小儿痘疹余毒。轻则肌表津淫瘙痒。重则肢节壅肿作痛。若发热而大便闭结者。消毒饮
发
热而大便调和者。清热消毒散。大便调和而渴者。麦门冬饮肿痛发热而渴者。仙方活命饮。
大凡根赤而作痒者。血虚也。四物汤加牡丹皮。色白而作痒者。气虚也。四君加当归、芍药
色赤而作痛者。血热也。四物汤加连翘、金银花。色白而不 痛者。血气虚也。托里散
不成脓或不腐。血气俱虚也。八珍汤。脓既溃而不敛。脾气虚也。六君子汤。按之随指复
起者。内有脓也。即刺之。勿使内攻。脓出儿安。不必服药。如脓稀清。或反作痛。或倦怠
热渴。或作痛等症。皆因气血虚甚。急以参、 、犀、术之类补之。若虚中见恶症者。不可
救。实中无恶症者。多自愈。
活命饮 托里散（方见痈症）
一论痘后余毒。或先服附子。热毒未解。聚而不散。以致头顶胸背手足腹节。赤肿或痈
毒者。宜消毒饮。或五福化毒丹。
消毒饮
鼠粘子（炒） 荆芥穗 甘草 防风（各五分） 犀角（镑末一分） 金银花（三分）
上锉。水煎服。
一论痘后余毒未解。头面身体。多生疮疖。上焦热壅。唇口肿破生疮。牙龈出血。口臭
咽喉肿痛。口渴等症。
五福化毒丹
犀角（镑三钱） 桔梗（一两） 生地黄 赤茯苓 牛蒡子（各五钱） 连翘（六钱） 玄参（
三钱） 青黛（二钱） 朴硝 粉草（各三钱）
上为细末。炼蜜为丸。如龙眼大。每服一丸。薄荷汤化下。兼有惊。朱砂为衣。
一论痘后不问痘毒发于何经。初起红肿时。却用黑、绿、赤三豆。以酸醋浸研浆。时时
以鸡翎刷之。随手退去。其效如神。
一论一切痈疽阳症。肿痛发热作渴。
清热消毒散
连翘 山栀 黄连 当归（各五分） 川芎 芍药（炒） 生地黄（各六分） 金银花（二钱）
甘草（一分）
上锉一剂。煎服。
一论痘毒发热。作渴咽痛。
麦门冬饮
麦门冬（去心四分） 黄芩（三分） 甘草（五分） 人参 玄参（各三分） 金银花（五分）
上锉。水煎服。咽痛。加桔梗五分。
一论痘后失音不出。
天花粉 桔梗 白茯苓（去皮） 诃子肉 石菖蒲 甘草
上为末。水调半匙在碗内。外以小竹七茎。黄荆七条。缚作一束。点火在碗内煎。临卧
时服。
一论痘疮愈后。疮痂虽落。其瘢犹黯。或凸凹。用白蜜涂于疮上。其痂易落。且无痘痕
亦不臭秽。
一论痘疮后。身体及肢节生疳蚀疮。脓水不干。用出蚕蛾绵茧。不拘多少。用白矾研碎
塞
于茧内令满。以炭火炙之。令矾汁干取出。研入麝香少许。每用。干贴疮上。若不早治。则溃
难消。
一痘入眼成翳。用蝉蜕为细末。羊肝煎。调化。食后服。
一疹后眼生翳膜。凡痘疮不可食鸡鸭卵。实时盲瞳子。其应如神不可不戒。
拨云丹
兔粪（芒花芦花色者佳） 蝉蜕 木通 白蒺藜（各一两） 炙甘草（一两）
上为细末。炼蜜为丸。如梧桐子大。每服八十丸。食后。白汤下。日进三服。以愈为度
一论痘后余毒。眼生翳障。
通明散
当归 川芎 芍药 生地黄 防风 干葛 菊花 蝉蜕 天花粉（各等分） 谷精草（倍）
上锉散。水煎服。眼赤肿。加黄连、栀子。翳浓。加木贼。
秘方
黄丹 轻粉（各一钱）
上为末。用鹅管吹。如左眼患。吹入右耳。右眼患。吹入左耳。一日吹三次。兼服通明
散。或用雌雄槟榔磨水。服之效。
一治痘疹伤眼有白翳。用青果核磨水点之。立去。
一论痘余毒在脾肺者。则发咳嗽。宜服
清金散
陈皮（中） 半夏（姜制中） 贝母（上） 天花粉（上） 麦门冬（去心上） 桔梗（上） 栀子
（炒） 黄芩（各等分） 甘草（生下）
上锉。水煎。食远服。
一论小儿痘后咳嗽。不拘远年近日者。有此失治。乃贻终身患也。
白砒（一分） 雄黄 枯矾 鹅管石 石膏 寒水石（火 各一钱）
上为细末。用绿豆粉打糊丸。绿豆大。每服三丸。临卧。井水送下。忌热物。一夜无妨
小儿患痘疹后遗留的余毒。轻症表现为皮肤表面津液渗出、瘙痒；重症则出现四肢关节肿胀壅塞并疼痛。如果伴有发热且大便干结不通的，使用消毒饮；发热但大便正常的，使用清热消毒散；大便正常但口渴的，使用麦门冬饮；肿痛且发热伴口渴的，使用仙方活命饮。
大凡痘疮根部发红且发痒的，属于血虚，用四物汤加牡丹皮；颜色苍白且发痒的，属于气虚，用四君子汤加当归、芍药；颜色红赤且疼痛的，属于血热，用四物汤加连翘、金银花；颜色苍白且不痛的，属于气血两虚，用托里散。
痘疮不能化脓或脓液不腐烂的，是气血俱虚，用八珍汤；脓液已经溃破但不能愈合收敛的，是脾气虚，用六君子汤。按压患处，手指抬起后凹陷随即恢复原状的，说明内有脓液，应立即刺破排脓，不要使毒邪内攻入脏腑。脓液排出后患儿即可平安，不必服药。如果脓液稀薄清冷，或者反而疼痛，或者出现倦怠、发热口渴等症状，都是因为气血极度虚弱，急需用人参、白术、犀角等药物进行补益。如果在虚证基础上出现危重恶症，则不可救治；在实证中没有恶症的，大多能自愈。
有一篇论述指出：痘疹后的余毒，如果先服用附子，会导致热毒未解，聚集而不消散，以致头顶、胸背、手足、腹部关节等处出现红肿或痈毒，适宜用消毒饮，或者五福化毒丹。
消毒饮组成：鼠粘子（炒）、荆芥穗、甘草、防风（各五分），犀角（镑成细末一分），金银花（三分）。以上药材切碎，加水煎服。
有一篇论述指出：痘疹后的余毒未解，头面身体多生疮疖，上焦热邪壅盛，嘴唇口腔肿胀破裂生疮，牙龈出血，口臭，咽喉肿痛，口渴等症状。
五福化毒丹组成：犀角（镑三钱），桔梗（一两），生地黄、赤茯苓、牛蒡子（各五钱），连翘（六钱），玄参（三钱），青黛（二钱），朴硝、粉草（各三钱）。以上药材研为细末，用炼蜜制成如龙眼大小的丸药。每次服用一丸，用薄荷汤送服化开。如果兼有惊风症状，可用朱砂做衣。
有一篇论述指出：痘疹后无论痘毒发于哪条经络，初起红肿时，却用黑、绿、赤三种豆子，用酸醋浸泡研磨成浆，时时用鸡毛刷涂抹患处，红肿随手消退，效果神奇。
清热消毒散组成：连翘、山栀、黄连、当归（各五分），川芎、芍药（炒）、生地黄（各六分），金银花（二钱），甘草（一分）。以上药材切碎一剂，煎服。
麦门冬饮组成：麦门冬（去心四分），黄芩（三分），甘草（五分），人参、玄参（各三分），金银花（五分）。以上药材切碎，加水煎服。如果咽痛，加桔梗五分。
有一篇论述指出：痘疹后失音不出声。
配方：天花粉、桔梗、白茯苓（去皮）、诃子肉、石菖蒲、甘草。以上药材研为末，取半匙调和水放在碗内，外面用小竹七根、黄荆七条，捆成一束，点燃在碗上方熏蒸（注：此处原文“点火在碗内煎”疑为笔误或特殊用法，通常此类方剂多为熏蒸或煮水，依字面直译为在碗内点火煎煮或熏蒸，结合语境理解为利用蒸汽或药气）。临睡前服用。
有一篇论述指出：痘疮痊愈后，虽然疮痂脱落，但疤痕仍然暗黑，或者凹凸不平。用白蜜涂抹在疮面上，可以使痂皮容易脱落，而且没有痘痕，也不会有臭秽气味。
有一篇论述指出：痘疮后，身体及四肢关节生出疳蚀疮，脓水不干。取出蚕蛾的绵茧，不拘多少，用白矾研碎填入茧内使其充满，用炭火炙烤，使矾汁干燥后取出，研入少许麝香。每次使用时，将药粉直接贴在疮口上。如果不早点治疗，则会溃烂难以消除。
有一例：痘毒侵入眼睛形成翳膜。用蝉蜕研为细末，与羊肝一起煎煮，调化后服用，饭后服。
有一例：出疹后眼睛生翳膜。凡是痘疮患者不可食用鸡鸭蛋，否则会导致失明，其应验如神，不可不戒惧。
拨云丹组成：兔粪（芒花芦花色者佳）、蝉蜕、木通、白蒺藜（各一两），炙甘草（一两）。以上药材研为细末，用炼蜜制成如梧桐子大小的丸药。每次服用八十丸，饭后用白开水送下，每日三次，以痊愈为度。
有一篇论述指出：痘疹后余毒导致眼睛生翳障。
通明散组成：当归、川芎、芍药、生地黄、防风、干葛、菊花、蝉蜕、天花粉（各等分），谷精草（加倍）。以上药材切碎成散剂，加水煎服。如果眼睛红肿胀痛，加黄连、栀子；如果翳膜浓重，加木贼。
秘方：黄丹、轻粉（各一钱）。以上药材研为末，用鹅管吹入鼻中。如果是左眼患病，吹入右耳；右眼患病，吹入左耳。一天吹三次，同时服用通明散。或者用雌雄槟榔磨水服用，也有效。
有一篇论述指出：痘余毒在脾肺部位，就会引发咳嗽，适宜服用清金散。
清金散组成：陈皮（中品）、半夏（姜制中品）、贝母（上品）、天花粉（上品）、麦门冬（去心上品）、桔梗（上品）、栀子（炒）、黄芩（各等分），甘草（生下品）。以上药材切碎，加水煎煮，饭后较远时间服用。
有一篇论述指出：小儿痘后咳嗽，无论是多年还是近日发生的，如果对此失治，会留下终身病患。
配方：白砒（一分），雄黄、枯矾、鹅管石、石膏、寒水石（火煅各一钱）。以上药材研为细末，用绿豆粉打糊制成如绿豆大小的丸药。每次服用三丸，临睡前用井水送下。忌食热物。一夜之间无妨（注：指此药毒性大，需严格控制剂量和频次，或指服药后当晚需注意观察）。
Pediatric residual toxins following smallpox/rubella (Douzhen). Mild cases manifest as exudation of body fluids on the skin surface accompanied by itching; severe cases present with swelling and obstruction in the limbs and joints, causing pain. If accompanied by fever and constipation, Xiaodu Yin (Detoxification Decoction) is indicated. If there is fever but normal bowel movements, Qingre Xiaodu San (Heat-Clearing and Detoxifying Powder) is used. If bowel movements are normal but thirst is present, Maimen Dong Yin (Ophiopogon Decoction) is prescribed. If there is swelling, pain, fever, and thirst, Xianfang Huoming Yin (Immortal Recipe for Saving Lives Decoction) is applied.
Generally, if the base of the lesion is red and itchy, it indicates Blood Deficiency (Xue Xu); Siwu Tang (Four Substances Decoction) plus Mudanpi (Moutan Cortex) is used. If the color is pale and itchy, it indicates Qi Deficiency (Qi Xu); Sijunzi Tang (Four Gentlemen Decoction) plus Danggui (Angelicae Sinensis Radix) and Shaoyao (Paeoniae Radix) is used. If the color is red and painful, it indicates Blood Heat (Xue Re); Siwu Tang plus Lianqiao (Forsythiae Fructus) and Jinyinhua (Lonicerae Japonicae Flos) is used. If the color is pale and not painful, it indicates Dual Deficiency of Qi and Blood (Qi Xue Xu); Tuoli San (Support-the-Interior Powder) is used.
If pus does not form or fails to rot, it indicates Dual Deficiency of Qi and Blood; Bazhen Tang (Eight Treasures Decoction) is used. If the pus has ruptured but fails to heal and close up, it indicates Spleen Qi Deficiency (Pipi Xu); Liujunzi Tang (Six Gentlemen Decoction) is used. If pressing the area causes an indentation that rebounds immediately upon releasing pressure, it indicates internal pus; it should be punctured immediately to prevent the pathogenic factor from attacking the interior organs. Once the pus is discharged, the child will be safe, and medication is unnecessary. If the pus is thin and clear, or if pain recurs, or if symptoms such as fatigue, fever, and thirst appear, these are due to extreme deficiency of Qi and Blood. Urgent supplementation with herbs such as Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), and Xijiao (Rhinocerotis Cornu) is required. If critical malignant symptoms appear amidst a deficiency pattern, the condition is incurable. If no malignant symptoms appear amidst an excess pattern, spontaneous recovery is likely.
One discussion states: For residual toxins after smallpox/rubella, if Fuzi (Aconiti Lateralis Radix Praeparata) is taken first, the heat-toxin may remain unresolved, aggregating without dispersing. This can lead to redness, swelling, or carbuncles/toxins on the head top, chest, back, hands, feet, and abdominal joints. Xiaodu Yin or Wufu Huadu Dan (Five Blessings Toxin-Resolving Pill) is suitable.
Xiaodu Yin Composition: Niubangzi (Arctii Fructus, stir-fried), Jingjie Sui (Schizonepetae Spica), Gancao (Glycyrrhizae Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix) (each 5 fen); Xijiao (Rhinocerotis Cornu, sliced into powder, 1 fen); Jinyinhua (Lonicerae Japonicae Flos, 3 fen). The above ingredients are chopped, decocted in water, and taken orally.
One discussion states: When residual toxins after smallpox/rubella are unresolved, sores and boils often appear on the head, face, and body. Upper Jiao (Upper Burner) heat stagnation manifests as swelling and cracking of lips and mouth with sores, bleeding gums, foul breath, sore throat, and thirst.
Wufu Huadu Dan Composition: Xijiao (Rhinocerotis Cornu, sliced, 3 qian), Jiegeng (Platycodonis Radix, 1 liang), Shengdihuang (Rehmanniae Radix Recens), Chifuling (Poria cum Rhizoma Polypori), Niubangzi (Arctii Fructus) (each 5 qian), Lianqiao (Forsythiae Fructus, 6 qian), Xuanshen (Scrophulariae Radix, 3 qian), Qingdai (Indigo Naturalis, 2 qian), Puxiao (Natrii Sulfas), Fugan (Glycyrrhizae Radix et Rhizoma) (each 3 qian). The above ingredients are ground into fine powder, mixed with refined honey to form pills the size of a longan fruit. Take one pill per dose, dissolved and taken with Mint Decoction (Bohe Tang). If convulsions are present, coat the pills with Zhusha (Cinnabar).
One discussion states: Regardless of which meridian the toxin emerges from after smallpox/rubella, when redness and swelling first appear, use Black Beans, Green Beans, and Red Beans soaked in vinegar, ground into a paste. Apply frequently with a chicken feather brush. The swelling subsides instantly with miraculous effect.
One discussion states: All Yang-type carbuncles and ulcers presenting with swelling, pain, fever, and thirst.
Qingre Xiaodu San Composition: Lianqiao (Forsythiae Fructus), Shanzhi (Gardeniae Fructus), Huanglian (Coptidis Rhizoma), Danggui (Angelicae Sinensis Radix) (each 5 fen); Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix, stir-fried), Shengdihuang (Rehmanniae Radix Recens) (each 6 fen); Jinyinhua (Lonicerae Japonicae Flos, 2 qian); Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen). One dose of the above ingredients is chopped, decocted, and taken orally.
One discussion states: Fever, thirst, and sore throat caused by smallpox/rubella toxins.
Maimen Dong Yin Composition: Maimendong (Ophiopogonis Radix, heart removed, 4 fen), Huangqin (Scutellariae Radix, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 5 fen); Renshen (Ginseng Radix), Xuanshen (Scrophulariae Radix) (each 3 fen); Jinyinhua (Lonicerae Japonicae Flos, 5 fen). The above ingredients are chopped, decocted in water, and taken orally. Add Jiegeng (Platycodonis Radix, 5 fen) if there is a sore throat.
One discussion states: Loss of voice after smallpox/rubella.
Formula: Tianhuafen (Trichosanthis Radix), Jiegeng (Platycodonis Radix), Baifuling (Poria, peeled), Hezirou (Myrobalani Fructus), Shichangpu (Acori Tatarinowii Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma). The above ingredients are ground into powder. Mix half a spoonful with water in a bowl. Bind seven stalks of small bamboo and seven branches of Huangjing (Vitex trifolia var. simplicifolia) together, ignite them, and use the smoke/steam to fumigate the bowl's contents. Take before bedtime.
One discussion states: After smallpox/rubella heals, although scabs fall off, scars remain dark or uneven. Applying white honey to the lesions facilitates scab removal, prevents pockmarks, and eliminates foul odor.
One discussion states: After smallpox/rubella, gan erosion sores appear on the body and joints with non-drying pus. Take silkworm moth cocoons, fill them completely with crushed Baifan (Alumen), roast over charcoal until the alum juice dries, then remove and grind. Add a small amount of Shexiang (Moschus). Apply dry powder directly to the sores each time. If not treated early, ulceration becomes difficult to resolve.
Case: Smallpox toxin enters the eye forming a nebula (Yi). Grind Chantui (Cicadae Periostracum) into fine powder, decoct with Sheep Liver, mix, and take after meals.
Case: Nebula forms in the eyes after rubella. Patients with smallpox/rubella must avoid eating chicken or duck eggs, as this leads to blindness. The efficacy is immediate and reliable; caution is essential.
Boyun Dan Composition: Tufen (Lagopodis Faeces, preferably from Mugwort flowers), Chantui (Cicadae Periostracum), Mutong (Akebiae Caulis), Bajibli (Tribuli Fructus) (each 1 liang), Zhigancao (Glycyrrhizae Radix et Rhizoma, roasted, 1 liang). The above ingredients are ground into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Take 80 pills per dose after meals with warm water. Three times daily, until cured.
One discussion states: Residual toxins after smallpox/rubella causing eye nebula.
Tongming San Composition: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Shengdihuang (Rehmanniae Radix Recens), Fangfeng (Saposhnikoviae Radix), Gange (Puerariae Lobatae Radix), Juhua (Chrysanthemi Flos), Chantui (Cicadae Periostracum), Tianhuafen (Trichosanthis Radix) (equal parts); Gujingcao (Eriocauli Flos, double dose). The above ingredients are chopped into coarse powder, decocted in water, and taken orally. Add Huanglian (Coptidis Rhizoma) and Zhizi (Gardeniae Fructus) if the eyes are red and swollen. Add Muzei (Equiseti Herba) if the nebula is dense.
Secret Formula: Huangdan (Minii Oxidum), Qingfen (Calomelas) (each 1 qian). Grind into powder. Use a goose quill to insufflate into the nose. If the left eye is affected, insufflate into the right ear; if the right eye is affected, insufflate into the left ear. Insufflate three times a day, while concurrently taking Tongming San. Alternatively, grind male and female Binglang (Arecae Semen) in water and drink it; this is also effective.
Treatment: For white nebula caused by smallpox/rubella damaging the eyes, grind Qingguohe (Canarii Fructus Nuclear) in water and apply to the eye. The nebula disappears immediately.
One discussion states: Residual toxins located in the Spleen and Lung meridians cause coughing. Qingjin San (Clear Metal Powder) is suitable.
Qingjin San Composition: Chenpi (Citri Reticulatae Pericarpium, medium grade), Banxia (Pinelliae Rhizoma, prepared with ginger, medium grade), Beimu (Fritillariae Thunbergii Bulbus, superior grade), Tianhuafen (Trichosanthis Radix, superior grade), Maimendong (Ophiopogonis Radix, heart removed, superior grade), Jiegeng (Platycodonis Radix, superior grade), Zhizi (Gardeniae Fructus, stir-fried), Huangqin (Scutellariae Radix) (equal parts); Gancao (Glycyrrhizae Radix et Rhizoma, raw, inferior grade). The above ingredients are chopped, decocted in water, and taken well after meals.
One discussion states: Cough in children after smallpox/rubella, whether occurring years later or recently. Failure to treat this properly results in lifelong illness.
Formula: BaiPi (Arsenite of Arsenic, 1 fen), Xionghuang (Realgar), Kufan (Alumen, calcined), Eguanshi (Psilomelane), Shigao (Gypsum Fibrosum), Hanshuishi (Natrii Sulfas, calcined) (each 1 qian). The above ingredients are ground into fine powder. Make pills the size of mung beans using mung bean starch paste. Take three pills per dose before bedtime, washed down with well water. Avoid hot foods. No harm occurs within one night (Note: Refers to the acute toxicity requiring strict dosage control).