痘疮者血蕴也。治宜活血为主。故紫草、红花不可少。红甚便滑则忌。山楂散血消积。胃虚
不能食则忌。甘草解毒和中。中满则忌。陈皮健脾行气。自汗则忌。大腹皮利水治胀。发散则忌。
牛蒡子疏风润色。滑窍通肌。泄泻则忌。木通疏利膀胱。溺多则忌。诃子、乌梅止泻渴敛汗。便
实则忌。参、术扶元益胃。血燥毒盛则忌。升麻、葛根升发开提。痘密汗多。毒盛里实则忌。羌
活、白芷败毒追脓。气虚则忌。归、芎活血补血。血热黑烂则忌。芍药、地黄凉血助阴。血寒不
发则忌。辰砂定神除热却烦。灰白不发则忌。糯米暖胃实脾。气滞则忌。防风散风解热。气喘则
忌。木香调气散寒。止腹痛泻青。斑黑燥渴则忌。浓朴温胃治胀。烦渴则忌。细辛发散上行通肺。
燥热则忌。柴胡发表透热。气升则忌。前胡除痰治嗽。便泄则忌。半夏消痰止嗽。燥渴则忌。麻
黄、紫苏散表逐寒。表虚则忌。姜、桂助血温中。血热妄行。干红焦紫则忌。附子回阳补元。治
虚寒厥冷。烦乱则忌。大黄荡涤实热。胃虚食少则忌。人牙起发肾邪陷伏。血热毒陷则忌。山栀
降火下行。气虚便溏则忌。犀角凉血止衄。时值行浆则忌。牡丹皮行血归经。痘前多汗则忌。肉
豆蔻健脾止泻。便实则忌。桔梗开郁发导。用下则忌。蝉蜕驱风散毒。表虚汗脱则忌。枳壳宽胸
下气。气虚下陷则忌。胡荽、乳香时焚开窍。血热毒盛。烦渴衄汗则忌。黄柏、绿豆、生甘草等
分煎膏。预先涂目眶。或胭脂涂眼眶耳前。使痘不侵目。出后则忌。一发热起。便以丝瓜近蒂三
寸。连子烧灰存性。加辰砂酒服。可使痘稀。见点则忌。每年端午日服之。服久可使不出也。
痘疮是由于血液蕴滞所致。治疗应当以活血为主。因此紫草、红花不可缺少。如果痘色红赤且大便滑利，则应忌用。山楂能散血消积。如果胃气虚弱不能进食，则应忌用。甘草能解毒和中。如果中焦胀满，则应忌用。陈皮能健脾行气。如果有自汗症状，则应忌用。大腹皮能利水消除胀满。如果需要用发散法治疗，则应忌用。牛蒡子能疏风润色，疏通窍道通达肌肤。如果有泄泻症状，则应忌用。木通能疏通利导膀胱。如果小便频多，则应忌用。诃子、乌梅能止泻、止渴、敛汗。如果大便干结，则应忌用。人参、白术能扶助元气、益胃。如果血燥毒盛，则应忌用。升麻、葛根能升发开提。如果痘疹密集且汗多，或者毒盛里实，则应忌用。羌活、白芷能败毒排脓。如果气虚，则应忌用。当归、川芎能活血补血。如果血热导致痘色黑烂，则应忌用。芍药、地黄能凉血助阴。如果血寒导致痘出不发，则应忌用。辰砂能定神除热去烦。如果痘色灰白不发，则应忌用。糯米能暖胃实脾。如果气机阻滞，则应忌用。防风能散风解热。如果有气喘症状，则应忌用。木香能调气散寒，止腹痛、泻肝火。如果斑色黑燥且口渴，则应忌用。厚朴能温胃治胀。如果有烦渴症状，则应忌用。细辛能发散上行通肺。如果有燥热症状，则应忌用。柴胡能发表透热。如果气机上逆，则应忌用。前胡能除痰治嗽。如果大便泄泻，则应忌用。半夏能消痰止嗽。如果有燥渴症状，则应忌用。麻黄、紫苏能散表逐寒。如果表虚，则应忌用。生姜、肉桂能助血温中。如果血热妄行，出现干红焦紫的痘色，则应忌用。附子能回阳补元，治疗虚寒厥冷。如果有烦乱症状，则应忌用。大黄能荡涤实热。如果胃虚食少，则应忌用。人牙能起发肾邪陷伏。如果血热毒陷，则应忌用。山栀能降火下行。如果气虚便溏，则应忌用。犀角能凉血止衄。如果正值行浆期，则应忌用。牡丹皮能行血归经。如果痘出之前多汗，则应忌用。肉豆蔻能健脾止泻。如果大便干结，则应忌用。桔梗能开郁发导。如果用下法治疗，则应忌用。蝉蜕能驱风散毒。如果表虚汗脱，则应忌用。枳壳能宽胸下气。如果气虚下陷，则应忌用。胡荽、乳香可焚烧以开窍。如果血热毒盛，出现烦渴、衄血、出汗等症状，则应忌用。黄柏、绿豆、生甘草等分煎膏，预先涂抹于眼眶。或者用胭脂涂在眼眶和耳前，使痘疮不侵犯眼睛。痘已发出后则应忌用。一旦发热起病，立即取丝瓜靠近蒂部三寸的部分，连同种子烧灰存性，加酒送服辰砂，可使痘疹稀疏。见到痘点时则应忌用。每年端午节服用此方，长期服用可使不出痘。
Variola (smallpox) is caused by blood stasis. Treatment should primarily focus on invigorating blood circulation. Therefore, Radix Arnebiae (Zicao) and Flos Carthami (Honghua) are indispensable. However, they are contraindicated if the rash is intensely red accompanied by loose stools. Fructus Crataegi (Shanzha) disperses blood and resolves accumulation; it is contraindicated in cases of Spleen deficiency with anorexia. Radix Glycyrrhizae (Gancao) detoxifies and harmonizes the Middle Jiao; it is contraindicated in cases of abdominal fullness. Pericarpium Citri Reticulatae (Chenpi) strengthens the Spleen and promotes Qi movement; it is contraindicated in cases of spontaneous sweating. Fructus Arecae Catechu (Dafupi) promotes urination and reduces distension; it is contraindicated when diaphoretic methods are required. Semen Armeniacae Amarum (Niubangzi) dispels wind and improves complexion, unblocking orifices and reaching the skin; it is contraindicated in cases of diarrhea. Caulis Tetrapanacis (Mutong) unblocks and drains the Bladder; it is contraindicated in cases of polyuria. Fructus Chebulae (Hezi) and Fructus Mume (Wumei) stop diarrhea, relieve thirst, and astringe sweat; they are contraindicated in cases of constipation. Radix Ginseng (Renshen) and Rhizoma Atractylodis Macrocephalae (Baizhu) support primordial Qi and benefit the Stomach; they are contraindicated in cases of dry blood with severe toxin accumulation. Rhizoma Cimicifugae (Shengma) and Radix Puerariae Lobatae (Gegen) raise and lift Yang; they are contraindicated when the eruption is dense with profuse sweating, or when toxins are severe and interior excess exists. Radix Notopterygii (Qianghuo) and Rhizoma Angelicae Dahuricae (Baizhi) defeat toxins and promote pus discharge; they are contraindicated in cases of Qi deficiency. Radix Angelicae Sinensis (Danggui) and Rhizoma Chuanxiong (Chuanxiong) invigorate blood and nourish blood; they are contraindicated in cases of blood heat leading to black and rotting lesions. Radix Paeoniae Alba (Shaoyao) and Radix Rehmanniae Preparata (Dihuang) cool blood and assist Yin; they are contraindicated in cases of cold blood preventing eruption. Rubellus (Chensha) calms the spirit, removes heat, and relieves irritability; it is contraindicated in cases of grayish-white non-erupting rashes. Oryza Sativa (Nuomi) warms the Stomach and solidifies the Spleen; it is contraindicated in cases of Qi stagnation. Radix Saposhnikoviae (Fangfeng) dispels wind and clears heat; it is contraindicated in cases of asthma. Radix Aucklandiae (Muxiang) regulates Qi and disperses cold, stopping abdominal pain and draining Liver fire; it is contraindicated in cases of dark spots, dryness, and thirst. Cortex Magnoliae Officinalis (Houpo) warms the Stomach and treats distension; it is contraindicated in cases of irritability and thirst. Radix Asari (Xixin) disperses outward, moves upward, and unblocks the Lungs; it is contraindicated in cases of dryness and heat. Radix Bupleuri (Chaihu) releases the exterior and penetrates heat; it is contraindicated in cases of ascending Qi. Radix Peucedani (Qianhu) eliminates phlegm and treats cough; it is contraindicated in cases of diarrhea. Rhizoma Pinelliae Preparata (Banxia) eliminates phlegm and stops cough; it is contraindicated in cases of dryness and thirst. Herba Ephedrae (Mahuang) and Folium Perillae (Zisu) release the exterior and drive out cold; they are contraindicated in cases of exterior deficiency. Rhizoma Zingiberis Recens (Shengjiang) and Cortex Cinnamomi (Guirou) assist blood and warm the interior; they are contraindicated in cases of reckless bleeding due to blood heat, presenting as dry red or scorched purple eruptions. Radix Aconiti Lateralis Preparata (Fuzi) restores Yang and supplements Yuan Qi, treating deficiency-cold and cold extremities; it is contraindicated in cases of restlessness. Radix Rhei Palmati (Dahuang) purges intense heat; it is contraindicated in cases of Stomach deficiency and poor appetite. Human teeth (Renya) raise eruptions and expel sunken Kidney pathogens; they are contraindicated in cases of blood heat with toxin sinking. Fructus Gardeniae (Shanzhi) descends fire; it is contraindicated in cases of Qi deficiency with loose stools. Cornu Rhinocerotis (Xijiao) cools blood and stops epistaxis; it is contraindicated during the pustule stage. Cortex Moutan (Mudanpi) moves blood and returns it to its vessels; it is contraindicated in cases of excessive sweating before eruption. Fructus Myristicae (Roudoukou) strengthens the Spleen and stops diarrhea; it is contraindicated in cases of constipation. Radix Platycodi (Jiegeng) opens depression and guides downward; it is contraindicated when purgative methods are used. Periostracum Cicadae (Chantui) drives out wind and disperses toxins; it is contraindicated in cases of exterior deficiency with sweat collapse. Fructus Aurantii (Zhike) broadens the chest and directs Qi downward; it is contraindicated in cases of Qi deficiency with sinking. Fructus Coriandri (Huisui) and Resina Frankincense (Ruxiang) can be burned to open orifices; they are contraindicated in cases of blood heat with severe toxins, manifesting as irritability, thirst, epistaxis, and sweating. Decoction of Cortex Phellodendri (Huangbai), Semen Phaseoli Volubilis (Lvdou), and Radix Glycyrrhizae (Sheng Gancao) in equal parts applied as a paste to the eye orbits beforehand, or using carmine around the eyes and ears to prevent variolous invasion of the eyes, is contraindicated after the eruption has appeared. Upon the onset of fever, taking three cun of loofah near the stem, including seeds, calcined to ash, taken with wine and Rubellus, can make the eruption sparse; this is contraindicated once the macules appear. Taking this annually on the Dragon Boat Festival can prevent smallpox over time.