〔汪〕前人谓小儿虚实不等,不可拘以日数,有热三日而成 ,有热六七日而生
者,有至十余日而生 者,但足上有 为出齐。出齐之后,长成血泡,血泡七日,
当结脓窠,苟或血泡之中,尚有红 点相夹而生,则又不可拘以日数,待其皆作血
泡为齐。血泡七日结脓窠,此乃荣卫调和,内外无诸感冒,方能如期,且如血泡正
作之际,遇天令寒暑燥湿风不节,气候异宜,因而迟速失序,亦不可拘以日数,但
以红点皆为血泡日为齐。若出血泡七日,病患气虚,尚有红点未能皆成血泡者,为
毒瓦斯弥盛而不敛,急用猪尾膏,则随时结痂 矣。〔万〕世俗谓几日发热,几日出
形,几日起发,几日作浆,几日收靥,此大略之言耳,痘有疏密,毒有微甚,人有
虚实,岂可一切拘以日数,如疮本疏者其毒微,其人中气实,又能食,自然易出易
靥,固不待于旬日者。如疮本密者,其毒甚,其人中气实,又能食,荣卫调和,内
外无诸伤犯,至十二三日,可以刻期收靥也。若其人中气虚,食少,或内外曾有伤
犯,或遇气候乖变,因而难靥,岂可必拘以日数哉。
闻人氏云∶禀气实者,夏酷暑而不甚畏热,冬严寒而不甚畏冷,禀气怯者,易
寒易热,天寒阴雨,则感寒湿而濡泻,天气稍炎,则伏热而中 。是故先知节候者,
能辨阴阳寒暑之盛衰,经云∶阳盛人耐冬不耐夏,阴盛人耐夏不耐冬。此亦知人禀
受之不同,且自立夏气变纯阳,万物盛大,治药者用热远热,如桂枝、麻黄之辈,
必加知母、升麻、石膏等服之,立冬气合纯阴,治药者用寒远寒,如用诸凉剂,
中病即止,不必尽剂。又如冬温暖则虚者安而实者病,夏寒凉则实者安而虚者病,
冬温暖、夏寒凉非节之气,来暴而去速,在人将摄之如何尔。如天大寒,盖覆
常宜温暖,勿使受寒,恐毒瓦斯为寒所触而不得出也,如天大热,不可盖覆,却宜清
凉,勿使客热与毒相并,致增烦躁,使疮溃烂也,如时有迅雷烈风豪雨之变,宜谨
帏帐,添盖覆,多烧辟秽香,以辟一时不正之气。卧处常要无风,又要通明,切
忌幽暗,夜静不断灯火,不离亲人看守,恐要饮食,一时得具,或有痒痛,与之抚
摩,恐他人未必尽心如法也。
闻人氏云∶木得桂则枯,雌黄遇胡粉则黑,柑得脯则坏,物之相畏,有如此者,
痘疮之畏秽恶杂气,其理亦如是也。房中淫 气、妇人经候气、狐臭漏腋气、醉
酒荤秽气、硫黄蚊药气、霉烂蒸湿气、误烧油发气、泼粪淋尿气、熬油煎卵气一
切腥臊气、五辛之气、远行染带之气,以上最宜避忌,仍令人谨伺门户,勿令生人
辄入,勿扫房室,勿动沟渠,勿启溷厕,勿烧脑、麝、酷烈诸香。仲景云∶疮痘
欲出之间,宜烧苍术、猪甲二物。床帐左右前后,宜挂胡荽,以酒喷之,或烧乳
香尤妙,盖荣卫得香则营运甚速,可使疮毒易出,苟防备一不如法,则祸患踵至,
欲出者使之不出,已出者斑烂成片,甚者疮黑陷伏,加以烂臭,痛如刀剜,闷乱而
死,其中纵得安者,亦令瘢痕经年黑色,或反成疥癣,不可不戒。凡痘疮初出,
即当禁戒房事,室中常烧辟秽香,令烟不绝,更多烧硬石,以水浇之,若有触犯,
疮或色变,或作痒者,以茵陈熏法解之。
辟秽香(灌浆) 茵陈熏法(起发)
〔袁〕治痘触变焦紫方
痘触变焦紫,倏时喘急起,急觅丝瓜皮,取末蜜调处,甘草地黄汤,一服痘更
起,若加烦 时,犀角磨汤水,此是四五朝,治触当如此,期若至七八,空壳触
必死,浆半犯触证,按验莫糊指。(丝瓜皮,须要看他未生筋时,取来燥干,临用只取皮、蒂为末。)
治触变灰白痘方
痘触变灰白,枭痒忍不得,附子紧黄 ,愈多功愈特,助药已备前,何须甚分
悉,凭君自摅奇,奇处如应敌。(此痘,须详察盘座,有元红则挽治得全,若无真元根缕,不
必疗治。)
治痘被月经触变方
痘正匈匈才翕浆,适为月水正当场,不知净洁相防护,致使花栏倏变常,月月
红花一样药,不分枝叶取煎汤,嫩杪煎汤投酒服,根枝浓沸活花郎,不消时刻还
归正,任汝经红触满床。
治痘被麝触痒方
麝香一触痒难熬,点点花心带黑椒,急把升麻苍耳草,浓煎慢浴转明饶,内托
应须求卫气,参 归芍橘甘遭,生地防风蝉蜕倍,红花赤豆共成标。(详考赤豆,非家种
赤小豆,是生于山谷,粒粗而扁,越人取而镶嵌首饰,色极红美,若无,以家赤大豆代之。)
治痘被尸厌触变方
死尸触变目番斜,痘必沉潜吐沫加,速把元荽并枣艾,为筒烧喷正灵家,外取
辰砂煮姜醴,时时引呷振栏花,虽然尸厌未戕痘,主此依然丽美葩。(愚治此痘,宜元荽
和辰砂姜酒服,外烧其方药,而辰砂性沉滞,善能振痘,不宜多服者也。)
治痘被客忤触变方
客忤相侵似若惊,啼号不歇面浑青,丝瓜细结含花者,露摘蒸来焙粉成,见证
蜜调多少服,随儿大小要详明,此时莫说丝瓜贱,一寸丝瓜一寸金。
治痘被兽惊缩方
痘五六朝,正要灌浆翕脓时候,偶为猫犬诸兽惊吓,而痘随缩匿,或色变为斜,
或形沉于底,盖心失其主而血不能以归辅,气弗协以充托也,急服乌龙散。
乌龙散方
乌龙散治痘中惊,惊系猪猫犬马形,只求远志菖蒲等,蝉脱须将水洗清,再加
醴酒频频煮去却菖蒲远志们,独留蝉脱研为末,砂糖调服酒含噙。
远志净一两,菖蒲净细实者一两,和酒煮熟,去二味,蝉蜕焙为末,将药酒进
服,再投鸡鸣散,无不全美者矣。
钱氏云∶凡疮疹,当乳母慎口,不可令饥及受风冷。闻人氏云∶凡人一日不食
则饥,触风冷则病,况小儿当疮痘之际,正欲赖谷气以助其内,避风寒以护其外,
苟谷气亏少,风寒侵袭,则为患可胜言哉。乳下婴儿,宜常令其母饮食充足,居处
避风,能食童子,专令老成耐事人时时管顾,虽然,事亦贵得其平,或者以失饥、
冒风寒为戒,遂致过饱极温,非徒无益,而又害之,疮痘之家,宜备知之。陈氏
云,痘疮发热,口干烦渴不止者,切不可与水吃,亦不宜与蜜、红柿、西瓜、橘
子等冷物食之。(若脉实,中有实热者,不必忌生冷。)痘疮欲靥已靥之间,忽不能靥,腹胀烦
渴,不可与水、蜜等冷物食之,或头温足指冷,或泻渴气促,亦不可与之。十
二日十三日,疮痂已落,其瘢犹黯,或凹或凸,肌肉尚嫩,不可澡浴,亦不宜食炙
爆物,酸辣五辛有毒之物,恐热毒熏膈,眼目多生翳障。海藏云∶世人徒知怜惜
过爱,信其俗而不药,病已成而方忧,摩抚从容,无所不从,岂知爱之适足以害之,
惜之适足以弃之,始不早治,治不全终,卒之殒毙,劳而无功,至是咎医,呜呼,
其计亦缪矣!
【汪】前人认为小儿的虚实状况各不相同,不能拘泥于固定的天数。有的发热三天就出疹,有的发热六七天才出疹,甚至有的要十多天才出疹,只要脚上出现红点就算出齐了。出齐之后,长成血泡,血泡持续七天,应当结成脓窠。如果血泡之中还有红点夹杂生长,那么又不可拘泥于天数,要等到所有红点都变成血泡才算出齐。血泡七天结脓窠,这是营卫调和、内外没有各种外感邪气干扰,才能如期完成。况且在血泡刚形成的时候,如果遇到天气寒暑燥湿风等气候异常,导致出疹快慢失序,也不可拘泥于天数,只需以红点全部变为血泡的日子作为出齐的标准。如果出了血泡七天,患者气虚,仍有红点未能全部变成血泡,这是因为毒瓦斯太盛而不能收敛,应立即使用猪尾膏,这样就能随时结痂。
【万】世俗说法称几天发热、几天出形、几天起发、几天作浆、几天收靥,这只是大略的说法。痘疮有疏密之分,毒气有轻重之别,人有虚实之异,怎么能一概拘泥于天数呢?比如痘疮本来稀疏的,毒气轻微,患者中气充实,又能进食,自然容易出疹也容易收靥,根本不需要等到十天。比如痘疮本来密集的,毒气严重,患者中气充实,又能进食,营卫调和,内外没有受到各种伤害,到了十二三天,就可以按期收靥。如果患者中气虚弱,吃得少,或者内外曾经受到过伤害,或者遇到气候反常,因而难以收靥,怎么能一定拘泥于天数呢?
闻人氏说:禀赋气实的人,夏天酷暑时不特别怕热,冬天严寒时不特别怕冷;禀赋气怯的人,容易受寒受热,天寒阴雨时,就会感受寒湿而患濡泻;天气稍热时,就会有伏热内蕴而中暑。所以先知节气变化的人,能辨别阴阳寒暑的盛衰。《内经》说:阳盛的人耐寒不耐热,阴盛的人耐热不耐寒。这也是因为人的禀受不同。况且从立夏开始,气候变为纯阳,万物盛大,用药者应“用热远热”(使用热性药物要避开炎热季节),如桂枝、麻黄这类药,必须加入知母、升麻、石膏等服用。立冬时气候合于纯阴,用药者应“用寒远寒”(使用寒性药物要避开寒冷季节),如使用各种凉剂,中病即止,不必服完整个疗程。又如冬天温暖则体虚者安适而体实者生病,夏天寒凉则体实者安适而体虚者生病。冬天温暖、夏天寒凉属于非节令之气,来得猛烈去得也快,关键在于人们如何调摄。如果天气大寒,覆盖衣物应当常宜温暖,不要使身体受寒,恐怕毒瓦斯被寒气所触而不能透发出来;如果天气大热,不可过度覆盖,却宜清凉,不要使客热与毒气相并,导致增加烦躁,使疮溃烂。如果时有迅雷烈风豪雨等变故,应当谨慎帷帐,添加盖覆,多烧辟秽香,以驱散一时不正之气。卧处常要无风,又要明亮,切忌幽暗,夜间灯火不断,不离亲人看守,恐怕需要饮食时能一时具备,或者感到痒痛时,有人为之抚摩,恐怕他人未必尽心且符合方法。
闻人氏说:木头遇到桂枝就会枯死,雌黄遇到胡粉就会变黑,柑橘遇到脯肉就会腐烂,事物之间的相畏,像这样的情况很多。痘疮畏惧秽恶杂气,道理也是如此。房中淫气、妇人经候气、狐臭漏腋气、醉酒荤秽气、硫黄蚊药气、霉烂蒸湿气、误烧油发气、泼粪淋尿气、熬油煎卵气、一切腥臊气、五辛之气、远行染带之气,以上这些最应该避忌。仍让人谨守门户,不要让外人随意进入,不要打扫房室,不要触动沟渠,不要开启厕所,不要烧脑、麝香、酷烈诸香。张仲景说:疮痘将要发出的时候,适宜烧苍术、猪甲两物。床帐左右前后,适宜挂胡荽,用酒喷洒,或者烧乳香尤其好,因为营卫得到香气则运行很快,可以使疮毒容易发出。如果防备有一点不符合法度,那么祸患就会接踵而至,想出的出不来,已出的斑烂成片,严重的疮黑陷伏,加上腐烂发臭,疼痛如刀剜,闷乱而死。其中即使得以平安的,也会留下瘢痕常年黑色,或者反而变成疥癣,不可不戒除。凡是痘疮初出,就应当禁戒房事,室内常烧辟秽香,让烟气不绝,再多烧硬石,用水浇它。如果有触犯,疮或变色,或发痒的,用茵陈熏法解除。
【袁】治疗痘疮触犯后变焦紫的方子
痘疮触犯后变焦紫,突然气喘急促发作,急忙寻找丝瓜皮,取粉末用蜂蜜调敷患处,甘草地黄汤,一服药后痘疮更起发。如果加上烦渴症状时,磨犀角用水煎服,这是在发病四五天的情况,治疗触犯应当如此。如果时期到了七八天,空壳痘被触犯必死,如果是半浆痘触犯证,按验不要含糊。(丝瓜皮,须要看它未生筋时,取来晒干,临用时只取皮、蒂研为末。)
治疗触犯后变灰白痘的方子
痘疮触犯变灰白,瘙痒难忍,附子紧黄(此处疑为笔误或特定术语,结合下文指附子用量或状态),愈多功效越独特,助药已在前面备好,何必分说得很详细,凭你自己施展奇招,奇妙之处如同应对敌人。(此痘,须详察盘座,有元红则可以挽回治疗痊愈,如果没有真元根缕,不必治疗。)
治疗痘疮被月经触犯变异的方子
痘疮正喧闹才吸浆,恰好遇到月经正当时,不知道洁净相互防护,致使花栏突然变得异常,每月都用红花一样的药,不分枝叶取来煎汤,嫩梢煎汤投酒服,根枝浓沸活花郎,不用片刻就回归正常,任凭你经血红触满床。
治疗痘疮被麝香触犯发痒的方子
麝香一触瘙痒难熬,点点花心带黑椒,急忙把升麻苍耳草,浓煎慢浴转明饶,内托应当求卫气,参归芍橘甘遭(此处疑为药味罗列不全或特定配伍),生地防风蝉蜕倍,红花赤豆共成标。(详考赤豆,非家种赤小豆,是生于山谷,粒粗而扁,越人取而镶嵌首饰,色极红美,若无,以家赤大豆代之。)
治疗痘疮被尸厌触犯变异的方子
死尸触犯变异目翻斜,痘必沉潜吐沫加,速把元荽并枣艾,为筒烧喷正灵家,外取辰砂煮姜醴,时时引呷振栏花,虽然尸厌未戕痘,主此依然丽美葩。(愚治此痘,宜元荽和辰砂姜酒服,外烧其方药,而辰砂性沉滞,善能振痘,不宜多服者也。)
治疗痘疮被客忤触犯变异的方子
客忤相侵似若惊,啼号不歇面浑青,丝瓜细结含花者,露摘蒸来焙粉成,见证蜜调多少服,随儿大小要详明,此时莫说丝瓜贱,一寸丝瓜一寸金。
治疗痘疮被兽惊吓收缩的方子
痘疮五六天,正要灌浆吸脓的时候,偶然被猫犬诸兽惊吓,而痘随之缩匿,或颜色变为斜,或形态沉于底,盖因心失其主而血不能归辅,气不协以充托也,急服乌龙散。
乌龙散方
乌龙散治痘中惊,惊系猪猫犬马形,只求远志菖蒲等,蝉脱须将水洗清,再加醴酒频频煮去却菖蒲远志们,独留蝉蜕研为末,砂糖调服酒含噙。
远志净一两,菖蒲净细实者一两,和酒煮熟,去二味,蝉蜕焙为末,将药酒进服,再投鸡鸣散,无不全美者矣。
钱氏说:凡是疮疹,当让乳母慎口,不可令婴儿饥饿及受风冷。闻人氏说:凡人一天不食则饥,触风冷则病,何况小儿在疮痘之际,正欲依赖谷气以助其内,避风寒以护其外,如果谷气亏少,风寒侵袭,那么为患岂可胜言哉。乳下婴儿,宜常令其母饮食充足,居处避风,能食童子,专令老成耐事人时时管顾,虽然,事情也贵在得其平,或许以失饥、冒风寒为戒,遂致过饱极温,不仅无益,反而有害,疮痘之家,宜备知之。陈氏说,痘疮发热,口干烦渴不止的,切不可给水吃,也不宜给蜜、红柿、西瓜、橘子等冷物食之。(如果脉实,中有实热的,不必忌生冷。)痘疮欲靥已靥之间,忽然不能收靥,腹胀烦渴,不可给水、蜜等冷物食之,或者头温足指冷,或者泻渴气促,也不可以与之。十二日十三日,疮痂已落,其瘢犹黯,或凹或凸,肌肉尚嫩,不可澡浴,也不宜食炙爆物,酸辣五辛有毒之物,恐怕热毒熏膈,眼目多生翳障。海藏说:世人只知道怜惜过爱,信其俗而不药,病已成而方忧,摩抚从容,无所不从,岂知爱之适足以害之,惜之适足以弃之,始不早治,治不全终,卒之殒毙,劳而无功,至是咎医,呜呼,其计亦缪矣!
[Wang] Predecessors stated that children's deficiency and excess conditions vary, so one cannot rigidly adhere to a fixed number of days. Some may develop rashes after three days of fever, some after six or seven days, and even some after ten-plus days; the criterion for completion is when red spots appear on the feet. After the rash is complete, blood blisters form. These blood blisters persist for seven days and should then form pustular crusts. If red spots are still interspersed within the blood blisters, one cannot rigidly adhere to the number of days; instead, wait until all red spots transform into blood blisters to consider it complete. Blood blisters forming pustular crusts after seven days indicates harmonious Ying (Nutritive) and Wei (Defensive) Qi, with no external pathogenic invasions internally or externally, allowing the process to proceed as scheduled. Moreover, during the initial formation of blood blisters, if weather conditions such as cold, heat, dryness, dampness, or wind are irregular, causing delays or accelerations in the rash progression, one cannot rigidly adhere to the number of days. The standard remains the day when all red spots become blood blisters. If, after seven days of blood blister formation, the patient has Qi deficiency and some red spots have not yet turned into blood blisters, it is because the toxic factors are too vigorous to consolidate. In this case, Zhuiwei Gao (Pig Tail Ointment) should be applied immediately to facilitate scabbing at any time.
[Wan] Popular belief holds that there are specific days for fever, rash emergence, eruption, pus formation, and crusting. This is merely a generalization. Rashes vary in density, toxins vary in severity, and patients vary in deficiency or excess. How can one rigidly apply a fixed timeline? For instance, if the rash is naturally sparse, the toxin is mild, the patient's Middle Jiao Qi is substantial, and they can eat, the rash will emerge and crust easily without needing ten days. Conversely, if the rash is dense, the toxin is severe, but the patient's Middle Jiao Qi is substantial, they can eat, and their Ying and Wei Qi are harmonized without internal or external injuries, they may crust by the twelfth or thirteenth day. However, if the patient has deficient Middle Jiao Qi, poor appetite, previous internal/external injuries, or encounters abnormal climate changes leading to difficulty in crusting, how can one insist on a fixed timeline?
Wenren Shi said: Those with robust constitution do not fear extreme heat in summer or extreme cold in winter. Those with weak constitution easily succumb to cold or heat; in cold rainy weather, they contract cold-dampness leading to loose stools; in slightly warm weather, latent heat accumulates leading to heatstroke. Thus, those who understand seasonal changes can distinguish the rise and fall of Yin-Yang and cold-heat. The Classic states: Those with Yang excess endure winter but not summer; those with Yin excess endure summer but not winter. This reflects different constitutions. From Lixia (Start of Summer), the climate becomes purely Yang, and things flourish. Physicians should "avoid heat when using hot remedies" (Yong Re Yuan Re); for example, when using herbs like Guizhi Tang (Cinnamon Twig Decoction) or Mahuang Tang (Ephedra Decoction), one must add Zhimu (Anemarrhenae Rhizoma), Shengma (Cimicifugae Rhizoma), and Shigao (Gypsum Fibrosum). At Lidong (Start of Winter), the climate aligns with pure Yin. Physicians should "avoid cold when using cold remedies" (Yong Han Yuan Han); when using cooling formulas, stop once the disease is addressed, without necessarily finishing the dose. Furthermore, in warm winters, the deficient feel comfortable while the excess get sick; in cool summers, the excess feel comfortable while the deficient get sick. Warm winters and cool summers are unseasonal energies that arrive violently and depart quickly; management depends on proper care. If extremely cold, keep covered warmly to avoid cold trapping the toxin inside; if extremely hot, avoid heavy covering to prevent external heat from combining with toxin, causing restlessness and ulceration. During storms or heavy rain, secure curtains, add coverings, and burn Huibi Xiang (Stale-Air-Dispersing Incense) to dispel aberrant qi. Sleeping areas should be draft-free but bright, never dark. Keep lights on at night and have family members watch over to ensure food availability or provide massage for itching/pain, as others may not be attentive enough.
Wenren Shi said: Wood withers with Guizhi (Cinnamomi Ramulus), Realgar turns black with Fuliang (Lead White), and citrus rots with dried meat. Things repel each other thus. Pox fears foul and mixed airs similarly. Avoid: sexual vapors, menstrual blood odor, fox-like underarm odor, drunken/fishy odors, realgar/mosquito coil fumes, moldy/damp air, burnt oil/hair fumes, feces/urine splashes, frying oil/eggs fumes, all fishy/offensive smells, Five Pungent Spices, and odors from travelers. Guard doors strictly; forbid strangers entry; do not sweep rooms, disturb drains, open latrines, or burn strong incenses like Nao (Borneol) or Shexiang (Moschus). Zhang Zhongjing said: When pox is about to emerge, burn Cangzhu (Atractylodis Rhizoma) and Zhu Jia (Porcinis Unguis). Hang Huyuan (Coriandri Fructus) around the bed, spray with wine, or burn Rushiang (Boswelliae Resina) for best results, as fragrance speeds Ying and Wei circulation, helping toxin emerge. Failure to follow precautions leads to disaster: eruptions fail to emerge, existing ones become necrotic patches, severe cases turn black and sunken with rotting odor, pain like knife wounds, leading to death from suffocation. Even survivors may have permanent black scars or eczema. One must beware. Upon initial eruption, abstain from sex, burn Huibi Xiang continuously, and heat hard stones with water. If contamination occurs causing color change or itching, use Yinchen Xun Fa (Artemisiae Scopariae Fumigation Method).
Huibi Xiang (for Pus Formation Stage) Yinchen Xun Fa (for Eruption Stage)
[Yuan] Formula for Pox Turning Purple upon Contamination
If pox turns purple and sudden asthma arises, seek loofah skin, powder it, mix with honey, and apply. Drink Gancu Dihuang Tang (Licorice and Rehmannia Decoction); one dose promotes eruption. If irritability/thirst appears (days 4-5), grind Xijiao (Rhinocerotis Cornu) in water. If days 7-8, empty-shell pox contaminated is fatal. For half-pus contamination, verify carefully. (Loofah skin must be harvested before veins form, dried, and only skin/stem powdered.)
Formula for Pox Turning Gray-White upon Contamination
If pox turns gray-white and unbearable itch arises, use Fuzi (Aconiti Lateralis Radix Preparata) tightly wrapped in yellow cloth; more yields greater effect. Supporting herbs are prepared previously. Examine the base: if original redness exists, it can be saved; if no true root, do not treat.
Formula for Pox Contaminated by Menstrual Blood
When pox is erupting and menstruation coincides, lack of cleanliness causes abnormal changes. Use Honghua (Carthami Flos) decoction monthly, regardless of parts. Young shoots decocted with wine restore normalcy quickly.
Formula for Pox Itching due to Musk Contamination
Musk contact causes unbearable itching with black specks. Immediately decoct Shengma (Cimicifugae Rhizoma) and Cang'er Cao (Xanthii Fructus) for slow bathing. Internally, support Wei Qi with Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Chenzhi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix), Shengdi (Rehmanniae Radix), Fangfeng (Saposhnikoviae Radix), Chan Tui (Cicadae Periostracum), Honghua (Carthami Flos), and Chi Dou (Phaseoli Semen Rubrum - specifically wild variety, coarse and flat, reddish; substitute with domestic red soybean if unavailable).
Formula for Pox Contaminated by Corpse Aura
Corpse contamination causes eye deviation and sinking pox with foaming. Quickly burn Yuan Sui (Coriandri Fructus) and Zao Ai (Ziziphi Jujubae Fructus with Artemisia) in a tube to fumigate. Externally, use Chen Sha (Cinnabar) boiled with ginger wine to sip frequently. Although corpse aura does not kill the pox directly, this treatment restores beauty. (I treat this by giving Yuan Sui, Chen Sha, and Ginger Wine internally, and burning the medicine externally. Chen Sha is heavy and sedating, good for raising pox, but should not be taken in large amounts.)
Formula for Pox Contaminated by Ke Wu (Alien Intrusion)
Ke Wu intrusion resembles fright, with crying and blue face. Use finely knotted loofah with flowers, dew-harvested, steamed, and baked to powder. Mix with honey according to age. Loofah is worth its weight in gold here.
Formula for Pox Shrinking due to Animal Fright
On days 5-6, during pus formation, if frightened by cats/dogs, pox shrinks, turns slanted, or sinks due to Heart losing mastery and Qi/Blood failing to support. Urgently administer Wulong San (Black Dragon Powder).
Wulong San Formula
Wulong San treats fright in pox caused by pigs, cats, dogs, horses. Use Yuanzhi (Polygalae Radix) and Changpu (Acori Tatarinowii Rhizoma), washed Chan Tui (Cicadae Periostracum). Boil with wine, remove Yuanzhi and Changpu, leave Chan Tui, powder it, and take with brown sugar and wine.
(Net Yuanzhi 1 liang, fine Changpu 1 liang, boil in wine, remove herbs, powder Chan Tui, take medicinal wine, then give Jiming San for full recovery.)
Qian Yi said: For all rashes, nurses must guard their diet and prevent hunger/cold exposure. Wenren Shi said: A person fasting one day gets hungry; touching cold/wind causes illness. Especially for infants with pox relying on grain Qi internally and avoiding wind/cold externally, deficiency of grain Qi and invasion of wind/cold cause great harm. Infants need mothers with sufficient diet and draft-free housing. Older children need careful supervision by experienced adults. Balance is key; overfeeding or overheating to avoid hunger/cold is harmful. Families must know this.
Chen Shi said: For pox fever with persistent dry mouth/thirst, do NOT give water, honey, persimmon, watermelon, or oranges. (Unless pulse is excess indicating internal heat, then cold is not forbidden.) Between crusting stages, if crusting fails, abdomen distends, thirst persists, do NOT give water/honey/cold foods. If head is warm but toes cold, or diarrhea/thirst/shortness of breath occur, do NOT give them. On days 12-13, after scabs fall, scars are dark/uneven, flesh tender. Do NOT bathe. Avoid roasted, fried, spicy, pungent, or toxic foods to prevent heat-toxin from affecting eyes (causing cataracts/opacities). Hai Zang said: People often spoil children with excessive love, believing folk customs over medicine. By the time illness is serious, they worry. They rub and soothe indiscriminately. Does this love not harm? Does this pity not abandon? Early treatment is missed, treatment is incomplete, death ensues, labor is vain, and doctors are blamed. Alas, their plan is flawed!