〔钱〕疮疹三日不出，或出不快，即微发之（鼠粘子汤之类。）如疮发后不多出，即加药
（如一日一帖即加至二帖。）加药不出，即大发之（升麻、葛根、防风、羌活、独活、
麻黄、桂枝之类。）如发后不多，及脉平无证，即疮本稀，不可更发也。有大热者当利小便（四圣
散、六一散、四苓、之类，）小热者当解毒，若不快，勿发，勿下攻，止用抱龙丸治之。〔娄〕
钱氏消毒散、化毒汤，《活人》鼠粘子汤，皆发疮痘温平温凉药，钱氏所谓微发之者是也。如微发
不出者，即就与前项药该每服二钱者，即加至三四钱，该每日二服者，即加至三四
服，如加药又不出者，即用升麻、葛根、麻黄、桂枝大发之。如大发后不多，及脉
平无事者，即疮稀不可更发。如脉洪有热，有大热者当用四圣、导赤、八正辈利小
便，有小热者当用芩、连及金花丸辈解毒。若利小便解毒后，又不快，则勿发勿下，
止用抱龙丸治之。此钱氏心法也。〔洁〕若出不快，清便自调，知其在表不在里，
当微发，升麻葛根汤。若青干黑陷，身不大热，大小便涩，则是热在内，煎大黄
汤下宣风散。若身表大热者，表证未罢，不可下。若 已出，见小热，小便不
利，当以八正散利之。
〔海〕太阳出不快（身之后也） 荆芥甘草防风汤。
阳明出不快（身之前也），升麻加紫草汤（圣惠方升麻、葛根加紫草。）
少阳出不快（身之侧也），连翘防风汤（即连翘散）。
四肢出不快 防风芍药甘草汤。
〔吕〕凡痘疮出不快者有五证，临病审而调之。一证，天时严寒，为寒所折，
不能起发，宜散寒温表，冬三月，寒甚，红 初见，宜五积散、正气散、参苏饮、
杨氏调解散（俱初热）、陈氏木香散（泄利）。一证，炎暑隆盛，烦渴昏迷，疮出不快，宜辰
砂五苓散煎生地黄、麦门冬汤调服。身热者，小柴胡加生地黄。热甚烦渴而便实者，
白虎加人参汤。轻者，人参竹叶汤加生地黄（俱伤寒）煎服。一证，服凉药损伤脾胃，
或胃虚吐利，当温中益气，宜理中汤（泄利）。吐利甚者加附子，或陈氏异功散（出不快）、木
香豆蔻丸（泄利）。一证，或成血 ，一半尚是红点，此毒瓦斯发越不透，必不能食，大
便如常者，宜半温里半助养之剂，用四圣散加减，及紫草木香汤、丝瓜汤、阮氏万
全散、汤氏安 汤。一证，外实之人，皮肤浓，肉腠密，毒瓦斯难以发泄，因出不
快，宜消毒饮、透肌散。如大便秘实，于消毒饮内加大黄、栀子仁煎服。疮出太
稠，宜犀角地黄汤、张氏解毒防风汤。血气不足，宜十奇散。咽嗌不利，宜如圣汤
加薄荷、枳壳。口中气热，咽痛口舌生疮，宜甘露饮子。惊风搐搦，宜抱龙丸。烦
渴，宜独参汤、黄 六一汤。
〔张〕疮已出而不遍匀者，闻人氏云∶惟透肌解毒，无壅塞之患，则自然出匀，
以必胜散、大紫草饮、胡荽酒之类主之。痘出不长，隐于肌肤者，人参透肌散
主之。出不快，有数证不同，内虚热极而不发者，朱汝明用四君子加黄 、紫草
发之。有内虚甚而生寒，大便利而出不快者，宜理中姜附辈以温之，则气不消剥，
自不伏陷。有内实而兼诸热证出不快者，用四圣散、加味四圣散、紫草饮子、紫草
木香汤、紫草木通汤、快斑散、丝瓜汤，俱可选用。或气实痰郁而发不出者，苍术、
白芷、防风、升麻、黄芩、芍药、连翘、当归（孰为主痰郁之药乎）等分煎服，兼化抱龙丸。
若毒根在里，或血气虚弱，或邪秽冲触内陷而出不快者，托里散。
彭氏云∶疹痘发未透，宜四君子汤加黄 、紫草、糯米煎，凡医百病，不可
损胃气，故用四君子及糯米等助其胃气。服此药后，若患者身全不热，又以菟丝
子醋制为末（方在后），大人一钱，小儿七分或三分托之，则痘疏疏出矣。此药大补助火，
不可多，多则托出太多矣。隐于肌肉不起，宜紫草饮子煎服，又不可过用，候三
日，齐后，以保元汤加好酒人乳一二服，最稳。紫草二两，细锉，以百沸汤一大
盏沃之，以器合定，勿令泄气，量儿大小，温温服。
〔微发〕
消毒散 治疮未出，或已出未能匀遍，又治一切疮，凉膈去痰，治咽喉痛。
牛蒡子（炒，三两） 甘草（炙，半两） 荆芥穗（二钱半）
上，同为粗末。每服三钱，水一盏半，煎七分，去滓温服。（海藏云∶此药皆温平之剂。
一云加防风薄荷）
鼠粘子汤 治小儿痘疮欲出，未能得透皮肤，热气攻咽喉，眼赤心烦。
鼠粘子（炒，四两） 荆芥穗 甘草（各一两） 防风（半两）
上为细末。沸汤点服，临卧。大利咽喉，化痰涎，止嗽，皆宜（海藏云，太阳、少阳之
剂，首论温平者此也）
又法 用牛蒡子炒熟为末，同荆芥煎服。
上三方，消毒饮加减法也。
化毒汤 治小儿痘疮，已出，未出，并宜服之。
紫草茸 升麻 甘草（炙，各等分）
上 咀。水二钟，粳米五十粒同煎。此阳明之药也。
（海藏云，出不快者、化毒汤。《本事方》用糯米、去粳米）
〔丹〕亚玉痘出两日，不甚透，食稍进，汗微出，热略减，但食物口中觉有恶味，此
出得迟，发未透，须微微表之。
升麻 甘草（炙） 紫草 白术 陈皮 芍药（炒，半钱）
作一帖，加少酒同煎，白芍须炒。见其大便虽出不多，却白、带溏滑。
透肌汤 治痘不透。
紫草 白芍药 升麻 秫米粉（炒。各半两）
上三方，皆化毒汤加减法也。
〔大发〕头面出不快，此太阳经也，当用荆芥、甘草、羌活、防风、天麻共
煎。胸胁出不快，此少阳经也，当用柴胡、黄芩、紫草、木通、紫苏共煎。四
肢出不快，此阳明经也，当用升麻、葛根、紫苏、芍药、甘草、连须葱白共煎。
遍身都出不快，当用九味羌活汤。以上四证，药味内各加姜葱为佐，连进二服，
痘出快矣。
九味羌活汤
羌活 防风 苍术 细辛（少） 白芷 黄芩 川芎 生地黄（宜以芍药易之） 甘草
水煎，量大小、轻重、加减。
〔散寒〕五积散 正气散 调解散（三方俱见初热）
〔清暑〕
辰砂五苓散 （五苓散、加辰砂细研末，是也）
人参竹叶汤 治夏月吐逆，烦躁口渴，心闷不宁，及疹后余热不退，小便赤，或赤
斑者。
人参 半夏 麦门冬 当归 淡竹叶（各等分）
上锉散。每服三钱，水一盏，生姜一片，煎服。
白虎汤
石膏（四两） 甘草节（八钱） 知母（一两六钱）
上为粗末。每服三钱，水一盏，粳米二十粒，同煎至半盏，去滓温服，不拘时。
加入人参一两二钱，名人参白虎汤。《圣惠方》加干葛。
小柴胡汤（发热）
〔攻里〕汪机云∶有红斑点出，日数未尽，其内实而肌热者，宜疏利之。
〔紫草例〕海藏云∶小儿疮疹，出未快，可浓煎紫草汁服。
按∶紫草通腠理，利九窍，凉血活血，故为痘家欲出未出必用之药，若出已
透而大便利者，忌之。
紫草散 发 疹。
钓藤钩子 紫草茸（各等分）
上为细末。每服一字，或五分、一钱，温酒调下，无时。
四圣散 治疮疹出不快及倒靥。一方，有黄 。
紫草茸 木通 甘草（炙） 枳壳（麸炒）
上等分，为粗末。每服一钱，水一钟，煎至八分，温服无时。（刘提点云∶疹痘最要大
小分晓，钱氏四圣散用木通、枳壳、极好，若大小流利，不必苦泥）
紫草回 散 小儿痘疹出不快，或倒靥，毒瓦斯入腹。
紫草茸 黄 桑白皮 木通 枳壳 白术（各等分）
上为粗末。每服三钱，水酒各半盏，麝香少许，同煎服。
紫草木通散 治小儿疮疹。
紫草 木通 人参 茯苓 粳米（各等分） 甘草（减半）
上为末。每服四钱，水煎。此小便不利之剂也。
人参蝉蜕散 治小便不利，疮痘不散，烦躁多渴，戛牙咬齿，气粗喘满。
人参 蝉蜕 白芍药 木通 赤茯苓 甘草 紫草茸（各等分）
上，用水煎服。
透肌散
紫草茸 绿升麻 粉甘草（各一钱）
上细切。水煎服。或与消毒饮同煎服，尤妙。
紫草透肌汤 治痘热而出不快，及顶陷者。
紫草（一钱） 升麻 木香（各五分） 牛蒡子 防风 荆芥 黄 （各八分） 甘草（三分）
上，姜水煎服。如色紫腹痛，加蝉蜕一钱。
紫草快 汤 治痘疹血气不足，不能发出，色不红活等证。（即紫草汤）
紫草 人参 白术 茯苓 当归 川芎 芍药 木通 甘草 糯米
上，每服二钱，水煎。
乌金膏 治发热至七日以前，或因风寒，痘不起发，或红紫，或惊搐，俱可用。
僵蚕（酒洗） 全蝎（去足尾，酒洗） 甘草 紫草 白附子（味苦内白者真） 麻黄（各五钱）
穿山甲（炒、末，二钱半） 蝉蜕（去头足，酒洗净，二钱）
上为末，将红花、紫草各一两，好酒二钟，熬去大半，去滓，入蜜五两，慢火
同熬，滴水成珠为度，丸如龙眼核大。每服一丸，灯心汤化下。
紫金散 治痘疮出不快，及倒靥，亦治远年不愈恶疮。
紫草 蛇蜕（炒焦） 牛蒡子（炒。各五钱）
上为细末。每服一钱，水半钟，煎减半，温服。
独胜散（初热）
萝卜汤 治痘疹出不快者。
上，用开花萝卜煎汁，时时饮之。盖痘疹气匀即出快，萝卜治嗽定喘，下气消胀，解毒。
野通散 治痘疮出不快，及伤寒不语。
干野人粪（即猕猴粪，火烧、存性） 冰片 真麝香（各等分）
上为细末。每服五分，看大小，用新汲水入蜜调下。十岁以上者，服一钱。
按∶野人粪治蜘蛛咬疮，此治痘出不快大效。若蜘蛛咬疮久而不愈，其丝生皮肤，
延蔓遍身不愈者，加雄黄、青黛水调，以蜘蛛试之，立化为水，屡验，盖此三
味，是治疮疹当用之药，取山中者，若人家所养之猴，食物味杂，即不效，失其
本真也。
补虚例
〔丹〕勉奴痘已出，第三日色淡不肯发，此血气俱虚，与此方。
人参 诃子（煨。各一钱） 白术（炒） 黄 （酒炙） 当归身（酒洗，各二钱） 陈皮（二分）
甘草（炙，少许） 豆蔻（煨，一钱半）
上煎。入好酒些少，饮之。
六一汤（见灌浆）
秘传大透肌散
人参 芍药 川芎 甘草 茯苓 白术 木通 陈皮 黄 糯米
上，各等分，为粗散。每服四钱，水煎服。
〔活〕活血散 治疮子，或出不快，用白芍药末酒调，如欲止痛，只用温热水调，咽
下。（海藏云，张和之治四肢出不快，加防风大效，此证、乃太阴药也）
〔世〕四物汤 治痘疮出不快，不甚红活，不起根窠，缘血虚故也，此药能活血，调
顺痘疾，无如此方，自古及今，用之如宝，只加甘草服之。
通天散 治痘发热不出，或已出而色不红活。
人参 陈皮 桂枝（各八分） 川芎 熟地黄 芍药（各一钱） 当归 紫草（各一钱半） 红花
木香（各三分） 甘草（六分） 知母（八分） 荔枝壳（十个）
上，用鸡汁一钟，枣三枚，糯米一撮，煎服。初服到颈，再服到脐，三服到脚，
神效。
人参透肌散 治痘疮虚而有热，虽能出快，长不齐整，隐于肌肤间者。
人参 紫草（如无，以红花代之） 白术 茯苓 当归 芍药 木通 蝉蜕 甘草 糯
米（各等分）
上，每服三钱，水一盏半，煎半盏，徐徐服。
升均汤 治痘疮已出不均，或吐泻热渴。
升麻 干葛 芍药 人参 白术 茯苓 甘草 紫草茸（如无，红花代之）
上，每服三五钱，姜水煎，量服之。
秘方 菟丝子一味，醋浸一宿，焙干为末，发热时每一岁儿服七分，量儿大小加减，
好酒调服。甚易发、易胀、易靥，且后无余证。此方，气血弱者未出之先可用，
既出之后不可用，用则托出太多。此方，系胡黄谷祖仰山公宦游广东得之，用
者百发百中，但元气浓者，服之不免太密，乃大补助火故也。或曰痘未出之先既
可服此，又奚取于保婴丹乎，殊不知保婴以解毒而使之稀，此则气血弱，不能出
者，服此而托之使出也。
又方 腊月梅花，将开时采，晒干为末，炼蜜为丸，未出之先、量儿大小三四服，
可令豆稀，加朱砂尤妙。
二花散 治痘疹已出未出，不发不起，隐在皮肤之间，热证并治。
梅花（一两，阴干） 丝瓜（五钱，阴干） 桃花（五钱，阴干） 朱砂（二钱，水飞过）
甘草（一钱，去皮，火煨）
上为细末。每服五分半，未痘时，蜜水调下。
服前药仍不快，无诸恶候者，可服八味二花散。（见大法）
〔虚寒例〕
〔丹〕女子疟后出痘，血气俱虚，又值冬寒，热易退，不出。
丁香（五粒） 附子 肉桂 陈皮 当归（酒洗。各五分） 人参（半两） 黄 （一钱）
甘草（炙，二分）
〔陈〕异功散 治痘疮已出之间，不光泽，不起发，根窠不红，谓之表虚。
木香 当归（各三钱） 桂枝 白术 茯苓（各二钱） 陈皮（去白） 浓朴（姜制） 人参（去芦） 肉
【钱乙】疮疹发出三天后仍未出齐，或出得不顺畅，应当轻微发汗（如使用鼠粘子汤之类的方剂）。如果疮疹发出后数量不多，就增加药量（例如原本每日一剂，就增加到两剂）。增加药量后仍不出，就要大力发汗（使用升麻、葛根、防风、羌活、独活、麻黄、桂枝等药物）。如果发汗后仍然出得少，且脉象平和没有其它病症，说明疮疹本来就很稀疏，不可再强行发汗。如果有大热症状，应当通利小便（使用四圣散、六一散、四苓散之类）；小热症状应当解毒。如果依然出不畅，不要发汗，也不要攻下，只需用抱龙丸治疗。
【娄全善】钱乙的消毒散、化毒汤，《伤寒百问》中的鼠粘子汤，都是性质平和或偏凉的发痘疹药物，这就是钱乙所说的“微发之”。如果轻微发汗后仍不出，就将原本每服二钱的药量增加到三至四钱，原本每日服用两次的增加到三至四次。如果加量后仍不出，就用升麻、葛根、麻黄、桂枝大力发汗。如果大力发汗后仍然出得少，且脉象平和无事，说明疮疹稀疏，不可再发汗。如果脉象洪大且有热，有大热症状时应当用四圣散、导赤散、八正散等通利小便；有小热症状时应当用黄芩、黄连及金花丸等解毒。如果通利小便和解毒后仍不畅，则不要发汗也不要攻下，只用抱龙丸治疗。这是钱乙的心法。
【李杲】如果出得不顺畅，大小便正常，知道病邪在表不在里，应当轻微发汗，用升麻葛根汤。如果痘色青紫干枯、黑陷，身体不大热，大小便涩滞，这是热邪在内部，煎大黄汤送服宣风散。如果体表大热，表证未解，不可攻下。如果已经发出，见小热，小便不利，应当用八正散通利小便。
【张元素】太阳经部位出得不快（指背部），用荆芥甘草防风汤。阳明经部位出得不快（指胸腹部），用升麻加紫草汤（即《太平惠民和剂局方》的升麻、葛根加紫草）。少阳经部位出得不快（指身体侧面），用连翘防风汤（即连翘散）。四肢出得不快，用防风芍药甘草汤。
【吕复】凡是痘疮出得不快的有五种证候，临证时要仔细审查并调理。第一种证候：天气严寒，被寒气遏制，不能起发，宜散寒温表。冬季三个月，寒气很重，红点刚出现，宜用五积散、正气散、参苏饮、杨氏调解散（以上均用于初热阶段）、陈氏木香散（用于泄泻）。第二种证候：暑气旺盛，烦渴昏迷，痘出不快，宜用辰砂五苓散煎生地黄、麦门冬汤调服。身体热的，用小柴胡汤加生地黄。热甚烦渴且大便实结的，用白虎加人参汤。轻症的，用人参竹叶汤加生地黄煎服（以上均用于伤寒阶段）。第三种证候：服用凉药损伤脾胃，或胃虚导致呕吐泄泻，当温中益气，宜用理中汤（用于泄泻）。吐泻严重的加附子，或用陈氏异功散（用于出不快）、木香豆蔻丸（用于泄泻）。第四种证候：有的形成血疱，一半还是红点，这是毒气发散不透，必然不能进食，大便正常的，宜用半温里半助养的方剂，用四圣散加减，以及紫草木香汤、丝瓜汤、阮氏万全散、汤氏安宫牛黄丸。第五种证候：外实之人，皮肤厚，肌肉致密，毒气难以发泄，因而出得不快，宜用消毒饮、透肌散。如果大便秘结，在消毒饮内加大黄、栀子仁煎服。疮出太稠密的，宜用犀角地黄汤、张氏解毒防风汤。血气不足的，宜用十奇散。咽喉不利的，宜用如圣汤加薄荷、枳壳。口中气热，咽痛口舌生疮的，宜用甘露饮子。惊风抽搐的，宜用抱龙丸。烦渴的，宜用独参汤、黄芪六一汤。
【张景岳】疮已发出但不均匀，闻人氏说：只要透肌解毒，没有壅塞的隐患，自然就会出得均匀，以必胜散、大紫草饮、胡荽酒等为主治。痘出不长，隐于肌肤下的，用人参透肌散主治。出得不快，有多种不同证候。内虚热极而不发的，朱汝明用四君子汤加黄芪、紫草发之。有内虚严重而生寒，大便通畅但出得不快的，宜用理中汤加姜、附子等温补，这样气不消剥，自然不伏陷。有内实兼诸热证出得不快的，可用四圣散、加味四圣散、紫草饮子、紫草木香汤、紫草木通汤、快斑散、丝瓜汤，均可选用。或者是气实痰郁而发不出的，用苍术、白芷、防风、升麻、黄芩、芍药、连翘、当归（哪一味是化痰郁的主药？）等分煎服，兼服化抱龙丸。如果毒根在里，或者血气虚弱，或者邪秽冲触导致内陷而出不快，用托里散。
彭氏说：疹痘发未透，宜用四君子汤加黄芪、紫草、糯米煎服。凡医治百病，不可损伤胃气，所以用四君子及糯米等帮助胃气。服用此药后，如果患者全身不热，又用菟丝子醋制为末（方子在后面），成人一钱，小儿七分或三分托举之，则痘会稀疏地出来。此药大补助火，不可多用，多用则托出太多。隐于肌肉不起的，宜用紫草饮子煎服，也不可用过久，等到三天后，齐头结痂后，用保元汤加好酒、人乳一二服，最稳妥。紫草二两，细锉，用滚水一大盏浸泡，用器皿盖好，勿令泄气，根据孩子大小，温热服用。
【微发法】
消毒散：治疗疮未出，或已出未能均匀，也治疗一切疮疡，凉膈去痰，治咽喉痛。
牛蒡子（炒，三两） 甘草（炙，半两） 荆芥穗（二钱半）
以上捣为粗末。每次服三钱，水一盏半，煎至七分，去渣温服。（海藏说：此药都是温平的药剂。一说加防风、薄荷）
鼠粘子汤：治疗小儿痘疮欲出，未能透达皮肤，热气攻咽喉，眼赤心烦。
鼠粘子（炒，四两） 荆芥穗 甘草（各一两） 防风（半两）
以上为细末。沸水冲服，睡前服用。大利咽喉，化痰涎，止嗽，都适宜（海藏说，这是太阳、少阳的药剂，首论温平的就是这个）
又法：用牛蒡子炒熟为末，同荆芥煎服。
以上三方，是消毒饮的加减法。
化毒汤：治疗小儿痘疮，已出或未出，都适宜服用。
紫草茸 升麻 甘草（炙，各等分）
以上切碎。水二钟，粳米五十粒同煎。这是阳明经的药。（海藏说，出不快的用化毒汤。《本事方》用糯米，去掉粳米）
【丹波元坚/丹溪学派观点】亚玉痘出两天，不太透，饮食稍进，汗微出，热略减，但食物在口中觉得有恶味，这是出得迟，发未透，须微微表之。
升麻 甘草（炙） 紫草 白术 陈皮 芍药（炒，半钱）
作一帖，加少许酒同煎，白芍必须炒。见其大便虽然出不多，却白、带溏滑。
透肌汤：治疗痘不透。
紫草 白芍药 升麻 秫米粉（炒。各半两）
以上三方，都是化毒汤的加减法。
【大发法】头面出不快，这是太阳经，应当用荆芥、甘草、羌活、防风、天麻共煎。胸胁出不快，这是少阳经，应当用柴胡、黄芩、紫草、木通、紫苏共煎。四肢出不快，这是阳明经，应当用升麻、葛根、紫苏、芍药、甘草、连须葱白共煎。遍身都不快，应当用九味羌活汤。以上四证，药味内各加姜葱为佐使，连服两剂，痘出就快了。
九味羌活汤
羌活 防风 苍术 细辛（少量） 白芷 黄芩 川芎 生地黄（宜用芍药代替） 甘草
水煎，根据年龄大小、病情轻重，加减用量。
【清暑法】
辰砂五苓散 （即五苓散，加辰砂细研末）
人参竹叶汤：治疗夏季呕吐逆乱，烦躁口渴，心闷不宁，以及疹后余热不退，小便赤，或出赤斑者。
人参 半夏 麦门冬 当归 淡竹叶（各等分）
以上锉散。每次服三钱，水一盏，生姜一片，煎服。
白虎汤
石膏（四两） 甘草节（八钱） 知母（一两六钱）
以上为粗末。每次服三钱，水一盏，粳米二十粒，同煎至半盏，去渣温服，不拘时候。
加入人参一两二钱，名人参白虎汤。《圣惠方》加干葛。
【攻里法】汪机说：有红斑点出，日数未尽，其内实而肌热者，宜疏利之。
【紫草药例】海藏说：小儿疮疹，出未快，可浓煎紫草汁服。
按语：紫草通腠理，利九窍，凉血活血，故为痘家欲出未出必用的药，若出已透而大便通畅者，忌用。
紫草散：发疹。
钓藤钩子 紫草茸（各等分）
以上为细末。每次服一字，或五分、一钱，温酒调下，不限时候。
四圣散：治疗疮疹出不快及倒靥（痘顶凹陷）。一方，有黄芪。
紫草茸 木通 甘草（炙） 枳壳（麸炒）
以上等分，为粗末。每次服一钱，水一钟，煎至八分，温服不限时候。（刘提点说：疹痘最重要的是分清大小便是否通利，钱氏四圣散用木通、枳壳极好，若大小便流利，不必苦寒泥滞）
紫草回春散：治疗小儿痘疹出不快，或倒靥，毒瓦斯入腹。
紫草茸 黄芪 桑白皮 木通 枳壳 白术（各等分）
以上为粗末。每次服三钱，水酒各半盏，麝香少许，同煎服。
紫草木通散：治疗小儿疮疹。
紫草 木通 人参 茯苓 粳米（各等分） 甘草（减半）
以上为末。每次服四钱，水煎。这是治疗小便不利的药剂。
人参蝉蜕散：治疗小便不利，疮痘不散，烦躁多渴，咬牙咬齿，气粗喘满。
人参 蝉蜕 白芍药 木通 赤茯苓 甘草 紫草茸（各等分）
以上用水煎服。
透肌散
紫草茸 绿升麻 粉甘草（各一钱）
以上细切。水煎服。或与消毒饮同煎服，尤其妙。
紫草透肌汤：治疗痘热而出不快，及顶陷者。
紫草（一钱） 升麻 木香（各五分） 牛蒡子 防风 荆芥 黄芪（各八分） 甘草（三分）
以上，姜水煎服。如色紫腹痛，加蝉蜕一钱。
紫草快斑汤：治疗痘疹血气不足，不能发出，色不红活等证。（即紫草汤）
紫草 人参 白术 茯苓 当归 川芎 芍药 木通 甘草 糯米
以上，每次服二钱，水煎。
乌金膏：治疗发热至七日以前，或因风寒，痘不起发，或红紫，或惊搐，都可用。
僵蚕（酒洗） 全蝎（去足尾，酒洗） 甘草 紫草 白附子（味苦内白者为真品） 麻黄（各五钱）
穿山甲（炒、末，二钱半） 蝉蜕（去头足，酒洗净，二钱）
以上为末，将红花、紫草各一两，好酒二钟，熬去大半，去渣，入蜜五两，慢火同熬，滴水成珠为度，丸如龙眼核大。每次服一丸，灯心汤化下。
紫金散：治疗痘疮出不快，及倒靥，也治多年不愈的恶疮。
紫草 蛇蜕（炒焦） 牛蒡子（炒。各五钱）
以上为细末。每次服一钱，水半钟，煎减半，温服。
独胜散（用于初热）
萝卜汤：治疗痘疹出不快者。
以上，用开花萝卜煎汁，时时饮之。因为痘疹气匀即出快，萝卜治嗽定喘，下气消胀，解毒。
野通散：治疗痘疮出不快，及伤寒不语。
干野人粪（即猕猴粪，火烧存性） 冰片 真麝香（各等分）
以上为细末。每次服五分，看年龄大小，用新汲水入蜜调下。十岁以上者，服一钱。
按语：野人粪治蜘蛛咬疮，此治痘出不快大效。若蜘蛛咬疮久而不愈，其丝生皮肤，延蔓遍身不愈者，加雄黄、青黛水调，以蜘蛛试之，立化为水，屡验，盖此三味，是治疮疹当用的药，取山中者，若人家所养之猴，食物味杂，即不效，失其本真也。
【补虚例】
【丹溪】勉奴痘已出，第三日色淡不肯发，这是血气俱虚，给与此方。
人参 诃子（煨。各一钱） 白术（炒） 黄芪（酒炙） 当归身（酒洗，各二钱） 陈皮（二分）
甘草（炙，少许） 豆蔻（煨，一钱半）
以上煎。入好酒少许，饮之。
六一汤（见灌浆阶段）
秘传大透肌散
人参 芍药 川芎 甘草 茯苓 白术 木通 陈皮 黄芪 糯米
以上，各等分，为粗散。每次服四钱，水煎服。
【活套/张子和】活血散：治疗疮子，或出不快，用白芍药末酒调，如欲止痛，只用温热水调，咽下。（海藏说，张和之治四肢出不快，加防风大效，此证、乃太阴药也）
【世医】四物汤：治疗痘疮出不快，不甚红活，不起根窠，缘血虚故也，此药能活血，调顺痘疾，无如此方，自古及今，用之如宝，只加甘草服之。
通天散：治疗痘发热不出，或已出而色不红活。
人参 陈皮 桂枝（各八分） 川芎 熟地黄 芍药（各一钱） 当归 紫草（各一钱半） 红花
木香（各三分） 甘草（六分） 知母（八分） 荔枝壳（十个）
以上，用鸡汁一钟，枣三枚，糯米一撮，煎服。初服到颈，再服到脐，三服到脚，神效。
人参透肌散：治疗痘疮虚而有热，虽能出快，长不齐整，隐于肌肤间者。
人参 紫草（如无，以红花代之） 白术 茯苓 当归 芍药 木通 蝉蜕 甘草 糯米（各等分）
以上，每次服三钱，水一盏半，煎半盏，徐徐服。
升均汤：治疗痘疮已出不均，或吐泻热渴。
升麻 干葛 芍药 人参 白术 茯苓 甘草 紫草茸（如无，红花代之）
以上，每次服三五钱，姜水煎，量服之。
秘方：菟丝子一味，醋浸一宿，焙干为末，发热时每一岁儿服七分，量儿大小加减，好酒调服。甚易发、易胀、易靥，且后无余证。此方，气血弱者未出之先可用，既出之后不可用，用则托出太多。此方，系胡黄谷祖仰山公宦游广东得之，用者百发百中，但元气浓者，服之不免太密，乃大补助火故也。或曰痘未出之先既可服此，又奚取于保婴丹乎，殊不知保婴以解毒而使之稀，此则气血弱，不能出者，服此而托之使出也。
又方：腊月梅花，将开时采，晒干为末，炼蜜为丸，未出之先、量儿大小三四服，可令豆稀，加朱砂尤妙。
二花散：治疗痘疹已出未出，不发不起，隐在皮肤之间，热证并治。
梅花（一两，阴干） 丝瓜（五钱，阴干） 桃花（五钱，阴干） 朱砂（二钱，水飞过）
甘草（一钱，去皮，火煨）
以上为细末。每次服五分半，未痘时，蜜水调下。
服前药仍不快，无诸恶候者，可服八味二花散。（见大法）
【虚寒例】
【丹溪】女子疟后出痘，血气俱虚，又值冬寒，热易退，不出。
丁香（五粒） 附子 肉桂 陈皮 当归（酒洗。各五分） 人参（半两） 黄芪（一钱）
甘草（炙，二分）
【陈文中】异功散：治疗痘疮已出之间，不光泽，不起发，根窠不红，谓之表虚。
木香 当归（各三钱） 桂枝 白术 茯苓（各二钱） 陈皮（去白） 浓朴（姜制） 人参（去芦） 肉
[Qian Yi] If the sores and rashes have not fully erupted after three days, or if their eruption is sluggish, a mild diaphoretic method should be employed (such as using formulas like Niu Bang Zi Tang). If the sores erupt but in insufficient numbers, the dosage of the medication should be increased (for example, increasing from one dose per day to two doses). If they still do not erupt after increasing the dosage, a vigorous diaphoretic method should be used (using herbs such as Sheng Ma, Ge Gen, Fang Feng, Qiang Huo, Du Huo, Ma Huang, Gui Zhi). If, after vigorous sweating, the eruption remains sparse and the pulse is calm without other symptoms, it indicates that the sores are naturally sparse, and further forcing of eruption should be avoided. In cases of high fever, promoting urination is indicated (using formulas such as Si Sheng San, Liu Yi San, Si Ling San). For mild heat, resolving toxicity is indicated. If eruption remains sluggish despite this, neither diaphoresis nor purgation should be used; instead, Bao Long Wan should be administered.
[Lou Quanshan] Qian Yi's Xiao Du San, Hua Du Tang, and the Shu Niu Zi Tang from *Bai Wen Fang* are all formulas with neutral or cool properties for inducing the eruption of smallpox/rubella, which corresponds to Qian Yi's concept of "mild diaphoresis." If mild diaphoresis fails to induce eruption, the dosage should be increased from two qian per dose to three or four qian, and from twice daily to three or four times daily. If eruption still does not occur after increasing the dosage, vigorous diaphoresis with Sheng Ma, Ge Gen, Ma Huang, and Gui Zhi should be employed. If, after vigorous diaphoresis, the eruption remains sparse and the pulse is calm, indicating no serious pathology, the sparsity suggests that further induction is unnecessary. If the pulse is surging and heat is present, for high fever, promoting urination with Si Sheng San, Dao Chi San, or Ba Zheng San is indicated; for mild heat, resolving toxicity with Huang Qin, Huang Lian, or Jin Hua Wan is indicated. If eruption remains sluggish after promoting urination and resolving toxicity, neither diaphoresis nor purgation should be used; only Bao Long Wan should be administered. This is the core methodology of Qian Yi.
[Li Dongyuan] If eruption is sluggish but bowel movements and urination are normal, the pathogen is located in the exterior rather than the interior, and mild diaphoresis with Sheng Ma Ge Gen Tang is indicated. If the lesions are cyanotic, dry, black, and depressed, with little body heat and obstructed urination and defecation, the heat is internal; Da Huang Tang administered with Xuan Feng San is indicated. If there is significant surface heat, the exterior syndrome has not resolved, and purgation is contraindicated. If lesions have erupted with mild heat and obstructed urination, Ba Zheng San should be used to promote urination.
[Zhang Yuansu] Sluggish eruption on the Taiyang meridian area (the back) is treated with Jing Jie Gan Cao Fang Feng Tang. Sluggish eruption on the Yangming meridian area (the front of the chest and abdomen) is treated with Sheng Ma Jia Zi Cao Tang (Sheng Ma, Ge Gen, plus Zi Cao from *Tai Ping Hui Min He Ji Ju Fang*). Sluggish eruption on the Shaoyang meridian area (the sides of the body) is treated with Liao Qiao Fang Feng Tang (i.e., Liao Qiao San). Sluggish eruption on the four limbs is treated with Fang Feng Shao Yao Gan Cao Tang.
[Lv Fu] There are five syndromes causing sluggish eruption of smallpox/rubella, which must be carefully differentiated and treated clinically. First syndrome: Severe cold weather suppresses the eruption due to cold pathogens. Dispersing cold and warming the exterior is indicated. During the winter months, when cold is severe and red spots first appear, Wu Ji San, Zheng Qi San, Shen Su Yin, Yang Shi Jie Du San (all for initial heat stage), or Chen Shi Mu Xiang San (for diarrhea) are indicated. Second syndrome: Intense summer heat causes irritability, thirst, coma, and sluggish eruption. Chen Sha Wu Ling San decocted with Sheng Di Huang and Mai Men Dong for mixing is indicated. For those with body heat, Xiao Chai Hu Tang plus Sheng Di Huang is used. For severe heat, irritability, thirst, and constipation, Bai Hu Jia Ren Shen Tang is used. For mild cases, Ren Shen Zhu Ye Tang plus Sheng Di Huang is decocted and taken (all for typhoid stage). Third syndrome: Damage to the spleen and stomach by cooling herbs, or stomach deficiency leading to vomiting and diarrhea, requires warming the middle and boosting qi. Li Zhong Tang is indicated (for diarrhea). For severe vomiting and diarrhea, Fu Zi is added, or Chen Shi Yi Gong San (for sluggish eruption) or Mu Xiang Dou Kou Wan (for diarrhea) are used. Fourth syndrome: Formation of blood blisters where half remain as red spots indicates incomplete dispersion of toxic qi. The patient cannot eat, but bowel movements are normal. A formula that half-warms the interior and half-nourishes is indicated, such as modified Si Sheng San, Zi Cao Mu Xiang Tang, Si Gua Tang, Ruan Shi Wan Quan San, or Tang Shi An Gong Niu Huang Wan. Fifth syndrome: Individuals with strong constitutions, thick skin, and dense pores find it difficult to excrete toxic qi, leading to sluggish eruption. Xiao Du Yin and Tou Ji San are indicated. If constipation is present, Da Huang and Zhi Zi Ren are added to Xiao Du Yin. For excessively dense eruptions, Xi Jiao Di Huang Tang or Zhang Shi Jie Du Fang Feng Tang are indicated. For deficiency of qi and blood, Shi Qi San is indicated. For throat obstruction, Ru Sheng Tang plus Bo He and Zhi Ke is used. For hot breath in the mouth, sore throat, and ulcers on the tongue and mouth, Gan Lu Yin Zi is indicated. For convulsions and spasms, Bao Long Wan is indicated. For irritability and thirst, Du Shen Tang or Huang Qi Liu Yi Tang is indicated.
[Zhang Jingyue] If sores have erupted but are uneven, Wen Ren Shi stated: As long as the muscles are penetrated and toxicity is resolved without obstruction, the eruption will naturally become even. Bi Sheng San, Da Zi Cao Yin, and Hu Sui Jiu are primarily used. If smallpox/rubella does not grow well and hides under the skin, Ren Shen Tou Ji San is indicated. Sluggish eruption presents with various syndromes. If internal deficiency leads to extreme heat preventing eruption, Zhu Ru Ming uses Si Jun Zi Tang plus Huang Qi and Zi Cao to induce eruption. If severe internal deficiency generates cold, with free stool but sluggish eruption, Li Zhong Tang plus Jiang (Ginger) and Fu Zi is used to warm the body, preventing qi depletion and depression. If internal excess combined with various heat signs causes sluggish eruption, Si Sheng San, Jia Wei Si Sheng San, Zi Cao Yin Zi, Zi Cao Mu Xiang Tang, Zi Cao Mu Tong Tang, Kuai Ban San, or Si Gua Tang can be selected. If qi excess and phlegm stagnation prevent eruption, Cang Zhu, Bai Zhi, Fang Feng, Sheng Ma, Huang Qin, Shao Yao, Liao Qiao, and Dang Gui (with one herb serving as the primary agent for resolving phlegm stagnation) are decocted in equal parts, along with Hua Bao Long Wan. If the root of toxicity is internal, or qi and blood are weak, or foul pathogens cause internal depression leading to sluggish eruption, Tuo Li San is indicated.
Peng Shi stated: For rash/smallpox that has not fully erupted, Si Jun Zi Tang plus Huang Qi, Zi Cao, and Nu Mi (Glutinous Rice) decocted is indicated. In treating any disease, stomach qi must not be damaged; thus, Si Jun Zi Zi and Nu Mi are used to support stomach qi. After taking this medicine, if the patient has no body heat, Tu Si Zi processed with vinegar into powder is used. Adults take one qian, children take seven fen or three fen to lift the eruption, resulting in sparse eruptions. This formula strongly tonifies fire and should not be overused, as excessive use causes too much lifting. For lesions hiding in the muscles and not rising, Zi Cao Yin Zi decocted is indicated, but it should not be used excessively. After three days, once the crusts form, Bao Yuan Tang plus good wine and human milk taken one or two times is most stable. Zi Cao (two liang) is finely chopped, soaked in one large cup of boiling water, covered tightly to prevent steam loss, and taken warm according to the child's age.
[Mild Diaphoresis Method]
Xiao Du San: Treats sores before eruption or uneven eruption after onset; also treats all types of sores, cools the chest, removes phlegm, and treats sore throat.
Niu Bang Zi (stir-fried, 3 liang), Gan Cao (honey-fried, 0.5 liang), Jing Jie Sui (2.5 qian).
Grind into coarse powder. Take 3 qian per dose, decoct in 1.5 cups of water until 0.7 cups remain, strain, and take warm. (Hai Zang said: These are neutral-warming agents. Some add Fang Feng and Bo He.)
Shu Niu Zi Tang: Treats pediatric smallpox/rubella欲 (desiring) to erupt but unable to penetrate the skin, with hot qi attacking the throat, red eyes, and vexation.
Shu Niu Zi (stir-fried, 4 liang), Jing Jie Sui, Gan Cao (honey-fried, each 1 liang), Fang Feng (0.5 liang).
Grind into fine powder. Take with boiling water before bedtime. It greatly benefits the throat, resolves phlegm-saliva, and stops coughing (Hai Zang said: This is a Taiyang and Shaoyang formula, cited as the first neutral-warming agent).
Another method: Stir-fry Niu Bang Zi until cooked, grind into powder, and decoct with Jing Jie.
The above three formulas are modifications of Xiao Du Yin.
Hua Du Tang: Treats pediatric smallpox/rubella, suitable whether erupted or not.
Zi Cao Rong, Sheng Ma, Gan Cao (honey-fried, equal parts).
Chop. Decoct in 2 zhong of water with 50 grains of Geng Mi (Rice). This is a Yangming meridian formula. (Hai Zang said: Use Hua Du Tang for sluggish eruption. *Ben Shi Fang* uses Nu Mi instead of Geng Mi.)
[Dandan School View] Ya Yu's smallpox/rubella had not fully erupted after two days. Food intake slightly improved, slight sweating occurred, and heat decreased slightly, but food tasted bad in the mouth. This indicates delayed eruption and incomplete release; mild exterior resolution is required.
Sheng Ma, Gan Cao (honey-fried), Zi Cao, Bai Zhu, Chen Pi, Shao Yao (stir-fried, 0.5 qian).
Make one dose, add a little wine and decoct. Bai Shao must be stir-fried. Observe that although stool output is not much, it is white and loose/slippy.
Tou Ji Tang: Treats incomplete eruption of smallpox/rubella.
Zi Cao, Bai Shao Yao, Sheng Ma, Shu Mi Fen (stir-fried, each 0.5 liang).
The above three formulas are all modifications of Hua Du Tang.
[Vigorous Diaphoresis Method]
Sluggish eruption on the head and face involves the Taiyang meridian; use Jing Jie, Gan Cao, Qiang Huo, Fang Feng, and Tian Ma decocted together. Sluggish eruption on the chest and hypochondrium involves the Shaoyang meridian; use Chai Hu, Huang Qin, Zi Cao, Mu Tong, and Zi Su decocted together. Sluggish eruption on the four limbs involves the Yangming meridian; use Sheng Ma, Ge Gen, Zi Su, Shao Yao, Gan Cao, and Lian Xu Cong Bai (green onion white with roots) decocted together. Generalized sluggish eruption requires Jiu Wei Qiang Huo Tang. For these four conditions, add Ginger and Scallion as assistants to the herbal mixture, administer two consecutive doses, and eruption will accelerate.
Jiu Wei Qiang Huo Tang
Qiang Huo, Fang Feng, Cang Zhu, Xi Xin (small amount), Bai Zhi, Huang Qin, Chuan Xiong, Sheng Di Huang (preferably replaced by Shao Yao), Gan Cao.
Decoct in water, adjusting dosage based on age and severity.
[Dispersing Cold] Wu Ji San, Zheng Qi San, Jie Du San (all seen in the initial heat stage).
[Cooling Summer Heat]
Chen Sha Wu Ling San (Wu Ling San plus finely ground Chen Sha/Cinnabar).
Ren Shen Zhu Ye Tang: Treats summer vomiting, irritability, thirst, chest oppression, lingering heat after rash, red urine, or red macules.
Ren Shen, Ban Xia, Mai Men Dong, Dang Gui, Dan Zhu Ye (equal parts).
Cut into pieces. Take 3 qian per dose, decoct in 1 cup of water with one slice of Ginger.
Bai Hu Tang
Shi Gao (4 liang), Gan Cao Jie (8 qian), Zhi Mu (1.6 liang).
Grind into coarse powder. Take 3 qian per dose, decoct in 1 cup of water with 20 grains of Geng Mi until 0.5 cup remains, strain, and take warm at any time.
Adding 1.2 liang of Ren Shen creates Ren Shen Bai Hu Tang. *Sheng Hui Fang* adds Gan Ge (Pueraria).
Xiao Chai Hu Tang (for fever).
[Purgation/Warm Interior] Wang Ji stated: If red spots have appeared but the number of days is not exhausted, and the interior is full with hot skin, promoting drainage is indicated.
[Zi Cao Example] Hai Zang stated: For pediatric sores/rash with sluggish eruption, concentrate-decocted Zi Cao juice can be taken.
Note: Zi Cao opens the interstices, benefits the nine orifices, cools blood, and invigorates blood circulation; thus, it is essential for smallpox/rubella before/during eruption. However, it is contraindicated if eruption is complete and stool is free.
Zi Cao San: Induces rash.
Diao Teng Gou Zi, Zi Cao Rong (equal parts).
Grind into fine powder. Take one zi character weight, or 5 fen, or 1 qian, mixed with warm wine, at any time.
Si Sheng San: Treats sluggish eruption and inverted crusts (depressed lesions) of sores/rash. One variation includes Huang Qi.
Zi Cao Rong, Mu Tong, Gan Cao (honey-fried), Zhi Ke (bran-stir-fried).
Equal parts, grind into coarse powder. Take 1 qian per dose, decoct in 1 zhong of water until 0.8 cup remains, take warm at any time. (Liu Ti Dian said: For rash/smallpox, it is crucial to clarify bowel and bladder function. Qian Yi's Si Sheng San uses Mu Tong and Zhi Ke excellently; if urination and defecation are smooth, bitter/cloying herbs are unnecessary.)
Zi Cao Hui Chun San: Treats pediatric smallpox/rubella with sluggish eruption or inverted crusts, where toxic qi enters the abdomen.
Zi Cao Rong, Huang Qi, Sang Bai Pi, Mu Tong, Zhi Ke, Bai Zhu (equal parts).
Grind into coarse powder. Take 3 qian per dose, decoct in half water and half wine with a little She Xiang (Musk).
Zi Cao Mu Tong San: Treats pediatric sores/rash.
Zi Cao, Mu Tong, Ren Shen, Fu Ling, Geng Mi (equal parts), Gan Cao (half dose).
Grind into powder. Take 4 qian per dose, decoct in water. This is a formula for obstructed urination.
Ren Shen Chan Tui San: Treats obstructed urination, unresolved sores/rash, irritability, excessive thirst, grinding teeth, rough breathing, and distension.
Ren Shen, Chan Tui, Bai Shao Yao, Mu Tong, Chi Fu Ling, Gan Cao, Zi Cao Rong (equal parts).
Decoct in water and take.
Tou Ji San
Zi Cao Rong, Lv Sheng Ma, Fen Gan Cao (each 1 qian).
Finely cut. Decoct in water and take. Or decoct together with Xiao Du Yin for better effect.
Zi Cao Tou Ji Tang: Treats smallpox/rash with heat and sluggish eruption, or depressed tops.
Zi Cao (1 qian), Sheng Ma, Mu Xiang (each 5 fen), Niu Bang Zi, Fang Feng, Jing Jie, Huang Qi (each 8 fen), Gan Cao (3 fen).
Decoct in ginger water. If color is purple with abdominal pain, add Chan Tui (1 qian).
Zi Cao Kuai Ban Tang: Treats smallpox/rash due to deficiency of qi and blood, inability to erupt, and lack of vibrant red color (i.e., Zi Cao Tang).
Zi Cao, Ren Shen, Bai Zhu, Fu Ling, Dang Gui, Chuan Xiong, Shao Yao, Mu Tong, Gan Cao, Nu Mi.
Take 2 qian per dose, decoct in water.
Wu Jin Gao: Treats fever within seven days, or failure to erupt due to wind-cold, purple/red discoloration, or convulsions.
Jiang Can (wine-washed), Quan Xie (remove feet/tail, wine-washed), Gan Cao, Zi Cao, Bai Fu Zi (bitter taste, white inside is authentic), Ma Huang (each 5 qian).
Chuan Shan Jia (stir-fried, powdered, 2.5 qian), Chan Tui (remove head/feet, wine-washed, 2 qian).
Grind into powder. Simmer Hong Hua and Zi Cao (each 1 liang) in 2 zhong of good wine until reduced by more than half, strain, add 5 liang of honey, and simmer slowly until drops form pearls. Roll into pills the size of a longan seed. Take one pill dissolved in Deng Xin Tang (Juncus decurrens decoction).
Zi Jin San: Treats sluggish eruption and inverted crusts of smallpox/rash; also treats chronic malignant sores.
Zi Cao, She Tui (stir-fried until charred), Niu Bang Zi (stir-fried, each 5 qian).
Grind into fine powder. Take 1 qian per dose, decoct in half a zhong of water until halved, take warm.
Du Sheng San (for initial heat).
Luo Bo Tang: Treats sluggish eruption of smallpox/rash.
Decoct juice from flowering radish and drink frequently. Even distribution of qi facilitates eruption; radish treats cough, calms asthma, directs qi downward, reduces distension, and resolves toxicity.
Ye Tong San: Treats sluggish eruption of smallpox/rash and mutism due to typhoid.
Gan Ye Ren Fen (dry wild man feces, i.e., macaque feces, burnt to retain essence), Bing Pian (Borneol), Zhen She Xiang (True Musk, equal parts).
Grind into fine powder. Take 5 fen per dose, mixed with fresh water and honey according to age. Those over ten years old take 1 qian.
Note: Wild man feces effectively treat spider bites; it is highly effective for sluggish smallpox/rash. If a spider bite persists with threads growing on the skin spreading over the body, add Xiong Huang and Qing Dai mixed with water; testing with a spider turns it to water instantly. This validates the three ingredients as essential for sores/rash. Those from mountains are best; monkeys kept in homes eat mixed foods and lose their true nature, rendering them ineffective.
[Tonifying Deficiency Example]
[Dandun] Mian Nu's smallpox/rash had erupted, but on the third day, the color was pale and reluctant to develop, indicating deficiency of both qi and blood. Prescribe this formula.
Ren Shen, He Zi (roasted, each 1 qian), Bai Zhu (stir-fried), Huang Qi (wine-fried), Dang Gui Shen (wine-washed, each 2 qian), Chen Pi (2 fen), Gan Cao (honey-fried, a little), Dou Kou (roasted, 1.5 qian).
Decoct. Add a little good wine and drink.
Liu Yi Tang (see Crusting Stage).
Secretly Transmitted Da Tou Ji San
Ren Shen, Shao Yao, Chuan Xiong, Gan Cao, Fu Ling, Bai Zhu, Mu Tong, Chen Pi, Huang Qi, Nu Mi.
Equal parts, make coarse powder. Take 4 qian per dose, decoct in water.
[Huo Tao/Zhang Hezi] Huo Xue San: Treats sores/rash, or sluggish eruption. Mix Bai Shao Yao powder with wine. To relieve pain, mix with warm water and swallow. (Hai Zang said: Zhang Hezi treated sluggish eruption on four limbs by adding Fang Feng with great effect; this syndrome belongs to the Taiyin meridian.)
[Worldly Physicians] Si Wu Tang: Treats sluggish eruption of smallpox/rash, lacking vibrant red color and rooted base, due to blood deficiency. This formula invigorates blood and regulates the disease. It has been treasured since ancient times; simply add Gan Cao and take.
Tong Tian San: Treats smallpox/rash with fever and non-eruption, or eruption with lack of vibrant red color.
Ren Shen, Chen Pi, Gui Zhi (each 8 fen), Chuan Xiong, Shu Di Huang, Shao Yao (each 1 qian), Dang Gui, Zi Cao (each 1.5 qian), Hong Hua, Mu Xiang (each 3 fen), Gan Cao (6 fen), Zhi Mu (8 fen), Li Zhi Qiao (Lychee shell, 10 pieces).
Decoct in 1 zhong of chicken juice, 3 dates, and a pinch of Nu Mi. After the first dose, eruption reaches the neck; after the second, the navel; after the third, the feet. Miraculous effect.
Ren Shen Tou Ji San: Treats smallpox/rash with deficiency and heat, which erupts quickly but unevenly, hiding between the skin and muscles.
Ren Shen, Zi Cao (replace with Hong Hua if unavailable), Bai Zhu, Fu Ling, Dang Gui, Shao Yao, Mu Tong, Chan Tui, Gan Cao, Nu Mi (equal parts).
Take 3 qian per dose, decoct in 1.5 cups of water until 0.5 cup remains, take slowly.
Sheng Jun Tang: Treats uneven eruption of smallpox/rash, or vomiting, diarrhea, heat, and thirst.
Sheng Ma, Gan Ge, Shao Yao, Ren Shen, Bai Zhu, Fu Ling, Gan Cao, Zi Cao Rong (replace with Hong Hua if unavailable).
Take 3-5 qian per dose, decoct in ginger water, adjust dosage accordingly.
Secret Recipe: Tu Si Zi alone, soaked in vinegar overnight, dried and powdered. At the onset of fever, give 7 fen per year of age, adjusted by size, mixed with good wine. Eruption, swelling, and crusting occur easily, with no residual symptoms. This formula can be used before eruption in those with weak qi and blood, but not after, as it lifts too much. Obtained by Hu Huang Gu Zu Yang Shan Gong during his official tour in Guangdong, it is 100% effective, but those with strong yuan qi may experience overly dense eruption due to its strong fire-tonifying nature. Some ask why Bao Ying Dan is needed if this can be taken beforehand. The answer is: Bao Ying Dan resolves toxicity to make eruptions sparse; this formula lifts eruption in those with weak qi and blood who cannot erupt.
Another Formula: Plum blossoms collected in the twelfth lunar month just before blooming, dried and powdered, formed into pills with refined honey. Take 3-4 doses before eruption according to age to make eruptions sparse; adding Zhu Sha (Cinnabar) is excellent.
Er Hua San: Treats smallpox/rash before or after eruption, failure to rise, hiding in the skin, and heat syndromes.
Mei Hua (Plum blossom, 1 liang, shade-dried), Si Gua (Loofah, 5 qian, shade-dried), Tao Hua (Peach blossom, 5 qian, shade-dried), Zhu Sha (Cinnabar, 2 qian, water-purified), Gan Cao (1 qian, peeled, fire-roasted).
Grind into fine powder. Take 5.5 fen before eruption, mixed with honey water.
If previous medicines fail and no evil symptoms exist, Ba Wei Er Hua San can be taken (see Major Methods).
[Deficient-Cold Example]
[Dandun] A woman developed smallpox/rash after malaria, with deficiency of qi and blood, compounded by winter cold. Heat dissipates easily, preventing eruption.
Ding Xiang (5 buds), Fu Zi, Rou Gui, Chen Pi, Dang Gui (wine-washed, each 5 fen), Ren Shen (0.5 liang), Huang Qi (1 qian), Gan Cao (honey-fried, 2 fen).
[Chen Wenzhong] Yi Gong San: Treats smallpox/rash that has erupted but lacks luster, fails to rise, and has non-red bases, termed exterior deficiency.
Mu Xiang, Dang Gui (each 3 qian), Gui Zhi, Bai Zhu, Fu Ling (each 2 qian), Chen Pi (remove white part), Hou Po (ginger-processed), Ren Shen (remove rhizome), Rou