血虚痘色多散漫，根窠淡白少鲜艳，芎归保元汤可投，参归鹿茸有奇验。
【注】痘至成浆时，若气血交会，必有一血线紧附根下，如珍珠置于燕脂之上，粒粒
光彩，此正形也。设平日气血虚弱，当灌浆时，顶虽圆满，根下全无红晕，以芎归保元
汤主之。虚甚者，以参归鹿茸汤主之。
\r根窠无晕图\p03-b24a36.bmp\r
芎归保元汤
人参 甘草（炙） 黄 （蜜炙） 当归（酒洗） 川芎
引用龙眼肉，水煎服。
【方歌】芎归保元治血虚，人参甘草共黄 ，酒洗当归川芎配，龙眼作引服无时。
参归鹿茸汤（方见灌浆证治）
痘疮皮薄根不红，待得成脓浆淡清，溶溶破烂不完整，气血虚弱证多凶。速服十全
大补剂，气充血足始堪生。
【注】痘疮赖气血以成功。气血充实，则痘皮苍老，肥满坚浓；若气血虚缩，痘必光
亮软皱，溶溶如湿。须用十全大补汤峻补气血，庶毒化浆行，可保安全矣。
\r皮薄浆嫩图\p03-b24a37.bmp\r
十全大补汤
人参 黄 （蜜炙） 茯苓 当归 白术（土炒） 肉桂 甘草（炙） 白芍（酒炒）
熟地黄 川芎
引用煨姜，水煎服。
【方歌】十全大补汤最灵，人参黄 白茯苓，当归白术肉桂草，白芍熟地及川芎。
血虚导致的痘疹颜色多呈散漫状，痘根周围淡白而缺乏鲜艳色泽，此时可投用芎归保元汤；若气血极度虚弱，参归鹿茸汤会有奇效。
【注】当痘疹发展到成浆阶段时，如果气血交会正常，必然有一条血线紧紧附着在痘根下方，就像珍珠放置在胭脂之上一样，每一粒都光彩照人，这是正常的形态。假如平日气血虚弱，到了灌浆的时候，虽然痘顶圆满，但根部完全没有红晕，应以芎归保元汤为主治方剂。如果虚损严重，则以参归鹿茸汤为主治方剂。
芎归保元汤
人参 甘草（炙） 黄芪（蜜炙） 当归（酒洗） 川芎
引用龙眼肉，水煎服。
【方歌】芎归保元治疗血虚，人参、甘草与黄芪共配，酒洗当归配合川芎，以龙眼肉为引药随时服用。
参归鹿茸汤（方剂见“灌浆证治”章节）
痘疮皮薄且根部不红，等到化脓时浆液清淡稀薄，痘体溶烂破损不完整，这是气血虚弱且病情多凶险的证候。应速服十全大补剂，待气充血足之后才能生存。
【注】痘疮的形成依赖气血的作用。气血充实，则痘皮苍老坚实、肥满浓密；若气血虚缩，痘必光亮柔软起皱，像湿透了一样。必须使用十全大补汤峻补气血，这样毒邪才能化为浆液并运行，方可保证安全。
When blood deficiency causes the pox to appear, the color is often diffuse, the root area is pale white and lacks vibrancy. In such cases, Xionggui Baoyuan Decoction may be administered; for severe cases of Qi and Blood deficiency, Shen Gui Lurong Decoction yields miraculous results.
[Note] When the pox reaches the stage of filling with pus (Chengjiang), if Qi and Blood intersect normally, there must be a line of blood tightly attached beneath the root, resembling a pearl placed on cinnabar, with each grain shining brightly. This is the normal morphological presentation. If one suffers from chronic Qi and Blood weakness, during the pus-filling stage, although the apex may be round and full, the root will completely lack a red halo. The primary treatment should be Xionggui Baoyuan Decoction. For more severe deficiency, Shen Gui Lurong Decoction should be used as the primary treatment.
Xionggui Baoyuan Decoction (Cnidius and Angelica Decoction to Preserve the Original Qi)
Ren Shen (Ginseng Radix)
Gan Cao (Licorice Root), roasted
Huang Qi (Astragalus Membranaceus Root), honey-roasted
Dang Gui (Angelica Sinensis Radix), wine-washed
Chuan Xiong (Ligusticum Chuanxiong Rhizome)
Guiding herb: Long Yan Rou (Longan Aril). Decoct in water and take orally.
[Prescription Song] Xionggui Baoyuan treats blood deficiency, Ginseng and Licorice combined with Astragalus, Wine-washed Angelica paired with Ligusticum, Guided by Longan aril, taken at any time.
Shen Gui Lurong Decoction (See "Treatment of Pus-Filling Syndrome" chapter for formula details).
The pox skin is thin and the roots are not red; when pus forms, the fluid is pale and clear. The lesions melt, break open, and remain incomplete. These are signs of Qi and Blood deficiency, indicating a perilous prognosis. Quickly administer Shiquan Dabu Agent (Tonsifying Decoction); only after Qi is abundant and Blood is sufficient can survival be ensured.
[Note] The formation of pox relies on Qi and Blood. When Qi and Blood are substantial, the pox skin becomes tough, plump, firm, and dense; if Qi and Blood are deficient and contracted, the pox will be shiny, soft, wrinkled, and soggy like wetness. One must use Shiquan Dabu Decoction to vigorously tonify Qi and Blood, so that toxins transform into pus and circulate, thereby ensuring safety.
Shiquan Dabu Decoction (Tonsifying Decoction)
Ren Shen (Ginseng Radix)
Huang Qi (Astragalus Membranaceus Root), honey-roasted
Fu Ling (Poria Sclerotium)
Dang Gui (Angelica Sinensis Radix)
Bai Zhu (Atractylodes Macrocephala Rhizome), soil-stir-fried
Rou Gui (Cinnamon Bark)
Gan Cao (Licorice Root), roasted
Bai Shao (White Peony Root), wine-stir-fried
Shu Di Huang (Rehmannia Glutinosa Root), prepared
Chuan Xiong (Ligusticum Chuanxiong Rhizome)
Guiding herb: Wei Jiang (Roasted Ginger). Decoct in water and take orally.
[Prescription Song] Shiquan Dabu Decoction is most effective, Ginseng, Astragalus, and White Poria, Angelica, Atractylodes, Cinnamon, and Licorice, White Peony, Prepared Rehmannia, and Ligusticum.