干宫出痘更兼红，心背口多四肢浓，（浓者多也。）尾闾三分痘一个，若不针穿往瑶宫。
十日之内留不住，辰午二时一场空，坎宫痘夹疹相间，委中定有痘疔穿。若是干宫
带黑色，六朝丑亥上西天，艮宫出痘不相连，心窝没有两旁边。九日痂完十日满，此
痘皆因气血全，震宫出痘有焦尖，背上定有一团连。胸腹只有三分痘，四肢如蚕种
一般，九日南柯一梦去，父母号啕一声天。巽宫痘密不分枝，胸背皆然一霎齐，（涌出也。）
十日纵挨十四尽，寅申一梦赴瑶池。离宫痘出吕连肢。（双粒相串。）承山有个痘疔危，（急
早挑去痘疔，勿迟。）胸前痘疔三四粒，错过一日枉伤悲。坤宫痘红分地稀，四肢不觉数
多枚，胸背皆然三二十，心前空了始为奇。兑宫如串出一连，仔细思量实可怜，痒塌
之中九日故，子亥二时准归泉。八卦之中总一般，四肢如蚕地不宽，（密而多也。）肚腹咽
喉毒在内，隐在皮肤往里钻。（全闭也。）五日之内转过吉，（起胀分颗。）八日分明十五行。（不
转，至迟八朝难保。）
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诀曰∶痘疹秘诀要专门，表里虚实看分明，先观面上诸部位，吉凶祸福预知闻。
左肝右肺宜斟酌，年寿人中脾属停，印堂方广心之主，颧骨尻耳肾同均。文武双台
真妙诀，左右两耳珠上寻，三台只在准头上，再查八卦细留心。看痘之法论五经，五
经穴道要分明，分明仔细观八卦，八卦之中按五经。（心肝脾肺肾也。）心肾原来不相合，脾
肺出痘两均平，惟有肝肾出杂痘，肺肾掐指两三宁。（十有二三可保。）太阳发生难捉摸，年
寿之间有活生，印堂初发带紫色，六日南柯一梦倾。只有肝经无大变，四者兼宜方
可行，五行相生并相克，莫教水火便相争。上呼下应方为主，痘疔原来不顺情，我有
心中秘法语，合法用之转回生。回生秘诀心常用，常用掌中挂在心，用药不顺安巧
计，下手用药如用兵。一看天庭并太阳，二看唇口舌尖方，三看梁上并梁下，四看喉
额并太阳。五看诸阳观气色，再看周遭八卦位，一要用力观形色，二要水火莫相侵。
三要气色无枯地，四要谷食可调匀，五要痘极无顶陷，六无杂证辨其真，肾经一串
到太阳，六日有变没商量，若然山根有数粒，九日方推十二伤。肝经稠密内兼红，不
怕天庭黑陷空，九日作泻无大害，十一起从十二亡。肝经出痘灰白色，太阴太阳淡
红白，七日挫喉九日痒，健脾助胃正相当。心经密密地无缝，两脸珍珠一片红，此痘
八九防作痒，正格之中难起浆。肺经痘串震宫连，只防八日有痰涎，十一凶凶十三
吉，过此凶日无后殃。肺经痘串到离关，灰白茵尘内有霜，热沸烂开霜若见，任君一
见也凄惶。密密细详根下穴，再看唇上可黄浆，若还二处有生意，还保一旦太平乡。
世上伤心惟痘疹任是英雄也着慌。
干宫（乾卦，对应西北方）出痘且颜色发红，心、背、口部较多，四肢密集。（“浓”意为多。）尾闾穴附近三分处若有一个痘疔，若不针刺穿透排出毒邪，便会危及生命。
十日之内若不能结痂留存，辰时和午时病情会突然恶化导致死亡。坎宫（坎卦，对应北方）出的痘疹夹杂出现，委中穴处必有痘疔穿破。若是干宫（乾卦）的痘色带黑，六朝（第六天）丑时和亥时便会去世。艮宫（艮卦，对应东北方）出的痘互不相连，心窝处没有，两侧才有。九日结痂完毕，十日饱满，这种痘是因为气血充足所致。震宫（震卦，对应东方）出的痘有焦黑的尖端，背上定有一团连在一起。胸腹只有三分之一的地方有痘，四肢像蚕种一样密集，九日后如南柯一梦般死去，父母痛哭呼天。巽宫（巽卦，对应东南方）出的痘密集不分枝，胸背都一样齐整涌出。（“涌出”意为大量出现。）十日即使勉强支撑到十四天，寅时和申时也会如一梦般赴瑶池（指死亡）。离宫（离卦，对应南方）出的痘双粒相串。（“吕连肢”指双粒相连。）承山穴处若有痘疔则危险，（应尽早挑去痘疔，不要拖延。）胸前有三四粒痘疔，错过一天治疗便徒增悲伤。坤宫（坤卦，对应西南方）出的痘红色稀疏，四肢不觉数量多，胸背皆然约三二十粒，心前部位空了才算是奇特。兑宫（兑卦，对应西方）出的痘如串珠一般连成一排，仔细思量实在可怜，在瘙痒塌陷之中九日便故去，子时和亥时必定归泉（指死亡）。八卦之中总体情况一般，四肢如蚕地一样不宽裕。（“密而多”意为密集且多。）肚腹咽喉毒气在内，隐伏在皮肤往里钻。（“全闭”意为完全闭塞。）五日之内若能转吉，（起胀分颗为吉兆。）八日分明十五行。（若不转变，至迟八天难保性命。）
头面部图诀曰：痘疹秘诀需要专门研究，表里虚实要看分明，先观察面上各个部位，吉凶祸福预先知晓。左面属肝右面属肺宜斟酌，年寿、人中部位脾属停留，印堂方正宽阔是心的主宰，颧骨、尻骨、耳朵肾气同均。文武双台真是妙诀，在左右两耳珠上寻找，三台只在准头（鼻尖）上，再查八卦要细心留心。看痘的方法论述五经，五经穴道要分明，分明后仔细观八卦，八卦之中按五经来定。（指心、肝、脾、肺、肾。）心肾原来不相合，脾肺出痘两均平，惟有肝肾出杂痘，肺肾掐指算来十有二三可保。太阳经发生痘疹难以捉摸，年寿之间有生机，印堂初发带紫色，六日后如南柯一梦倾覆。只有肝经无大变，四者兼宜方可施行，五行相生并相克，莫让水火便相争。上呼下应才为主，痘疔原来不顺情，我有心中秘法语，合法用之转回生。回生秘诀心常用，常用掌中挂在心，用药不顺安巧计，下手用药如用兵。一看天庭并太阳，二看唇口舌尖方，三看梁上并梁下，四看喉额并太阳。五看诸阳观气色，再看周遭八卦位，一要用力观形色，二要水火莫相侵。三要气色无枯地，四要谷食可调匀，五要痘极无顶陷，六无杂证辨其真，肾经一串到太阳，六日有变没商量，若然山根有数粒，九日方推十二伤。肝经稠密内兼红，不怕天庭黑陷空，九日作泻无大害，十一起从十二亡。肝经出痘灰白色，太阴太阳淡红白，七日挫喉九日痒，健脾助胃正相当。心经密密地无缝，两脸珍珠一片红，此痘八九防作痒，正格之中难起浆。肺经痘串震宫连，只防八日有痰涎，十一凶凶十三吉，过此凶日无后殃。肺经痘串到离关，灰白茵尘内有霜，热沸烂开霜若见，任君一见也凄惶。密密细详根下穴，再看唇上可黄浆，若还二处有生意，还保一旦太平乡。世上伤心惟痘疹，任是英雄也着慌。
The Palace of Qian (Qian Trigram, corresponding to the Northwest) presents with smallpox that is red; there are many lesions on the heart, back, and mouth, and they are dense on the four limbs. ("Nong" means numerous.) If there is a single pustule at the Wei Lu point (BL54), and it is not punctured with a needle to drain the toxin, death will ensue.
If scabs do not form within ten days, the patient will die suddenly during Chen hour (07:00-09:00) and Wu hour (11:00-13:00). The Palace of Kan (Kan Trigram, corresponding to the North) presents with smallpox mixed with measles; there will be a dangerous pustule piercing through at the Wei Zhong point (BL40). If the lesions in the Palace of Qian are black, the patient will pass away on the sixth day during Chou hour (01:00-03:00) and Hai hour (21:00-23:00). The lesions in the Palace of Gen (Gen Trigram, corresponding to the Northeast) are not connected; there are none in the epigastrium, only on both sides. Scabs complete by the ninth day, full by the tenth; this type occurs due to sufficient Qi and Blood. Lesions in the Palace of Zhen (Zhen Trigram, corresponding to the East) have scorched tips; there is a cluster on the back. Only one-third of the chest and abdomen have lesions, while the four limbs are as dense as silkworm eggs. By the ninth day, the patient dies like a dream (Nanke Yimeng), and parents wail to heaven. Lesions in the Palace of Xun (Xun Trigram, corresponding to the Southeast) are dense without branching; the chest and back are uniformly covered, erupting all at once. ("Yongchu" means erupting in large numbers.) Even if the patient survives ten days up to fourteen, they will die in a dream during Yin hour (03:00-05:00) and Shen hour (15:00-17:00). Lesions in the Palace of Li (Li Trigram, corresponding to the South) appear in pairs linked together. A dangerous pustule at the Cheng Shan point (BL57) indicates critical condition; (the pustule must be picked out early, do not delay.) Three or four pustules on the chest are tragic if treatment is delayed by even one day. Lesions in the Palace of Kun (Kun Trigram, corresponding to the Southwest) are red and sparse; the number on the four limbs does not seem high; there are about thirty on the chest and back; it is considered unusual for the area in front of the heart to be clear. Lesions in the Palace of Dui (Dui Trigram, corresponding to the West) appear in a continuous string; upon careful consideration, it is pitiable. The patient passes away after nine days amidst itching and collapse, definitely dying during Zi hour (23:00-01:00) and Hai hour. Generally, across the Eight Trigrams, the limbs are crowded. ("Mi er duo" means dense and numerous.) Toxins in the abdomen and throat are internal, hidden in the skin and drilling inward. ("Quanbi" means completely closed.) If the condition turns auspicious within five days, (swelling and distinct grains are auspicious signs.) By the eighth day, the course is clear; fifteen days is the limit. (If it does not turn, life cannot be saved by the eighth day at the latest.)
The Rhyme for the Head and Face Diagram states: The secrets of smallpox and rashes require specialized study; exterior and interior, deficiency and excess must be clearly distinguished. First observe the various areas of the face to foresee good fortune, bad luck, disaster, and safety. The left side corresponds to the Liver and the right to the Lung, requiring careful deliberation; the Nian Shou and Ren Zhong areas belong to the Spleen. The Yin Tang area, being square and broad, is governed by the Heart; the Cheekbones, Kao bone, and ears correspond equally to the Kidney. The Wen Wu Shuang Tai is a true wonderful secret, found on the pearls of the left and right ears. The San Tai is located only on the Zhun Tou (tip of the nose); carefully examine the Eight Trigrams. The method of observing smallpox discusses the Five Meridians; the acupoints of the Five Meridians must be clear. Once clear, carefully observe the Eight Trigrams, and within the Eight Trigrams, determine according to the Five Meridians (Heart, Liver, Spleen, Lung, Kidney). The Heart and Kidney originally do not harmonize; when the Spleen and Lung produce smallpox, they are balanced. Only the Liver and Kidney produce mixed smallpox; calculating the Lung and Kidney, two or three out of ten can be saved. The occurrence of Shaoyang meridian smallpox is hard to grasp; there is vitality between the Nian Shou area. If Yin Tang initially appears purple, the patient collapses like a dream on the sixth day. Only the Liver meridian shows no major changes; combining these four is feasible. The Five Elements generate and overcome each other; do not let Water and Fire contend. Upper and lower resonance should be the main principle; smallpox and carbuncles originally do not follow normal patterns. I have secret words in my heart; using them legally turns life back. Use the secret of revival often in your heart, keep it in mind always. If medication does not go smoothly, employ clever strategies; administering medicine is like using troops. First look at the Tian Ting and Tai Yang areas; second, look at the lips, mouth, and tip of the tongue; third, look above and below the nasal bridge; fourth, look at the throat, forehead, and Tai Yang. Fifth, observe the Qi color of all Yang meridians, then look at the surrounding Eight Trigram positions. First, exert effort to observe shape and color; second, ensure Water and Fire do not invade each other. Third, ensure the Qi color is not withered; fourth, ensure grain and food intake is regular. Fifth, ensure the smallpox peaks are not sunken; sixth, distinguish the truth from miscellaneous symptoms. A string of Kidney meridian lesions reaching Tai Yang indicates change on the sixth day, leaving no room for negotiation. If there are several grains at the Shan Gen, damage is predicted by the twelfth day after the ninth. Dense Liver meridian lesions with internal redness are not afraid of black sunken areas in the Tian Ting; diarrhea on the ninth day causes no great harm, but death comes from the tenth to the twelfth day. Grayish-white Liver meridian lesions, pale red-white Taiyin and Taiyang lesions: throat obstruction on the seventh day, itching on the ninth; strengthening the Spleen and assisting the Stomach is appropriate. Densely packed Heart meridian lesions without gaps, pearl-like red patches on both cheeks: beware of itching around the eighth and ninth days; in standard patterns, pus formation is difficult. Lung meridian lesions connecting to the Zhen palace: only fear phlegm and saliva on the eighth day; ominous on the eleventh, auspicious on the thirteenth; passing these ominous days brings no subsequent disaster. Lung meridian lesions reaching the Li pass: grayish-white like dust with frost inside; if heat boils and rots open revealing frost, any sight of it is desolate. Carefully examine the acupoints at the root, then check if yellow pus forms on the lips; if there is vitality in these two places, peace can still be preserved. In this world, nothing is more heartbreaking than smallpox; even heroes panic.