常治痘后。小儿两目胞肿盖下睑上寸许。相 睑烂成疮。久治不痊除。不知内宜泄去阳明胃经湿
热。其肿渐消。泪自止。痛自除。黄连解毒汤三黄丸类。如眼珠有翳。用煮肝散退其翳。常常服之。
切忌鸡鸭卵莴笋葱韭之类。
痘乃天花。一名圣疮。前后十四五日内。生死立见。父母忧心恤如珍宝。庸医失治。即见□ 。
前贤深戒。所谓痘症首尾俱不可汗下。此一句使后人拘泥。不能展转施于治法。使患者束手而毙。岂
此礼乎。假如痘疹因伤寒而得。邪在太阳经。激起痘毒。二热交攻。若形汗之寒邪从何而解。痘毒从
何而散。致令热邪痘毒内郁炽甚。岂不变为坏痘疮耶。但不可用麻黄等类。只宜轻解苏葛升麻也。如
热毒攻里。内实壅滞。
二便秘结。若不疏泻。痘即变靥。而坏症现耶。此岂不失治法乎。若拘古言。此症何由救免。亦云少
加大黄可也。亦不可猛浪也。又言痘家若服张氏异攻散。如抱薪救火。火内浇油。此言又远也。如小
儿痘症七八日正发浆满之时。儿或误食冷物及弄水浆。阴寒内蓄。四肢逆冷。唇青腹痛等症。若不用
温暖之药。阴寒从何而退。大抵临症处方。施于活法。验症的确。果是气虚宜四君子加减。血虚四物
加减。少入姜桂。以御其寒。痘得热而易出。亦不致变为坏痘子疮耶。正谓医无定体。应便而施。正
谓此也。
经常治疗痘疹后遗症。小儿双眼眼睑肿胀，大约在下眼睑上方一寸处，眼皮溃烂形成疮疡。长期治疗不痊愈的原因，在于不知道内部应当清泄阳明胃经的湿热。这样肿胀才能逐渐消退，流泪自然停止，疼痛自然消除。可使用黄连解毒汤、三黄丸之类的方剂。如果眼珠上有翳膜，使用煮肝散来退除翳膜。经常服用这些药物。切忌食用鸡蛋、鸭蛋、莴笋、葱、韭菜等食物。
痘疹即天花，又名圣疮。在发病前后十四五天内，生死立见分晓。父母忧心忡忡，视孩子如珍宝。庸医误治，就会导致□（后果严重）。前代贤人对此深以为戒。所谓痘症从头到尾都不可使用发汗和泻下法，这一句话让后人拘泥固执，不能灵活变通施治，导致患者束手待毙，这难道是合乎礼义的吗？假如痘疹是因为伤寒而引发的，邪气在太阳经，激起痘毒，两种热邪交相攻击。如果使用发汗法，寒邪从何而解？痘毒从何而散？致使热邪和痘毒在内郁结炽盛，难道不会变成坏痘疮吗？只是不可用麻黄等峻烈药物，只宜用轻清的苏葛升麻之类。如果热毒攻入体内，内部实热壅滞，大小便便秘不通。如果不疏利泻下，痘疹就会提前结痂，而出现坏证。这难道不是失治吗？如果拘泥于古人的话，这种病症如何救免？也可以说在方剂中加大黄即可。但也不可鲁莽行事。又有人说痘家若服用张氏异攻散，如同抱薪救火，火上浇油，这种说法又过于偏颇了。比如小儿痘症到了七八天，正是出浆饱满的时候，孩子如果误食冷物或玩弄冷水，阴寒蓄积在体内，出现四肢逆冷、嘴唇发青、腹痛等症状。如果不使用温热的药物，阴寒之气从何而退？大抵临症处方，要运用活法，准确验证症状。如果是气虚，宜用四君子汤加减；血虚，用四物汤加减，少量加入生姜、肉桂，以抵御寒气。痘疹得到温热之气就容易发出，也不会变成坏痘疮。正所谓医生没有固定的模式，应根据便利情况施治，说的就是这个道理。
Frequently treating sequelae of smallpox. The swelling of the eyelids in children, approximately one cun above the lower eyelid, with the lids ulcerating into sores. The reason for failure to heal after long-term treatment lies in not knowing that internal damp-heat in the Yangming Stomach Meridian (Yangming Wei Jing) should be purged. Only then will the swelling gradually subside, tearing cease naturally, and pain disappear. Formulas such as Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) and Sanhuang Wan (Three Yellows Pill) may be used. If there is a nebula on the eyeball, Zhugan San (Boiled Liver Powder) should be used to resolve the nebula. These should be taken regularly. One must strictly avoid consuming eggs, duck eggs, lettuce, scallions, and Chinese chives.
Smallpox, also known as Tianhua or Shengchuang (Holy Sore), presents a critical prognosis within fourteen to fifteen days from onset. Parents worry deeply, cherishing their children like treasures. Incompetent physicians who mismanage the condition lead to severe consequences. Ancient sages strongly warned against this. The saying "sweating and purging are contraindicated throughout the course of smallpox" has caused later generations to adhere rigidly, preventing flexible application of treatment methods, leaving patients helpless until death. Is this truly in accordance with propriety? Suppose smallpox arises due to Cold Damage (Shanghan), with pathogenic factors in the Taiyang Meridian (Taiyang Jing), stirring up smallpox toxin. With two types of heat attacking each other, if sweating is induced, how will the cold pathogen be resolved? How will the smallpox toxin dissipate? This causes heat pathogens and smallpox toxins to stagnate internally and become intense, potentially transforming into complicated smallpox sores. However, potent herbs like Ephedrae Herba (Mahuang, 麻黄) should not be used; instead, mild resolving agents such as Perillae Caulis (Suge) and Cimicifugae Rhizoma (Shengma) are appropriate. If heat-toxin attacks inward, causing internal excess and stagnation, with constipation of both bowels and urine, failure to unblock and purge will cause the smallpox lesions to crust over prematurely, presenting complicated syndromes. Would this not constitute mismanagement? If one adheres to ancient words, how can such cases be saved? It can be said that adding Rheum Radix et Rhizoma (Dahuang, 大黄) to the formula is acceptable, but one must not act rashly. Another view states that administering Zhang's Yigong San (Heterogeneous Attack Powder) to smallpox patients is like carrying firewood to save a fire or pouring oil onto flames; this statement is also too extreme. For instance, when a child's smallpox reaches the seventh or eighth day, during the stage of pustule formation, if the child mistakenly consumes cold substances or plays with water, yin-cold accumulates internally, presenting symptoms such as cold limbs, cyanotic lips, and abdominal pain. Without using warming medicines, how will the yin-cold recede? Generally, clinical prescription requires flexible application and accurate symptom verification. If Qi deficiency is present, Si Jun Zi Tang (Four Gentlemen Decoction) with modifications is suitable; if Blood deficiency exists, Si Wu Tang (Four Substances Decoction) with modifications is used, adding small amounts of Zingiberis Rhizoma Recens (Jiang, 生姜) and Cinnamomi Ramulus (Guizhi, 桂枝) to counteract cold. Smallpox benefits from warmth to erupt easily and avoids becoming complicated sores. As the saying goes, medicine has no fixed form; it should be applied according to circumstances. This is precisely what is meant.