一、痘至十日之外，血化毒解，脓必渐干，如苍蜡色，或如葡萄色，从口鼻两旁面部收起，以
至胸腹而下，然后额上与脚背一齐结靥而落，别无内证，饮食二便如常，或从手足心、手指尖或阴
上先收者，俱吉候也。
一、痘既苍蜡收靥而身有微热者，乃烧瘢之证，但饮食如常，供不必治。
一、痘当靥时，遍身臭烂，目无神气者决死。
一、当靥之时，遍身发痒。搔破无脓，皮卷如豆壳而干者死。
一、当靥之时，无脓而气急声哑，或手足颤掉，或寒战切牙，或腹胀痰响，或足冷过膝，或小
便少而大便频者，皆死。
一、当靥时，两脸干硬，按之如石者死。
一、痘至收靥，饮食不进，口中常如食物动而不止者决死。
一、面部胸腹未靥而脚先靥者危，阴胜阳也。
一、遍身俱靥，内遗数粒独不靥者，尚能杀人，如蛇之退皮，中有一节被伤，不能全退者终死。
其有靥至项下或至胸住定，而服药不效者亦死。
一、痘疮未该靥而卒然焦紫者死。
一、痘当靥时，遍身未见脓成，而口唇上下痘先黄熟者，毒瓦斯内攻于脾也，凶。
一、痘疮有脓结靥者则为吉证，若无脓收靥，则立见其危。
一、痘未收靥，而口唇腐烂及口白到舌者危。
一、收靥时，前后有红紫泡者不治。
一、痘疮收后，其痂先后自脱，痂浓落迟，离肉不粘者吉。
一、自食痘痂者，虽有他证不死。
一、疽痂虽落，而痘瘢雪白，略无血色者，气血脱尽也，若不急培元气，则过后必死。
一、痂落后，每发惊而神无所根据者，心气绝也，危。
一、痂落后，手足颤掉，切牙噤口，目闭腹胀，足冷过膝者不治。
一、原痘干燥，脓少不灌，虽结靥落痂而疤白者，或有余热不退者，虽过一月亦要死。
一、痘疹发展至十日以后，血液转化而毒邪解除，脓液必然逐渐干燥，颜色如同苍蜡色，或者像葡萄的颜色，从口鼻两侧的面部开始收敛，进而向胸腹部向下推进，然后额头与脚背同时结痂并脱落，体内没有其他病症表现，饮食和二便都正常；或者是从手足心、手指尖或阴部先开始收敛的，都属于吉利的征候。
一、痘疹已经呈现苍蜡色并结痂收敛，但身体仍有轻微发热的，这是烧瘢（疤痕灼热）的证候，只要饮食正常，就不必治疗。
一、在痘疹结痂的时候，全身发痒，抓破后没有脓液，皮肤卷曲像豆壳一样干枯的，必定死亡。
一、在痘疹结痂的时候，没有脓液且呼吸急促声音嘶哑，或者手足颤抖抖动，或者寒战咬牙，或者腹胀痰鸣，或者脚冷超过膝盖，或者小便少而大便频繁的，都是死证。
一、在痘疹结痂的时候，两颊干硬，按压起来像石头一样的，必定死亡。
一、痘疹到了收靥（结痂收敛）阶段，饮食不进，口中常常感觉有食物蠕动不止的，必定死亡。
一、面部和胸腹部的痘疹尚未结痂，而脚部先结痂的，情况危急，这是因为阴气胜过阳气。
一、全身都结痂了，内部遗留几颗痘疹单独不结痂的，也能致人死亡，就像蛇蜕皮一样，中间有一节受损，不能完整退下的，最终会死亡。那些结痂长到颈部以下或者胸部就停止固定的，服药无效的，也会死亡。
一、痘疮还没有该结痂的时候突然变得焦黑紫色的，必定死亡。
一、痘疹应当结痂时，全身未见脓液形成，而口唇上下的痘疹先变黄成熟的，这是毒瓦斯内攻于脾脏的表现，凶险。
一、痘疮有脓液并结痂的，就是吉利的证候；如果没有脓液就收靥，则立刻显现出危险。
一、痘疹未收靥，而口唇腐烂以及口腔白色蔓延到舌头的，情况危急。
一、在收靥的时候，前后出现红紫色水泡的，无法治疗。
一、痘疮收靂之后，其痂皮先后自然脱落，痂皮浓稠落下迟缓，离开肉且不粘连的，为吉利。
一、自己吃痘痂的，虽然有其他病症也不会死亡。
一、痘痂虽然脱落，但痘疤雪白，完全没有血色的，是气血完全脱失的表现，如果不紧急培补元气，那么过后必定死亡。
一、痂皮脱落后，经常发生惊悸而精神无所依托的，是心气衰竭的表现，危急。
一、痂皮脱落后，手足颤抖抖动，咬牙紧闭嘴巴，眼睛闭合腹胀，脚冷超过膝盖的，无法治疗。
1. When the smallpox progresses beyond ten days, the blood transforms and the toxin resolves; the pus will gradually dry up, taking on a color resembling pale wax or grapes. The lesions begin to retract from the sides of the face around the mouth and nose, progressing downward to the chest and abdomen. Finally, the forehead and the dorsum of the feet crust over and fall off simultaneously. In the absence of internal symptoms, with normal diet and bowel/bladder functions, or if retraction begins first at the palms/soles, fingertips, or genitalia, these are all auspicious signs.
2. If the smallpox has crusted over with a pale wax-like appearance but the body retains a slight fever, this is a sign of burning scars (burning sensation in the scar tissue). Provided the diet remains normal, no treatment is necessary.
3. During the crusting stage, if the entire body becomes foul and putrid, and the eyes lack spirit/luster, death is certain.
4. During the crusting stage, if the whole body itches intensely, scratching reveals no pus, and the skin curls and dries like bean pods, death is certain.
5. During the crusting stage, if there is no pus accompanied by rapid breathing and hoarseness, trembling of the limbs, severe chills with teeth grinding, abdominal distension with phlegm rales, coldness of the feet extending above the knees, oliguria with frequent stools, these are all fatal conditions.
6. During the crusting stage, if both cheeks are dry and hard, feeling like stone upon palpation, death is certain.
7. At the stage of lesion retraction/crusting, if the patient cannot eat and feels as though food is constantly moving in the mouth, death is certain.
8. If the lesions on the face and chest/abdomen have not yet crusted, but those on the feet have crusted first, the condition is critical due to Yin overcoming Yang.
9. If the entire body has crusted except for a few remaining lesions internally that do not crust, this can still be fatal. It is akin to a snake shedding its skin: if one segment is damaged and cannot shed completely, the snake dies. Similarly, if crusting stops at the neck or chest and medication proves ineffective, death ensues.
10. If the smallpox lesions suddenly turn scorched and purplous before the appropriate time for crusting, death is certain.
11. When the smallpox should be crusting, if no pus has formed on the body, but the lesions around the upper and lower lips turn yellow and mature first, this indicates the toxin attacking the Spleen internally; this is ominous.
12. Smallpox lesions that form pus and crust are auspicious signs. Conversely, if retraction/crusting occurs without pus formation, danger is immediately apparent.
13. If the smallpox has not yet retracted/crusted, but the lips are rotting and white patches spread to the tongue, the condition is critical.
14. If red or purple blisters appear during the retraction/crusting phase, the condition is untreatable.
1. After the smallpox has crusted, if the scabs detach naturally in sequence, and the thick scabs fall off slowly without adhering tightly to the flesh, this is auspicious.
2. If the patient eats their own scabs, they will not die even if other symptoms are present.
3. Although the scabs have fallen off, if the resulting scars are snow-white with no blood color, this indicates complete exhaustion of Qi and Blood. If Yuan Qi (Original Qi) is not urgently tonified, death will follow after some time.
4. After the scabs fall off, if the patient frequently experiences fright/startle responses with a sense of mental rootlessness, this indicates the exhaustion of Heart Qi; the condition is critical.
5. After the scabs fall off, if there is trembling of the limbs, teeth grinding with jaw clenching, closed eyes with abdominal distension, and cold feet extending above the knees, the condition is untreatable.
6. If the original smallpox lesions were dry with scanty, non-filling pus, and although they crusted and shed scabs leaving white scars, or if residual heat persists, death will occur even if more than a month passes.