避秽气
腋下狐臭气。房中混浊气。行远劳汗气。沟粪浊恶气。妇人经候气。诸疮腥臭气。硫黄
蚊
烟气。吹灭灯烛气。误烧头发气。柴烟鱼骨气。葱蒜韭薤气。煎炒油烟气。醉酒荤腥气。麝
香燥秽气。
一论外解诸方。凡被房事经水生产之秽所犯者。以大枣烧烟解之。
凡补五辛厌者。以生姜烧烟解之。
凡被酒厌者。以葛根、茵陈蒿烧烟解之。
凡被死尸之气。及厉气所犯者。以大黄、苍术烧烟解之。
凡被狐臭犬羊厌者。烧枫球解之。
凡遇风雨。烧苍术枫球避之。
凡一切恶气。通以乳香烧烟熏之。仲景曰。小儿痘时。宜烧乳香。辟诸恶气。盖荣卫遇
香则行。遇臭则凝故也。
世俗煮醋熏痘。谓其能活血。然醋主收敛。故妇人血崩者。用熏之。痘毒欲升发而不欲
收敛。故不宜耳。尝见用醋熏变者多矣。
一论痘疹初出时。宜用此酒。遍喷四面床壁。及与患人服役者。皆饮。能辟秽毒。又以
净胭脂两眼角点之。防痘入眼。
胡荽酒
胡荽三两细切。以酒两钟煎沸。用纸密封。勿令气出。候冷去渣。从顶至颐颔。微微涂
之。更喷背膂胸腹。及两脚皆遍。再于满房壁门户遍洒之。尤妙。
一论痘疮欲出未出。热尚未解。毒瓦斯太盛。稠密成片。急进此三四服。快透消毒如神。
专治
内蕴邪热。咽膈不利。痰涎壅嗽。眼赤面肿腮项结核。肿壅毒聚遍身。风疹疮毒赤肿等症。
消毒散
牛蒡子（微炒四钱） 荆芥 甘草 防风（去芦各一钱） 一方。加黄芩一钱。犀角镑五分
上锉。水煎。温服。
一论痘疮已出。痘毒太甚。以此消毒。或出不快。皆以服之。一云。痘疮欲出。浑身壮
热
不思饮食。若服此一剂即内消。已有一两颗出。即解其半。若全出。即当日头焦。只三服
瘥。余每用此治壮盛小儿。痘出毒盛殊效。若虚者。宜神功散尤妙。
化毒散
紫草茸（五钱） 川升麻 甘草（各二钱半）
上锉。每服二钱。糯米五十粒。同煎服。
一论痘出毒瓦斯太盛。血红一片。不分地界。如蚊蚕种。或诸失血。或吐泻。七日以前。
诸症可服。解毒神效。
九味神功散
黄 人参 白芍 紫草 红花 生地黄 牛蒡子（各等分） 前胡 甘草（钱半）
上锉。水煎服。渣再煎服。热甚者。加黄连、黄芩各一钱。未退。再用大黄。有惊。加
蝉蜕。去头足。若颗粒淡黑色者。有寒乘之。加桂一钱。如大便闭。加大黄。
一痘发渴。用神功散。当不渴。或有渴者。用红花子一味煎汤饮。无子即用红花亦好。
加牛
蒡子尤妙。盖能散胃口之瘀血故也。切不可用荔枝、枣。能助阳经之火。大发渴者。用真黄
土百沸汤。碗盖泡取出水。少加砂糖。饮之立止。
一痘出三日内顶陷者。非虚也。用神功散活血退火。
一四日以前有寒症。其色黑惨。保元汤加官桂。
一色白光者。寒乘之。神功散加官桂。
一腹痛者。毒盛也。神功散主之。
一面红不退。地界不分者。神功散倍前胡。
一吐者。毒盛乘火炎而宣也。神功散主之。
一泄泻者。火盛而奔越也。神功散加升麻以提之。
一身已凉。汗出不止。血随气溢也。用当归五钱。黄 三钱。酸枣仁炒三钱。作一剂。水煎
服立止。
一有痰。用白附子磨服。切不可用二陈汤。使燥阳明经。使孤阳无阴。不能施化也。
一嗽用杏仁煎汤。磨白附子服。立止。
一遍身疼痛者。以木香一味磨服即止。
一浆行作痒。此内热而外为风寒所乘。用荆芥穗。纸裹紧。米糊粘住纸头。令不散。灯
上烧了。却于桌上擦去灰。快放手。
指定痒痘头。点痒处一下。即放退。每痘痒点之立止。
一行浆。浆足而发疔。认定是黑疔痘。或黑而硬。或有红丝。或为大紫泡。未曾解毒者
仍
以神功散加雄黄、黄连、大黄、黄芩煎服。却用点法。雄黄一钱。研胭脂重浸水令浓。调雄
黄末点疔头上。立时即红活。亦神法也。盖雄黄能解毒。胭脂能活血也。
一痘九日十日作泻。先令解毒者。宜
定中汤
真正黄土一大块。碗盛。以百沸汤泡。即以碗盖。少顷出用。如冷倾于盏内。外以热水
烫之。加入雄黄一钱。朱砂五分。二味为末和匀。以黄土汤两盏。少加砂糖。温服立止。
一痘疮腹胀渴者。或泻渴者。或足指冷渴者。或惊悸渴者。或身温渴者。或身热而 白
色渴
者。或寒战渴不止者。或气急切牙渴者。或饮水转渴不止者。以上九症。即非热也。乃脾胃
肌肉虚。津液衰故也。木香散主之。如若不愈。更加丁香、官桂。多煎服。丁香攻里。官桂
发表。其表里俱实。而疮不致痒塌喘渴而死矣。
一痘十一二日。当靥不靥。发热蒸蒸者。宜
甘露回天汤
砂糖半酒杯。百沸汤调一大碗。温服。立时热退痘靥。百发百中。真有回生之力也。
避秽气
腋下的狐臭气。房事中的混浊气。长途行走劳累出的汗气。沟渠粪便的污浊恶气。妇女月经期的气味。各种疮疡的腥臭味。硫黄燃烧产生的烟气。蚊子叮咬后的气味（注：原文“蚊”字疑为衍文或指蚊虫相关异味，此处依文意保留）。吹灭灯烛时产生的气味。误烧头发产生的气味。柴火烟和鱼骨燃烧的气味。葱、蒜、韭菜、藠头的气味。煎炒食物产生的油烟气。醉酒及食用荤腥后体内的气味。麝香干燥污秽的气味。
论述解除外部秽气的各方。凡是受到房事、经血、生产等秽气侵犯的，用烧大枣产生的烟来化解。
凡是厌恶五辛（葱、蒜、韭、薤、胡荽）气味的人，用烧生姜产生的烟来化解。
凡是受到酒气熏蒸的，用葛根、茵陈蒿烧烟来化解。
凡是受到死尸之气及疫疠之气侵犯的，用大黄、苍术烧烟来化解。
凡是受到狐臭、狗羊膻味熏扰的，烧枫树球果来化解。
凡是遇到风雨天气，烧苍术和枫树球果来躲避秽气。
凡是所有的恶气，通用乳香烧烟熏之。张仲景说：小儿出痘时，适宜烧乳香，以辟除各种恶气。这是因为营卫之气遇到香气则运行通畅，遇到臭气则凝滞的缘故。
世俗人煮醋熏蒸痘疮，认为它能活血。然而醋主收敛，所以妇人血崩症，可以用醋熏之。但痘毒想要升发透达而不希望收敛，所以不宜使用醋熏。我曾见到因用醋熏而导致病情变坏的情况很多。
论述痘疹初出时，适宜用这种酒，遍喷在四面床壁，以及让患病者和照顾患者的人都饮用，能辟除秽毒。另外用干净的胭脂点在两眼眼角，以防痘毒入眼。
胡荽酒
取胡荽三两，细细切碎，用两钟酒煎至沸腾。用纸密封容器，不要让气味跑出来。待冷却后去掉药渣。从头顶涂到下巴颏，轻轻涂抹。再喷洒背部脊柱、胸部腹部，以及双脚，都要遍及。然后再在满屋墙壁和门扇上遍洒，尤其奇妙。
论述痘疮欲出未出，热气尚未消退，毒气太盛，痘粒稠密成片，急需服用此方三四剂，能快速透发痘毒并解毒，效如神助。
专门治疗：体内蕴藏邪热，咽喉胸膈不利，痰涎壅盛咳嗽，眼睛红赤面部肿胀腮部颈部淋巴结结核，肿壅毒聚遍布全身，风疹疮毒红肿等症状。
消毒散
牛蒡子（微炒四钱） 荆芥 甘草 防风（去芦头各一钱） 另一配方，加黄芩一钱，犀角镑成薄片五分。
以上药材锉碎，用水煎煮，温服。
论述痘疮已经发出，痘毒太甚，以此方消毒。或者痘出不快，都服用此方。有人说，痘疮欲出时，浑身壮热不思饮食，如果服用这一剂就能在体内消除；如果已有一两颗发出，就能解除一半毒性；如果全部发出，当天就会结痂焦黑，只需三剂即可痊愈。我每次用此方治疗体质强壮的小儿，痘出毒盛效果特别显著。如果是体虚者，适宜用神功散，尤其奇妙。
化毒散
紫草茸（五钱） 川升麻 甘草（各二钱半）
以上药材锉碎，每服二钱，配合糯米五十粒，一同煎煮服用。
论述痘出后毒气太盛，皮肤血红一片，不分界限，像蚊子蚕种一样密集，或者出现各种失血症状，或者呕吐腹泻，发病七日以前，这些症状都可以服用此方，解毒神效。
九味神功散
黄芪 人参 白芍 紫草 红花 生地黄 牛蒡子（各等分） 前胡 甘草（一钱半）
以上药材锉碎，用水煎服，药渣再煎一次服用。热势严重的，加黄连、黄芩各一钱。如果热不退，再用大黄。如果有惊悸，加蝉蜕，去掉头和脚。如果痘颗粒呈淡黑色，说明有寒邪侵袭，加桂枝一钱。如果大便闭塞，加大黄。
痘发作口渴，用神功散，应当就不渴了。或者有口渴的，用红花子一味煎汤饮用。没有种子就用红花也好。加上牛蒡子尤其奇妙。因为它能疏散胃口部位的瘀血。切不可用荔枝、红枣，因为它们能助长阳经的火气，导致大发渴。大发渴的，用真黄土百沸汤，用碗盖泡取出水，少加砂糖，饮之立即停止。
身体已凉，汗出不止，是血随气溢。用当归五钱，黄芪三钱，酸枣仁炒制三钱，作一剂，水煎服，立即停止。
有痰的，用白附子磨粉服用。切不可用二陈汤，以免燥伤阳明经，使孤阳无阴，不能施化。
浆行阶段作痒，这是内热而外受风寒侵袭。用荆芥穗，用纸紧紧包裹，用米糊粘住纸头，令其不散。在灯上烧掉，然后在桌上擦去灰烬，快速放手。
指定痒的痘头，点一下痒处，即放退。每个痘痒就点一下，立即停止。
行浆阶段，浆足而发疔，认定是黑疔痘，或者黑而硬，或有红丝，或是大紫泡，未曾解毒的，仍以神功散加雄黄、黄连、大黄、黄芩煎服。却用点法：雄黄一钱，研细，用胭脂重浸的水使其浓稠，调雄黄末点于疔头上，立时即变红活，也是神妙之法。因为雄黄能解毒，胭脂能活血。
痘九日十日作泻，先令解毒者，宜用定中汤。
真正的黄土一大块，用碗盛装，用百沸开水冲泡，随即用碗盖盖上，片刻后取出使用。如果凉了，倒进盏内，外面用热水烫着。加入雄黄一钱，朱砂五分，两味药研为细末和匀，用黄土汤两盏，少加砂糖，温服立即停止。
痘疮腹胀口渴的，或者泻且口渴的，或者脚趾冷且口渴的，或者惊悸且口渴的，或者身温且口渴的，或者身热而痘色白且口渴的，或者寒战且口渴不止的，或者气急咬牙且口渴的，或者饮水后转渴不止的，以上九种症状，就不是热证了。乃是脾胃肌肉虚弱，津液衰少的缘故。木香散主治。如果不愈，再加丁香、官桂，多煎服用。丁香攻里，官桂发表。这样表里俱实，而疮不至于痒塌喘渴而死。
痘十一二日，当结痂却不结痂，发热蒸蒸的，宜用甘露回天汤。
砂糖半酒杯，用百沸开水调成一碗，温服。立时热退痘结痂，百发百中，真有回生之力。
Avoiding Noxious Qi
The foul odor of axillary bromhidrosis (fox stench). The turbid qi in the bedroom. The sweat qi from fatigue after long-distance walking. The turbid and evil qi from ditches and feces. The menstrual qi of women. The fishy and foul odor of various sores and ulcers. The smoke qi from burning sulfur. The smoke qi from extinguishing lamps and candles. The qi from accidentally burning hair. The qi from firewood smoke and burning fish bones. The qi from scallions, garlic, Chinese chives, and Welsh onion. The oil smoke qi from frying and stir-frying. The qi from drunkenness and consuming meat/fish. The dry and foul qi from musk.
Discussion on formulas to resolve external noxious qi. For those afflicted by filth from sexual intercourse, menstruation, or childbirth, resolve it with smoke from roasted jujubes.
For those disgusted by the five pungents (scallion, garlic, chive, leek, coriander), resolve it with smoke from roasted ginger.
For those affected by alcohol fumes, resolve it with smoke from Puerariae Radix (Ge Gen) and Artemisiae Scopariae Herba (Yin Chen Hao).
For those afflicted by the qi of corpses or epidemic pathogens, resolve it with smoke from Rhizoma Atractylodis Macrocephalae (Cang Zhu) and Radix et Rhizoma Rhei (Da Huang).
For those disturbed by fox stench or mutton/goat odors, resolve it by burning the fruit cones of Acer truncatum (Feng Qiu).
When encountering wind and rain, burn Cang Zhu and Feng Qiu to avoid noxious qi.
For all kinds of evil qi, generally fumigate with smoke from Resina Olibani (Ru Xiang). Zhang Zhongjing said: When children develop smallpox, it is appropriate to burn Ru Xiang to ward off various evil qi. This is because Ying and Wei qi flow freely when encountering fragrant qi but stagnate when encountering foul qi.
Secular people boil vinegar to fumigate smallpox, claiming it can invigorate blood. However, vinegar has astringent properties. Therefore, for women with metrorrhagia (blood flooding), fumigation with vinegar is used. But smallpox toxins desire to ascend and erupt, not to be astringed; thus, vinegar fumigation is unsuitable. I have seen many cases where vinegar fumigation led to complications.
Discussion on the use of this wine when macules and papules first appear. Spray it around the bed walls, and have both the patient and caregivers drink it to ward off filth and toxins. Additionally, apply clean rouge to the inner corners of the eyes to prevent toxin invasion into the eyes.
Hu Xu Wine
Take 3 liang of Hu Xu (Coriandrum sativum), finely chopped. Boil in 2 zhong of wine. Seal tightly with paper to prevent vapor loss. After cooling, remove dregs. Gently apply from the crown of the head down to the chin. Then spray the back, spine, chest, abdomen, and feet thoroughly. Spraying the room walls and doors is especially effective.
Discussion on treating smallpox that is about to emerge but has not yet fully erupted, with residual heat, excessive toxin load, and dense, confluent lesions. Urgently administer 3-4 doses of this formula to rapidly expel and detoxify, with miraculous efficacy.
Specifically treats: Internal accumulation of pathogenic heat, discomfort in the throat and diaphragm, phlegm-saliva congestion with cough, red eyes, facial swelling, lymphatic nodules in the cheeks and neck, generalized swelling and toxin aggregation, wind-rash, sore-toxin redness and swelling, etc.
Xiao Du San (Detoxification Powder)
Fructus Arctii (Niu Bang Zi) (lightly stir-fried, 4 qian) Jing Jie (Schizonepetae Spica) Gan Cao (Licorice Root) Fang Feng (Saposhnikoviae Radix) (deprived of radicle, each 1 qian). Alternative prescription: Add Huang Qin (Scutellariae Radix) 1 qian, Cornu Rhinocerotis (Xi Jiao) sliced 5 fen.
Crush the herbs, decoct in water, and take warm.
Discussion on treating smallpox that has already emerged with severe toxin load, using this formula for detoxification. It is also used if eruption is slow. Some say: When smallpox is about to emerge, accompanied by high fever and anorexia, one dose can resolve the condition internally. If one or two spots have emerged, half the toxicity is resolved. If fully erupted, they will scab on the same day. Three doses are sufficient for recovery. I often use this for robust children with severe smallpox toxins, showing remarkable efficacy. For deficient patients, Shen Gong San is particularly suitable.
Hua Du San (Toxin-Dissolving Powder)
Radix Lithospermi (Zi Cao Rong) (5 qian) Radix Bupleuri Chuan Sheng Ma (Chuan Sheng Ma) Gan Cao (Licorice Root) (each 2.5 qian).
Crush the herbs. Take 2 qian per dose, decoct together with 50 grains of glutinous rice.
Discussion on severe toxin load after smallpox eruption, presenting as diffuse redness without clear boundaries, resembling mosquito bites or silkworm eggs, or associated with various hemorrhages, vomiting, or diarrhea. These symptoms can be treated within seven days of onset with this formula for miraculous detoxification.
Jiu Wei Shen Gong San (Nine-Ingredient Divine Merit Powder)
Radix Astragali (Huang Qi) Ren Shen (Ginseng Radix) Bai Shao (Paeoniae Radix Alba) Zi Cao (Lithospermi Radix) Hong Hua (Carthami Flos) Sheng Di Huang (Rehmanniae Radix) Niu Bang Zi (Arctii Fructus) Qian Hu (Peucedani Radix) Gan Cao (Licorice Root) (1.5 qian). All in equal proportions except Gan Cao.
Crush the herbs, decoct in water. Decoct the dregs again for a second dose. For severe heat, add Huang Lian (Coptidis Rhizoma) and Huang Qin (Scutellariae Radix), 1 qian each. If heat persists, add Da Huang (Rhei Radix et Rhizoma). For convulsions/fright, add Chan Tui (Cicada Slough), removing head and feet. If pustules are pale black, indicating cold invasion, add Gui Zhi (Cinnamomi Ramulus) 1 qian. For constipation, add Da Huang.
If thirst occurs during smallpox eruption, Shen Gong San should alleviate it. If thirst persists, decoct Hong Hua Zi (Carthami Semen) alone in water. If seeds are unavailable, Hong Hua (Carthami Flos) is acceptable. Adding Niu Bang Zi is especially good, as it disperses blood stasis in the stomach area. Do not use Lychee or Jujube, as they aggravate Yang channel fire and cause severe thirst. For severe thirst, use Zhen Huang Tu (True Yellow Earth) boiled in water, covered with a bowl. Take the water, add a little brown sugar, and drink to stop thirst immediately.
If smallpox lesions are depressed within three days of eruption, it is not a deficiency syndrome. Use Shen Gong San to invigorate blood and reduce fire.
If cold symptoms appear before the fourth day, with dark, grim lesions, use Bao Yuan Tang (Protect the Origin Decoction) plus Guan Gui (Cinnamomi Cortex).
If lesions are white and dull, indicating cold invasion, use Shen Gong San plus Guan Gui.
For abdominal pain, caused by severe toxin, Shen Gong San is indicated.
For persistent facial redness and indistinct lesion boundaries, double the amount of Qian Hu in Shen Gong San.
For vomiting, caused by toxin exacerbating fire flaring upward, Shen Gong San is indicated.
For diarrhea, caused by excessive fire rushing downward, add Chai Hu (Bupleuri Radix) or Sheng Ma (Cimicifugae Rhizoma) to Shen Gong San to lift the clear yang.
If the body cools but sweating continues profusely, indicating blood overflowing with qi, use Dang Gui (Angelicae Sinensis Radix) 5 qian, Huang Qi (Astragali Radix) 3 qian, and Chao Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried) 3 qian. Decoct as one dose and take to stop sweating immediately.
For phlegm, grind Bai Fu Zi (Aconiti Kusnezoffii Radix) and take. Do not use Er Chen Tang (Two-Aged Decoction), as it dries the Yangming channel, leaving solitary Yang without Yin, preventing transformation.
For cough, decoct Xing Ren (Pruni Semen) and mix with ground Bai Fu Zi to take, stopping cough immediately.
For generalized body pain, grind Mu Xiang (Aucklandiae Radix) and take to stop pain.
During the pus-forming stage, itching indicates internal heat combined with external wind-cold. Wrap Jing Jie Sui (Schizonepetae Spica) tightly in paper, seal with rice paste. Burn over a lamp, then rub off the ash on a table. Quickly touch the specific itchy pustule once to relieve itching. Apply to each itchy spot for immediate relief.
During the pus-maturing stage, if a carbuncle develops despite full pus, identify it as a black carbuncle-pustule. If black and hard, with red threads or large purple blisters, and undetoxified, continue with Shen Gong San added with Xiong Huang (Realgar), Huang Lian (Coptidis Rhizoma), Da Huang (Rhei Radix et Rhizoma), and Huang Qin (Scutellariae Radix). Also apply topically: Mix 1 qian of powdered Xiong Huang with thick water-infused rouge, and apply to the carbuncle head. It turns red and lively immediately, a miraculous method. Xiong Huang detoxifies, and rouge invigorates blood.
If diarrhea occurs on days 9-10 of smallpox, first detoxify using Ding Zhong Tang (Stabilize Middle Decoction).
Take a large piece of true yellow earth, place in a bowl, pour boiling water over it, cover immediately. After a moment, remove. If cooled, pour into a cup, keep warm externally with hot water. Add 1 qian Xiong Huang (Realgar) and 5 fen Zhu Sha (Cinnabar), grind to fine powder, and mix well. Take 2 cups of the yellow earth water with a little brown sugar, warm, to stop diarrhea immediately.
For smallpox with abdominal distension and thirst, or diarrhea with thirst, or cold toes with thirst, or palpitations with fright and thirst, or warm body with thirst, or hot body with white lesions and thirst, or shivering with unceasing thirst, or rapid breathing/gritting teeth with thirst, or drinking water leading to increased thirst: These nine symptoms indicate non-heat syndromes. They result from deficiency of Spleen and Stomach muscles and depletion of fluids. Mu Xiang San (Aucklandia Powder) is indicated. If ineffective, add Ding Xiang (Caryophylli Flos) and Guan Gui (Cinnamomi Cortex), decoct and take frequently. Ding Xiang attacks internally, Guan Gui releases the exterior. This strengthens both interior and exterior, preventing death from itching, collapsing, wheezing, and thirst.
On days 11-12, if scabbing is delayed with steaming fever, use Gan Lu Hui Tian Tang (Sweet Dew Restoring Heaven Decoction).
Take half a wine cup of brown sugar, dissolve in a large bowl of boiling water, and take warm. Fever subsides and scabs form immediately, with hundred percent efficacy, truly possessing life-restoring power.