痘殃一证难言也，有发热而死者，有未发热不知痘证而死者；有发热三朝，并
不起发，不分颗粒枯黑，痧夹痘，痘夹麻而死者；有五朝忽然浆陷，肌肤忽瘦而死
者；有七朝大小便不通，眼开气泄死者；有十二朝忽死者；有一月后死者。种种不一，
此言其已知出痘之险恶者。更有一种肠痛、腰疼数日，并不发热，并无报痘，忽喊数
声死者，又何能知其为痘之险恶耶！
先惊后痘吉，一片腊黄吉，唇内有水者吉。大便出蛔无妨，黑陷有脓无妨，抓
破出血无妨，痘后声哑无妨。初出紫血有法治，稠密顶陷有法治，略有紫泡有法治，
（如紫黑色者不治。）鼻出蛔虫有法治，饮食堆喉有法治，灰白色有法治，渴泻不止有法治，
寒战切牙有法治，（初起寒战不治，十四朝寒战可治，初起切牙不治，七八朝切牙可治。）疤疮口臭俱
有法治，手摸碍手者有法治，手摸嫩者有法治，手热不退有法治，鼻血不止有法治，（
犀角地黄汤主之。）泄不止者有法治，吐泻者有
法治，遍身痛者有法治，（如八九日作痛者，乃气血过盛，宜凉膈散。）语言不正有法治，二便不通
有法治，打呃者有法治，舌上白者有法治，唇干者有法治，黑顶陷者有法治，初热闷
乱者有法治，唇裂者有法治，初痘起惊者有法治，痒塌抓破血水有法治，白顶陷者
有法治，满口齿落者有法治，口鼻出血有法治，遍身臭脓有法治，牙关闭者有法治，
暴躁不定者有法治，面部不起有法治，阴毒陷阳有法治，阳毒陷阴有法治，收后黑
粪有法治，收后切牙不止有法治，铜锣顶者有法治，室女行经有法治，孕妇胎下有
法治，十指冷者有法治。（用煮鸡法。）初起气急无妨，（八九日气急者凶。）初起咳嗽无妨，（八九日
咳嗽者凶。）吐蛔一条无妨，（若吐蛔两条者死，如发热三日见标吐蛔者，乃肾中真病不治之证。）十四朝腰
痛无妨，（初起腰痛者凶。）初起目闭无妨，（十四朝目闭者死。）痘七八日口渴无妨，（乃气血不足，四
物汤治之。）初起声哑无妨，（先凶后吉。）牙痛无妨，大便出血无妨，（黄连解毒汤主之。）口吐鲜血无
妨，（吐赤血者不治。）口吐黄水无妨，（平胃散主之。）肚痛无妨。（平胃散主之。）脓涕者不好，手摇者
不治，眼中出血不治，耳中出血不治，未出声哑不治，一出气急不治，一出青斑不
治，一出如珍珠不治，满头连肉红不治，面脸痘不肿不治，痱子形无缝不治，腰痛不
止不治，打嚏不止不治，先痘后惊不治，出如蚕种不治，咳嗽声哑不治，腹胀闷乱不
治，哭泣无声不治，二便漏下见肠不治，疮嫩易破不治，挑破紫黑血不治，舌卷囊缩
不治，痒塌不止不治，遍身成堆不治，皮肉红肿不治，眼无神色不治，白薄大泡不
治，白无色者不治，（如白色大小不等者不治。）遍身作痒不治，狂闷者不治，身与四肢颤抖
切牙口噤者不治，饮食吐者不治，舌上黑者不治，收后疤白不治，目闭无视不治，水
珠不变色不治，遍身俱陷不治，口出活蛔虫不治，气血俱虚不治。
凡痘初出如麻子不碍手者，不到第三日反隐入，或变水泡，声哑挫喉，则七朝
辰午二时死。凡痘出如黑痣者，九日死。凡痘不起，眼胞先肿者九日死。面先肿者十
日死。凡痘两额角多抓破者，十日死。焦枯陷伏者，十四日死。
吐脓痰者无妨，（消痰饮治之。）吐臭脓痰肺痈不治，泄泻清粪无妨，（理中汤治之。）泄泻白
粪乃系寒证可治。（理中汤治之。）天庭稠密如蚕种，似针苗之状，顶陷黑者不治。泄泻黑
粪者不治。目疼者可治，手心疼者无妨，（益元散治之。）泄泻红粪者不治，十指疼者不治。
牙后作疼者可治，（茯苓汤治之，一服即止。）背心疼者可治。（宜羌退散治之。）曲天疼者不治，胸
心疼者不治。舌尖红，五心有火可治。（麦冬散治之。）喉中疼者难治。（七八日喉中疼者可治，初
起喉中疼者不治。）
又诀
毒厌中宫咽喉哑，呕吐切牙命难假，心烦躁闷喘难当 泻脓出血难主下。睡卧瞑
瞑又不食，默默沉沉南柯差，痘若初出见青黑，除是回生真妙诀。半隐肌肤色不见，
用药不对如刀剑，若有明医识诸证，千代儿孙富且显。一看咽喉时时哑，次看咽喉
声转大，喘痰头上有汗珠，腹中饱闷气虚滑。医家若还见此证，六日南柯一梦倾，再
变寒战终有恶，或重或轻心中热。黑陷动动如泄泻，黑血下流阴气绝，吐舌身摇颈
动翻，面青紫黑命难存。口中气冷如何治，除是乘槎阆苑人。
痘出五日声哑者不治。痘未壮，遍身抓破，无气血者不治。旧有疮疡不愈者不
治，痰壅盛气急者不治，未出神昏者不治，未出气促者不治，腹胀泻脓血者不治。一
出全不起发，密如蚕种平片花塔者不治。收靥前后，内有红紫泡者不治。肌肤黧黑如
秕，破者不治。浆水米粒不入口者不治。一出晦暗焦黑者不治，眼内黑米起者不治，浮油混眼者不治。
（除此之外，纵有杂证，及痘虽稠密，略有润泽，学问精明，眼力又到，胸中诚确，所见不
错，病家不惑，彼此俱是诚心加意调治，必可保全十之六七。）
又诀
初出顶陷莲肉红，挨过九日一场空，又无血点带红紫，斑证死在六日中。发斑黑
者在朝夕，斑青顷刻去匆匆，无脓痒塌十二日，不要疼痛及挺胸。报痘如痱似鸡皮，
舌卷囊缩命必亡，刺胞刺出黑血者，饮食呛喉诸证凶。难疗面肿疮不肿，青色黑陷
及无脓，二便流水下腹垢，更有吐泻及蛔虫。头温足冷好饮水，痘先惊后药难攻，气
促泄泻渴不止，若无浆者命难供。失音声哑叫与哭，痘色纵好也难终，但凡气急亦
难治，如灌脓时忽伤风。见此宜服参苏饮，余证推详须用功。
天庭痘成串不起，此乃气血俱虚，须补气血为主。不然，后必空仓痒塌，虚白
作泻，寒战而死。妇女出痘，经水不止者凶，堕胎血者凶，不堕胎而血不止者凶。收
靥时颤摇不止者，皆身弱之故。（另有治法。）靥后目睛无神，慢惊，头面青色者不治。收
靥时喉痛不止者凶。凡痘腰下现红点，而腰上不现出者不治。医家斜视痘儿之脸，形
如橘皮，不分肉地者死。（此即不分颗粒，肉肿疮不肿也。）
喜泰顺曰∶初出红点带红紫，发斑之证五日死。初出满项连肉红，七八九日气
绝耳，斑如锦纹六日终。斑青顷刻入阴中，痘出如痱无缝者，摸不碍手勿治也。若如
汤泡及火烧，十日痒塌死难饶。痘出腰腹痛不已，烦躁紫黑口臭死。头面一片如胭
脂，六日后死何必疑。肉面肿浮疮不肿，胸高耳突不治重。痘白面光根不红，久后抓
破死无脓，无脓痒塌十二期，有脓血者不死矣。如麻无缝痘不好，声哑气急命皆危。
二证贯脓痘色光，乃伤风寒参苏当。若是哭泣咳嗽哑，痘色光明也不妨。痘色不好
声音哑，断他必死无或假，舌卷囊缩目无神，饮食滞喉必难存。紫泡刺破出黑血，便
中肠垢不治论。吐泻若还甚不止，蛔虫出者死难闻。已未出痘声音变，先痘后惊活
不宁。三日痘窠全不起，红肿如瓜君莫治。
顶陷有眼似针穿，紫黑色者死决然。贯脓干枯无血水，此名空仓痘乃笃。泄泻不止
二便血，乳食不化痘烂死。贯时二便全不通，目闭口哑证亦凶。腹中胀满肌肉黑，若
还医治必无功。当靥痒塌无脓血，皮如血壳肝即绝。寒战切牙痘后惊，靥若竹衣便
脓血，此皆死证不须医，纵遇神仙难作力。
痘疮这一病症难以用言语概括，有的患者发热后死亡，有的尚未发热便因不知是痘证而死亡；有的发热三天，痘疹既不起发，也不分颗粒，干枯变黑，痧疹与痘疮混杂、痘疮与麻疹混杂而死亡；有的第五天突然浆液下陷，肌肤忽然消瘦而死亡；有的第七天大小便不通，眼睛睁开但气息泄脱而死亡；有的第十二天突然死亡；有的一个月后才死亡。情况种种不一，这是指那些已知出痘险恶的情况。还有一种情况是肠痛、腰痛数日，并不发热，也没有报痘（出痘前的征兆），突然喊叫几声就死亡了，这又怎么能知道它是痘疮的险恶表现呢！
先出现惊厥症状后出痘为吉兆，面色一片蜡黄为吉兆，嘴唇内部有水疱为吉兆。大便排出蛔虫无妨，痘色黑陷但有脓液无妨，抓破出血无妨，出痘后声音嘶哑无妨。初起时出现紫血有法治，痘疹稠密且顶部凹陷有法治，略有紫泡有法治，（如果是紫黑色的则无法治疗。）鼻孔排出蛔虫有法治，饮食堆堵在咽喉有法治，痘色灰白有法治，口渴腹泻不止有法治，寒战咬牙有法治，（初起时的寒战无法治疗，第十四天的寒战可以治疗；初起时的咬牙无法治疗，第七八天的咬牙可以治疗。）结痂处口臭均有法治，手摸上去碍手的有法治，手摸上去嫩滑的有法治，手部发热不退有法治，鼻血不止有法治，（犀角地黄汤主治。）腹泻不止有法治，呕吐腹泻有法治，全身疼痛有法治，（如果是第八九日作痛，那是气血过盛，宜用凉膈散。）言语错乱有法治，大小便不通有法治，打呃有法治，舌苔发白有法治，嘴唇干燥有法治，痘顶黑陷有法治，初起时热闷烦乱有法治，嘴唇开裂有法治，初起痘疹伴有惊厥有法治，瘙痒塌陷抓破流出血水有法治，痘顶白陷有法治，满口牙齿脱落有法治，口鼻出血有法治，全身散发臭脓有法治，牙关紧闭有法治，暴躁不安定有法治，面部痘疹不起发有法治，阴毒陷入阳位有法治，阳毒陷入阴位有法治，收靥后排出黑色粪便有法治，收靥后咬牙不止有法治，痘顶如铜锣状有法治，处女行经有法治，孕妇胎下有病有法治，十指冰冷有法治。（采用煮鸡疗法。）初起时气急无妨，（第八九天气急者凶险。）初起时咳嗽无妨，（第八九天咳嗽者凶险。）吐出一条蛔虫无妨，（如果吐出两条蛔虫则死亡，如发热三天见标症并吐蛔虫者，乃肾中真元受损的不治之证。）第十四天腰痛无妨，（初起腰痛者凶险。）初起时目闭无妨，（第十四天目闭者死亡。）痘疹七八天时口渴无妨，（这是气血不足，用四物汤治疗。）初起时声音嘶哑无妨，（先凶后吉。）牙痛无妨，大便出血无妨，（黄连解毒汤主治。）口吐鲜血无妨，（吐赤血者无法治疗。）口吐黄水无妨，（平胃散主治。）肚痛无妨。（平胃散主治。）流脓涕者预后不好，手摇动者无法治疗，眼中出血无法治疗，耳中出血无法治疗，未出声即声音嘶哑者无法治疗，一出痘即气急者无法治疗，一出痘即现青斑者无法治疗，一出痘即如珍珠样者无法治疗，满头连肉发红者无法治疗，面脸痘不肿胀者无法治疗，痱子形状无缝隙者无法治疗，腰痛不止者无法治疗，打喷嚏不止者无法治疗，先出痘后惊厥者无法治疗，出痘如蚕种者无法治疗，咳嗽声哑者无法治疗，腹胀闷乱者无法治疗，哭泣无声者无法治疗，大小便漏下可见肠子者无法治疗，疮疡嫩易破者无法治疗，挑破后流出紫黑血者无法治疗，舌卷缩囊收缩者无法治疗，瘙痒塌陷不止者无法治疗，全身成堆者无法治疗，皮肉红肿者无法治疗，眼神无神色者无法治疗，白色大泡者无法治疗，白色无色者无法治疗，（如白色大小不等者无法治疗。）全身作痒者无法治疗，狂闷者无法治疗，身体与四肢颤抖、咬牙、口噤者无法治疗，饮食吐出者无法治疗，舌苔发黑者无法治疗，收靥后疤痕发白者无法治疗，目闭无视者无法治疗，水珠不变色者无法治疗，全身皆陷者无法治疗，口出活蛔虫者无法治疗，气血俱虚者无法治疗。
凡是痘疹初出如麻子般不碍手的，不到第三天反而隐入皮下，或变成水泡，声音嘶哑挫喉，则在第七天的辰时和午时死亡。凡是痘疹出如黑痣般的，第九天死亡。凡是痘疹不起发，眼睑先肿胀的，第九天死亡。面部先肿胀的，第十天死亡。凡是痘疹在两额角多处被抓破的，第十天死亡。焦枯陷伏的，第十四天死亡。
吐脓痰者无妨，（消痰饮治疗。）吐臭脓痰伴肺痈者无法治疗，排泄清稀粪便无妨，（理中汤治疗。）排泄白色粪便是寒证可治。（理中汤治疗。）天庭部位痘疹稠密如蚕种，似针苗状，顶部凹陷发黑的无法治疗。排泄黑色粪便者无法治疗。眼疼者可治，手心疼者无妨，（益元散治疗。）排泄红色粪便者无法治疗，十指疼者无法治疗。牙后作疼者可治，（茯苓汤治疗，一服即止。）背心疼者可治。（宜用羌退散治疗。）曲天疼者无法治疗，胸心疼者无法治疗。舌尖红，五心有火者可治。（麦冬散治疗。）喉中疼者难治。（第七八天喉中疼者可治，初起喉中疼者无法治疗。）
又诀：
毒邪厌恶中宫导致咽喉嘶哑，呕吐咬牙命难保，心烦意乱胸闷气喘难当，泻脓出血难以下治。睡卧昏沉又不进食，默默沉沉如南柯一梦差，痘若初出见青黑色，除非有回生真妙诀。半隐肌肤颜色不见，用药不对如同刀剑，若有明医识别诸证，千代儿孙富贵显赫。一看咽喉时时嘶哑，次看咽喉声音转大，喘痰头上有汗珠，腹中饱闷气虚滑。医家若还见此证，六日后南柯一梦倾覆，再变寒战终有恶果，或重或轻心中热。黑陷动动如泄泻，黑血下流阴气绝，吐舌身摇颈动翻，面青紫黑命难存。口中气冷如何治，除非是乘槎阆苑人。
痘出五天声音嘶哑者无法治疗。痘未壮实，全身被抓破，无气血者无法治疗。旧有疮疡不愈者无法治疗，痰壅盛气急者无法治疗，未出痘神志昏迷者无法治疗，未出痘气促者无法治疗，腹胀泻脓血者无法治疗。一出痘全不起发，密如蚕种平片花塔者无法治疗。收靥前后，内有红紫泡者无法治疗。肌肤黧黑如秕谷，破溃者无法治疗。浆水米粒不入口者无法治疗。一出痘晦暗焦黑者无法治疗，眼内黑米起者无法治疗，浮油混眼者无法治疗。（除此之外，纵有杂证，及痘虽稠密，略有润泽，学问精明，眼力又到，胸中诚确，所见不错，病家不惑，彼此俱是诚心加意调治，必可保全十之六七。）
又诀：
初出顶陷莲肉红，挨过九日一场空，又无血点带红紫，斑证死在六日中。发斑黑者在朝夕，斑青顷刻去匆匆，无脓痒塌十二日，不要疼痛及挺胸。报痘如痱似鸡皮，舌卷囊缩命必亡，刺胞刺出黑血者，饮食呛喉诸证凶。难疗面肿疮不肿，青色黑陷及无脓，二便流水下腹垢，更有吐泻及蛔虫。头温足冷好饮水，痘先惊后药难攻，气促泄泻渴不止，若无浆者命难供。失音声哑叫与哭，痘色纵好也难终，但凡气急亦难治，如灌脓时忽伤风。见此宜服参苏饮，余证推详须用功。
天庭痘成串不起，此乃气血俱虚，须补气血为主。不然，后必空仓痒塌，虚白作泻，寒战而死。妇女出痘，经水不止者凶，堕胎血者凶，不堕胎而血不止者凶。收靥时颤摇不止者，皆身弱之故。（另有治法。）靥后目睛无神，慢惊，头面青色者无法治疗。收靥时喉痛不止者凶。凡痘腰下现红点，而腰上不现出者无法治疗。医家斜视痘儿之脸，形如橘皮，不分肉地者死。（此即不分颗粒，肉肿疮不肿也。）
喜泰顺说：初出红点带红紫，发斑之证五日死。初出满项连肉红，七八九日气绝耳，斑如锦纹六日终。斑青顷刻入阴中，痘出如痱无缝者，摸不碍手勿治也。若如汤泡及火烧，十日痒塌死难饶。痘出腰腹痛不已，烦躁紫黑口臭死。头面一片如胭脂，六日后死何必疑。肉面肿浮疮不肿，胸高耳突不治重。痘白面光根不红，久后抓破死无脓，无脓痒塌十二期，有脓血者不死矣。如麻无缝痘不好，声哑气急命皆危。二证贯脓痘色光，乃伤风寒参苏当。若是哭泣咳嗽哑，痘色光明也不妨。痘色不好声音哑，断他必死无或假，舌卷囊缩目无神，饮食滞喉必难存。紫泡刺破出黑血，便中肠垢不治论。吐泻若还甚不止，蛔虫出者死难闻。已未出痘声音变，先痘后惊活不宁。三日痘窠全不起，红肿如瓜君莫治。
顶陷有眼似针穿，紫黑色者死决然。贯脓干枯无血水，此名空仓痘乃笃。泄泻不止二便血，乳食不化痘烂死。贯时二便全不通，目闭口哑证亦凶。腹中胀满肌肉黑，若还医治必无功。当靥痒塌无脓血，皮如血壳肝即绝。寒战切牙痘后惊，靥若竹衣便脓血，此皆死证不须医，纵遇神仙难作力。
The disease of smallpox (Xiaochuan) is difficult to describe in words. Some patients die after developing fever, while others die before fever appears because the nature of the smallpox was unrecognized; some develop fever for three days, yet the pustules fail to erupt, do not distinguish into distinct grains, become dry and black, and die amidst a mixture of measles rash (Shazhen), smallpox, and chickenpox-like eruptions; some experience sudden sinking of the pus on the fifth day, with muscles suddenly wasting away leading to death; some suffer from obstruction of both large and small intestines on the seventh day, with eyes open but vital energy leaking out leading to death; some die suddenly on the twelfth day; some die after one month. These cases are numerous, referring to those known dangers of smallpox eruption. There is another type where intestinal pain and lower back pain persist for several days without fever or prodromal signs (Bao Dou), followed by sudden shouting and death; how can one know this is the dangerous manifestation of smallpox!
Convulsion preceding eruption is an auspicious sign; a waxy yellow complexion is auspicious; water blisters inside the lips are auspicious. Passing roundworms in stool is harmless; black sunken pustules with pus are harmless; bleeding from scratching is harmless; hoarseness after eruption is harmless. Purple blood at initial eruption is treatable; dense pustules with depressed tops are treatable; slight purple blisters are treatable, (but if purple-black, it is untreatable). Roundworms expelled from the nose are treatable; food accumulation in the throat is treatable; grayish-white color is treatable; unquenchable thirst and diarrhea are treatable; chills and teeth grinding are treatable, (chills at onset are untreatable, but chills on the fourteenth day are treatable; teeth grinding at onset is untreatable, but on the seventh or eighth day is treatable). Bad breath from scabs is treatable; rough texture upon touch is treatable; tender texture upon touch is treatable; persistent heat in hands is treatable; unceasing epistaxis is treatable, (managed by Xijiao Dihuang Tang [Rhino Horn and Rehmannia Decoction]). Unceasing diarrhea is treatable; vomiting and diarrhea are treatable; generalized body pain is treatable, (if pain occurs on the eighth or ninth day, it indicates excessive Qi and Blood, managed by Liangge San [Cooling the Diaphragm Powder]). Incoherent speech is treatable; obstruction of urination and defecation is treatable; hiccups are treatable; white coating on the tongue is treatable; dry lips are treatable; black depressed tops are treatable; initial heat with mental restlessness is treatable; cracked lips are treatable; convulsion accompanying initial eruption is treatable; itching, collapse, and bloody discharge from scratching are treatable; white depressed tops are treatable; loss of all teeth is treatable; bleeding from mouth and nose is treatable; generalized foul-smelling suppuration is treatable; trismus is treatable; irritability and instability are treatable; failure of facial pustules to erupt is treatable; Yin toxin sinking into Yang positions is treatable; Yang toxin sinking into Yin positions is treatable; black stool after resolution is treatable; unceasing teeth grinding after resolution is treatable; copper-gong shaped tops are treatable; menstruation in virgins is treatable; pathology below the fetus in pregnant women is treatable; coldness of ten fingers is treatable, (using the boiled chicken method). Initial shortness of breath is harmless, (shortness of breath on the eighth or ninth day is ominous); initial cough is harmless, (cough on the eighth or ninth day is ominous); expelling one roundworm is harmless, (expelling two roundworms leads to death; if fever persists for three days with markers and roundworm expulsion, it indicates true kidney deficiency and is untreatable); lower back pain on the fourteenth day is harmless, (lower back pain at onset is ominous); closed eyes at onset is harmless, (closed eyes on the fourteenth day lead to death); thirst on the seventh or eighth day is harmless, (indicating Qi and Blood deficiency, treated with Siwu Tang [Four Substances Decoction]); hoarseness at onset is harmless, (initially ominous, later auspicious); toothache is harmless; hematochezia is harmless, (managed by Huanglian Jiedu Tang [Coptis Decoction for Detoxification)]; spitting fresh blood is harmless, (spitting red blood is untreatable); spitting yellow fluid is harmless, (managed by Pingwei San [Calm the Stomach Powder]); abdominal pain is harmless, (managed by Pingwei San). Purulent nasal discharge is unfavorable; hand tremors are untreatable; intraocular hemorrhage is untreatable; auricular hemorrhage is untreatable; hoarseness without voice production is untreatable; immediate shortness of breath is untreatable; immediate cyanotic macules are untreatable; pearl-like eruptions are untreatable; generalized redness involving flesh is untreatable; non-swollen facial pustules are untreatable; seamless papular forms are untreatable; unceasing lower back pain is untreatable; unceasing sneezing is untreatable; eruption followed by convulsion is untreatable; silkworm-seed-like eruptions are untreatable; cough with hoarseness is untreatable; abdominal distension with mental confusion is untreatable; silent crying is untreatable; prolapse of intestines via urine/stool is untreatable; fragile pustules that rupture easily are untreatable; purple-black blood upon puncture is untreatable; tongue retraction and testicular retraction are untreatable; unceasing itching and collapse are untreatable; clustered eruptions are untreatable; erythema and edema are untreatable; lack of spirit in the eyes is untreatable; large white blisters are untreatable; colorless white lesions are untreatable, (white lesions of unequal size are untreatable); generalized pruritus is untreatable; mania and oppression are untreatable; trembling of body and limbs with teeth grinding and lockjaw are untreatable; projectile vomiting is untreatable; black tongue coating is untreatable; white scars after resolution are untreatable; blind eyes are untreatable; clear droplets that do not change color are untreatable; generalized sinking is untreatable; live roundworms from the mouth are untreatable; dual deficiency of Qi and Blood is untreatable.
If initial eruptions resemble millet seeds and do not feel rough, but disappear within three days or turn into water blisters with hoarse, obstructed voice, death occurs during Chen and Wu hours (7:00-13:00) on the seventh day. If eruptions resemble black moles, death occurs on the ninth day. If eruptions fail to rise and eyelids swell first, death occurs on the ninth day. If facial swelling appears first, death occurs on the tenth day. If eruptions on both temples are scratched extensively, death occurs on the tenth day. Scorched, dry, and sunken eruptions lead to death on the fourteenth day.
Expulsion of purulent sputum is harmless, (treated with Xiaotan Yin [Phlegm-Resolving Drink]). Expulsion of foul purulent sputum with lung abscess is untreatable; passage of clear feces is harmless, (treated with Lizhong Tang [Regulate the Middle Decoction]); passage of white feces indicates Cold syndrome and is treatable, (treated with Lizhong Tang). Dense eruptions on the forehead resembling silkworm seeds or needle sprouts with black depressed tops are untreatable. Passage of black feces is untreatable. Eye pain is treatable; palm pain is harmless, (treated with Yiyuan San [Benefit Primordial Powder]); passage of red feces is untreatable; finger pain is untreatable. Pain behind teeth is treatable, (treated with Fuling Tang [Poria Decoction, stops after one dose); back heart pain is treatable, (treated with Qiangtui San [羌退散]). Qu Tian pain is untreatable; chest heart pain is untreatable. Red tongue tip with fire in Five Centers is treatable, (treated with Maidong San [Ophiopogon Powder]). Throat pain is difficult to treat, (throat pain on days 7-8 is treatable, but at onset is untreatable).
Another Formula:
Toxin repelling the Central Palace causes hoarseness; vomiting and teeth grinding make life precarious; irritability, oppression, and panting are unbearable; purulent diarrhea and bleeding are hard to control. Sleepiness and refusal to eat, silence and lethargy like a dream; if green-black appears at initial eruption, only a true miracle cure can save. Half-hidden skin color unseen, wrong medication acts like swords; if a wise physician recognizes these signs, descendants will be rich and illustrious. First check throat for hoarseness, then check if voice strengthens; panting sputum with sweat on head, abdominal fullness with Qi deficiency and slipperiness. If physicians see this, six days later it ends in a dream; further chills bring evil, either heavy or light with internal heat. Black sunken movements like diarrhea, black blood flowing indicates Yin exhaustion; protruding tongue, body shaking, neck turning, face blue-purple-black makes life impossible. How to treat cold breath from mouth? Only those who ride boats to Langyuan can survive.
Hoarseness five days after eruption is untreatable. Eruptions not vigorous, whole body scratched, lacking Qi and Blood is untreatable. Old sores not healed is untreatable; phlegm obstruction with shortness of breath is untreatable; unconsciousness before eruption is untreatable; rapid breathing before eruption is untreatable; abdominal distension with purulent bloody diarrhea is untreatable. Immediate failure to erupt, dense as silkworm seeds or flat flower towers is untreatable. Before and after resolution, presence of red-purple blisters is untreatable. Skin dark as bran, ruptured is untreatable. Pus/water unable to enter mouth is untreatable. Immediate dull, dark, scorched black is untreatable; black rice-like spots in eyes is untreatable; floating oil mixing in eyes is untreatable. (Apart from these, even with miscellaneous symptoms, or dense eruptions with slight luster, if the physician is learned, sharp-eyed, sincere, and the family is trusting, careful treatment can save 60-70%.)
Another Formula:
Initial depression with lotus-red flesh, surviving nine days is in vain; no blood points with red-purple, macule disease dies within six days. Black macules die in morning/evening, blue macules vanish quickly; no pus, itching/collapse on twelfth day, avoid pain and chest protrusion. Prodrome like prickly heat/chicken skin, tongue/testicle retraction means death; puncturing cells yielding black blood, choking on food indicates ominous signs. Difficult to treat facial swelling without sore swelling, blue/black sunken and no pus, watery urine/stool with abdominal filth, plus vomiting/diarrhea and roundworms. Warm head, cold feet, good drinking; convulsion before eruption makes medicine hard to attack; shortness of breath, diarrhea, unquenchable thirst, no pus means life cannot be sustained. Loss of voice, hoarseness, calling/crying, even good color is hard to finish; any shortness of breath is hard to treat, especially wind strike during pus-filling stage. See this, take Rensu Yin [Ginseng and Perilla Drink]; analyze other signs diligently.
Forehead eruptions in strings failing to rise indicate dual Qi/Blood deficiency; must tonify Qi/Blood primarily. Otherwise, empty granules, itching/collapse, false white diarrhea, and chills death follow. Women with smallpox: unceasing menstruation is ominous; miscarriage bleeding is ominous; non-miscarriage unceasing bleeding is ominous. Trembling during resolution indicates weak body, (other treatments exist). Spiritless eyes, slow convulsion, blue face after resolution is untreatable. Unceasing throat pain during resolution is ominous. Red dots below waist without appearance above waist is untreatable. Physician observing oblique face like orange peel, indistinguishable flesh ground means death, (this is indistinguishable grains, swollen flesh without swollen sores).
Xi Taishun said: Initial red points with red-purple, macule disease dies in five days. Full neck and flesh red at initial, Qi severs on days 7-8-9; brocade-pattern macules end on sixth day. Blue macules enter Yin instantly; silkworm-seed seamless eruptions, smooth to touch need no treatment. If like soup blisters or burns, ten days itching/collapse death is unavoidable. Waist/abdominal pain unceasing, irritability, purple-black, bad breath death. Head/face like rouge, death after six days, why doubt? Flesh/swollen face without sore swelling, high chest/protruding ears, severe untreatable. White eruptions, smooth face, non-red roots, scratching later leads to death without pus; no pus, itching/collapse on twelfth period, pus/blood means survival. Seamless millet-like eruptions are bad, hoarseness/shortness of breath endanger life. Two signs filling pus with bright color, caused by wind-cold, use Rensu. If crying/coughing/hoarse, bright color is harmless. Bad color with hoarseness, certain death without exception; tongue/testicle retraction, spiritless eyes, food stagnation in throat means hard survival. Punctured purple blisters with black blood, intestinal filth in stool is untreatable. Severe unceasing vomiting/diarrhea, roundworm expulsion means hard-to-hear death. Voice change before/after eruption, convulsion after eruption means restless life. Three days, all pits fail to rise, red/swollen like melons, do not treat.
Depressed top with eye like needle pierce, purple-black means certain death. Filling pus, dry without blood/water, named Empty Granule Smallpox is critical. Unceasing diarrhea, blood in two passages, undigested milk/food, rotten smallpox death. During filling, complete obstruction of two passages, closed eyes/hoarse voice is ominous. Abdominal distension, black muscles, medical treatment will be useless. Resolution itching/collapse without pus/blood, skin like blood shell, Liver exhausted. Chills/teeth grinding/post-eruption convulsion, resolution like bamboo sheath with pus/blood, these are death signs, no need for doctor, even immortals cannot help.