二朝 见点隐隐不透，左太阳背部紫斑，虽经下过，精神已惫，难任荡涤。闷伏之象，
显然已着，即投攻发药石，恐有倒戈之虑。
荆芥 桃仁 牛蒡 紫草 大黄 青皮 防风 红花 桔梗 川芎 滑石 楂肉 蓝汁
百日婴儿 未沾谷食，胃受乳汁甘美，腑气嫩薄，痘发震动，里真已觉凄凄不安。药味
，胃中气弱，必有呕吐泄泻，是病未攻而正反伤矣。况此薄质，宜乎和，不可推荡，乃至理
也。总属邀天幸，不堪用人工者，议解肌透毒，乳母代食，兼通乳汁。
生地 赤芍 紫茸 楂肉 漏芦 红花 荆芥 丹皮 木通 通草
形瘦质弱，当夏至气疾发痘，汗泄肌疏，暑热伤气。五朝来形象枯瘪，乏光润充伟之象
元气不能运毒以化浆矣。有限日期，若不气充外灌，必致外剥，内陷诸窍。大凡治痘，必须
论体，此虚弱扶毒之证，最难调治，与实火壮盛迥别。议进芎归汤，和血内托，以助充长。
川芎 炙草 紫茸 天虫 鸡顶血 当归 炒查 丹皮 桔梗
空泡遍起，不肯灌浆，世俗每拘气过则泡，佥用凉药，清其气火。夫不足之体，焉得正
余？良由血不附气为空累耳，故保元汤内托挟浆，一定至理。此证扶持过十二朝，投得清凉
解毒，合乎先补后清之旨，方有好音。
人参 黄 当归 白粳米 炙草 广皮 川芎
面浆七八，虽曰稀清，护养弗损，亦可浓浓成痂。但胸中身背形象损伤者，难以聚浆，
仅有空壳，根晕少附，况兼呕恶，气逆神烦，内证未得安宁，虚中夹毒，又非徒补可安。此
益元气血之中，谅必参以清凉。就翁氏论痘，原叱过补，十天痘疹，合乎秋冬之令，夏季发
泄，大忌攻击以速其腐溃。至嘱至嘱！
人参 煨木香 归身 粳米 川连（酒炒） 白芍 广皮
昼静夜烦，阳亢阴虚，缘稚年之体属阳，乏阴协和。清凉解毒，仅能理时疠火毒，先天
藏蓄之毒兆于有形之始，岂刻时可彻？论理壮水制阳、益阴解忧，仿仲景之议可也。
六味去萸加芍。
正在关津，而阳分散漫之毒现于头巅。内虚不受芩、连苦寒，姑进益阴脏，能阳腑，勿
使深入里。（此方逸去）
冬温未解，神气未为清爽。痘虽热症，体柔肌白，是为元虚。清寒不可太过，胃无妨碍
，自无变症，壳薄痘多，看护宜慎。
犀角 炒楂肉 牛蒡子 连翘 羚羊 丹皮 制天虫 桔梗
临服入鸡冠血十五滴。
第二天，痘疹的斑点隐约可见但透发不畅，左侧太阳穴及背部出现紫斑。虽然已经使用过泻下法，但患者精神已极度疲惫，难以承受再次攻伐荡涤的治疗。毒邪内伏郁遏的征象明显，此时如果立即投用攻散发表的药物，恐怕会导致正气溃败（倒戈）的危险。
荆芥、桃仁、牛蒡子、紫草、大黄、青皮、防风、红花、桔梗、川芎、滑石、山楂肉、蓝汁。
百日大的婴儿，尚未进食谷物，胃气依赖乳汁的甘美滋养，脏腑之气稚嫩薄弱。痘疹发作时的震动，使体内真元已感到凄清不安。药味复杂，胃中气弱，必然会出现呕吐和泄泻，这是病邪未去而正气先伤。况且这种体质薄弱者，适宜调和，不可推荡攻伐，这是至理名言。总之属于侥幸得天之幸，不堪人工强力干预的情况，建议采用解肌透毒的方法，由乳母代服药物，同时疏通乳汁。
生地黄、赤芍、紫茸（紫草）、山楂肉、漏芦、红花、荆芥、牡丹皮、木通、通草。
形体消瘦，体质虚弱，正值夏至时节气机紊乱时发痘，汗出肌疏，暑热损伤元气。第五天以来，形象枯瘪，缺乏光泽圆润充盛的气象。元气不能运化毒邪以化为脓浆。在有限的日期内，如果不使气充盛于外以灌注痘疮，必然导致痘疮外剥落或内陷诸窍。大凡治疗痘疹，必须根据体质论治，此证属于虚弱扶毒，最难调治，与实火壮盛的证候截然不同。建议进服芎归汤，调和血液并内托毒邪，以助痘疮充长。
川芎、炙甘草、紫茸、天虫（僵蚕）、鸡顶血、当归、炒山楂、牡丹皮、桔梗。
空泡遍布全身，不肯灌浆成脓，世俗之人往往拘泥于“气过则泡”的说法，全部使用凉药，以清其气火。对于不足之体，哪里来得正气有余？这主要是由于血不依附于气而导致空虚累赘的缘故，所以在保元汤中内托挟带脓浆，是一定的至理。此证扶持度过十二天，投用清凉解毒的药物，符合先补后清的旨意，方能有好的结果。
面部和身体上的脓浆已有七八分，虽然说是稀薄清澈，但只要护养不使其受损，也可以浓稠结成痂皮。但是胸中和背部的痘形损伤者，难以聚集成浆，仅有空壳，根部晕圈附着较少，况且兼有呕吐恶心，气逆神烦，内部证候未能安宁，虚中夹毒，又不是单纯补益所能安定的。在此益补元气的过程中，想必必须参入清凉之品。就翁氏论述痘疹而言，原本斥责过用补法，十天内的痘疹，合乎秋冬收敛之令，夏季发泄之时，最忌攻击性药物以加速其腐溃。再三嘱咐！
白天安静，夜晚烦躁，这是阳亢阴虚，因为幼童之体属阳，缺乏阴气协和。清凉解毒，只能调理时令疠气火毒，先天藏蓄的毒邪兆示于有形之初，岂是片刻时间可以彻底清除的？从道理上讲，应当壮水制阳、益阴解忧，仿效张仲景的议法即可。
正处于关键关口，而阳气分散漫溢的毒邪显现于头巅。内虚不能耐受黄芩、黄连的苦寒，暂且进服益阴脏、能阳腑的方剂，不要使毒邪深入里部。（此方遗失）
冬温病邪未解，神气尚未清爽。痘疹虽是热症，但体质柔嫩肌肤白皙，这是元气虚弱。清寒药物不可太过，只要胃无妨碍，自然没有变症，痘壳薄而痘多，看护宜谨慎。
犀角、炒山楂肉、牛蒡子、连翘、羚羊角、牡丹皮、制天虫、桔梗。
临服用时加入鸡冠血十五滴。
On the second day, the eruptive spots were faint and failed to emerge smoothly. Purple patches appeared on the left Taiyang region and the back. Although purgatives had been administered, the spirit was already exhausted, making it difficult to endure further drastic purgation. The signs of internal stagnation and depression were obvious; immediately administering attacking and dispersing medicines would pose the risk of "reversal of arms" (collapse of healthy qi).
Jingjie (Schizonepetae Herba), Taoren (Persicae Semen), Niubangzi (Arctii Fructus), Zicao (Lithospermi Radix), Dahuang (Rhei Radix et Rhizoma), Qingpi (Aurantii Fructus Immaturus Pericarpium), Fangfeng (Saposhnikoviae Radix), Honghua (Carthami Flos), Jiegeng (Platycodonis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huashi (Talcum), Zharon (Crataegi Fructus), Lan Zhi (Indigo Naturalis Juice).
For a hundred-day-old infant who has not yet consumed grain food, the stomach relies on the sweetness of breast milk, and the fu-organ qi is tender and thin. The vibration caused by the eruption of smallpox makes the interior true qi feel desolate and uneasy. With complex medicinal flavors and weak stomach qi, vomiting and diarrhea are inevitable; this means the pathogen is not attacked while the righteous qi is injured. Moreover, for such a thin constitution, harmonization is suitable, while pushing and荡涤 (drastic purgation) should be avoided; this is the supreme principle. In short, it relies on heavenly fortune and cannot withstand artificial intervention. It is proposed to resolve the muscle layer and penetrate the toxin, with the nursing mother taking the medicine on behalf of the infant, simultaneously promoting the flow of breast milk.
Shengdi Huang (Rehmanniae Radix), Chi Shao (Paeoniae Radix Rubra), Zi Rong (Zicao/Lithospermi Radix), Zharon (Crataegi Fructus), Loulu (Euphorbiae Humifusae Herba), Honghua (Carthami Flos), Jingjie (Schizonepetae Herba), Dan Pi (Moutan Cortex), Mutong (Akebiae Caulis), Tongcao (Tetrapanacis Medulla).
The form is emaciated and the constitution is weak. Erupting during the summer solstice when qi disorders occur, sweating leads to loose skin pores, and summer heat injures qi. For five days, the appearance has been withered and shriveled, lacking luster, roundness, and fullness. Yuan qi cannot transport toxins to transform them into pus. Within the limited timeframe, if qi is not filled externally to irrigate the lesions, external peeling or internal collapse into various orifices will inevitably occur. Generally, treating smallpox requires discussing the body constitution. This is a case of supporting deficiency and holding toxins, which is the most difficult to regulate, distinctly different from robust excess fire. It is proposed to administer Xiong Gui Tang (Chuanxiong and Danggui Decoction) to harmonize blood and internally support/toxin-resist, assisting in filling and growing.
Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Zi Rong (Zicao/Lithospermi Radix), Tian Chong (Bombyx Batryticatus), Ji Ding Xue (Gallus Gallus Head Blood), Dang Gui (Angelicae Sinensis Radix), Chao Zha (Fried Crataegi Fructus), Dan Pi (Moutan Cortex), Jie Geng (Platycodonis Radix).
Empty blisters appear all over, refusing to fill with pus. Secular practitioners often adhere to the notion that "excess qi causes blisters," using cooling medicines to clear qi-fire. How can a deficient body have excess righteous qi? This is mainly because blood fails to attach to qi, resulting in empty accumulation. Therefore, inside Baoyuan Tang (Preserve Origin Decoction), internally supporting and carrying pus is a fixed supreme principle. If this condition can be supported past the twelfth day, and cooling detoxification medicines are administered, conforming to the principle of tonifying first and clearing later, there will be good news.
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), Bai Jing Mi (White Oryza Sativa Grain), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Guang Pi (Citri Reticulatae Pericarpium), Chuan Xiong (Ligustici Chuanxiong Rhizoma).
Facial and bodily pus are at seven or eight parts; although described as thin and clear, if protected and nourished without damage, they can also thicken and scab. However, for those with damaged forms on the chest and back, gathering pus is difficult, leaving only empty shells with little attachment at the root halo. Furthermore, accompanied by vomiting and nausea, rebellious qi, mental restlessness, and internal symptoms failing to settle, deficiency mixed with toxin cannot be settled by mere tonification. In the process of benefiting yuan qi and blood, cooling agents must surely be added. Regarding Weng's discussion on smallpox, excessive tonification was originally criticized. Smallpox within ten days conforms to the autumn/winter command; summer eruption involves venting, where attacking medicines to accelerate putrefaction and ulceration are strictly taboo. Repeatedly urged!
Ren Shen (Ginseng Radix), Wei Mu Xiang (Prepared Aucklandiae Radix), Gui Shen (Dang Gui Root End), Jing Mi (Oryza Sativa Grain), Huang Lian (Coptidis Rhizoma, wine-fried), Bai Shao (Paeoniae Radix Alba), Guang Pi (Citri Reticulatae Pericarpium).
Quiet during the day, restless at night: yang hyperactivity and yin deficiency. Because the young body belongs to yang, it lacks yin harmony. Cooling and detoxifying can only address seasonal epidemic fire-toxin. The congenitally stored toxin manifests at the beginning of form; how can it be thoroughly cleared in moments? Theoretically, one should strengthen water to control yang and benefit yin to relieve distress, imitating Zhang Zhongjing's proposal.
Liujun Wan (Six-Ingredient Rehmannia Pill) minus Shanzhuyu (Corni Fructus), plus Shaoyao (Paeoniae Radix).
At the critical juncture, dispersed and scattered yang toxin appears on the head vertex. Internal deficiency cannot tolerate the bitter cold of Huang Qin (Scutellariae Radix) and Huang Lian (Coptidis Rhizoma). Temporarily advance a formula to benefit yin zang organs and yang fu organs, preventing deep penetration into the interior. (This prescription is lost).
Winter-warmth remains unresolved, spirit and qi are not clear. Smallpox is a heat syndrome, but the body is soft and skin white, indicating original deficiency. Cold-clearing medicines should not be excessive. As long as the stomach is unharmed, no transformation symptoms will occur. Thin shells and many pustules require careful nursing.
Xi Jiao (Rhinocerotis Cornu), Chao Zharon (Fried Crataegi Fructus), Niubangzi (Arctii Fructus), Lian Qiao (Forsythiae Fructus), Ling Yang (Capris Cornu), Dan Pi (Moutan Cortex), Zhi Tian Chong (Processed Bombyx Batryticatus), Jie Geng (Platycodonis Radix).
Add 15 drops of Ji Guan Xue (Gallus Gallus Comb Blood) before administration.