〔万〕诸疮皆属心火，心之华在面，疮痘之候，但以面之部位占之，思过半矣，
且痘疹阳毒，诸阳皆聚于面，吉凶善恶，尤易见也。额属心火，如印堂以上，发际
以下，横两日月角位先见红点，先作浆，先结靥者，此恶候也，盖心为君主，毒发
于心，故先见于其位，君危，则十二官皆危，其死速矣。左脸属肝木，右脸属肺金，
如两脸先见红点磊落者吉，如相聚作块，其肉硬肿者死，盖肝藏魂，肺藏魄，生意
既绝，魂魄将离，故不治也。颏属肾，承浆横抵两颐，先见红点，先发，先靥者吉，
此位虽属肾，然三阴三阳之脉皆聚于此，阴阳和，故可治也。鼻属脾土，若准头先
出，先靥者凶，盖脾属土，四脏禀命于脾，毒发于脾，土败则四脏相随而败，故绵
延日久，后毙也。肾之窍在耳，又云∶心开窍于耳，心肾皆少阴君火也，又少阳相
火之脉，行耳之前后，凡在耳叶先见红点者凶，盖君相二火用事，燔灼之势，难可
扑灭也。惟口唇四围，先出、先起、先靥者大吉，盖阳明之脉侠口环唇，胃与大肠
主之，无物不受故也。
痘家有八门、五枢、三关、两煞、五轴之分。心为赤帝门（附心，胞络）两颧为心
枢。肝为青阳门（附，胆）两眼眶为肝枢。脾为黄央门（附，胃）两腮颐为脾枢。肺
为肃杀门，喉突为肺枢。肾为玄武门，两耳垂为肾枢。胸膛乳阜心之关。
脐封脾之关。阳球肾之关。白帝煞门座于气窝右太阳。青帝煞门座于眼眶左
太阳。颧阜胸乳心之轴。左太阳左胁眼胞两臀肝之轴。右太阳右胁项颈气突
肺之轴。腮颊中庭口角肚腹手足脾之轴。地阁后颈耳窖背俞腰脊阳球肾之轴。
袁氏阅痘，重门、栏、辅、轴四字，门犯则验栏，栏犯则验辅，辅犯则验轴，至轴
而变态尽矣。门凡八，栏辅各十有八，轴凡一百五十四，各分经络而验之。天庭
穹窿之地名赤帝门。胸膛名炎车门。两手掌心名正离门（不属心而属阳明阳明透彻则鼻先形
而掌心次之阳明迅暴则掌心先。形而鼻次之标于鼻 顺标于掌者逆）眉心一带统上下寸
地号五将门。眼下丝竹泪堂名青阳门。气窝天突穴名肃杀门。两耳窍圈为玄武门。脐封之处
脾经所注名黄帝门。八门与前稍异，至栏、辅、轴，抑又异矣，图诀繁俚，无关
治疗，故今不取。
【万全论述】各种疮疡都归属于心火，心的外在荣华表现在面部，对于痘疹的病情，只要观察面部的不同部位，就能明白大半了。况且痘疹属于阳毒，所有的阳气都汇聚于面部，其吉凶善恶，尤其容易显现。
额头归属于心火，如印堂以上、发际以下，以及横向的两个日月角位置，如果先出现红点，先化脓成浆，先结痂脱落，这是恶候。因为心是君主之官，毒邪发自于心，所以首先出现在心的对应部位，君主受危，则十二脏腑都受威胁，死亡迅速。
左脸颊归属于肝木，右脸颊归属于肺金。如果两颊先出现磊落分明的红点为吉；如果聚集在一起结成块状，肌肉硬肿，则为死证。因为肝藏魂，肺藏魄，生机既已断绝，魂魄即将离散，所以无法救治。
下巴归属于肾，承浆穴横向抵至两侧下颌角，如果先出现红点，先发出来，先结痂，这是吉兆。这个部位虽然归属于肾，但三阴经和三阳经的经脉都汇聚于此，阴阳调和，所以可以治疗。
鼻子归属于脾土，如果鼻准头（鼻尖）先出痘，先结痂，这是凶兆。因为脾属土，其他四脏都禀受脾的命令，毒邪发自于脾，脾土败坏则四脏随之败坏，所以病程绵延日久，最后死亡。
肾的开窍在耳，又有说法认为心开窍于耳，心和肾都属于少阴君火。此外，少阳相火的经脉，行走在耳朵的前后，凡是耳叶上先出现红点的都是凶兆，因为君火和相火同时起作用，燔烧灼热的势头，难以扑灭。
只有口唇四周，先出痘、先起疱、先结痂的是大吉之兆。因为阳明经脉夹口环绕嘴唇，由胃和大肠主司，没有东西不能容纳，所以此处痘出顺畅为吉。
痘家（诊治痘疹的专家）将面部分为八门、五枢、三关、两煞、五轴。心为赤帝门（附属于心包络），两颧为心枢。肝为青阳门（附属于胆），两眼眶为肝枢。脾为黄央门（附属于胃），两腮颊为脾枢。肺为肃杀门，喉突为肺枢。肾为玄武门，两耳垂为肾枢。胸膛和乳峰是心的关卡。肚脐封处是脾的关卡。外生殖器（阳球）是肾的关卡。白帝煞门位于气窝和右侧太阳穴。青帝煞门位于眼眶和左侧太阳穴。颧骨隆起处、胸膛、乳峰是心的轴线。左侧太阳穴、左侧胁部、眼睑、两侧臀部是肝的轴线。右侧太阳穴、右侧胁部、项颈、气突是肺的轴线。腮颊、中庭、口角、肚腹、手足是脾的轴线。地阁、后颈、耳窖、背俞、腰脊、阳球是肾的轴线。
袁氏阅读痘疹图谱时，重视“门”、“栏”、“辅”、“轴”四个字。门位受犯则病情验证，栏位受犯则病情验证，辅位受犯则病情验证，到了轴位，病情变化就穷尽了。门共有八个，栏和辅各十八个，轴共有一百五十四个，分别根据经络来验证。天庭高耸之地名为赤帝门。胸膛名为炎车门。两手掌心名为正离门（不归属于心而归属于阳明经，阳明经透彻则鼻子先显形而掌心次之；阳明经迅疾暴烈则掌心先显形而鼻子次之，显形于鼻子为顺，显形于掌心为逆）。眉心一带统管上下寸许之地号为五将门。眼下丝竹空穴、泪堂名为青阳门。气窝天突穴名为肃杀门。两耳窍圈为玄武门。脐封之处为脾经所注，名为黄帝门。这八门与前文略有不同，至于栏、辅、轴，更是大不相同。图诀繁杂俚俗，与治疗无关，所以现在不采用。
[Wan Quan's Discussion] All sores and ulcers are attributed to Heart Fire. The external flourishing of the Heart manifests on the face. Regarding the prognosis of smallpox (Xiaochu), observing the different areas of the face allows one to understand more than half of the condition. Moreover, smallpox is a Yang toxin; all Yang Qi gathers in the face, making its auspicious or inauspicious nature particularly easy to discern.
The forehead belongs to Heart Fire. If red spots appear first, followed by suppuration (making pus), and then scabbing in the area above Yintang (Yintang, EX-HN3) below the hairline, and at the two Riyue Jiao (Riyue Jiao, temporal corners) horizontally, this is an ominous sign. Since the Heart is the Sovereign Monarch, and the toxin originates from the Heart, it appears first in its corresponding position. If the Sovereign is endangered, the twelve organs are all endangered, leading to rapid death.
The left cheek belongs to Liver Wood, and the right cheek belongs to Lung Metal. If distinct red spots appear first on both cheeks, it is auspicious. If they cluster together into lumps with hard, swollen flesh, it indicates death. This is because the Liver stores the Hun (Ethereal Soul) and the Lung stores the Po (Corporeal Soul); when vitality is extinguished, the souls are about to depart, rendering it untreatable.
The chin belongs to Kidney Water. Chengjiang (Chengjiang, CV24) extends horizontally to the mandible angles bilaterally. If red spots appear first, erupt first, and scab first here, it is auspicious. Although this area belongs to the Kidney, the meridians of the Three Yin and Three Yang all converge here; thus, Yin and Yang are harmonious, making it treatable.
The nose belongs to Spleen Earth. If the tip of the nose (Zhuntou) shows lesions first and scabs first, it is inauspicious. Since the Spleen belongs to Earth and the other four Zang organs receive their commands from the Spleen, if the toxin originates from the Spleen and Spleen Earth fails, the four Zang organs will fail subsequently, leading to a prolonged course and eventual death.
The opening of the Kidney is in the ears. It is also said that the Heart opens into the ears. Both the Heart and Kidney belong to the Shaoyin Jun Huo (Ministerial Fire). Additionally, the Shaoyang Xiang Huo (Ministerial Fire) meridians run before and after the ears. If red spots appear first on the earlobes, it is inauspicious, as both Jun Huo and Xiang Huo are active, creating a blazing heat that is difficult to extinguish.
Only the area around the lips, where lesions appear first, rise first, and scab first, is highly auspicious. This is because the Yangming meridians flank the mouth and encircle the lips, governed by the Stomach and Large Intestine, which accept everything without rejection.
Experts in smallpox diagnosis divide the face into Eight Gates (Ba Men), Five Pivots (Wu Shu), Three Passes (San Guan), Two Sha (Two Malevolent Points), and Five Axes (Wu Zhou). The Heart is the Chi Di Gate (Red Emperor Gate) [associated with Pericardium]; the two zygomatic arches are the Heart Pivot. The Liver is the Qing Yang Gate (Green Yang Gate) [associated with Gallbladder]; the two eye orbits are the Liver Pivot. The Spleen is the Huang Yang Gate (Yellow Central Gate) [associated with Stomach]; the two cheeks/jawlines are the Spleen Pivot. The Lung is the Su Sha Gate (Solemn Killing Gate); the throat prominence is the Lung Pivot. The Kidney is the Xuan Wu Gate (Black Tortoise Gate); the two earlobes are the Kidney Pivot. The chest and breast mound are the Heart Pass. The umbilicus is the Spleen Pass. The genitalia (Yang Qiu) is the Kidney Pass. The Bai Di Sha Gate (White Emperor Malevolent Gate) is located at the suprasternal fossa and right Taiyang point. The Qing Di Sha Gate (Green Emperor Malevolent Gate) is located at the eye orbit and left Taiyang point. The zygomatic prominence, chest, and breast are the Heart Axis. The left Taiyang point, left hypochondrium, eyelids, and buttocks are the Liver Axis. The right Taiyang point, right hypochondrium, neck, and throat prominence are the Lung Axis. The cheeks, Zhongting, mouth corners, abdomen, hands, and feet are the Spleen Axis. The lower jaw, back of the neck, ear hollows, back Shu points, waist, spine, and genitalia are the Kidney Axis.
Mr. Yuan, in reading smallpox charts, emphasized the characters "Gate," "Lan" (Barrier), "Fu" (Assistant), and "Zhou" (Axis). If the Gate is violated, the condition is verified; if the Lan is violated, it is verified; if the Fu is violated, it is verified; once the Zhou is reached, the variations are exhausted. There are eight Gates, eighteen Lans, eighteen Fus, and 154 Zous, each verified according to their respective meridians. The high ground of the Tian Ting (Heavenly Court) is named Chi Di Gate. The chest is named Yan Che Gate (Flame Chariot Gate). The centers of both palms are named Zheng Li Gate (Correct Li Gate) [not belonging to the Heart but to the Yangming channel; if Yangming is clear, the nose forms first and palms second; if Yangming is swift and violent, the palms form first and nose second; formation on the nose is smooth, on the palms is reversed]. The area around the Mei Xin (Glabella) spanning upper and lower cun is called Wu Jiang Gate (Five Generals Gate). The Si Zhu Kong (Si Zhu Kong, GB23) under the eyes and Lei Tang (Tear Hall) are named Qing Yang Gate. The Qi Wo (Suprasternal Fossa) and Tian Tu (Tiantu, CV22) acupoint is named Su Sha Gate. The circles of the ear openings are named Xuan Wu Gate. The area of the umbilicus, where Spleen Meridian Qi pours in, is named Huang Di Gate (Yellow Emperor Gate). These eight gates differ slightly from the previous ones, and the Lan, Fu, and Zhou differ even more. The diagrams and rhymes are complex and vulgar, irrelevant to treatment, and thus are not adopted today.