（凡十二首，共十一方）
女人痘疹最难医，阴质从来血易亏。待得疹疮将发日，只愁天癸有常期。
《正理论》云∶婴儿女子，益以兹甚。以女人阴质，血常不足。痘疹始终以气血为主，
一或不足，则变生焉。故女子十四岁以后，有出痘疹者，常恐天癸之行，血走气虚，每成伏陷。
发热经行非正时，火邪迫血血奔驰。急须凉血停为美，莫待中虚悔却迟。
痘疹发热，经水妄行，却非天癸之期。此毒火内蕴，扰乱血海，迫经妄行，月事不以时下，宜玄参地黄汤，
或四物合黄连解毒汤，以凉血为主，必欲其止。如久不止，中气虚弱，致生陷伏者有之。
发热时逢经水行，毒邪已解污方清。过期不止须当虑，补气温经热自平。
发热之时，经水适逢其期，此积污得去，毒亦轻解，不须治之。若过四五日尚不止，以热邪乘血室之虚，
迫血妄行，宜先服小柴胡加生地黄汤，以清血室之热，后用十全大补汤以补气血之虚，令其出匀，易壮易靥。
适逢发热经斯断，血室空虚怕烦懑。若然谵妄神不清，热入子宫医莫缓。
发热时经水适断，宜早服柴胡四物汤，以防血室空虚，毒邪乘虚而入，致生他疾。若已憎寒壮热，神识不
清，妄诞见闻，言语错乱，此为热入血室，宜四物汤合导赤散，与安神丸相间服之。
女子居经日已赊，岂堪痘疹证来加！却愁血海停污垢，犹虑胞门隐毒邪。
女子经闭，谓之居经，满而不泻，病在心脾。经曰∶二阳之病发心脾，女子不月。痘疹之毒发于心，又以脾
为主，心脾先病，血室不行，冲任之间已多积垢。一旦痘疹之火郁于命门、胞户之中，当出不出，毒邪留伏，
致生乖戾者有之。故发热之初，即当涤除停垢，以桃仁承气汤主之，后以四物汤合匀气散调理之。
崩漏多时血已枯，泻而不满有余无。岂堪当此天行病！济弱扶倾在吸呼。
女子一向崩漏未止，气血已虚。若当天行痘疹，必不能任其毒，惟宜大补气血为主，十全大补汤。痘出，
灰白平陷，难发难靥者，
更加熟附一二钱。
起发成浆忽动经，气随血散岂能停！食多胃足无他虑，不食须防陷伏形。
痘既出现已后，最宜表里俱实，饮食能多。若当起发胞浆之时，天癸忽动，人但知恐被秽气独犯正气，不知
自身之血，不足为厌。但血出而气亦虚，毒邪乘虚陷入于里，惟元气素壮能食者，必无是变。如气虚食少之
人，未有不成陷伏者，宜十全大补汤主之，虚甚者，加熟附、鹿茸。
经行暴哑毒邪侵，血出津枯乍失音。养血通心言语出，一朝声价值千金。
女子出痘，经水忽行，暴哑不能言。盖心主血，舌乃心之苗，血去则心虚，心虚则少阴之脉不能上荣于舌，
故卒失音不语。先以当归养心汤养其心血，利其心窍，自然能言，以十全大补调之。
起发经行证已乖，内虚伏陷早安排。药灵中病终须吉，证逆违师事不谐。
月事大行，其疮不起发，不光壮、不饱满、不红活，顶平陷灰白色，或青干黑陷者，此里虚之候，痘复陷入
也，宜十全大补汤与夺命散相间服之。其痘胖壮红绽，或痘空中，再出一番，大吉之兆；若加腹胀喘满，谵妄
闷乱，寒颤切牙，手足厥冷，必死也。
妊娠出痘有真传，惟有安胎法最先。不可令胎轻独动，胎元独动命归泉。
孕妇出痘，始终以安胎为主，不可触动其胎。其初发热，以参苏饮发之；痘出现后，多服安胎饮为佳；起
发收靥迟，十全大补汤去肉桂。
痘正丰时产正临，几人得法有规箴，涤除恶露休轻易，补益元神功效深。
孕妇出痘，正当盛时，忽临正产，只以大补气血为主，十全大补汤。若腹中微痛，此恶露未尽也，宜涤去
之，生化汤。
产后如逢出痘疮，此时胎去免忧惶。只凭补益收功效，莫犯寒冷生气伤。
妇人产后出痘，只以大补气血为主，十全大补汤。其白芍用好酒炒熟，不可妄用寒凉，以伤生发之气也。
（共十二首，涉及十一个方剂）
妇女患痘疹最难医治，因为女性属阴，体质上血液容易亏虚。等到痘疹即将发作的日子，最担心的是正值月经来潮的时期。
《正理论》说：婴儿和女子，这种情况更为严重。因为女性属阴质，血液常常不足。痘疹的治疗始终以气血为主，
一旦气血不足，就会发生变证。所以女子十四岁以后，如果出痘疹，常担心月经来行，导致血流失、气虚弱，往往形成痘毒内伏下陷的危候。
发热时月经非正常周期到来，这是火邪逼迫血液，使血液运行狂乱。必须紧急凉血止血才是最好的处理，不要等到中气虚弱后悔就晚了。
痘疹发热期间，月经妄自行泄，这并不是正常的天癸（月经）时期。这是因为毒火内蕴，扰乱了血海，迫使经脉妄行，月经不能按时而至，适宜用玄参地黄汤，
或者四物汤合黄连解毒汤，以凉血为主要治法，务必使其停止。如果久不止血，中气虚弱，导致痘毒陷入伏匿的情况是有的。
发热时恰逢月经来行，体内的积滞污血得以排出，毒邪也得到轻解而趋于清静。如果过期仍不止血就需要考虑补益了，通过补气温经，热邪自会平息。
发热之时，月经恰好来潮，这是积存的污血得以去除，毒邪也轻微解除，不需要特别治疗。如果过了四五日仍然不止，是因为热邪乘血室之虚，
逼迫血液妄行，适宜先服用小柴胡加生地黄汤，以清除血室的热邪，后用十全大补汤来补益气血之虚，令痘疹发出均匀，容易起发也容易结痂。
恰逢发热时月经突然中断，这是因为血室空虚，害怕出现烦闷躁扰的症状。如果出现谵语妄言、神志不清，说明热邪已入子宫，医生不可延误治疗。
发热时月经恰好中断，适宜早服柴胡四物汤，以防血室空虚，毒邪乘虚而入，导致产生其他疾病。如果已经出现憎寒壮热，神识不
清，胡言乱语，言语错乱，这是热入血室的表现，适宜用四物汤合导赤散，与安神丸交替服用。
女子月经数月一行称为居经，时间已久，哪里还能承受痘疹病症的侵袭！却担心血海中停积污垢，还忧虑胞门中隐藏毒邪。
女子闭经，称为居经，满溢而不排泄，病位在心脾。医经说：二阳（胃与大肠）的病发于心脾，女子会出现闭经。痘疹的毒邪发于心，又以脾
为主，心脾先有病，血室运行不通，冲任之间已经多有积垢。一旦痘疹的火郁于命门、胞户之中，应当发出而不能发出，毒邪留伏，
导致产生乖戾变证的有这种情况。所以在发热之初，就应当涤除停积的污垢，以桃仁承气汤主治，后用四物汤合匀气散调理。
崩漏日久，血液已经枯竭，泻下而不充盈，有余还是不足难以判断。哪里能承受这种天行（流行性）痘疹病！救助虚弱扶持倾颓在于呼吸吐纳间的调护。
女子一向崩漏未止，气血已经虚弱。如果赶上天行痘疹，必定不能承受其毒邪，只宜以大补气血为主，用十全大补汤。痘疹发出后，
呈灰白色、平陷，难以起发、难以结痂的，
再加熟附子一两到二钱。
痘疹起发成浆时忽然动经，气随血散，怎么能停止呢！如果饮食多、胃气充足则无其他忧虑，如果不吃东西就必须防止陷入伏匿的形态。
痘疹既然出现以后，最宜表里俱实，饮食能够增多。如果在起发成浆的时候，天癸忽然发动，人们只知道恐怕被秽气单独侵犯正气，不知道
自身之血不足为厌（厌恶/排斥）。但血出而气也随之虚弱，毒邪乘虚陷入于里，只有元气素来强壮能进食的人，必定不会有这种变化。如气虚食少之
人，没有不成陷伏证的，适宜用十全大补汤主治，虚损严重的，加熟附子、鹿茸。
经期暴哑，毒邪入侵，血出津枯，突然失音。养血通心，言语即可恢复，一朝声音价值千金。
女子出痘，月经忽然来行，暴哑不能说话。盖因心主血，舌是心的苗窍，血去则心虚，心虚则少阴之脉不能上荣于舌，
所以突然失音不语。先用当归养心汤滋养心血，利其心窍，自然能说话，再用十全大补汤调理。
起发时经行，证候已经乖戾，内虚伏陷需早早安排。药物灵验中病终须吉利，证候逆乱违背师训事情就不会和谐。
月经大量来行，痘疮不起发，不光壮、不饱满、不红活，顶部平陷呈灰白色，或青干黑陷的，这是里虚的征候，痘复陷入
也，适宜十全大补汤与夺命散交替服用。如果痘疹胖壮红绽，或者痘空中再出一番，是大吉的征兆；如果加上腹胀喘满，谵妄
闷乱，寒颤咬牙，手足厥冷，必定死亡。
妊娠出痘有真传，唯有安胎法最先。不可令胎元轻易独动，胎元独动则性命归泉。
孕妇出痘，始终以安胎为主，不可触动其胎。在初发热时，用参苏饮发散；痘疹出现后，多服安胎饮为佳；起发收靥迟，用十全大补汤去掉肉桂。
痘疹正当丰盛时生产临近，几人得法有规箴？涤除恶露休轻易，补益元神功效深。
孕妇出痘，正当盛时，忽临正产，只以大补气血为主，用十全大补汤。如果腹中微痛，这是恶露未尽，适宜涤除它，用生化汤。
产后如逢出痘疮，此时胎去免忧惶。只凭补益收功效，莫犯寒冷生气伤。
妇人产后出痘，只以大补气血为主，用十全大补汤。其中白芍用好酒炒熟，不可妄用寒凉药，以免损伤生发之气。
(Comprising twelve verses, involving eleven prescriptions)
It is most difficult to treat smallpox and chickenpox in women because the female constitution is Yin, and blood deficiency is inherent. When the rash is about to erupt, one must worry that menstruation may occur during this critical period.
The *Zheng Li Lun* (Theory of Orthodoxy) states: This condition is even more pronounced in infants and women. Since women possess a Yin constitution, their blood is often insufficient. The treatment of smallpox/chickenpox always prioritizes Qi and Blood;
if either is deficient, complications will arise. Therefore, for women over fourteen years old who contract smallpox/chickenpox, there is constant fear that menstruation will cause blood loss and Qi deficiency, often leading to the internal collapse and sinking of the toxin.
Fever accompanied by out-of-cycle menstruation indicates that Fire pathogen is forcing blood to circulate recklessly. It is imperative to urgently cool the blood and stop bleeding; do not wait until Spleen Qi is depleted, as regret will come too late.
During fever from smallpox/chickenpox, if menstruation flows irregularly, it is not the normal menstrual cycle. This is due to internal accumulation of toxic heat disturbing the Sea of Blood, forcing the vessels to bleed abnormally, causing menstruation to be untimely. One should use Xuanshen Dihuang Tang (Scrophularia and Rehmannia Decoction),
or Siwu Tang combined with Huanglian Jiedu Tang, focusing on cooling the blood, with the goal of stopping the bleeding. If bleeding persists for a long time, Spleen Qi weakness may lead to the sinking and entrapment of the toxin.
If fever coincides with the onset of menstruation, the accumulated impurities are expelled, and the toxin is lightly resolved and clearing. However, if it continues beyond four or five days, one must consider tonification; warming the meridians and tonifying Qi will naturally calm the heat.
When fever occurs and menstruation happens simultaneously, the accumulated waste is removed, and the toxin is mildly resolved; no specific treatment is needed. If it does not stop after four or five days, it is because Heat pathogen takes advantage of the emptiness of the Blood Chamber,
forcing blood to flow recklessly. One should first administer Xiaochaihu Tang with Sheng Dihuang (Minor Bupleurum Decoction plus Fresh Rehmannia) to clear heat from the Blood Chamber, followed by Shiquan Dabu Tang (Ten Significant Tonifying Decoction) to tonify Qi and Blood, ensuring the rash emerges evenly, rises easily, and crusts easily.
If menstruation stops abruptly during fever, it is due to the emptiness of the Blood Chamber, which predisposes to irritability and oppression. If delirium and unclear consciousness appear, it indicates Heat has entered the Uterus; medical intervention must not be delayed.
If menstruation stops exactly when fever begins, Chaihu Siwu Tang (Bupleurum and Four Substances Decoction) should be taken early to prevent the emptiness of the Blood Chamber, avoiding invasion by toxin pathogen which could cause other diseases. If chills and high fever set in, with unclear spirit,
delirious speech, and confused language, this is Heat entering the Blood Chamber. Use Siwu Tang combined with Daochi San (Guiding Out Redness Powder) alternately with Anshen Wan (Calming Spirit Pill).
Menstruation occurring once every three months is called Ju Jing (Resident Menses); such a long interval makes the body unable to withstand the assault of smallpox/chickenpox. One worries about stagnation in the Sea of Blood and hidden toxins in the Bao Men (Womb Gate).
Amenorrhea in women is called Ju Jing; fullness without discharge indicates pathology in the Heart and Spleen. The Classics state: Diseases of the Two Yang (Stomach and Large Intestine) originate in the Heart and Spleen, leading to amenorrhea in women. The toxin of smallpox/chickenpox originates in the Heart and is governed by the Spleen;
if the Heart and Spleen are diseased first, the Blood Chamber fails to function, and the Chong and Ren meridians accumulate filth. Once the fire of smallpox/chickenpox becomes depressed in the Mingmen (Gate of Life) and Bao Hu (Uterine House), preventing eruption, the toxin remains trapped,
leading to aberrant complications. Therefore, at the initial stage of fever, one must cleanse the stagnation using Taoren Chengqi Tang (Peach Kernel and Rhubarb Decoction), followed by regulation with Siwu Tang combined with Yunqi San (Harmonizing Qi Powder).
Prolonged metrorrhagia leads to blood depletion; discharge without fullness leaves one wondering if there is excess or deficiency. How can one endure a pandemic smallpox/chickenpox? Supporting the weak and stabilizing the precarious depends on subtle respiratory and vital adjustments.
If a woman has had continuous metrorrhagia, her Qi and Blood are already deficient. If she contracts pandemic smallpox/chickenpox, she cannot tolerate the toxin; the primary treatment must be massive tonification of Qi and Blood using Shiquan Dabu Tang (Ten Significant Tonifying Decoction). If the rash appears grayish-white, flat, and sunken,
difficult to rise and hard to crust, add 1-2 qian of Shu Fuzi (Prepared Aconite).
When the rash rises and forms pus, but menstruation suddenly starts, Qi scatters with Blood; how can it stop? If appetite is good and Stomach Qi is sufficient, there is little to worry about; but if appetite is poor, one must guard against sinking and entrapment patterns.
After the rash appears, it is best for both exterior and interior to be solid, and for food intake to increase. If, during the rising and pus-forming stage, menstruation suddenly occurs, people only fear that foul qi will attack healthy Qi alone, unaware that
the body's own blood deficiency is the issue. When blood is lost, Qi also becomes deficient, allowing toxin pathogen to sink internally. Only those with strong Yuan Qi and good appetite will avoid this change. For those with Qi deficiency and poor appetite, sinking patterns invariably occur; use Shiquan Dabu Tang (Ten Significant Tonifying Decoction). In severe deficiency cases, add Shu Fuzi (Prepared Aconite) and Lurong (Deer Antler Velvet).
Sudden aphonia during menstruation indicates toxin invasion; blood loss dries fluids, causing sudden loss of voice. Nourishing blood and unblocking the Heart restores speech; a moment of voice is worth a thousand gold.
In women with smallpox/chickenpox, if menstruation suddenly starts, sudden aphonia and inability to speak occur. The Heart governs blood, and the tongue is the sprout of the Heart; blood loss causes Heart deficiency, so the Shaoyin meridian cannot nourish the tongue,
resulting in sudden loss of voice and muteness. First, use Danggui Yangxin Tang (Angelica Tonifying Heart Decoction) to nourish Heart blood and open the Heart orifices, restoring speech naturally, then regulate with Shiquan Dabu Tang (Ten Significant Tonifying Decoction).
Rising phase accompanied by menstruation indicates aberrant symptoms; internal deficiency and sinking require early planning. Effective medicine hitting the target ensures auspicious outcomes; adverse signs and ignoring advice lead to discord.
Heavy menstruation prevents the rash from rising; if it is not plump, full, red, or vibrant, but instead flat, sunken, grayish-white, green-dry, or black-sunken, this is a sign of interior deficiency with re-entering toxin. Use Shiquan Dabu Tang (Ten Significant Tonifying Decoction) alternately with Duoming San (Life-Saving Powder). If the rash is plump, red, and bursting, or if a second wave emerges from empty pustules, it is an extremely auspicious omen; however, if accompanied by abdominal distension, wheezing, delirium, restlessness, shivering, teeth grinding, and cold extremities, death is certain.
Pregnancy with smallpox/chickenpox has authentic transmission; the priority is always fetal stabilization. Do not allow the fetus to move lightly; if the fetal root moves independently, life ends.
For pregnant women with smallpox/chickenpox, fetal stabilization is paramount; do not disturb the fetus. During initial fever, use Shen Su Yin (Ginseng and Perilla Drink) to disperse; after the rash appears, taking Antai Yin (Fetal Stabilizing Drink) is advisable. If rising and crusting are delayed, use Shiquan Dabu Tang (Ten Significant Tonifying Decoction) minus Rougui (Cinnamon Bark).
When the rash is at its peak and labor approaches, few know the rules; gently expelling lochia and tonifying Yuan Shen yields profound effects.
For pregnant women with smallpox/chickenpox at the peak stage who go into labor, the main treatment is massive tonification of Qi and Blood using Shiquan Dabu Tang (Ten Significant Tonifying Decoction). If there is slight abdominal pain, it indicates incomplete expulsion of lochia; use Shenghua Tang (Generation and Transformation Decoction) to cleanse it.
Postpartum smallpox/chickenpox: with the fetus gone, there is no need for anxiety. Rely solely on tonification for efficacy; avoid cold and anger to protect generating Qi.
For postpartum women with smallpox/chickenpox, the main treatment is massive tonification of Qi and Blood using Shiquan Dabu Tang (Ten Significant Tonifying Decoction). The Baishao (White Peony Root) should be stir-fried with good wine; do not recklessly use cold-natured herbs, as they damage the generating Qi.