痘疔不与痘疮同，俗呼贼痘是其名，色紫黯黑硬如石，诸证蜂起难灌脓。疔有多般
须宜记，再审何处发其形。卷帘疔生舌根底，大小不一最易明。火珠疔生鼻孔内，阗塞喷
火面赤红。眼沿生疔名忘汲，肿如封蛤热烦增。豢虎疔于耳内见，肾毒攻耳致成形。燕
窝疔生两腋下，面赤谵语更肿疼。注命疔生足心里，紫筋直透足股中。透肠疔在肛内发，
痛如锥刺一般同。骊龙疔生尿孔内，身热谵语便不通。法按疔名施医治，自然诸证悉能平。
【注】此证名多，治不一法。痘生五六日间，或三五枚，或六七枚，杂于诸痘之间，其
色紫黯，甚则黑硬如石，有此以致诸证蜂起，不能灌脓。如卷帘疔生于舌根底，小如黑豆，
大似葡萄，令儿舌卷喉痛，急用银钩钩破，尽净恶血，随以苦茶漱口，搽拔疔散，再以冰
片、硼砂、青黛、黄连、薄荷、荆芥、炒僵蚕共为细末，吹用。火珠疔生于鼻孔内，阗
塞喷火，面赤眼红，亦用银钩钩破，用黄连膏加冰片，滴入鼻孔，内服泻金散。忘汲疔
生于眼沿，肿如封蛤，烦热面紫，宜挑破用燕脂嚼汁点之，兼蒲公英、菊花煎汤洗之。豢
虎疔生于耳内，于脓成之时，宜挑破搽拔疔散。燕窝疔生于腋下，肿硬面赤谵语，如疔
在左腋潜注，则右体之痘沉伏失色，右亦如之，亦挑破去其根，用拔疔散搽之，服消毒
饮子。注命疔生两足心，肿硬如钱、如豆、如椒，有紫筋直透足股，挑之去净血，用田螺
水点之，次用慎火草绿豆浸胀，捣烂敷之。透肠疔生肛门旁，在六七朝肿硬如锥，挑之，
银花、防风煎汤令洗之，次用轻粉、珍珠、冰片、白蔹末涂之，内服黄连解毒汤。骊龙疔
生尿孔内，于五六朝身热、谵语、眼翻、肢厥、腹胀、小水闭涩，急用蟾酥，牛黄、冰片
，麝香研末，次用黄连细茶浓煎，候冷取半匙调末，以细软稻心蘸之，送入孔内，服消毒
饮子甚效。
泻金散
犀角（镑） 牛蒡子（炒，研） 红花 生地 桔梗 赤芍 紫苏 甘草（生，各一钱）
水煎服。
【方歌】泻金散治火毒疔，面赤眼红鼻内疼，犀蒡红花生地桔，赤芍紫苏甘草生。
消毒饮子
白茯苓 生地 连翘（去心） 牛蒡子（炒，研） 红花 甘草（生） 犀角（镑） 木通
赤芍（各一钱）
灯心二十根，水煎服。
【方歌】消毒饮子苓生地，翘蒡红花甘草犀，木通芍药灯心共，善却疔毒火证宜。
拔疔散（见牙齿部牙疔）
黄连膏（见鼻部鼻疮）
田螺水（见臀部）
黄连解毒汤（见耳部黑疔）
痘疔与普通的痘疮不同，民间称之为“贼痘”。其特点是颜色紫暗发黑，质地坚硬如石头，伴随各种症状蜂拥而起，难以化脓。疔疮种类繁多，必须牢记，并仔细审查发病部位以辨别其形态。
卷帘疔生于舌根底部，大小不一，最容易辨认。火珠疔生于鼻孔内，导致鼻塞、感觉喷火、面色赤红。眼沿生疔名为忘汲疔，肿胀如蛤蟆，伴有烦热加重。豢虎疔见于耳内，因肾毒攻耳而形成。燕窝疔生于两腋下，出现面赤、谵语及肿痛。注命疔生于足心，紫色筋脉直通大腿。透肠疔在肛门内发作，疼痛如锥刺一般。骊龙疔生于尿道口，伴有身热、谵语、二便不通。治疗应依据疔的名称施治，自然能使各种症状平息。
【注】此病证名称繁多，治疗方法不统一。痘疔通常在出痘后五至六天出现，数量或三五枚，或六七枚，混杂在其他痘疹之间，颜色紫暗，严重时黑硬如石，因此导致诸证蜂起，无法灌脓。
如卷帘疔生于舌根底，小如黑豆，大似葡萄，致使小儿舌卷喉痛，急用银钩钩破，排尽恶血，随即用苦茶漱口，涂抹拔疔散，再将冰片、硼砂、青黛、黄连、薄荷、荆芥、炒僵蚕共研为细末，吹入患处。
火珠疔生于鼻孔内，鼻塞感如火喷，面赤眼红，也用银钩钩破，使用黄连膏加冰片滴入鼻孔，内服泻金散。
忘汲疔生于眼沿，肿胀如蛤蟆，烦热面紫，宜挑破后用燕脂嚼汁点涂，兼用蒲公英、菊花煎汤清洗。
燕窝疔生于腋下，肿硬、面赤、谵语，如果疔在左腋潜伏蔓延，则右侧身体的痘疹会沉伏失色，右侧亦然，也需挑破去根，用拔疔散涂抹，服用消毒饮子。
注命疔生于两足心，肿硬如铜钱、豆子、花椒，有紫筋直通大腿，挑之去净血液，用田螺水点涂，随后用慎火草、绿豆浸泡胀大后捣烂敷贴。
透肠疔生于肛门旁，在五六天时肿硬如锥，挑破后，用金银花、防风煎汤令其清洗，随后用轻粉、珍珠、冰片、白蔹末涂敷，内服黄连解毒汤。
骊龙疔生于尿道口，在五六天时出现身热、谵语、眼球上翻、四肢厥冷、腹胀、小便闭涩，急用蟾酥、牛黄、冰片、麝香研末，随后用黄连、浓茶煎煮，候冷取半匙调匀药末，以细软稻心蘸取，送入孔内，服用消毒饮子效果显著。
泻金散
犀角（镑片） 牛蒡子（炒，研碎） 红花 生地 桔梗 赤芍 紫苏 甘草（生用，各一钱）
水煎服。
【方歌】泻金散治火毒疔，面赤眼红鼻内疼，犀蒡红花生地桔，赤芍紫苏甘草生。
消毒饮子
白茯苓 生地 连翘（去心） 牛蒡子（炒，研碎） 红花 甘草（生用） 犀角（镑片） 木通 赤芍（各一钱）
灯心二十根，水煎服。
Dou Ding (Poisonous Carbuncle resembling Smallpox) differs from ordinary smallpox lesions; it is colloquially known as "Thief Pox" (Zeidou). Its characteristics include a purple, dark, or blackish color and a hardness like stone. Various symptoms arise simultaneously, making suppuration difficult. There are many types of Ding carbuncles that must be memorized, and one must carefully examine the site of onset to identify their forms.
Juanlian Ding (Curtain-Rolling Carbuncle) arises at the base of the tongue; its size varies and it is easily identified. Huozhu Ding (Fire Pearl Carbuncle) occurs inside the nostrils, causing nasal obstruction, a sensation of spitting fire, and facial redness. Wangji Ding (Forget-Sucking Carbuncle) appears on the eyelids, swelling like a frog with aggravated irritability and heat. Huanhu Ding (Taming-Tiger Carbuncle) is seen in the ear, formed by Kidney toxin attacking the ear. Yanwo Ding (Swallow's Nest Carbuncle) develops in the axillae, accompanied by facial redness, delirium, and swelling pain. Zhuming Ding (Life-Injecting Carbuncle) emerges on the sole of the foot, with purple veins penetrating directly into the thigh. Touchang Ding (Intestine-Penetrating Carbuncle) originates internally in the anus, causing pain akin to needle pricking. Qilong Ding (Black Dragon Carbuncle) forms at the urethral meatus, accompanied by fever, delirium, and urinary/fecal retention. Treatment should be administered according to the specific name of the Ding carbuncle, which will naturally resolve all symptoms.
[Note] This condition has numerous names and varying treatment methods. Dou Ding typically appears between the fifth and sixth days of eruption, occurring in clusters of three to six or five to seven pieces, mixed among other pustules. The color is purple and dark; severely, it becomes black and hard like stone. This leads to a surge of various symptoms and an inability to suppurate.
For example, Juanlian Ding arises at the base of the tongue, small as a black bean or large as a grape, causing the child's tongue to curl and throat pain. Urgently use a silver hook to pierce it, drain all foul blood, rinse the mouth with bitter tea, apply Bading San (Carbuncle-Drawing Powder), and then blow a fine powder made from Bingpian (Borneol), Pengsha (Borax), Qingdai (Indigo Naturalis), Huanglian (Coptis Rhizome), Bohe (Mint), Jingjie (Schizonepeta), and Chao Jiangcan (Stir-fried Silkworm) into the lesion.
Huozhu Ding arises inside the nostrils, causing obstruction and a fiery sensation with red face and eyes. It is also pierced with a silver hook, treated with Huanglian Gao (Coptis Ointment) plus Borneol dropped into the nose, and internally administered Xiejiao San (Metal-Draining Powder).
Wangji Ding arises on the eyelids, swelling like a frog with irritability, heat, and purplish face. It should be lanced and treated with juice from chewed Yanzhi (Vermilion/Cinnabar), and washed with a decoction of Gongying (Dandelion) and Juhua (Chrysanthemum).
Huanhu Ding arises in the ear; when pus matures, it should be lanced and smeared with Bading San.
Yanwo Ding arises in the axilla, presenting with swelling, hardness, facial redness, and delirium. If the Ding lurks in the left axilla, the smallpox lesions on the right side of the body will sink and lose color, and vice versa. It should be lanced to remove the root, smeared with Bading San, and Decoction for Disinfecting Poison (Xiaodu Yinzi) taken internally.
Zhuming Ding arises on both soles, swelling and hardening like coins, beans, or peppercorns, with purple veins extending to the thighs. After lancing and draining blood completely, apply Tianluo Shui (Snail Water). Subsequently, soak Shenhuo Cao (Aconite Root, processed) and Lvdou (Mung Bean) until swollen, crush them, and apply as a poultice.
Touchang Ding arises beside the anus, becoming hard and cone-like around the fifth or sixth day. After lancing, wash with a decoction of Jinyinhua (Honeysuckle) and Fangfeng (Saposhnikovia). Then apply a powder of Qingfen (Calomel), Zhenzhu (Pearl), Borneol, and Bailian (White Peony Root). Internally administer Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity).
Qilong Ding arises at the urethral meatus. Around the fifth or sixth day, symptoms include fever, delirium, upward turning of the eyes, cold limbs, abdominal distension, and urinary retention. Urgently prepare a powder from Chansu (Toad Venom), Niuhuang (Calculus Bovis), Borneol, and Shexiang (Musk). Then, decoct Huanglian (Coptis) with strong tea, let it cool, take half a spoonful to mix with the powder, dip a soft rice straw core into it, and insert it into the meatus. Taking Xiaodu Yinzi is very effective.
Xiejiao San (Metal-Draining Powder)
Xijiao (Rhinoceros Horn, sliced) [Note: Modern substitutes like Shuiniu Jiajiao are used], Niubangzi (Arctii Fructus, stir-fried and crushed), Honghua (Carthami Flos), Shengdi (Rehmanniae Radix), Jiegeng (Platycodonis Radix), Chishao (Paeoniae Radix Rubra), Zisu (Perillae Folium), Gancao (Glycyrrhizae Radix et Rhizoma, raw, each 1 qian).
Decoct in water and take orally.
[Formula Song] Xiejiao San treats Fire-Toxin Ding, with red face, red eyes, and nasal pain; Xi, Bang, Honghua, Shengdi, Jiegeng, Chishao, Zisu, and raw Gancao compose the strain.
Xiaodu Yinzi (Decoction for Disinfecting Poison)
Baifuling (Poria Cocos), Shengdi, Lianqiao (Forsythiae Fructus, heart removed), Niubangzi (stir-fried and crushed), Honghua, Gancao (raw), Xijiao (sliced), Mutong (Akebiae Caulis), Chishao (each 1 qian).
Add twenty roots of Dengxin (Junci Medulla), decoct in water, and take orally.
[Formula Song] Xiaodu Yinzi contains Ling, Shengdi, Qiao, Bang, Honghua, Gancao, Xi, Mutong, Shaoyao, and Dengxin together; it effectively expels Ding-Toxin and Fire syndromes.
Bading San (See Dental Section: Ya Ding)
Huanglian Gao (See Nasal Section: Bi Chuang)
Tianluo Shui (See Gluteal Section)
Huanglian Jiedu Tang (See Auricular Section: Hei Ding)