夫人始生，而蒙冲和，均禀五行阴阳，形态变易。盖母导胎育有盛衰，虚实在其子也，
皆是母胎所受，是知积秽，故生下有疮疹，则五脏各见一证。其呵欠顿闷者肝也，时发惊悸
者心也，乍惊乍热、手足冷者脾也，面目腮赤，咳嗽时嚏者肺也，肾在腑下，不纳秽浊，疮
黑者属肾，由冒风冷内虚之所致也。且以婴儿初生，下恶血未咽，绵脂拭之，儿吞恶血在胸
膈者，吐以甘草。如恶血入腹中者，利以黄连绿豆粉，皆以革恶秽也。此乃世用保子之常法
，观已生既出腹外，其母之虚实邪正在于子也。况在腹中，同母气血呼吸出入，岂非受积秽
而成乎？钱氏论之当矣。
热毒蒸三日，则热运于肌而红斑生。惟红斑生至足为出齐，不可拘多少，重者遍身，轻
者数枚而已。以红斑生血 ，血 起如豆，在肌皮之上，故以痘名焉。血 结脓 ，脓 结
痂，方为愈者。红点出者，以紫草饮子，欲出速用胡荽酒，红点出齐之后作血 ，血 七
日，则当结脓窠，此皆大略之言尔。病患虚实不等，不可拘以日数，但正应病日形证，以为
活法。古人云热三日而成斑，有热五七日而生斑者，有至十余日而生斑者，但足上有斑为出
齐，不可拘以日数也。自斑至足有为出齐，出齐之后，长成血 ，血 七日当结脓 ，苟若
血中又尚有红斑点相夹而生，则不可拘以日数，待其皆作血 为齐。为血 ，当结脓血痂
，至七日以上而不结脓血痂 ，当此恐毒瓦斯内外贯注倒靥，急与猪尾膏服，则随时结痂
。故以血 出七日为齐。若七日为期，脓 血 出齐，而不结脓血痂 ，则失其平矣，大抵
小儿有病，发热日数稍久，用药者盒饭预防为疮疹证。盖热不解，而热毒运于肌中，变为疮
疹故也，所以不可不防也。如红斑出齐生血 ，血 七日结脓 ，此乃荣卫调和，内外无诸
感冒，方能如期。且如血 正作之际，遇天令寒暑燥湿，固不节气候，异宜迟速，因而失叙
，亦不可拘日数，但以红斑皆为血 日为齐。若出血 七日，病患气虚，尚有红斑，未能皆
生成血 者，毒瓦斯为未尽，当此合宜，温肌快荣卫药以托之，且以皆出血 七日为期，脓
如期结痂 矣。如当结脓 而不结，此是毒瓦斯弥盛而不敛，用猪尾膏以解之，此为急务。然
猪尾膏是治毒瓦斯盛，血 胀起不结脓血痂 ，血热疮毒盛后入心故也，非或外感风寒，倒靥
内虚，吐泻陷伏者，更宜详之。
人刚出生时，禀受冲和之气，均匀地承受五行阴阳之气，形体和气质随之变化。大概是因为母亲在孕育胎儿过程中气血有盛衰之分，虚实在孩子身上体现出来，这些都是从母胎中受到的影响，因此知道体内积聚了秽浊之物，所以出生后会出现疮疹，五脏各自表现出一种证候。频繁打呵欠、感到闷滞的是肝脏的证候；时常发生惊悸的是心脏的证候；突然惊恐、发热且手脚发冷的是脾脏的证候；面目腮部发红，咳嗽并时常打喷嚏的是肺脏的证候；肾脏位于下焦，不收纳秽浊之物，但疮色发黑则归属于肾，这是由于感受风寒、内部虚弱所致。
况且婴儿初生时，若未吞咽下恶露（产后瘀血），用绵脂擦拭口腔，如果婴儿吞下了积存在胸膈部位的恶血，应用甘草汤催吐排出。如果恶血进入腹中，应用黄连绿豆粉泻下清除，这都是为了革除体内的恶秽之物。这是世间常用的保护婴儿的常规方法。观察婴儿已经出生并脱离母体之后，母亲的虚实邪正状况会影响孩子。更何况在腹中时，与母亲的气血呼吸出入相通，这难道不是受到积秽而形成的吗？钱乙（钱氏）对此论述得很恰当。
热毒蒸腾三日，热气运行于肌肤，红斑便产生。只有当红斑长至足部才算出齐，不能拘泥于数量多少，病情重的遍布全身，病情轻的仅有几枚而已。以红斑生出血液，血液隆起如豆状，位于肌皮之上，所以称为痘。血液凝结成脓液，脓液凝结成痂，这才算痊愈。红点出现时，使用紫草饮子；想要红点快速发出，可用胡荽酒；红点出齐之后形成血疱，血疱七日左右，应当结脓窠，这些只是大略的说法罢了。病患虚实情况不等，不能拘泥于日数，只要顺应病情的日数和形态证候，作为灵活运用的法则。古人说热毒三日而成斑，也有热毒五七日而生斑的，甚至有十余日才生斑的，但只要足上有斑就算出齐，不能拘泥于日数。自斑长至足部为出齐，出齐之后，长成血疱，血疱七日应当结脓窠。倘若血疱中还有红斑点夹杂而生，则不能拘泥于日数，等待它们都变成血疱才算齐。成为血疱后，应当结脓血痂，到了七日以上还不结脓血痂，此时恐怕毒气内外贯通导致倒靥（疱疹内陷），急予猪尾膏服用，则能随时结痂。所以说以血疱出现七日为期限。如果以七日为期，脓窠血疱出齐，却不结脓血痂，那就失去了平衡。大抵小儿有病，发热日数稍久，用药者应当预防发展为疮疹证。因为热邪不解，热毒运行于肌肤之中，变为疮疹的缘故，所以不可不预防。如果红斑出齐生成血疱，血疱七日结脓窠，这是营卫调和，内外没有各种感冒邪气干扰，才能如期完成。况且如血疱正在形成之际，遇到天气寒暑燥湿变化，如果不注意调节气候适应，适宜迟缓或迅速，因而失去次序，也不可拘泥于日数，只要红斑都变成血疱的日子就算齐。如果出血疱七日，病患气虚，还有红斑，未能全部生成血疱的，毒气尚未尽除，此时应当适宜使用温肌、通畅营卫的药物来托毒外出，并且以皆出血疱七日为期，脓窠如期结痂了。如果应当结脓窠而不结，这是毒气弥漫旺盛而不能收敛，使用猪尾膏来解除它，这是紧急事务。然而猪尾膏是治疗毒气旺盛，血疱胀起不结脓血痂，血热疮毒旺盛后入心的情况，并非针对外感风寒、倒靥内虚、吐泻陷伏等情况，更应详细辨别。
When a person is first born, they receive the harmonious Qi (vital energy), uniformly inheriting the Five Elements and Yin-Yang, with their physical form and constitution undergoing transformation. This is largely due to the fluctuations in maternal Qi and Blood during fetal development, where deficiency or excess manifests in the child. These conditions are acquired from the mother's womb; thus, knowing that accumulated filth exists, sores and rashes appear after birth, with each of the five Zang organs presenting a specific syndrome. Frequent yawning and a feeling of stuffiness indicate the Liver syndrome; frequent palpitations and fright indicate the Heart syndrome; sudden fright, fever, and cold hands and feet indicate the Spleen syndrome; redness of the face, cheeks, coughing, and frequent sneezing indicate the Lung syndrome. The Kidney resides in the lower Jiao and does not accept filth; however, black sores belong to the Kidney, caused by exposure to wind-cold and internal deficiency.
Furthermore, when an infant is first born, if the lochia (postpartum blood) has not been swallowed, the oral cavity should be wiped with cotton fat. If the infant swallows the lochia accumulated in the chest and diaphragm, it should be vomited out using Gancao Decoction (Licorice Decoction). If the lochia enters the abdomen, it should be purged using Huanglian and Mung Bean Powder. Both methods aim to eliminate evil filth. This is the common method used in the world to protect infants. Observing that the infant has been born and emerged from the womb, the mother's deficiency, excess, evil, and righteous states affect the child. Moreover, while in the womb, the infant shares the mother's Qi, Blood, and respiration; is this not how accumulated filth forms? Qian Yi (Qian Shi) discussed this appropriately.
After three days of heat toxin steaming, the heat circulates to the muscles and skin, generating erythema (red spots). Only when the erythema reaches the feet is it considered fully erupted. One should not be rigid about the number of spots; severe cases cover the whole body, while mild cases have only a few. Erythema generates blood blisters (vesicles/pustules); when these rise like beans on the skin, they are named "dou" (pox). When the blood blisters coagulate into pus, and the pus coagulates into scabs, healing is achieved. For emerging red spots, use Zicao Yinzi (Purple Perilla Drink); to accelerate eruption, use Huisu Wine (Coriander Wine). After the red spots are fully erupted and form blood blisters, which should turn into pustular pits around the seventh day, these are general statements. Patients vary in deficiency and excess; one should not be bound by days but adapt flexibly to the symptoms and signs corresponding to the disease stage. Ancients said heat becomes spots in three days, but some take five to seven days, or even ten-plus days. As long as spots reach the feet, it is considered complete; do not be bound by days. From spots reaching the feet being complete, after completion, blood blisters grow, and after seven days, pustular pits should form. If red spots still intermingle within the blood blisters, do not be bound by days; wait until all become blood blisters. Once blood blisters form, they should create pustular scabs. If after seven days no pustular scabs form, there is a risk of toxin penetrating internally and externally leading to involution (inward collapse of lesions). Urgently administer Zhuwei Gao (Pig Tail Ointment) to facilitate scabbing at any time. Thus, seven days for blood blisters is the standard. If after seven days, pustules and blisters are complete but no scabs form, balance is lost. Generally, if children have prolonged fever, physicians should prevent progression to pox syndromes. Because unresolved heat transforms into toxin circulating in the skin, causing sores and rashes, prevention is essential. If erythema erupts completely forming blood blisters, which form pustular pits on the seventh day, this indicates harmonious Ying and Wei (nutritive and defensive) Qi, with no external pathogenic invasion, allowing timely completion. However, if weather changes in cold, heat, dryness, or dampness occur while blood blisters are forming, and climate adaptation is neglected, the timeline may shift irregularly; do not be rigid about days. Consider the day when all erythema turns to blood blisters as complete. If after seven days of blood blisters, the patient is Qi-deficient and red spots remain unconverted to blood blisters, the toxin is not fully exhausted. At this time, use warming muscle and promoting Ying-Wei circulation herbs to support expulsion. Set the deadline at seven days for blood blisters; pustular pits should scab on schedule. If pustular pits should form but do not, it is because toxin is rampant and failing to consolidate. Use Zhuwei Gao to resolve this; this is an emergency. Zhuwei Gao treats rampant toxin, distended blood blisters failing to form pustular scabs, and intense blood-heat/toxin affecting the Heart. It is not suitable for external wind-cold, involution due to internal deficiency, or sinking/collapse from vomiting and diarrhea; these require detailed differentiation.