（三钱） 生石膏（八钱
，研
）银花（五钱） 犀尖（五钱） 白茅根（三钱） 丹皮（三钱） 生军（三钱，炒黑） 紫地丁（五
钱）
此案为钞录者失去十四帖，大意以犀角地黄汤加连翘、银花、茅根、细生地等，一味凉
血收功。至十五朝犹用犀角，十六朝以辛凉清余热，一方服至二十一朝。
赵姑 十二岁 六月二十二日 暑伤两太阴，身热而呕，舌白滑。
黄芩炭（二钱） 杏仁（三钱） 白蔻仁（一钱） 半夏（三钱） 生苡仁（三钱） 云苓皮（四
钱） 连翘（三钱） 藿叶（二钱） 银花（三钱）
二十三日 痘三天，顶平根松，色暗，夹虚夹毒之痘，与活血提顶败毒，扶到七天，方
好补托。
苦桔梗（三钱） 红花（二钱） 银花（三钱） 人中黄（钱半） 白芷（三钱） 楂炭（二钱）
大力子（二钱） 防风（三钱） 紫草茸（一钱） 全当归（二钱） 连翘（三钱） 紫地丁（二钱）
二十四日 痘四天，顶平根松色暗，便闭不食，昨用活血败毒宣络，今夜已见大便，热
退能
食，头面已有起胀之势，前后心续出盈千，皆根泛顶平，稍大者顶即陷。应照虚寒例治，与
宣气活络提顶，不得过用败毒清里，致令便溏内陷。
当归（二钱，土炒） 广皮炭（二钱） 穿山甲（一钱，炒） 顶红花（二钱） 广木香（一钱）
蘑菇（一钱） 白芷（三钱） 炒银花（三钱） 炙甘草（五分） 防风（二钱） 楂炭（二钱）
二十五日 痘五天，顶平带陷，根松色暗，昨日即照虚寒例治，而用温煦芳香，今日口
并不
渴，而舌苔白浓。盛暑之际，尚兼足太阴之暑湿。痘七日以前，外感用事，必视其何邪在何
脏腑而清之，以为七日以后上浆之地。
当归（土炒） 广皮炭（二钱） 生苡仁（三钱） 广木香（一钱） 藏红花 银花（四钱） 白
蔻仁（一钱） 六一散（三钱） 白芷 防风 茯苓皮（三钱）
煮四小杯，分四次服，头煎五杯水煎两杯，二煎五杯水煎两杯。
二十六日 痘六天，顶平多陷，根松色暗，头面之色已华，前后心尚多陷而暗，身痛口
不渴，与活血提顶，令其易于上浆。
当归（三钱，土炒） 乳香（二钱） 银花（五钱） 上红花（二钱） 没药（二钱） 公鸡冠血
（每
杯点三匙） 白芷（三钱） 广皮（三钱） 生绵 （五钱） 山甲（三钱） 广木香（二钱） 炙甘
草（三钱）
公鸡汤煎煮三杯，分三次服。
二十七日 七天已有行浆之势，平顶陷顶尚多，加补托以助之。
二十八日 痘八天，头面行浆已有七成，臂次于手，足次于胸，顺也。胸以下陷顶多，
面色灰，仍须温煦以助行浆之势。
绵黄 （八钱） 高丽参（三钱） 炙甘草（钱半） 当归（三钱，土炒） 广木香（三钱） 防
风（三钱） 上红花（二钱） 广皮（三钱） 云苓块（三钱） 白芷（三钱）
二十九日 痘九天，正在行浆之际，便频眼开，即是虚象，粘连之处，颜色即灰，非虚
而何。急急补托，而兼温煦为要。
炙绵 （一两） 广皮（三钱） 炙甘草（三钱） 人参（三钱） 广木香（二钱） 云苓块（三
钱） 白芷（三钱） 炒于术（三钱） 防风（三钱） 肉果霜（三钱）
七月初一日 十天虽已结痂，浆未十分满足，尚有正行浆之处，仍用前方，再为补托，
明日收痂未迟。
初二日 十一天，痘已结痂，浆未十分满足之故，皆因连日便频，受暑积滞而成痢积。
先拟
温下其积，今视四肢鼓立，胸前全陷，并非正结，恐一进沉降，并四肢而变陷矣。前方系必
不可不用之药，兹且暂停，勉与实脾利水以收痂，少加化积，俟十四日之后，痘势收场，如
积滞未化，再与下法。
云苓块（五钱，连皮） 黄芩炭（钱半） 炒神曲（三钱） 生苡仁（五钱） 南茶炭（二钱）
黄皮炭（三钱） 焦白术（二钱） 槟榔（二钱） 益智仁（二钱） 枯山连（一钱，姜炒）
初三日 痘十二天，仍服前原方。
初四日 痘十三天，业已结痂，原可妥当收功，不意盛暑流行之际，食物不化，致成欲
便先
外用胡荽酒清洗双脚。
初八日 险痘发病两天半，仅嘴唇肿胀，右侧颧骨处肿胀，这是心脾之火过盛的表现。足部已经温暖，痘苗稍微变大但顶部凹陷。
犀角（五钱） 全当归（二钱） 金银花（五钱） 苦桔梗（三钱） 红花（八分） 紫花地丁（五钱）
甘草（一钱半） 山楂炭（一钱半） 连翘（三钱） 牛蒡子（二钱） 陈皮（八分） 猪尾膏（三匙） 白茅根（一两）
按语：白茅根禀受燥金之体，感受风木之气而开花，内在性质异于普通草木，生发速度最快，其性喜洁净，所以能化解毒邪、开通清窍。
它的味道甘甜凉爽，所以能走窜肺胃而不损伤肺胃的阴液。《本草》称它能主治鼻出血症状，大概是指它的作用结果，而没有说明其原理。只是这种药物性质平和，不借助重剂量就不能见效，凡是所有清窍部位的疾病，使用它最为良效。而在痘症中保护眼睛和喉咙，引导清气、疏导血分方面尤其良好。
初九日 险痘发病三天半，双眼及两侧颧骨肌肉肿胀，疮面不肿，这是心脾之火太盛所致。血液没有不流通的道理，所以今天不加用活血药。
犀角（五钱） 连翘（三钱） 玄参（五钱） 羚羊角（五钱） 苦桔梗（六钱） 金银花（五钱）
紫花地丁（五钱） 甘草（一钱半） 细生地（三钱） 牛蒡子（五钱） 白茅根（一两） 谷精草（三钱） 白芷（二钱）
初十日 重险痘发病四天半，额头滞涩至下巴，下巴滞涩至身体，这是阳火有余的现象，虽然不一定需要峻下，仍以败毒为主，提升痘顶为次。
犀角（五钱） 金银花（五钱） 羚羊角（五钱） 紫花地丁（五钱） 黄芩（三钱） 苦桔梗（五钱）
次生地（五钱） 牛蒡子（二钱） 玄参（二钱） 甘草（二钱） 谷精草（三钱） 山连（一钱半） 白茅根（一两）
十二茶杯水，煮成五杯，分十次服用。
十一日 发病五天半，已有行浆的趋势，不必刻意提顶托浆，但咽喉沙哑声音嘶哑，趁此时机仍属外感主导之时，仍沿用昨日方剂开提肺气、败毒，减轻蒸腾炼毒之火，使其归于平和，即可进行此类汤火痘的行浆法，这就是所谓“道无定体”的意思。高明之人认为如何？仍用昨日方一帖，限定明日黎明时分服完。
十二日 发病六天半，面部已有浆液，四肢腰背皆空虚，五更时分大便两次，痛快且稀溏，今晚已进入气血主导的阶段，须渐进式补益托毒，兼以清解毒邪。
炙黄芪（三钱） 犀角（三钱） 白芷（二钱） 冬白术（二钱） 白茅根（六钱） 党参（一钱半）
苦桔梗（一钱） 茯苓块（三钱） 金银花（三钱） 陈皮炭（一钱）
日落后服用。
十三日 发病七天半，头面浆液已占七八成，腰背不足，四肢尚空虚。今日正是气血当令之时，已有瘙痒之态，必须扶助不足之处，多得一分浆液，就少得一分后患，这是身形小但痘多时的固定治法。
生黄芪（五钱） 白芷（二钱） 陈皮炭（一钱半） 党参（三钱） 炙甘草（一钱半） 红花（一钱）
冬白术（三钱，土炒至黄） 茯苓块（三钱） 广木香（一钱）
十四日 浆液充足九天，在前方基础上去掉红花。
十五日 十天浆液充足颜色苍老，情势圆满绽开，四肢陆续上浆，皮肤摸起来平和，不冷也不过热，脉象洪数有力，综合观察都是情理之中的正证，其不进食、畏缩，都是疼痛的表现。痘多浆也多，炼化气血而成浆，疼痛也是情理之中的正证，绝非陷症，建议补气以胜痛，活络以定痛，似乎不会偏离正道了。
生黄芪（三钱） 熟地黄（三钱） 炙甘草（三钱） 人参（五分） 乳香（八分） 没药（八分）
茯苓块（三钱） 冬术（三钱） 广木香（一钱） 陈皮（一钱） 老厚朴（六分） 白芷（二钱） 红花（四分）
十六日 发病十一天，大势已有成功之象，仍需防止其泄泻作痒。
防风（二钱） 西洋参（一钱，炒黄） 炒冬术（二钱） 茯苓块（三钱） 炙甘草（一钱） 陈皮（一钱半，炒黑） 广木香（一钱，煨） 焦白芍（二钱）
十七日 发病十二天，小便长，大便滞涩，暂时给予宣化肠胃的药物。
茯苓块 防风（一钱半） 谷精草（三钱） 五谷虫 老厚朴（一钱）
十九日 发病十四天，痘后肺液受伤，口渴且咳嗽。
白茅根 象贝母
某男 二十六日 风温发热三天，耳朵冷、尾骶骨冷，已有微点，谨防天花，治法宜辛凉解肌，芳香透络，最忌三阳表药，多汗导致塌痒。
苦桔梗 牛蒡子（二钱，炒研） 桑叶（三钱） 甘草 荆芥穗（一钱半） 连翘（三钱） 薄荷
金银花（三钱） 白茅根（三钱）
当晚大泻水样粪便，加：
黄芩（三钱）。泻止。
二十七日 虚寒，痘症第二天，刚过两天，热退一半，神气安静，大便溏泄，布痘不多，也算匀称。但痘形遍阔根脚松浮，颜色也过淡，观其皮色，脾经素来有饮食伤损，建议异功散合保元汤合法。
人参（一钱） 生于术（二钱） 生黄芪（三钱） 云茯苓块（三钱） 陈皮（二钱） 炙甘草（二钱） 广木香（一钱半）
二十八日 仍用前方。
初七日 第十二天，痘虽稀少，浆行薄弱，腰部以下尚未结痂，乘此机会，再用保元汤以助余浆。
人参（一钱） 云茯苓块（三钱） 绵黄芪（三钱） 薏苡仁（三钱） 炙甘草（一钱半）
初八日 仍用前方一帖。
补案 辛巳年叙述癸卯年初夏，我游览涟水，长女刚两岁，四月十一日出点，到二十五日，已过半月，我刚好回家，见其情势鼓立者一半，顶陷者一半，根抱者一半，散漫者一半，毫无汁浆。原本由谢宝灵先生调治，因请他一同查看。他立刻开一方，我看后说：此方如果能让浆起，我愿受重罚；此方如果不能让浆起，我也愿受重罚。谢兄惊讶地说：您左右都受重罚，为什么？我说：现在暂不必明言，明天来看浆色。他走后，我仍用他的方，照方制念帖，加燕窝十二两（此味原方所无），大公鸡一只，重九斤，紫河车一具（这两味亦原方所有，但加重分量）。并药共十余斤，先分九锅煎，去渣后合并一锅煎，从早到晚，不敢草率，成浓膏得两碗许，令其母亲饮半茶杯，仆人饮半酒杯。
二更时其母因乳房胀，对我说：药很灵。我已无乳汁数日，今忽充盈，岂不是药力吗？我说：可急忙令小孩吮吸。她说：小孩不得睡眠数日，今才熟睡，可以惊动吗？我说：限期已紧，所以令您服药，是为了以乳汁上浆，今乳胀可急与之。于是促其醒来，痛吮一饱，稍后又睡，漏下三更，清浆如露矣。未到四更，又令母女服药如前，四更未罢，浆如蜡色。五更以后，又如茶色浓浓，如及时之浆。天明已十七天了，又延请谢先生至，他一视曰：奇哉？何因得此？我说：用君原方。他比划说：只添得燕窝一味，何神至此？我说：我昨日说此方上得起浆，甘受重罚者，是因为先生七八朝即用此方，彼时气血方壮，毫无浆汗，今已十五朝，气血消耗，岂能上浆乎？我又谓此方不能上浆，亦受重罚者，是因为先生之方如错，小女早不活矣。于是令他看方之背面，他见照方二十帖之文，又令视诸药渣，于是谢曰：我实不能。
女 二十日 第十九天痘后便溏而频，久则脾肾两伤，补涩为稳。
真云苓（五钱） 白术（三钱，土炒） 肉果霜（三钱） 半夏（一钱） 诃子肉（三钱） 生薏苡仁（五钱）
二十四日 实脾利水之中，兼化清气。
于术（三钱，土炒） 五谷虫（三钱） 云茯苓块（五钱） 晚蚕砂（三钱） 薏仁（五钱） 蝉衣（七枚） 地骨皮（三钱）
初一日 第三十一天痘后解毒肿溃，补托之中，加以败毒。
人参（一钱） 金银花（三钱） 云茯苓（三钱） 黄芪（三钱） 薏苡仁（五钱） 于术（三钱） 炙甘草（一钱半） 五谷虫（三钱）
初四日 痘后余毒肿溃，稍加银花败毒，大便即溏，议于前方去银花，加肉果霜、诃子肉。
人参（一钱） 五谷虫（二钱） 肉果霜（一钱半） 黄芪（三钱） 诃子肉（三钱，炒） 白云苓（三钱） 炙甘草（一钱半） 于术（三钱） 木香（一钱） 薏仁（五钱）
初七日 第三十六天，痘毒溃烂，应照溃疡例，即用痘科门中之保元合异功法。
绵黄芪（五钱） 于术（二钱） 陈皮（一钱） 炙甘草（二钱） 薏苡仁（三钱） 人参（一钱） 云苓（五钱）
初八日 伤食暮热呕吐，痘后太饱之故，与止渴消食，热自止。（夜间不可吃粥。）
地骨皮（三钱） 薏苡仁（三钱） 云茯苓（三钱） 炒神曲（一钱半） 半夏（二钱） 炒陈皮（一钱）
男 二十日 风木司天之年，又当风木司令之候，风木内含相火，时有痘疹。无论但受风温，身热而不发痘，或因风温而竟发痘。或发斑疹，皆忌辛温表药，惟与辛凉解肌透络最稳，此时医所不知。盖风淫所胜，治以辛凉，佐以苦甘，《内经》之正法也。
苦桔梗（三钱） 大力子（一钱半） 鲜芦根（五钱） 甘草（一钱） 桑叶（三钱） 薄荷（八分，汗多不用） 连翘（三钱） 荆芥穗（一钱） 金银花（三钱）
二帖。此方治初痘起，最能化多为少，凉络而易出，见点亦服此。
二十一日申刻，险兼逆痘两天，痘色焰红，唇赤舌赤，见点繁琐，三五成群，毒参阳位，勉与凉血败毒。
苦桔梗（三钱） 地龙（三钱） 连翘（三钱） 人中黄（三钱） 桃仁（三钱） 生石膏（八钱，研） 金银花（五钱） 犀尖（五钱） 白茅根（三钱） 丹皮（三钱） 生军（三钱，炒黑） 紫花地丁（五钱）
此案为钞录者失去十四帖，大意以犀角地黄汤加连翘、银花、茅根、细生地等，一味凉血收功。至十五朝犹用犀角，十六朝以辛凉清余热，一方服至二十一朝。
赵姑 十二岁 六月二十二日 暑伤两太阴，身热而呕，舌白滑。
黄芩炭（二钱） 杏仁（三钱） 白蔻仁（一钱） 半夏（三钱） 生薏苡仁（三钱） 云苓皮（四钱） 连翘（三钱） 藿叶（二钱） 金银花（三钱）
二十三日 痘三天，顶平根松，色暗，夹虚夹毒之痘，与活血提顶败毒，扶到七天，方好补托。
苦桔梗（三钱） 红花（二钱） 金银花（三钱） 人中黄（一钱半） 白芷（三钱） 楂炭（二钱）
大力子（二钱） 防风（三钱） 紫草茸（一钱） 全当归（二钱） 连翘（三钱） 紫花地丁（二钱）
二十四日 痘四天，顶平根松色暗，便闭不食，昨用活血败毒宣络，今夜已见大便，热退能食，头面已有起胀之势，前后心续出盈千，皆根泛顶平，稍大者顶即陷。应照虚寒例治，与宣气活络提顶，不得过用败毒清里，致令便溏内陷。
当归（二钱，土炒） 陈皮炭（二钱） 穿山甲（一钱，炒） 顶红花（二钱） 广木香（一钱）
蘑菇（一钱） 白芷（三钱） 炒金银花（三钱） 炙甘草（五分） 防风（二钱） 楂炭（二钱）
二十五日 痘五天，顶平带陷，根松色暗，昨日即照虚寒例治，而用温煦芳香，今日口并不渴，而舌苔白浓。盛暑之际，尚兼足太阴之暑湿。痘七日以前，外感用事，必视其何邪在何脏腑而清之，以为七日以后上浆之地。
当归（土炒） 陈皮炭（二钱） 生薏苡仁（三钱） 广木香（一钱） 藏红花 金银花（四钱） 白蔻仁（一钱） 六一散（三钱） 白芷 防风 茯苓皮（三钱）
煮四小杯，分四次服，头煎五杯水煎两杯，二煎五杯水煎两杯。
二十六日 痘六天，顶平多陷，根松色暗，头面之色已华，前后心尚多陷而暗，身痛口不渴，与活血提顶，令其易于上浆。
当归（三钱，土炒） 乳香（二钱） 金银花（五钱） 上红花（二钱） 没药（二钱） 公鸡冠血（每杯点三匙） 白芷（三钱） 陈皮（三钱） 生黄芪（五钱） 山甲（三钱） 广木香（二钱） 炙甘草（三钱）
公鸡汤煎煮三杯，分三次服。
二十七日 七天已有行浆之势，平顶陷顶尚多，加补托以助之。
二十八日 痘八天，头面行浆已有七成，臂次于手，足次于胸，顺也。胸以下陷顶多，面色灰，仍须温煦以助行浆之势。
绵黄芪（八钱） 高丽参（三钱） 炙甘草（一钱半） 当归（三钱，土炒） 广木香（三钱） 防风（三钱） 上红花（二钱） 陈皮（三钱） 云苓块（三钱） 白芷（三钱）
二十九日 痘九天，正在行浆之际，便频眼开，即是虚象，粘连之处，颜色即灰，非虚而何。急急补托，而兼温煦为要。
炙黄芪（一两） 陈皮（三钱） 炙甘草（三钱） 人参（三钱） 广木香（二钱） 云苓块（三钱） 白芷（三钱） 炒于术（三钱） 防风（三钱） 肉果霜（三钱）
七月初一日 十天虽已结痂，浆未十分满足，尚有正行浆之处，仍用前方，再为补托，明日收痂未迟。
初二日 十一天，痘已结痂，浆未十分满足之故，皆因连日便频，受暑积滞而成痢积。先拟温下其积，今视四肢鼓立，胸前全陷，并非正结，恐一进沉降，并四肢而变陷矣。前方系必不可不用之药，兹且暂停，勉与实脾利水以收痂，少加化积，俟十四日之后，痘势收场，如积滞未化，再与下法。
云苓块（五钱，连皮） 黄芩炭（一钱半） 炒神曲（三钱） 生薏苡仁（五钱） 南茶炭（二钱）
黄皮炭（三钱） 焦白术（二钱） 槟榔（二钱） 益智仁（二钱） 枯山连（一钱，姜炒）
初三日 痘十二天，仍服前原方。
Externally wash the feet with Hu Su wine (Coriander Wine).
On the 8th day, the dangerous smallpox has been present for two and a half days. Only the lips are swollen, and the right cheekbone is swollen; this indicates excessive Fire of the Heart and Spleen. The feet have warmed up. Those pustules that have slightly enlarged show depression at the apex.
Rhinoceros Horn (Wuji) (5 qian)
Whole Angelica Sinensis (Quanguidanggui) (2 qian)
Honeysuckle Flower (Jinyinhua) (5 qian)
Bitter Platycodon Root (Kujiegeng) (3 qian)
Safflower Honghua (Honghua) (8 fen)
Viola Yedoensis (Zididing) (5 qian)
Licorice Root Gancao (Gancao) (1.5 qian)
Charred Hawthorn Fruit (Zhitan) (1.5 qian)
Forsythia Fruit (Lianqiao) (3 qian)
Arctium Seed (Niubangzi) (2 qian)
Tangerine Peel Guangpi (Guangpi) (8 fen)
Pig Tail Paste (Zhuweigao) (3 spoons)
Imperata Rhizome (Baimaogen) (1 liang)
Commentary: Imperata Rhizome possesses the nature of Dry Metal, flowers upon sensing Wind Wood, and its internal nature differs from common grasses; it generates and rises most rapidly. Its nature prefers purity, thus it can resolve toxins and open clear orifices.
Its taste is sweet and cool, so it can traverse the Lung and Stomach without damaging their Yin fluids. The *Ben Cao* states it treats epistaxis, which refers to its effect but not its mechanism. However, this herb is mild in nature; without heavy dosage, it cannot achieve efficacy. For all diseases of the clear orifices, it is most excellent. In smallpox cases, protecting the eyes and throat, guiding clear Qi, and draining the blood level are particularly effective.
On the 9th day, the dangerous smallpox has been present for three and a half days. Both eyes and both cheekbones show muscle swelling, while the sores themselves do not swell; this indicates excessive Fire of the Heart and Spleen. Blood circulation is never stagnant, so no blood-activating herbs are added today.
Rhinoceros Horn (Wuji) (5 qian)
Forsythia Fruit (Lianqiao) (3 qian)
Scrophularia Root (Yuanshen) (5 qian)
Antelope Horn (Lingyangjiao) (5 qian)
Bitter Platycodon Root (Kujiegeng) (6 qian)
Honeysuckle Flower (Jinyinhua) (5 qian)
Viola Yedoensis (Zididing) (5 qian)
Licorice Root Gancao (Gancao) (1.5 qian)
Fine Rehmannia Root (Xishengdi) (3 qian)
Arctium Seed (Niubangzi) (5 qian)
Imperata Rhizome (Baimaogen) (1 liang)
Eriocaulon Flower Head (Gujingcao) (3 qian)
Angelica Dahurica (Baizhi) (2 qian)
On the 10th day, the severe dangerous smallpox has been present for four and a half days. Stagnation spreads from the forehead to the chin, and from the chin to the body; this is a sign of excess Yang Fire. Although drastic purgation is not necessary, the primary treatment remains detoxification, with lifting the apex as secondary.
Rhinoceros Horn (Wuji) (5 qian)
Honeysuckle Flower (Jinyinhua) (5 qian)
Antelope Horn (Lingyangjiao) (5 qian)
Viola Yedoensis (Zididing) (5 qian)
Scutellaria Root (Huangqin) (3 qian)
Bitter Platycodon Root (Kujiegeng) (5 qian)
Secondary Rehmannia Root (Cishengdi) (5 qian)
Arctium Seed (Niubangzi) (2 qian)
Scrophularia Root (Yuanshen) (2 qian)
Licorice Root Gancao (Gancao) (2 qian)
Eriocaulon Flower Head (Gujingcao) (3 qian)
Shanlian (Shanlian) (1.5 qian)
Imperata Rhizome (Baimaogen) (1 liang)
Decoct twelve tea-cupfuls of water until five cupfuls remain; divide into ten doses.
On the 11th day, on the fifth and a half day, there is already a trend toward pus formation. There is no need to forcibly lift the apex or support pus formation. However, the throat sounds hoarse and raspy. Taking advantage of this time when external pathogens still dominate, continue using yesterday's formula to raise Lung Qi and resolve toxins, reducing the steaming fire that refines toxins, bringing it back to balance. This allows for the pus formation method typical of "soup-fire" smallpox. This is what is meant by "the Dao has no fixed form." What do you think? Continue with one dose of yesterday's formula, to be finished by dawn tomorrow.
On the 12th day, on the sixth and a half day, the face already has pus, but the limbs, waist, and back are empty. Two bowel movements occurred at wu geng (3-5 AM), which were satisfying yet loose. Tonight, the condition enters the phase governed by Qi and Blood. Gradual tonification and support are needed, combined with clearing toxins.
Roasted Astragalus Root (Zhimianhuangqi) (3 qian)
Rhinoceros Horn (Wuji) (3 qian)
Angelica Dahurica (Baizhi) (2 qian)
Winter Atractylodes Rhizome (Dongbaizhu) (2 qian)
Imperata Rhizome (Baimaogen) (6 qian)
Codonopsis Root (Dangshen) (1.5 qian)
Bitter Platycodon Root (Kujiegeng) (1 qian)
Poria Block (Fulingkuai) (3 qian)
Honeysuckle Flower (Jinyinhua) (3 qian)
Charred Tangerine Peel (Guangpitao) (1 qian)
Take after sunset.
On the 13th day, on the seventh and a half day, the head and face have 70-80% pus coverage, but the waist and back are insufficient, and the limbs remain empty. Today is when Qi and Blood are dominant. Itching is appearing. We must support the deficiency; gaining more pus means fewer future complications. This is the standard method for small bodies with many pustules.
Raw Astragalus Root (Shengmianhuangqi) (5 qian)
Angelica Dahurica (Baizhi) (2 qian)
Charred Tangerine Peel (Guangpitao) (1.5 qian)
Codonopsis Root (Dangshen) (3 qian)
Roasted Licorice Root (Zhigancao) (1.5 qian)
Safflower Honghua (Honghua) (1 qian)
Winter Atractylodes Rhizome (Dongbaizhu) (3 qian, stir-fried with soil until yellow)
Poria Block (Fulingkuai) (3 qian)
Costus Root (Guangmuxiang) (1 qian)
On the 14th day, pus has been sufficient for nine days. Remove Safflower Honghua from the previous formula.
On the 15th day, on the tenth day, pus is sufficient and mature. The condition is round and bursting. Pus is forming successively on the limbs. The skin feels balanced—neither cold nor excessively hot. The pulse is surging, rapid, and forceful. All observations align with logical norms. The lack of appetite and shrinking posture are due to pain. Many pustules produce much pus; refining Qi and Blood to form pus causes pain, which is also normal. This is definitely not a collapsing syndrome. I propose tonifying Qi to overcome pain and activating collaterals to settle pain, which should not deviate from the correct path.
Raw Astragalus Root (Shengmianhuangqi) (3 qian)
Prepared Rehmannia Root (Shudihuang) (3 qian)
Roasted Licorice Root (Zhigancao) (3 qian)
Ginseng (Renshen) (0.5 qian)
Frankincense (Ruxiang) (0.8 fen)
Myrrh (Moyao) (0.8 fen)
Poria Block (Fulingkuai) (3 qian)
Winter Atractylodes (Dongzhu) (3 qian)
Costus Root (Guangmuxiang) (1 qian)
Tangerine Peel (Guangpi) (1 qian)
Old Magnolia Bark (Laohoupo) (0.6 fen)
Angelica Dahurica (Baizhi) (2 qian)
Safflower Honghua (Honghua) (0.4 fen)
On the 16th day, on the eleventh day, the major trend shows signs of success, but we must still guard against diarrhea and itching.
Saposhnikovia Root (Fangfeng) (2 qian)
American Ginseng (Yangshen) (1 qian, stir-fried yellow)
Stir-fried Winter Atractylodes (Chao Dongzhu) (2 qian)
Poria Block (Fulingkuai) (3 qian)
Roasted Licorice Root (Zhigancao) (1 qian)
Tangerine Peel (Guangpi) (1.5 qian, stir-fried black)
Costus Root (Guangmuxiang) (1 qian, baked)
Scorched Sour Jujube Kernel (Jiaobaishao) (2 qian)
On the 17th day, on the twelfth day, urination is prolonged, but defecation is sluggish. Temporarily administer herbs to diffuse and transform the intestines and stomach.
Poria Block (Fulingkuai)
Saposhnikovia Root (Fangfeng) (1.5 qian)
Eriocaulon Flower Head (Gujingcao) (3 qian)
Silkworm Larvae (Wuguchong)
Old Magnolia Bark (Laohoupo) (1 qian)
On the 19th day, on the fourteenth day, post-smallpox Lung fluid is injured, causing thirst and cough.
Imperata Rhizome (Baimaogen)
Fritillaria Thunbergii Bulb (Xiangbei)
Male patient On the 26th day, wind-warmth fever for three days. Ears and sacrum are cold. Tiny spots have appeared. Guard against variola (smallpox). The method should be acrid-cool to release the muscle layer, and aromatic to penetrate collaterals. Acrid-warm exterior-releasing drugs are strictly forbidden, as excessive sweating leads to collapse and itching.
Bitter Platycodon Root (Kujiegeng)
Arctium Seed (Niubangzi) (2 qian, stir-fried and ground)
Mulberry Leaf (Sangye) (3 qian)
Licorice Root Gancao (Gancao)
Schizonepeta Spike (Jiesui) (1.5 qian)
Forsythia Fruit (Lianqiao) (3 qian)
Mint (Bohe)
Honeysuckle Flower (Jinyinhua) (3 qian)
Imperata Rhizome (Baimaogen) (3 qian)
That night, profuse watery diarrhea occurred. Add:
Scutellaria Root (Huangqin) (3 qian). Diarrhea stopped.
On the 27th day, deficiency-cold. Smallpox on the second day. Just past two days, heat has receded by half. Spirit and Qi are calm. Stool is loose. Few pustules erupted, which is considered even. However, the pustule shape is broad with loose bases, and the color is too pale. Observing the skin color, the Spleen channel has long suffered from dietary injury. I propose combining Yigong San (Extraordinary Power Powder) with Baoyuan Tang (Preserve Origin Decoction).
Ginseng (Renshen) (1 qian)
Raw Atractylodes Macrocephala Rhizome (Sheng Baizhu) (2 qian)
Raw Astragalus Root (Shengmianhuangqi) (3 qian)
Cloud Poria Block (Yunlingkuai) (3 qian)
Tangerine Peel (Guangpi) (2 qian)
Roasted Licorice Root (Zhigancao) (2 qian)
Costus Root (Guangmuxiang) (1.5 qian)
On the 28th day, continue with the previous formula.
On the 7th day (of next month?), on the twelfth day. Although pustules are sparse, pus formation is weak. Below the waist, scabs have not yet formed. Seizing this opportunity, use Baoyuan Tang again to assist remaining pus formation.
Ginseng (Renshen) (1 qian)
Cloud Poria Block (Yunlingkuai) (3 qian)
Sheep Astragalus Root (Mianhuangqi) (3 qian)
Coix Seed (Yiren) (3 qian)
Roasted Licorice Root (Zhigancao) (1.5 qian)
On the 8th day, continue with one dose of the previous formula.
Supplementary Case: In the Xin Si year, recounting the early summer of Gui Mao, I traveled to Lianshui. My eldest daughter was just two years old. She showed spots on April 11th. By the 25th, half a month had passed. I happened to return home and saw her condition: half the pustules were bulging, half were depressed at the apex, half had tight bases, and half were scattered. There was absolutely no pus. Originally treated by Brother Xie Baoling, I invited him to view the case together. He immediately prescribed a formula. I looked at it and said: If this formula produces pus, I will accept heavy punishment; if it fails to produce pus, I will also accept heavy punishment. Brother Xie exclaimed: You will be punished heavily either way, why? I said: Let us not speak plainly now; come tomorrow to see the pus color. After he left, I continued using his formula, preparing twenty doses according to the prescription, adding Twelve taels of Bird's Nest (not in original formula), one large rooster weighing nine jin, and one placenta (Ziheche) (these two were in the original formula but with heavier dosages). The total weight of medicine exceeded ten jin. I decocted them in nine pots first, removed the dregs, then combined everything into one pot for further decoction from morning till evening, without negligence. I obtained about two bowls of thick paste. I had his mother drink half a tea-cup and a servant drink half a wine-glass.
At the second watch (9-11 PM), his mother told me due to breast distension: "The medicine is very effective." I had no milk for several days, but now it suddenly swells. Is this not the power of the medicine? I said: Quickly let the child suckle. She said: The child has not slept for days and is finally asleep; can we wake him? I said: The deadline is tight. That is why you took the medicine—to produce milk for pus formation. Now that breasts are full, give it immediately. So she woke him, and he sucked vigorously until full, then fell asleep again. At the third watch (11 PM-1 AM), clear pus flowed like dew. Before the fourth watch (1-3 AM), I had mother and daughter take medicine again as before. By the end of the fourth watch, pus was wax-colored. After the fifth watch (3-5 AM), it became thick like tea color, like timely pus. At dawn, it was the seventeenth day. I invited Mr. Xie again. He looked and said: Strange! How did this happen? I said: Used your original formula. He gestured: Only added Bird's Nest. How miraculous? I said: Yesterday I said if this formula produces pus, I accept punishment, because you used it on the 7th-8th day when Qi and Blood were strong, yet there was no pus. Now it is the 15th day, Qi and Blood are depleted, how could it produce pus? I also said if it fails to produce pus, I accept punishment, because if your formula was wrong, my daughter would have died long ago. I asked him to look at the back of the prescription. Seeing the note "twenty doses prepared according to formula," and seeing the herbal dregs, he thanked me and said: I truly cannot [explain it].
Female patient On the 20th day, nineteenth day post-smallpox. Loose and frequent stools. Long-term damage to Spleen and Kidney. Tonification and astringency is stable.
True Cloud Poria (Zhen Yunling) (5 qian)
Atractylodes Rhizome (Baizhu) (3 qian, stir-fried with soil)
Areca Nut Frost (Ruo guoshuang) (3 qian)
Pinellia Tuber (Banxia) (1 qian)
Chebulic Myrobalan Flesh (Hezirou) (3 qian)
Raw Coix Seed (Shengyiren) (5 qian)
On the 24th day, While strengthening the Spleen and promoting diuresis, simultaneously transform clear Qi.
Atractylodes Rhizome (Yuzhu) (3 qian, stir-fried with soil)
Silkworm Larvae (Wuguchong) (3 qian)
Cloud Poria Block (Yunlingkuai) (5 qian)
Late Silkworm Sand (Wancansha) (3 qian)
Coix Seed (Yiren) (5 qian)
Cicada Slough (Chanyi) (7 pieces)
Ground Tree Peony Root (Digupi) (3 qian)
On the 1st day, thirty-first day post-smallpox. Resolving toxin, swelling, and ulceration. Within tonification and support, add detoxification.
Ginseng (Renshen) (1 qian)
Honeysuckle Flower (Jinyinhua) (3 qian)
Cloud Poria (Yunling) (3 qian)
Astragalus Root (Huangqi) (3 qian)
Coix Seed (Yiren) (5 qian)
Atractylodes Rhizome (Yuzhu) (3 qian)
Roasted Licorice Root (Zhigancao) (1.5 qian)
Silkworm Larvae (Wuguchong) (3 qian)
On the 4th day, Post-smallpox residual toxin causes swelling and ulceration. Adding Honeysuckle for detoxification caused loose stools. Proposal: Remove Honeysuckle from previous formula, add Areca Nut Frost and Chebulic Myrobalan Flesh.
Ginseng (Renshen) (1 qian)
Silkworm Larvae (Wuguchong) (2 qian)
Areca Nut Frost (Ruo guoshuang) (1.5 qian)
Astragalus Root (Huangqi) (3 qian)
Chebulic Myrobalan Flesh (Hezirou) (3 qian, stir-fried)
White Cloud Poria (Baiyunling) (3 qian)
Roasted Licorice Root (Zhigancao) (1.5 qian)
Atractylodes Rhizome (Yuzhu) (3 qian)
Costus Root (Muxiang) (1 qian)
Coix Seed (Yiren) (5 qian)
On the 7th day, thirty-sixth day. Smallpox toxin ulcerates. Follow the ulcer protocol, using Baoyuan combined with Yigong method from the smallpox specialty.
Sheep Astragalus Root (Mianhuangqi) (5 qian)
Atractylodes Rhizome (Yuzhu) (2 qian)
Tangerine Peel (Guangpi) (1 qian)
Roasted Licorice Root (Zhigancao) (2 qian)
Coix Seed (Yiren) (3 qian)
Ginseng (Renshen) (1 qian)
Cloud Poria (Yunling) (5 qian)
On the 8th day, Food stagnation causes evening fever and vomiting due to overeating post-smallpox. Administer thirst-quenching and digestion-promoting herbs; fever will stop naturally. (Do not eat porridge at night.)
Ground Tree Peony Root (Digupi) (3 qian)
Coix Seed (Yiren) (3 qian)
Cloud Poria (Yunling) (3 qian)
Stir-fried Medicated Leaven (Chao Shenqu) (1.5 qian)
Pinellia Tuber (Banxia) (2 qian)
Stir-fried Tangerine Peel (Chao Guangpi) (1 qian)
Male patient On the 20th day. In a year where Wind Wood governs the Heaven, and during the period where Wind Wood commands, Wind Wood contains Ministerial Fire. Smallpox/rash occurs occasionally. Whether only affected by wind-warmth with fever but no smallpox, or developing smallpox due to wind-warmth, or developing macules and papules, acrid-warm exterior drugs are contraindicated. Only acrid-cool methods to release muscle and penetrate collaterals are safest. Physicians often do not know this. When Wind dominates, treat with acrid-cool, assisted by bitter-sweet. This is the correct method of the *Neijing*.
Bitter Platycodon Root (Kujiegeng) (3 qian)
Arctium Seed (Dali Zi) (1.5 qian)
Fresh Reed Rhizome (Xian Lugen) (5 qian)
Licorice Root Gancao (Gancao) (1 qian)
Mulberry Leaf (Sangye) (3 qian)
Mint (Bohe) (0.8 fen, omit if sweating excessively)
Forsythia Fruit (Lianqiao) (3 qian)
Schizonepeta Spike (Jiesui) (1 qian)
Honeysuckle Flower (Jinyinhua) (3 qian)
Two doses. This formula is best for initial smallpox eruption, transforming many into few, cooling collaterals for easy emergence. Take even when spots first appear.
On the 21st day, Shen hour. Dangerous and adverse smallpox for two days. Pustule color is flame-red. Lips and tongue are red. Spots are numerous, clustering in groups of three to five. Toxin involves Yang positions. Tentatively administer blood-cooling and detoxification.
Bitter Platycodon Root (Kujiegeng) (3 qian)
Earthworm (Dilong) (3 qian)
Forsythia Fruit (Lianqiao) (3 qian)
Human Waste Charcoal (Renzhonghuang) (3 qian)
Peach Kernel (Taoren) (3 qian)
Raw Gypsum Shijiao (Sheng Shigao) (8 qian, ground)
Honeysuckle Flower (Jinyinhua) (5 qian)
Rhinoceros Tip (Xijian) (5 qian)
Imperata Rhizome (Baimaogen) (3 qian)
Moutan Cortex (Danpi) (3 qian)
Raw Rhubarb (Sheng Jun) (3 qian, stir-fried black)
Viola Yedoensis (Zididing) (5 qian)
This case lost fourteen doses in transcription. The main idea uses Xijiao Dihuang Tang plus Forsythia, Honeysuckle, Imperata Rhizome, Fine Rehmannia, etc., focusing on blood-cooling to conclude treatment. Even on the fifteenth day, Rhinoceros Horn was used. On the sixteenth day, acrid-cool cleared residual heat. One formula was taken until the twenty-first day.
Miss Zhao, 12 years old. June 22nd. Summer-heat injures both Taiyin channels. Fever and vomiting. Tongue coating is white and slippery.
Scutellaria Root Charcoal (Huangqin Tan) (2 qian)
Almond (Xingren) (3 qian)
White Cardamom Seed (Baikourén) (1 qian)
Pinellia Tuber (Banxia) (3 qian)
Raw Coix Seed (Sheng Yiren) (3 qian)
Cloud Poria Peel (Yun Lingpi) (4 qian)
Forsythia Fruit (Lianqiao) (3 qian)
Perilla Leaf (Huoye) (2 qian)
Honeysuckle Flower (Jinyinhua) (3 qian)
On the 23rd day. Smallpox for three days. Apex flat, base loose, color dark. Smallpox mixed with deficiency and toxin. Administer blood-activation, apex-lifting, and detoxification. Support until the seventh day, then proceed with tonification and support.
Bitter Platycodon Root (Kujiegeng) (3 qian)
Safflower Honghua (Honghua) (2 qian)
Honeysuckle Flower (Jinyinhua) (3 qian)
Human Waste Charcoal (Ren zhong huang) (1.5 qian)
Angelica Dahurica (Baizhi) (3 qian)
Charred Hawthorn (Zha Tan) (2 qian)
Arctium Seed (Dali Zi) (2 qian)
Saposhnikovia Root (Fangfeng) (3 qian)
Arnebia Root (Zicao Rong) (1 qian)
Whole Angelica Sinensis (Quanguidanggui) (2 qian)
Forsythia Fruit (Lianqiao) (3 qian)
Viola Yedoensis (Zididing) (2 qian)
On the 24th day. Smallpox for four days. Apex flat, base loose, color dark. Constipation and anorexia. Yesterday used blood-activation, detoxification, and collateral-diffusion. Tonight, stool has passed, heat receded, appetite returned. Face shows signs of swelling. Thousands of spots emerged on chest and back. All have floating bases and flat apices; those slightly larger have depressed apices. Treat according to deficiency-cold protocol. Diffuse Qi, activate collaterals, lift apex. Do not overuse detoxification and interior-clearing to avoid loose stools and internal collapse.
Angelica Sinensis (Danggui) (2 qian, stir-fried with soil)
Charred Tangerine Peel (Guangpi Tan) (2 qian)
Pangolin Scale (Chuanshanjia) (1 qian, stir-fried)
Top Safflower (Ding Honghua) (2 qian)
Costus Root (Guangmuxiang) (1 qian)
Mushroom (Mogu) (1 qian)
Angelica Dahurica (Baizhi) (3 qian)
Stir-fried Honeysuckle (Chao Jinyinhua) (3 qian)
Roasted Licorice Root (Zhigancao) (0.5 fen)
Saposhnikovia Root (Fangfeng) (2 qian)
Charred Hawthorn (Zha Tan) (2 qian)
On the 25th day. Smallpox for five days. Apex flat with depression, base loose, color dark. Yesterday treated according to deficiency-cold protocol using warming and aromatic herbs. Today, mouth is not thirsty, but tongue coating is white and thick. During intense summer heat, damp-heat of Foot-Taiyin is also present. Before the seventh day of smallpox, external pathogens dominate. Must observe which pathogen affects which Zang-Fu and clear it, to prepare for pus formation after the seventh day.
Angelica Sinensis (Danggui, stir-fried)
Charred Tangerine Peel (Guangpi Tan) (2 qian)
Raw Coix Seed (Sheng Yiren) (3 qian)
Costus Root (Guangmuxiang) (1 qian)
Safflower Honghua (Canghonghua)
Honeysuckle Flower (Jinyinhua) (4 qian)
White Cardamom Seed (Baikourén) (1 qian)
Liuyisan (Liuyisan) (3 qian)
Angelica Dahurica (Baizhi)
Saposhnikovia Root (Fangfeng)
Poria Peel (Fulingpi) (3 qian)
Decoct four small cups, divide into four doses. First decoction: 5 cups water to 2 cups. Second decoction: 5 cups water to 2 cups.
On the 26th day. Smallpox for six days. Apex flat with many depressions, base loose, color dark. Head and face color is bright, but chest and back still have many depressions and are dark. Body ache, no thirst. Administer blood-activation and apex-lifting to facilitate pus formation.
Angelica Sinensis (Danggui) (3 qian, stir-fried with soil)
Frankincense (Ruxiang) (2 qian)
Honeysuckle Flower (Jinyinhua) (5 qian)
Top Safflower (Shang Honghua) (2 qian)
Myrrh (Moyao) (2 qian)
Rooster Comb Blood (Gongji Guanxue) (3 drops per cup)
Angelica Dahurica (Baizhi) (3 qian)
Tangerine Peel (Guangpi) (3 qian)
Raw Astragalus Root (Sheng Mianhuangqi) (5 qian)
Pangolin Scale (Shanjia) (3 qian)
Costus Root (Guangmuxiang) (2 qian)
Roasted Licorice Root (Zhigancao) (3 qian)
Decoct in rooster chicken soup to three cups, divide into three doses.
On the 27th day. Seven days, trend toward pus formation. Flat and depressed apices are still numerous. Add tonification and support to assist.
On the 28th day. Smallpox for eight days. Head and face 70% pus formation. Arms follow hands, legs follow chest. This is favorable. Below the chest, many depressed apices. Complexion is gray. Still need warming to assist pus formation.
Sheep Astragalus Root (Mian Huangqi) (8 qian)
Korean Ginseng (Gaolishen) (3 qian)
Roasted Licorice Root (Zhigancao) (1.5 qian)
Angelica Sinensis (Danggui) (3 qian, stir-fried with soil)
Costus Root (Guangmuxiang) (3 qian)
Saposhnikovia Root (Fangfeng) (3 qian)
Top Safflower (Shang Honghua) (2 qian)
Tangerine Peel (Guangpi) (3 qian)
Cloud Poria Block (Yunlingkuai) (3 qian)
Angelica Dahurica (Baizhi) (3 qian)
On the 29th day. Smallpox for nine days, at the peak of pus formation. Frequent stools and wide-open eyes indicate deficiency. Areas where pustules adhere turn gray; how else could this be interpreted than deficiency? Urgently tonify and support, combined with warming is essential.
Roasted Astragalus Root (Zhi Mianhuangqi) (1 liang)
Tangerine Peel (Guangpi) (3 qian)
Roasted Licorice Root (Zhigancao) (3 qian)
Ginseng (Renshen) (3 qian)
Costus Root (Guangmuxiang) (2 qian)
Cloud Poria Block (Yunlingkuai) (3 qian)
Angelica Dahurica (Baizhi) (3 qian)
Stir-fried Atractylodes (Chao Yuzhu) (3 qian)
Saposhnikovia Root (Fangfeng) (3 qian)
Areca Nut Frost (Ruoguo Shuang) (3 qian)
July 1st. Ten days, although scabs have formed, pus is not fully satisfied. There are still areas actively forming pus. Continue with previous formula for further tonification and support. Scabbing tomorrow is not too late.
2nd Day. Eleven days. Scabs have formed. Reason for unsatisfied pus: consecutive days of frequent stools, summer-heat accumulation leading to dysentery/stagnation. Initially planned to warm-purge the stagnation. Now observing bulging limbs and complete depression on chest, this is not proper scabbing. Fear that using sinking/depressing herbs will cause limbs to collapse too. Previous formula is indispensable. Pause it temporarily. Tentatively strengthen Spleen and promote diuresis to form scabs, adding slight stagnation-resolving herbs. Wait until after the 14th day when smallpox course ends. If stagnation remains, then purge.
Cloud Poria Block (Yunlingkuai) (5 qian, with peel)
Scutellaria Root Charcoal (Huangqin Tan) (1.5 qian)
Stir-fried Medicated Leaven (Chao Shenqu) (3 qian)
Raw Coix Seed (Sheng Yiren) (5 qian)
South Tea Charcoal (Nancha Tan) (2 qian)
Yellow Skin Charcoal (Huangpi Tan) (3 qian)
Scorched Atractylodes (Jiao Baizhu) (2 qian)
Betel Nut (Binglang) (2 qian)
Alpinia Oxyphylla Fruit (Yizhiren) (2 qian)
Withered Shanlian (Ku Shanlian) (1 qian, stir-fried with ginger)
3rd Day. Smallpox twelve days. Continue taking previous formula.
4th Day. Smallpox thirteen days. Already scabbed. Originally could conclude safely. Unexpectedly, during prevalent summer heat, food failed to digest, causing desire to defecate but...