治痘浆已满，血滞瘀痛，不可忍者。
白芍药（酒炒二钱）为细末，酒调下。
诸病痒者为虚，痛者为实，痒宜补而痛宜泻。此痛为血实而滞，故用芍药以平血，酒调
以行
或以败草灰敷之，或以蚕茧灰入枯矾少许敷之，或以墙上白螺蛳壳烧灰敷之，或以蛤粉
敷之
升麻 葛根 芍药 甘草 桑皮 地骨皮 桔梗 牛蒡 荆芥 连翘
痧症，即疹子，又名 子。不宜根据症施治，惟当治本。本者，手太阴足阳明两经之邪热
也。
也。
可少。若服药后，而热愈甚者，正毒达之故也，得大汗而毒自解
此为痧毒不透，后必防疳。宜从养阴治，甘露饮主之。（见润燥
乃屡验者。（有一等小儿乳痧，一日可解，不必尽三朝九朝之
缘小儿禀质尚弱，神气有限。如遇粗工，不审虚实，发散过多
多矣。有痧毒痰喘甚者，虽用石膏黄连，如水淋石。要知是痧
蒌霜枳壳花粉金沸草，清痰清火。如挟气虚者，加人参立应，
升麻葛根黄连甘草。则泻自止，痧家不忌泄泻，泻则阳明邪热
后泄泻，及便浓血。皆由邪热内陷故也，大忌止涩，惟宜升散
豆，若便浓血，加滑石末。必愈。）
（外科方症，至为繁多，不能尽录。兹量采数方，以备择用。若夫泻热解毒活血托里之
剂，
诸
寒与湿搏之，则凝滞而行迟为不及。热与火搏之，则沸腾而行速为太过。气得邪而郁，津液
稠粘，为痰为饮。积久渗入脉中，血为之浊，此阴滞于阳也。血得邪而郁，隧道阻滞，或溢
或结。积久渗出脉外，气为之乱，此阳滞于阴也。百病皆由于此，不止痈疽为然。）
治疗痘疹浆液已经充盈，但血液停滞导致剧烈疼痛，难以忍受的情况。
将白芍药（用酒炒制二钱）研磨成细末，用酒调服。
各种疾病中，瘙痒属于虚证，疼痛属于实证；瘙痒适宜用补法，疼痛适宜用泻法。这种疼痛是由于血实而瘀滞所致，因此使用芍药来平抑血分，用酒调服以行气活血。
或者用败草灰外敷，或者用蚕茧灰加入少许枯矾外敷，或者用墙上生长的白螺蛳壳烧成灰后外敷，或者用蛤粉外敷。
升麻、葛根、芍药、甘草、桑白皮、地骨皮、桔梗、牛蒡子、荆芥、连翘。
痧症，即疹子，又名疹子。不应当根据表面症状进行治疗，只应当治本。所谓“本”，是指手太阴肺经和足阳明胃经的邪热。
剂量可以稍少。如果服药后，发热更加严重，这是正气驱毒外出的缘故，通过大汗出而毒素自然解除。
这是因为痧毒透发不透，之后必须预防疳积。适宜采用养阴的方法治疗，以甘露饮为主方。（参见润燥章节）
这是经过多次验证有效的方子。（有一类小儿乳痧，一天即可痊愈，不必拘泥于三日或九日的常规疗程。）
因为小儿体质尚且虚弱，神气有限。如果遇到粗疏的医生，不审察虚实，发散药物过多，危害就大了。有痧毒痰喘严重的，虽然使用石膏、黄连，也如同水浇石头一样无效。要知道这是痧毒内蕴……
使用瓜蒌霜、枳壳、花粉、金沸草，以清化痰热、清除火邪。如果兼有气虚者，加入人参立即见效。
使用升麻、葛根、黄连、甘草。则腹泻自止，患痧症的人并不忌讳腹泻，腹泻则阳明经的邪热得以排出。
后期出现腹泻，以及大便带脓血。这都是由于邪热内陷的缘故，绝对禁止使用收敛固涩的药物，只适宜使用升散之法。
如果有豆粒大小的……若大便带脓血，加入滑石末。必定痊愈。）
（外科疾病的方证，极为繁多，不能全部收录。这里选取几个方剂，以备选择使用。至于那些清热泻火、解毒、活血、托里排脓的药剂，
诸……
寒邪与湿邪搏结，则凝滞而行进迟缓，属于不及；热邪与火邪搏结，则沸腾而行进迅速，属于太过。气受到邪气郁遏，津液变得稠粘，形成痰或饮。积聚日久渗入脉中，血液变得浑浊，这是阴邪阻滞于阳分。血受到邪气郁遏，经络隧道阻滞，或者溢出或者凝结。积聚日久渗出脉外，气机随之紊乱，这是阳邪阻滞于阴分。百病皆由此产生，不仅仅是痈疽如此。）
Treating cases where the smallpox pustules are full, but blood stasis causes unbearable pain.
Grind Bai Shao Yao (White Peony Root, *Paeonia lactiflora*, stir-fried with wine, 2 qian) into a fine powder, and take it mixed with wine.
In various diseases, itching indicates deficiency, while pain indicates excess; itching is suitable for tonification, and pain is suitable for purgation. This pain is caused by blood excess and stagnation, therefore Shaoyao (White Peony Root) is used to calm the blood, and wine is used to promote circulation.
Alternatively, apply ash from decaying grass externally, or apply ash from silkworm cocoons mixed with a small amount of Ku Fan (Alum) externally, or apply ash from white snail shells found on walls externally, or apply Ge Fen (Diatomite Powder) externally.
Sheng Ma (Cimicifugae Rhizoma), Ge Gen (Puerariae Lobatae Radix), Shao Yao (Paeoniae Radix Alba), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sang Pi (Mori Cortex), Di Gu Pi (Lycii Cortex), Jie Geng (Platycodonis Radix), Niu Bang Zi (Arctii Fructus), Jing Jie (Schizonepetae Herba), Lian Qiao (Forsythiae Fructus).
Sha Zheng (Sha disease/Rash), also known as Zhen Zi (Rash), should not be treated merely based on symptoms, but rather by addressing the root cause. The root cause refers to the pathogenic heat in the Hand-Taiyin Lung Meridian and Foot-Yangming Stomach Meridian.
The dosage may be slightly reduced. If after taking the medicine the fever becomes more severe, it is due to the righteous qi expelling the toxin; the toxin will resolve naturally through profuse sweating.
This indicates that Sha toxin is not fully expressed, and one must subsequently guard against Gan accumulation (malnutrition syndrome in children). Treatment should focus on nourishing Yin, using Gan Lu Yin (Sweet Dew Decoction) as the primary formula (see the section on Moistening Dryness).
This has been verified effective repeatedly. (There is a type of infantile Sha Rash that can resolve in one day, without needing to wait for the traditional three or nine days.)
Because children's constitution is still weak and their Shen Qi (Spiritual Qi) is limited. If encountered by an incompetent physician who fails to assess deficiency and excess, and uses excessive diaphoretic methods, the harm will be great. In cases of severe Sha toxin with phlegm and wheezing, even if Shi Gao (Gypsum Fibrosum) and Huang Lian (Coptidis Rhizoma) are used, they are ineffective like water pouring on stone. One must understand that this is...
Use Lou Shuang (Trichosanthis Semen), Zhi Ke (Aurantii Fructus), Hua Fen (Trichosanthis Radix), Jin Fei Cao (Boehmeriae Caulis et Folium) to clear phlegm and fire. If accompanied by Qi deficiency, adding Ren Shen (Ginseng Radix et Rhizoma) yields immediate results.
Using Sheng Ma, Ge Gen, Huang Lian, Gan Cao. Then diarrhea stops spontaneously. Patients with Sha disease do not fear diarrhea; diarrhea allows the pathogenic heat of the Yangming meridian to exit.
Later onset of diarrhea, and pus/blood in stool. All are due to pathogenic heat sinking inward. Astringent and binding agents are strictly contraindicated; only ascending and dispersing methods are suitable.
If there are bean-sized [lesions]... If there is pus/blood in stool, add Hua Shi (Talcum) powder. It will surely heal.
(The formulas and syndromes for external diseases are extremely numerous and cannot all be recorded. Here, a few formulas are selected for reference. As for agents that clear heat, purge fire, detoxify, invigorate blood, and support the interior to expel pus...)
When Cold and Dampness contend, stagnation occurs and movement slows, representing insufficiency. When Heat and Fire contend, boiling occurs and movement accelerates, representing excess. When Qi is constrained by pathogens, body fluids become thick and sticky, forming Tan (Phlegm) or Yin (Fluid retention). After accumulating for a long time, they seep into the vessels, making the blood turbid; this is Yin stagnation blocking Yang. When Blood is constrained by pathogens, the collaterals are blocked, leading to either extravasation or coagulation. After accumulating for a long time, they seep out of the vessels, causing Qi to become chaotic; this is Yang stagnation blocking Yin. All diseases arise from this, not just carbuncles and ulcers.)