天根痘∶凡诸痘不起壮，而天庭或晓星起灌者，乃精气外生，故曰天根，是十
有九生。天空痘∶诸痘起壮而天庭或晓星不壮者，乃血不灌顶也，故曰天空，十
无一生。明朗痘∶诸痘不起，太阴太阳独起者是，如日月之为明，乃属吉者也。
明蚀痘∶诸痘起壮，太阴太阳不起者，如日月被蚀而为凶。海溢痘∶诸痘不起，而
耳后方圆一寸独起者，名曰星宿海溢，是肾经旺也，可治。海枯痘∶诸痘俱起，而
耳后方圆一寸独不起，名曰星宿海枯，是肾经败也，不治。有根痘∶凡痘遍身头
面稠密，十分危险，若得地阁方圆数粒如珠者，十有十生。盖肾为人之根本，此痘
肾旺，故曰有根，或曰足下有痘为有根。无根痘∶诸痘俱好，地阁方圆陷伏干枯，或
灰白不起者，是肾水绝也，不治。绕膝痘∶膝膑之间，髓会于此，肾所属焉。故
若红活起胀为吉，若色焦紫，须防成疔。抱鼻痘∶面部俱稀而鼻梁左右密如蚕种者，
此毒聚于脾胃也，名曰抱鼻痘，其证危矣。然此若得形色不乖，余部俱顺，亦见无恙。
单锁口∶面部俱稀，嘴角有一粒黑痘独大者，此名单锁口。若唇上下一圈成串者，
此名 蛇锁口，皆恶疾也。双锁口∶两嘴角俱有一粒者，此名双锁口，又名曰白
虎须疮，尤恶疾也。锁项托颐痘∶一名盘蛇，一名托腮，一名缠喉。其痘遍身稀疏，
惟项下到颐稠密一片者是也。乃系凶证也。结颈痘∶凡痘喉颈窝太多者是也。急服元
参、桔梗、生地、甘草、牛蒡、山豆根之类，迟则其毒结喉而死。聚痘∶其痘中间
多有两头少者，甚至绝无者是也，乃系大凶之证，多有其毒内攻，损伤心肺而死。两
头痘∶一名两截痘，又名春水断桥。其痘初标时自胸以上，自脐以下俱已见标，而
中间一段全无者是也。此因毒瓦斯壅盛，气血相离，不能交会，阳参于上，故头面最
多，阴滞于下，两腿足稠密，故胸腹绝少为阴阳相离故也。如痘红活而根窠圆晕者，
急宜大补气血，接续元气，须于七日之内速救为妙，至七日之后则难救矣。惟正气
充足者无妨。若头面太多，肩背密甚者死，岂可概以心胸稀少而忽之。逆痘∶其痘
上身少而下体多者是也，此无大害，或曰从下先见而后上者为是，或以弟样兄，女
样男者为逆痘。鸦翎痘∶此天元足而壬癸充，肾经独发之痘，名曰鲸罩云衢。从
见标起胀俱黑，圆锭光润，圈圆顶峻，行浆渐黄有神，此主后大富贵之痘也，状元
图中俱载之。鬼捏痘∶此痘遍身全无点粒，其斑成片，却如打伤之痕，此名鬼捏，决
为不治。鬼痘∶其痘见标既完，遍体俱多，头面全无者是也，又名无头痘。五日
之内，尚可救活，五日之外，则难救矣，因气血下行，不能上升故耳。宜急用川芎、升
麻、甘桔、防风、当归、僵蚕之类，如不急治，则曲池生毒，一月见骨而死。贼痘∶
其痘初出，大红如绿豆大，过一日便如黄豆大，再日再大，先起先胀，至后则又变
白根，窠与顶全无血色，或如金黄形，虽起胀按之虚软，宜急挑破，否则四五日上
下出血而死。更有深红 赤，摸过皮软不碍手者，亦是因盗周身之气血而尽附之，故
易长易脓，故名贼痘，是比诸痘独大，其大甚速者是也，若过三日则必变成水泡，甚
或紫泡黑泡矣。若形大而黑，摸甚坚硬，或如圆壳色者，此为痘疔，宜急用银簪刺破，
口含清水，吸去秽血，用紫草膏或油胭脂加血余炭、珍珠末填入疮内，则诸痘自然
起发矣。蛇皮痘∶其痘头面遍身并无空地，平塌而色白者是也，必干枯不能作浆，
至十一二日而死。药患痘∶初标红润，至四五日忽变陷伏不起，将至里虚者，此名
药患痘也。治宜急扶表里为主。
九焦痘∶凡痘而当正额、地阁、颧骨、胸背、耳后、手足，皆有一二个黑陷者，名
曰九焦，乃不治之证也。伏阴痘∶其痘不灌脓而内泻脓血，故名伏阴，宜急温里。
水晶痘∶其豆色似芦花，乃系气血两虚之候，宜急大补，然皮薄甚者，虽大补无益。
空仓痘∶其痘虽似肥满而内无脓血，里实干枯，全无血水者是也。决死之道。
半边痘∶其痘或出于左，或出于右，歪斜头偏，盘晕散漫者是也。此证虽饮食声音
二便如故，总难过七日也。石臼痘∶其痘中间有凹，四弦凸起，光亮好看，内实
浆板不化，以手摸之，其硬如石，形如石
臼故名之。必死。茱萸痘∶其痘不甚起，其中亦凹而四弦皆有皱纹，以形似茱萸故
名之。若根窠红活者，宜以内托散加减服之。虫痘∶凡痘夏月患者，恒多生虫。盖
热胜则肉腐，腐则生虫也。有不止夏月痘中生虫，其疮甚痒者，有云此由毒留皮肤，
热腐而化，既腐于外，则毒亦外解，自无内伏等患，故曰吉兆。或云草腐生萤，木
朽生虫，故为凶候。宜兼察形证何如，以定吉凶，宜以银簪挑去，或用柳条铺下，蛆
自出矣。血痘∶其痘初出红紫，平如朱笔点于遍身者是也，内根已腐，外苗必萎，
六日之中，决死不治。火里痘∶其痘自见点以至结痂，发热不退而起胀贯脓如期
应候，及至落痂则身凉矣，故名之。血 痘∶此血协热毒而自浆也。凡刺 血黑
者不治，如血红者急与犀角地黄汤加白芍以制血解毒。血靥痘∶凡痘出稀少，而
四五日胖如豌豆，六七日血靥痂干，色似丹砂，九日而痂落者是也。此是毒少而气
血充足，随出随痂，不及酿脓也，是以为之最佳。悬磐痘∶其痘玉枕之间团聚成块，
若紫赤灰陷者，最为极危，盖此系脑户穴而宗脉所聚也。鹅口痘∶鹅口者痘正起
发时，唇口痘先黄熟而带浆是也。此处发于脾，渐至呕吐不救。白浆痘∶凡初起
发，其疮头便带白浆者，此疫疠痘也，凡痘有此，主七日死。破黄痘∶其痘人中
一粒，比众痘独大，痘虽稀朗，至六七日或十二日传经时，必然发泻不止，盖脾已
腐败也。四围痘∶其痘初起而根窠起发之际，四畔旋出小痘攒簇本疮，或发似粟
米者，必不待养浆即加搔痒而死。漏疮痘∶有于脓浆成熟之际，疮头有孔脓水漏
出，堆聚干结成痂，色如天泡疮者，此为漏疮之美者也。更有不待养脓，忽尔自破
漏去清水遂干黑者，皆由疠气所为传染相似，未有能治者也。蛀痘∶凡起胀时痘
上有小孔，不黑不白者，此名蛀痘。是表虚而腠里不密，大泄元气，宜急服保元汤
加丁桂，其孔一密而痘自起矣。如仅数颗孔甚黑色者，则为疔矣。攀肩痘∶其痘
肩顶之上稠密是也。如色又不佳者凶。隐血斑∶其痘形如痘壳而色灰白，全无血
色，及至擦破而后血出，亦无脓浆者是也。不治。赤萍疮∶凡痘出如赤浮萍微微高起
者是也。若爬破有血者，急以解毒升发之药救之，如成烂痘则无妨矣。气血两败
痘∶近看犹如水蓼花，远望胭脂紫可夸，临浆清水不成脓，古圣神农无治法。紫萍
疮∶凡痘出齐，紫色不起，兼不灌浆，如紫浮萍贴在肉上者不治。白萍疮∶凡痘
出齐，白色不起，兼不灌浆，如白浮萍贴在肉上者不治。燕窝痘∶其痘在于后颈
之间，风门大椎两穴之处，繁粒稠密是也。若色又焦紫者必危。垂珠痘∶两耳属肾，
肾本伏毒之处，不宜受痘，今痘出耳叶之上，连绵如贯珠，此毒瓦斯伤肾之甚，万无
一生。草尾珠∶其痘遍身俱陷，惟 骨一团饱满如珠者是也。此证尚可急治，而
用补托灌浆之剂或有生者。黑痘∶多属血热者陷，况系天癸夺权，本最恶证，但
形状多端，有血活而犹可救者，有色异而后主贵者，须细辨之，惟血不活者，不可
治矣。赠痘∶赠者增出之谓，自起脓灌脓结痂皆有之。凡头面已破，又复灌浆于
无痘处复出一层是也，又名补空痘，此因正气得补而复邪毒逐外也。故最易长易脓，
若服补托药后不出，赠痘破处不复肿贯者不治。木痘∶此痘中心微微凹陷，硬如
干腐，无脓无血是也。此因小儿肌肤多痰结聚成毒耳。九日决死。瘟痘∶诀曰∶口
不语，眼不睁，饮食不知讨，终日困沉沉，重者似牛狂，手足齐牵并，早晨见好花，午
后花落尽，便是状员郎，到此门阑钉，此是瘟痘证，识得才疗定。佛顶珠∶其痘
天庭之间稀少而形色润美者是也。乃系最吉。
天根痘：凡是各种痘疹都不起发壮实，只有天庭或晓星部位起发灌脓的，这是精气向外生发，所以称为天根，这种情况十有九个能存活。
天空痘：各种痘疹都起发壮实，但天庭或晓星部位不起发壮实的，这是血液不能灌注头顶，所以称为天空，十个没有一个能存活。
明朗痘：各种痘疹都不起发，只有太阴、太阳部位独自起发的，就像日月发光一样，属于吉兆。
明蚀痘：各种痘疹都起发壮实，但太阴、太阳部位不起发的，就像日月被遮蔽侵蚀一样，属于凶兆。
海溢痘：各种痘疹都不起发，只有耳后方圆一寸的地方独自起发的，名叫星宿海溢，这是肾经旺盛的表现，可以治疗。
海枯痘：各种痘疹都起发，只有耳后方圆一寸的地方独自不起发的，名叫星宿海枯，这是肾经败坏的表现，无法治疗。
有根痘：凡是痘疹遍布全身头面且稠密，十分危险，但如果地阁方圆处有几粒像珠子一样的痘疹，十个都能存活。因为肾是人的根本，这种痘说明肾气旺盛，所以叫有根，也有人说足底有痘就是有根。
无根痘：各种痘疹都好，但地阁方圆处凹陷干枯，或者颜色灰白不起发的，这是肾水枯竭的表现，无法治疗。
绕膝痘：膝盖膑骨之间，髓汇聚于此，归属于肾。所以如果颜色红活、起发肿胀就是吉兆，如果颜色焦紫，必须防备变成疔疮。
抱鼻痘：面部痘疹稀疏，而鼻梁左右密集得像蚕种一样，这是毒邪聚集在脾胃，名叫抱鼻痘，病情很危险。但是如果痘形色泽正常，其他部位也都顺遂，也能安然无恙。
单锁口：面部痘疹稀疏，嘴角有一粒黑痘特别大的，这叫单锁口。如果嘴唇上下连成一圈串起来的，这叫蛇锁口，都是恶疾。
双锁口：两个嘴角各有一粒痘的，这叫双锁口，又叫做白虎须疮，更是恶疾。
锁项托颐痘：一名盘蛇，一名托腮，一名缠喉。这种痘遍身稀疏，只有脖子下到下巴处稠密一片，属于凶证。
结颈痘：凡是痘疹在喉咙颈部窝处太多的，就是结颈痘。必须急服玄参、桔梗、生地、甘草、牛蒡子、山豆根等药物，拖延则毒邪结于喉部导致死亡。
聚痘：痘疹中间多有两头少甚至完全没有的，属于大凶之证，多有毒邪内攻，损伤心肺而死。
两头痘：一名两截痘，又名春水断桥。这种痘初起时，自胸部以上、自肚脐以下都已经见标出痘，唯独中间一段完全没有。这是因为毒气壅盛，气血分离，不能交会，阳气参于上部，所以头面最多；阴气滞于下部，所以两腿足稠密，而胸腹绝少，这是阴阳分离的缘故。如果痘色红活且根窠圆晕，必须急用大补气血的药物，接续元气，最好在七日内迅速救治为妙，过了七日就难救了。只有正气充足的人不妨碍。如果头面太多，肩背密甚的会死，怎么能一概因为心胸部位稀少就忽视它呢？
逆痘：痘疹上身少而下体多的，这就是逆痘，这没有太大危害，或者说从下先见而后上的是对的，或者以弟弟样哥哥、女儿样儿子的是逆痘。
鸦翎痘：这是天元充足且壬癸（肾水）充盈，肾经独自发出的痘，名叫鲸罩云衢。从见点起胀到全部变黑，圆锭光润，圈圆顶峻，行浆逐渐变黄有神，这是预示日后大富贵的痘，状元图中都有记载。
鬼捏痘：这种痘遍身完全没有点粒，斑片成片，却像被打伤的痕迹，名叫鬼捏，绝对无法治疗。
鬼痘：痘见点已经完毕，遍体很多，唯独头面完全没有的，又名无头痘。五日内还可以救活，五日之外就难救了，因为气血下行，不能上升的缘故。应当急用川芎、升麻、甘桔、防风、当归、僵蚕等药物，如果不急治，则曲池穴生毒，一个月后见骨而死。
贼痘：痘刚出来时，大红如绿豆大小，过一天便如黄豆大小，再过一天更大，先起先胀，到了后来又变白根，窠与顶完全无血色，或者像金黄色形状，虽然起胀但按之虚软，应当急挑破，否则四五天上下出血而死。更有深红色赤色的，摸过去皮软不碍手，这也是因为盗取周身气血而尽附于其上，所以容易长容易化脓，故名贼痘，比诸痘独大，长得非常快，如果超过三天则必然变成水泡，甚至紫泡黑泡。如果形体大而黑，摸起来很坚硬，或者像圆壳颜色的，这是痘疔，应当急用银簪刺破，口含清水，吸去秽血，用紫草膏或油胭脂加血余炭、珍珠末填入疮内，则诸痘自然起发。
蛇皮痘：痘在头面遍身没有空地，平塌而颜色白的，必定干枯不能作浆，到十一二日而死。
药患痘：初起时红润，到四五天忽然变陷伏不起，将至里虚的，这叫药患痘。治疗应当急扶表里为主。
九焦痘：凡是痘疹而在正额、地阁、颧骨、胸背、耳后、手足，都有一个两个黑陷的，名叫九焦，是不治之证。
水晶痘：痘色像芦花，这是气血两虚的征候，应当急大补，然而皮薄严重的，即使大补也无益。
空仓痘：痘虽然看似肥满但内部无脓血，里实干枯，全无血水的，这是决死之道。
半边痘：痘或出于左边，或出于右边，歪斜头偏，盘晕散漫的，这就是半边痘。此证虽然饮食声音二便如常，总难过七日。
石臼痘：痘中间有凹陷，四周凸起，光亮好看，内部实浆板结不化，用手摸之，其硬如石，形状像石臼所以得名。必死。
茱萸痘：痘不太起发，其中也凹陷且四周都有皱纹，因形状像茱萸所以得名。如果根窠红活的，宜以内托散加减服用。
虫痘：凡是夏天患痘的，常常多生虫。因为热胜则肉腐，腐则生虫。有不只在夏天痘中生虫，其疮很痒的，有人说这是由于毒留皮肤，热腐而化，既然腐于外，则毒也外解，自然没有内伏等祸患，所以说吉兆。或者说草腐生萤，木朽生虫，所以为凶候。应当兼察形证如何，以定吉凶，宜用银簪挑去，或用柳条铺下，蛆虫自然会出来。
血痘：痘刚出来红紫，平如朱笔点在遍身的，内部根已腐，外部苗必萎，六日之中，决死不治。
火里痘：痘自见点以至结痂，发热不退而起胀贯脓如期应候，及至落痂则身凉了的，所以名叫火里痘。
血痘（注：原文此处重复出现“血痘”但描述不同，实指血热毒盛之痘）：此血协热毒而自浆。凡刺破流血黑色的不治，如血红色的急与犀角地黄汤加白芍以制血解毒。
血靥痘：凡是痘出稀少，而四五天胖如豌豆，六七天血靥痂干，色似丹砂，九日而痂落的，这是毒少而气血充足，随出随痂，不及酿脓，所以认为是最佳。
悬磐痘：痘在玉枕之间团聚成块，若紫赤灰陷的，最为极危，因为这是脑户穴而宗脉所聚的地方。
鹅口痘：鹅口是指痘正起发时，唇口痘先黄熟而带浆的。此处发于脾，渐至呕吐不救。
白浆痘：凡是初起发，其疮头便带白浆的，这是疫疠痘，凡痘有此，主七日死。
破黄痘：痘在人中一粒，比众痘独大，痘虽稀朗，到六七日或十二日传经时，必然发泻不止，因为脾已腐败。
四围痘：痘初起而根窠起发之际，四畔旋出小痘攒簇本疮，或发似粟米的，必不待养浆即加搔痒而死。
漏疮痘：有于脓浆成熟之际，疮头有孔脓水漏出，堆聚干结成痂，色如天泡疮的，此为漏疮之美者。更有不待养脓，忽尔自破漏去清水遂干黑的，皆由疠气所为传染相似，未有能治的。
蛀痘：凡起胀时痘上有小孔，不黑不白的，这叫蛀痘。这是表虚而腠理不密，大泄元气，宜急服保元汤加丁香、肉桂，其孔一密而痘自然起发了。如果仅数颗孔很黑色，则为疔了。
攀肩痘：痘在肩顶之上稠密的。如果颜色又不佳的就凶。
隐血斑：痘形如痘壳而色灰白，全无血色，及至擦破而后血出，也无脓浆的，不治。
赤萍疮：凡痘出如赤浮萍微微高起的。如果爬破有血的，急以解毒升发之药救之，如成烂痘则无妨。
气血两败痘：近看犹如水蓼花，远望胭脂紫可夸，临浆清水不成脓，古圣神农无治法。
紫萍疮：凡痘出齐，紫色不起，兼不灌浆，如紫浮萍贴在肉上的，不治。
白萍疮：凡痘出齐，白色不起，兼不灌浆，如白浮萍贴在肉上的，不治。
燕窝痘：痘在于后颈之间，风门、大椎两穴之处，繁粒稠密的。如果颜色又焦紫的必危。
垂珠痘：两耳属肾，肾本伏毒之处，不宜受痘，今痘出耳叶之上，连绵如贯珠，此毒瓦斯伤肾之甚，万无一生的。
草尾珠：痘遍身俱陷，惟髀骨一团饱满如珠的。此证尚可急治，而用补托灌浆之剂或有生的。
黑痘：多属血热者陷，况系天癸夺权，本最恶证，但形状多端，有血活而犹可救的，有色异而后主贵的，须细辨之，惟血不活的，不可治了。
赠痘：赠者增出之谓，自起脓灌脓结痂皆有之。凡头面已破，又复灌浆于无痘处复出一层，也叫补空痘，这是因为正气得补而复邪毒逐外。所以最容易长最容易脓，如果服补托药后不出，赠痘破处不复肿贯的不治。
木痘：此痘中心微微凹陷，硬如干腐，无脓无血的。这是因为小儿肌肤多痰结聚成毒。九日决死。
瘟痘：诀曰：口不语，眼不睁，饮食不知讨，终日困沉沉，重者似牛狂，手足齐牵并，早晨见好花，午后花落尽，便是状员郎，到此门阑钉，此是瘟痘证，识得才疗定。
佛顶珠：痘在天庭之间稀少而形色润美的，乃系最吉。
Tian Gen Dou (Heaven Root Pox): When all pox lesions fail to rise and become robust, but those on the Tian Ting (Forehead) or Xiao Xing (Star Point) do rise and suppurate, it indicates that essence and qi are generating outwardly. This is called "Tian Gen," and nine out of ten cases will survive.
Tian Kong Dou (Heaven Void Pox): When all pox lesions rise and become robust, but those on the Tian Ting (Forehead) or Xiao Xing (Star Point) fail to do so, it indicates that blood fails to irrigate the head. This is called "Tian Kong," and none of the ten cases will survive.
Ming Lang Dou (Bright and Clear Pox): When all pox lesions fail to rise, but those in the Tai Yin (Lesser Yin) and Tai Yang (Greater Yang) regions rise independently, resembling the brightness of the sun and moon, this is a auspicious sign.
Ming Shi Dou (Eclipsed Brightness Pox): When all pox lesions rise and become robust, but those in the Tai Yin (Lesser Yin) and Tai Yang (Greater Yang) regions fail to do so, resembling an eclipse of the sun and moon, this is an ominous sign.
Hai Yi Dou (Sea Overflow Pox): When all pox lesions fail to rise, but those in a circular area one inch behind the ear rise independently, named "Xing Xiu Hai Yi" (Star Mansion Sea Overflow), this indicates prosperity of the Kidney Meridian and is treatable.
Hai Ku Dou (Sea Withered Pox): When all pox lesions rise, but those in a circular area one inch behind the ear fail to rise independently, named "Xing Xiu Hai Ku" (Star Mansion Sea Withered), this indicates failure of the Kidney Meridian and is untreatable.
You Gen Dou (Rooted Pox): When pox lesions are dense over the entire body and face, which is extremely dangerous, if there are a few pearl-like lesions in the Di Ge (Chin/Jaw) area, all ten cases will survive. Since the Kidney is the root of human life, these lesions indicate strong Kidney Qi, hence "Rooted." Some say having pox on the soles of the feet signifies being rooted.
Wu Gen Dou (Unrooted Pox): When other pox lesions are fine, but the Di Ge (Chin/Jaw) area is depressed, dry, or grayish-white and non-rising, this indicates exhaustion of Kidney Water and is untreatable.
Rao Xi Dou (Knee-Encircling Pox): The knee patella region is where marrow converges and belongs to the Kidney. If the lesions are red, vibrant, and swollen, it is auspicious; if they are scorched purple, one must guard against them becoming Ding Sores (carbuncles).
Bao Bi Dou (Nose-Hugging Pox): Facial lesions are sparse, but those around the nasal bridge are dense like silkworm eggs, indicating toxin accumulation in the Spleen and Stomach. Named "Bao Bi Dou," the condition is critical. However, if the color and form are normal and other areas are smooth, recovery is possible.
Dan Suo Kou (Single Lock Mouth): Facial lesions are sparse, with one large black lesion at the corner of the mouth. This is "Dan Suo Kou." If lesions form a continuous ring around the lips, it is called "She Suo Kou" (Snake Lock Mouth), both are malignant diseases.
Shuang Suo Kou (Double Lock Mouth): One lesion at each corner of the mouth. This is "Shuang Suo Kou," also known as "Bai Hu Xu Chuang" (White Tiger Beard Sore), a particularly malignant disease.
Suo Xiang Tuo Yi Dou (Neck-Locking Chin-Supporting Pox): Also called Pan She (Coiling Snake), Tuo Sai (Cheek-Supporting), or Chan Hou (Throat-Wrapping). Lesions are sparse on the body but densely clustered from the neck to the chin. This is an ominous sign.
Jie Jing Dou (Neck-Knotting Pox): Excessive lesions in the throat and neck hollows. One must urgently administer herbs such as Xuanshen (Scrophulariae Radix), Jiegeng (Platycodonis Radix), Shengdi (Rehmanniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Niubangzi (Arctii Fructus), and Shandougen (Sophorae Tonkinensis Radix). Delay allows toxin to knot in the throat, causing death.
Ju Dou (Clustered Pox): Lesions are numerous in the center but sparse or absent at the ends. This is a major ominous sign, often leading to internal attack on toxins, damaging the Heart and Lungs, and causing death.
Liang Tou Dou (Two-Ends Pox): Also called Liang Jie Dou (Two-Cut Pox) or Chun Shui Duan Qiao (Spring Water Broken Bridge). At the initial stage, lesions appear above the chest and below the navel, but the middle section is completely empty. This is due to excessive toxin congestion separating Qi and Blood, preventing their intersection. Yang Qi rises to the upper part, resulting in many lesions on the head and face; Yin Qi stagnates in the lower part, resulting in dense lesions on the legs and feet, while the chest and abdomen have few. This signifies separation of Yin and Yang. If lesions are red, vibrant, with round halos at the base, urgently use formulas to greatly tonify Qi and Blood and reconnect Yuan Qi. Rescue within seven days is ideal; after seven days, it is difficult to save. Only those with sufficient Zheng Qi (Upright Qi) are unaffected. If there are too many on the head/face or density on shoulders/back, death ensues; do not ignore it just because the chest/heart area is sparse.
Ni Dou (Reverse Pox): Few lesions on the upper body and many on the lower body. This causes little harm. Alternatively, lesions appearing from bottom to top, or resembling younger siblings/daughters instead of older brothers/sisters, are considered reverse pox.
Ya Ling Dou (Crow Feather Pox): This occurs when Tian Yuan (Heavenly Origin) is sufficient and Ren-Gui (Kidney Water) is full, with the Kidney Meridian uniquely manifesting. Named "Jing Zhao Yun Qu" (Whale Covering Cloud Sky). From spotting to swelling, lesions turn black, round, smooth, with high peaks and clear rings. As pus forms, they gradually turn yellow and become spirited. This predicts great wealth and honor later in life and is recorded in Zhuangyuan (Top Scholar) illustrations.
Gui Nie Dou (Ghost Pinching Pox): No individual lesions on the body; instead, patches form like bruise marks. Named "Gui Nie," this is absolutely untreatable.
Gui Dou (Ghost Pox): Spotting is complete, with many lesions on the body but none on the head/face. Also called Wu Tou Dou (Headless Pox). It can be saved within five days; beyond five days, it is difficult to save, as Qi and Blood descend and cannot ascend. Urgently use Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengma (Cimicifugae Rhizoma), Ganjie (Licorice and Platycodon), Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix), and Jiangcan (Bombyx Batryticatus). If not treated urgently, Du (Gallbladder Meridian) acupoint Quchi develops toxicity, leading to bone exposure and death within a month.
Zei Dou (Thief Pox): Initially, lesions are bright red, bean-sized, growing larger daily. They rise and swell first, then turn white-rooted. The base and apex lack blood color or appear golden-yellow. Though swollen, they feel soft upon pressure. Urgently puncture them; otherwise, bleeding occurs within four to five days, leading to death. Deep red lesions that feel soft under the skin steal systemic Qi and Blood, facilitating rapid pus formation, hence "Thief Pox." They grow faster than other pox. After three days, they may become blisters, even purple or black ones. Large, black, hard lesions resembling shells are Ding Sores (carbuncles). Puncture with a silver needle, rinse with water, suck out foul blood, and fill with Zicao Gao (Arnebiae Unguent) or You Yanzhi (Oil Carmine) mixed with Xueyu Tan (Carbonized Human Hair) and Zhenzhu Mo (Pearl Powder) to promote rising and development.
She Pi Dou (Snake Skin Pox): No empty space on head/face/body; lesions are flat and white. They will inevitably dry up without forming pus, leading to death on days 11-12.
Yao Huan Dou (Medicine Affliction Pox): Initially red and moist, but suddenly collapse and fail to rise by days 4-5, approaching interior deficiency. Named "Yao Huan Dou." Treatment should urgently focus on supporting both exterior and interior.
Jiu Jiao Dou (Nine Scorched Pox): Black, depressed lesions appearing singly on the forehead, chin, cheekbones, chest/back, behind ears, hands, and feet. Named "Jiu Jiao," this is an untreatable condition.
Fu Yin Dou (Hidden Yin Pox): Lesions do not suppurate but internally discharge pus and blood. Named "Fu Yin," urgent warming of the interior is required.
Shui Jing Dou (Crystal Pox): Lesions resemble reed catkins, indicating dual deficiency of Qi and Blood. Urgent great tonification is needed, but if the skin is excessively thin, tonification is ineffective.
Kong Cang Dou (Empty Granary Pox): Lesions appear plump but contain no pus or blood internally; the interior is dry and withered with no blood fluid. This is a path to certain death.
Ban Bian Dou (Half-Side Pox): Lesions appear on either the left or right side, skewed and scattered. Although diet, voice, and excretions remain normal, survival beyond seven days is unlikely.
Shi Jiu Dou (Stone Mortar Pox): Lesions are concave in the center and convex at the edges, shiny and attractive, but internally solidified with unliquefied pus. Hard as stone to the touch, named for its resemblance to a stone mortar. Certain death.
Zhu Yu Dou (Cornel Pox): Lesions do not rise much, are concave inside, and wrinkled at the edges, resembling cornel fruits. If the base is red and vibrant, modify Nei Tuo San (Internal Support Powder) for administration.
Chong Dou (Insect Pox): Summer pox often generates insects. Heat excess rots flesh, and rot generates insects. Some cases outside summer show itchy sores. Some argue toxin remains in the skin, rots externally, and resolves externally, avoiding internal complications, thus auspicious. Others compare it to grass rotting into fireflies or wood rotting into insects, thus ominous. Assess form and symptoms to determine fortune/misfortune. Remove insects with a silver needle or lay willow branches underneath to attract maggots out.
Xue Dou (Blood Pox - Type 1): Initial lesions are red-purple, flat like vermilion ink dots on the body. Internal roots rot, external tips wither. Certain death within six days.
Huo Li Dou (Fire Inside Pox): From spotting to scabbing, fever persists while swelling and suppuration proceed according to schedule. Body cools only after scabs fall off. Hence named "Huo Li Dou."
Xue Dou (Blood Pox - Type 2): Blood mixes with heat toxin to form pus. If punctured blood is black, it is untreatable. If red, urgently administer Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) with Baishao (Paeoniae Radix Alba) to control blood and detoxify.
Xue Ye Dou (Blood Scab Pox): Sparse lesions that swell to pea-size by days 4-5, form bloody scabs by days 6-7 (cinnabar-colored), and shed scabs by day 9. Toxin is light, Qi and Blood are sufficient, scabbing occurs immediately without full pus formation. Considered optimal.
Xuan Pan Dou (Hanging Rock Pox): Lesions cluster at the Yu Zhen (Jade Pillow) point. Purple-red or gray-depressed lesions here are critically dangerous as this is the Naohu (Brain Door) acupoint where meridians converge.
E Kou Dou (Goose Mouth Pox): During the rising phase, lip and mouth lesions mature yellow and carry pus first. This originates in the Spleen and progresses to vomiting and death.
Bai Jiang Dou (White Pus Pox): Lesions carry white pus from the onset. This is Epidemic Pox. Fatal within seven days.
Po Huang Dou (Broken Yellow Pox): A single, unusually large lesion on the Ren Zhong (Philtrum). Despite sparsity, during transmission on days 6-7 or 12, persistent diarrhea occurs due to Spleen corruption.
Si Wei Dou (Four-Sided Pox): At the initial rising stage, small clustered lesions or millet-like bumps emerge around the main lesion's base. Death occurs before pus maturation due to intense itching.
Lou Chuang Dou (Leaking Sore Pox): At pus maturity, a hole appears in the lesion head, leaking pus that dries into scabs resembling Tian Pao Chuang (Blister Sore). This is a favorable type of leaking sore. However, spontaneous rupture leaking clear fluid that turns black without pus maturation is caused by epidemic qi contagion and is untreatable.
Zhu Dou (Borer Pox): Small holes appear on lesions during the swelling phase, neither black nor white. This indicates exterior deficiency and loose pores, leaking Yuan Qi. Urgently administer Bao Yuan Tang (Protect Yuan Decoction) with Dingxiang (Caryophylli Flos) and Rougui (Cinnamomi Cortex). Once holes close, lesions will rise. If only a few lesions have black holes, they are Ding Sores.
Pan Jian Dou (Shoulder-Climbing Pox): Dense lesions on the shoulder tops. Ominous if color is poor.
Yin Xue Ban (Hidden Blood Spots): Lesions resemble shells, gray-white, lacking blood color. Bleeding occurs only upon abrasion, with no pus. Untreatable.
Chi Ping Chuang (Red Duckweed Sore): Lesions resemble floating red duckweed, slightly raised. If scratched and bleeding, urgently rescue with detoxifying and ascending herbs. If they become rotten sores, it is harmless.
Qi Xue Liang Bai Dou (Dual Deficiency of Qi and Blood Pox): Close-up resembles Polygonum hydropiper flowers; distant view looks like prunella purple. Upon pus formation, only clear water appears, no pus. Ancient Sage Shennong had no treatment method.
Zi Ping Chuang (Purple Duckweed Sore): All lesions erupted, purple, non-rising, non-suppurating, adhering to flesh like purple duckweed. Untreatable.
Bai Ping Chuang (White Duckweed Sore): All lesions erupted, white, non-rising, non-suppurating, adhering to flesh like white duckweed. Untreatable.
Yan Wo Dou (Swallow's Nest Pox): Dense lesions between the posterior neck at Fengmen and Dazhui acupoints. Critical if scorched purple.
Chui Zhu Dou (Hanging Pearl Pox): Ears belong to the Kidney, the seat of hidden toxin, unsuitable for pox. Lesions on earlobes, continuous like beads, indicate severe Kidney toxin injury. Zero chance of survival.
Cao Wei Zhu (Grass Tail Pearl): Lesions are depressed everywhere except a plump, pearl-like mass on the thigh bone. Urgent treatment with tonifying and supporting formulas for pus formation may yield survival.
Hei Dou (Black Pox): Mostly depression due to Blood Heat, exacerbated by Tian Gui (Menstruation/Menstrual Power) usurping authority. Originally a malignant sign, but shapes vary. Some with vibrant blood are salvageable; some with distinct colors predict nobility. Must differentiate carefully. Those with non-vibrant blood are untreatable.
Zeng Dou (Gift Pox): "Zeng" means additional emergence. Occurs during pus formation and scabbing. After head/face lesions break, new layers of pus-forming lesions appear on previously clear areas. Also called Bu Kong Dou (Fill-Empty Pox). This indicates Upright Qi is supported and evil toxin is driven outward. Thus, they grow and suppurate easily. If they do not appear after taking tonifying/supportive herbs, or if broken gift lesions do not swell and suppurate again, it is untreatable.
Mu Dou (Wood Pox): Center is slightly depressed, hard like dry rot, with no pus or blood. Caused by phlegm accumulation in children's skin forming toxin. Certain death by day nine.
Wen Dou (Plague Pox): Verse: Mouth silent, eyes unopened, unaware of food/drink, lethargic all day. Severe cases resemble bull madness, limbs convulsing together. Morning sees good flowers, afternoon flowers fall completely. Then comes the top scholar, nailed at the gate threshold. This is Plague Pox; recognition enables cure.
Fo Ding Zhu (Buddha Crown Pearl): Sparse lesions on Tian Ting (Forehead) with moist, beautiful color/form. Most auspicious.