桃花红∶桃花之红淡淡红，一见此色喜相逢，倘若八朝浆不满，略投起顶妙无穷。
紫花红∶紫花之红带紫色，毒凝血滞是秘诀，急投退紫转红汤，服下片时通滞血。
蜡烛红∶蜡烛之红红艳艳，一日六时有三变，此证分明气有余，血随气行如放电。
丹砂红∶丹砂之红鹤顶样，果然艳根鲜明亮，倘若惨暗不归根，退紫转红汤可放。
鸡冠红∶鸡冠红亮赤如丹，皎洁鲜明玳瑁斑，恰似龙含珠映水，满江春色照人间。
痘出而根脚有晕，其名有七焉，辨之不可不早也。痘粒之尖圆者，气充也实也；
痘粒之平塌者，气弱也虚也。若以晕言之，老红也，红紫也，红紫干枯也，淡红也，焦
红也，铺红也，淡白也，此七晕分顺险逆。
老红∶晕色红而老。不娇娆也，不闪烁也，不乍红而乍淡也，亦不带紫色。此
老红之晕，必发热三日而始见痘苗也；身体必平和不甚热也；必能饮食也；二便必
调也；精神必精爽也；此顺证也。痘出必稀疏，即多有百十粒亦顺。
红紫∶痘色深红而带紫色，必发热二日即见痘苗也，身必热微烦躁也，当以败
毒和中散主之；看其出齐，即用清毒活血汤催其长浆，浆足亦归于顺。
红紫干枯∶初见痘苗，即见如此晕脚，其证多系逆证。必发热一日即见痘苗，报
痘必稠密，必大热蒸蒸，烦躁昏沉，不省人事，唇焦口渴，此危证也，其证多不可
救。若大便结燥二三日不解，小水短涩又黄，此毒火内盛，急宜下之以清其毒火，仍
宜用败毒和中散加熟大黄以利之，毒火必从此而少减。看其出齐，急以清毒活血汤
催其长浆，向之所谓红紫干枯者，今转根脚红活，浆再汛起，此尚可救；若仍复干
枯，不见起长，不见泛浆，加之身热蒸蒸，烦躁顿闷，谵语昏沉，不省人事，不思饮
食，痘仍平塌，中有黑脐，此必不可救矣。
淡红∶晕脚四围淡红，有娇妖之色，以纸灯照之若有红色，若红色不定，将来必
变淡白色，此乃气血俱虚。若初见痘苗之时，见此淡红晕脚，寒凉之药切不可投；倘
或身不退热，微有烦躁，宜用败毒和中散去芩、连、紫草茸，加羌活、苏叶、白芷
以托其苗；俟其出齐，以千金内托散催其长浆，浆足仍归于顺。若先误用寒凉，晕
转淡白，急用参归鹿茸汤以救之，缓则成陷矣，此淡红之晕，易于变淡白，不可不知。
焦红∶初见痘苗，顶乃先焦，根脚红紫有芒角，不见滋润，晕脚不圆，且又带
红紫干枯，此乃毒火内盛。若初见痘苗，急用败毒和中散倍加芩、连、紫草茸以托之，
俟其出齐，热不减，不能食，兼之神昏不省人事，烦躁闷顿，水浆不入，则不可救
矣。倘或热稍减，神气稍清，能食不甚烦躁，急以清毒活血汤催其长浆。若浆足仍
可归顺，此在神而明之，存乎其人耳。
铺红∶痘无红晕，痘粒淡白，通身皮肉尽红，故名曰铺红。良由毒火内盛，气
不能统血，散漫于皮肤之间也。若神清能食，痘稀疏者可治；若人事昏沉则不可救矣。
淡白∶痘之根脚四围无一丝红色，止见有淡白之痘，而亦不见其有晕也。盖因
气血两虚，或因久病之后，或因吐泻之后，或因生母有病，以致缺乳，或因内有积患，
或因生大毒，脓血出多，元气伤泄之后，故出此淡白之痘。初见痘苗，宜用加味参苏
饮以托之，使其出齐，即用千金内托散催其长浆，如或浆不足，即用参归鹿茸汤以
催之，今日不足，来日再催。余曾治此气血两虚之证，竟至十一二朝浆始足者，今
之庸医见八九日浆不满而平塌者，尽委而弃之，皆因内无实学知识，平常未见聂氏
《活幼心法》之书，亲敬高明，广其知识，临此等七晕之证，内有一定之主意，外用
合宜之药品，举斯世之幼稚，咸出险途而跻寿域，岂非仁人君子仁心仁术，参天地赞化育乎。
桃花红：桃花的红润色泽是淡淡的红色，一旦见到这种颜色便令人欣喜。倘若到了第八天痘浆还不饱满，稍微使用提升痘顶的药物，效果妙不可言。
紫花红：紫花的红润中带有紫色，这是毒邪凝结、血液停滞的关键特征，应立即投用退紫转红汤，服用片刻后便能疏通滞血的状况。
蜡烛红：蜡烛的红艳色泽一日之内会有三次变化，此证明确显示气有余而血不足，血液随着气的运行如同放电一般（不稳定）。
丹砂红：丹砂的红润如鹤顶般鲜明亮丽，倘若色泽惨暗且不回归根基，可以使用退紫转红汤进行治疗。
鸡冠红：鸡冠的红亮赤色如同丹砂，皎洁鲜明如同玳瑁斑纹，恰似龙含珠映照水面，满江春色照耀人间（形容色泽极佳）。
痘疹发出后，根脚周围出现晕圈，共有七种名称，辨别它们不能不早些进行。痘粒尖圆饱满的，说明气充盛且实质坚实；痘粒平塌凹陷的，说明气虚弱且本质空虚。如果从晕圈来区分，有老红、红紫、红紫干枯、淡红、焦红、铺红、淡白这七种晕，分别对应顺证、险证和逆证。
老红：晕圈的红色深沉而不娇嫩，不闪烁不定，不是忽红忽淡，也不带紫色。这种老红的晕圈，必定在发热三天后才出现痘苗；身体必然平和且不太热；必定能进食；大小便必然调和；精神必定清爽；这是顺证。痘疹发出必然稀疏，即使有一百多粒也属于顺证。
红紫：痘色深红而带有紫色，必定在发热两天后就出现痘苗，身体必然发热且轻微烦躁，应当以败毒和中散为主方治疗；观察痘疹出齐后，立即使用清毒活血汤催促其生长痘浆，痘浆充足也就归于顺证。
红紫干枯：刚初见痘苗，就见到这样的晕脚，此证多属于逆证。必定在发热一天后就出现痘苗，报痘（指痘疹密集程度）必然稠密，必定大热蒸腾，烦躁昏沉，不省人事，嘴唇焦裂口渴，这是危重证候，大多不可救治。如果大便干结二三日不解，小便短少涩滞且发黄，这是毒火内盛，急需攻下以清除毒火，仍然适宜用败毒和中散加入熟大黄来通利它，毒火必从此减少。观察痘疹出齐后，急忙用清毒活血汤催促其生长痘浆，之前所说的红紫干枯者，现在转为根脚红活，痘浆再次涌起，这还可以救治；如果仍然干枯，不见起长，不见泛浆，加上身体热势蒸腾，烦躁闷顿，胡言乱语昏沉，不省人事，不思饮食，痘疹仍然平塌，中间有黑脐，这就必不可救了。
淡红：晕圈四周呈淡红色，有娇媚之色，用纸灯照射似乎有红色，如果红色不稳定，将来必然变为淡白色，这是气血俱虚的表现。如果刚初见痘苗时，见到这种淡红晕脚，寒凉药物切不可投放；倘若身体不退热，轻微烦躁，适宜用败毒和中散去黄芩、黄连、紫草茸，加入羌活、苏叶、白芷以托举痘苗；等到痘疹出齐，用千金内托散催促其生长痘浆，痘浆充足仍归于顺证。如果先前误用寒凉药，晕圈转为淡白，急忙用参归鹿茸汤来救治，迟缓则会变成陷证，这淡红的晕圈，容易变为淡白，不可不知道。
焦红：刚初见痘苗，顶部先焦枯，根脚红紫且有芒角，不见滋润，晕圈不圆，且又带有红紫干枯，这是毒火内盛。如果刚初见痘苗，急忙用败毒和中散加倍加入黄芩、黄连、紫草茸以托举它，等到痘疹出齐，热势不减，不能进食，兼之神志昏迷不省人事，烦躁闷顿，水浆不进，那就不可救治了。倘若热势稍减，神气稍清，能进食且不太烦躁，急忙用清毒活血汤催促其生长痘浆。如果痘浆充足仍可归于顺证，这在于医生的神机妙算，取决于个人的医术水平。
铺红：痘疹没有红晕，痘粒淡白，全身皮肉尽红，所以名叫铺红。良由毒火内盛，气不能统摄血液，散漫于皮肤之间所致。如果神志清醒能进食，痘疹稀疏的可以治疗；如果人事昏沉则不可救治了。
淡白：痘疹根脚四周没有一丝红色，只见到淡白的痘疹，也不见有晕圈。这是因为气血两虚，或者因为久病之后，或者因为吐泻之后，或者因为生母有病导致缺乳，或者因为体内有积滞病患，或者因为生出大毒，脓血流出过多，元气受伤泄脱之后，所以发出这种淡白的痘疹。刚初见痘苗，适宜用加味参苏饮以托举它，使其出齐后，立即用千金内托散催促其生长痘浆，如果痘浆不足，立即用参归鹿茸汤来催促，今天不足，明天再催。我曾经治疗过这种气血两虚的证候，竟然到第十一十二天痘浆才充足的；现在的庸医见到八九天痘浆不满且平塌的，全都放弃不管，这都是因为内心缺乏扎实的学识知识，平常没有见过聂氏《活幼心法》这本书的缘故。亲近尊敬高明之士，广博自己的知识，面对这等七晕的证候，内心有确定的主意，外用合适的药品，使世间所有的幼儿，都能走出险境而达到长寿的境界，这难道不是仁人君子的仁心仁术，参与天地辅助造化吗？
Peach Blossom Red: The redness of peach blossoms is a faint red; seeing this color brings joy. If by the eighth day the pustules are not full of pus, slightly administering herbs to elevate the pustule tops yields miraculous results.
Purple Flower Red: The redness of purple flowers carries a purple hue; this indicates toxin coagulation and blood stasis. Immediately administer Tuizi Zhuanhong Tang (Decoction for Retreating Purple and Turning Red); after ingestion, the stagnant blood will be unblocked within moments.
Candle Red: The bright redness of a candle changes three times a day. This condition clearly shows excess Qi with deficient Blood, where Blood follows Qi in movement like an electrical discharge (unstable).
Cinnabar Red: The redness of cinnabar resembles the crown of a crane, bright and distinct. If the color becomes dull and fails to return to the root, Tuizi Zhuanhong Tang (Decoction for Retreating Purple and Turning Red) can be used.
Rooster Comb Red: The bright red of a rooster comb is crimson like cinnabar, clear and distinct like tortoiseshell patterns, resembling a dragon holding a pearl reflected in water, illuminating the world with spring scenery (indicating excellent coloration).
When pox erupts, there are seven types of halos around the base that must be distinguished early. Pox grains that are pointed and round indicate abundant Qi and solid substance; pox grains that are flat and sunken indicate weak Qi and deficiency. Regarding the halos, there are seven types: Old Red, Red-Purple, Red-Purple Dry, Pale Red, Scorched Red, Spread Red, and Pale White, which correspond to favorable, dangerous, and unfavorable prognoses.
Old Red: The halo color is red and mature, not delicate or flickering, not alternating between red and pale, nor carrying purple. For this Old Red halo, pox buds typically appear only after three days of fever; the body is likely peaceful and not overly hot; appetite is present; bowel and bladder functions are regulated; spirit is sharp. This is a favorable syndrome. Pox eruption is likely sparse; even if there are a hundred or more grains, it remains favorable.
Red-Purple: The pox color is deep red with a purple tint. Pox buds appear after two days of fever. The body is hot with slight irritability. Treat primarily with Baidu Hezhong San (Powder for Resolving Toxin and Harmonizing the Middle). Observe until pox fully erupts, then immediately use Qingdu Huoxue Tang (Decoction for Clearing Toxin and Invigorating Blood) to promote pus formation. Once pus is sufficient, it returns to a favorable state.
Red-Purple Dry: Seeing such a halo at the first appearance of pox buds usually indicates an unfavorable syndrome. Pox buds appear after one day of fever. The eruption is dense. There is high steaming fever, irritability, lethargy, unconsciousness, cracked lips, and thirst. This is a critical condition, often incurable. If stool is dry and constipated for two to three days, and urine is scanty, turbid, and yellow, this indicates internal excess of toxin-fire. Urgently purge to clear the toxin-fire, using Baidu Hezhong San (Powder for Resolving Toxin and Harmonizing the Middle) added with Shu Dahuang (Prepared Rhizoma Rhei) to promote purgation. The toxin-fire will decrease. After pox fully erupts, urgently use Qingdu Huoxue Tang (Decoction for Clearing Toxin and Invigorating Blood) to promote pus. If the previously described Red-Purple Dry condition turns into a vibrant red base with rising pus, it may still be saved. However, if it remains dry, fails to rise or form pus, accompanied by steaming fever, severe irritability and oppression, delirium, lethargy, unconsciousness, loss of appetite, flat pox with black umbilici, it is incurable.
Pale Red: The halo surrounding the base is pale red with a delicate appearance. Under paper lamp light, it appears red but unstable; it will likely turn Pale White later, indicating deficiency of both Qi and Blood. If seen at the initial stage of pox buds, cold-natured herbs must not be administered. If fever persists with slight irritability, use Baidu Hezhong San (Powder for Resolving Toxin and Harmonizing the Middle), removing Huangqin (Scutellariae Radix), Lianzi (Fructus Loranthi? Note: Text says Lian, likely Huanglian/Coptidis Rhizoma), and Zicao Rong (Arnebiae Radix et Rhizoma), adding Qianghuo (Notopterygii Rhizoma et Radix), Suye (Perillae Folium), and Baizhi (Angelicae Dahuricae Radix) to support the pox buds. When pox fully erupts, use Qianjin Neituo San (Powder for Internal Support from the Thousand Golden Formula) to promote pus. If pus is sufficient, it returns to favorable. If cold herbs were mistakenly used earlier, causing the halo to turn Pale White, urgently use Shengui Lurong Tang (Decoction of Ginseng, Angelica, and Deer Antler) to rescue; delay leads to collapse. One must know that Pale Red halos easily transform into Pale White.
Scorched Red: At the first appearance of pox buds, the top scorches first, while the base is red-purple with sharp edges, lacking moisture. The halo is not round and exhibits Red-Purple Dryness. This indicates internal excess of toxin-fire. At the first appearance of pox buds, urgently use Baidu Hezhong San (Powder for Resolving Toxin and Harmonizing the Middle) with doubled amounts of Huangqin (Scutellariae Radix), Lian (Coptidis Rhizoma), and Zicao Rong (Arnebiae Radix et Rhizoma) to support. When pox fully erupts, if fever persists, inability to eat, combined with coma and unconsciousness, severe irritability and oppression, and inability to take fluids, it is incurable. If fever decreases slightly, spirit clears somewhat, appetite returns, and irritability is mild, urgently use Qingdu Huoxue Tang (Decoction for Clearing Toxin and Invigorating Blood) to promote pus. If pus is sufficient, it returns to favorable. Success depends on the physician's discernment and skill.
Spread Red: Pox lacks red halos; the grains are pale white, while the entire skin is red, hence named Spread Red. This is caused by internal excess of toxin-fire, where Qi fails to control Blood, causing it to scatter in the skin. If spirit is clear and appetite exists, and pox is sparse, it is treatable. If consciousness is clouded, it is incurable.
Pale White: The area around the pox base has no trace of red, showing only pale white pox without any halo. This is due to deficiency of both Qi and Blood, or following prolonged illness, vomiting and diarrhea, maternal illness leading to lack of milk, internal accumulation, excessive loss of pus and blood from severe toxicity, or damage and depletion of Yuan Qi. At the first appearance of pox buds, use Jiawei Rensu Yin (Modified Decoction of Ginseng and Perilla) to support. When pox fully erupts, use Qianjin Neituo San (Powder for Internal Support from the Thousand Golden Formula) to promote pus. If pus is insufficient, use Shengui Lurong Tang (Decoction of Ginseng, Angelica, and Deer Antler) to promote it further; if insufficient today, try again tomorrow. I once treated cases of Qi and Blood deficiency where pus was not sufficient until the 11th or 12th day. Modern mediocre physicians abandon cases where pus is insufficient and flat by the 8th or 9th day, due to lack of solid knowledge and failure to study Nie Shi's Huoyou Xinfa (New Methods for Pediatric Life Preservation). By respecting the wise and broadening one's knowledge, maintaining firm principles internally and using appropriate medicines externally, one can guide all children out of danger into longevity. Is this not the benevolent heart and art of a gentleman, participating in Heaven and Earth's creative transformation?