痘疮计日 痘疮坏病 疹
痘治法 天师曰∶今人看痘为难治，不知得其法则无难
也。初起之时，不论身弱身强，先以补气补血之药为君，加之发散之药，则重者必轻，而轻者必少。无
如世人皆以寒凉之品为主，又助以劫散之味，此所以轻变重，重至死也。吾
今传五方，朝夕服之，室七日，无不结靥，再无回毒之症，十人十活，不杀一小儿也。
第一曰方∶见小儿身热，眼如醉眼者，此出痘兆也。若不是醉眼，则非出痘，不可用此方。用治
外感方治之，若见醉眼，急投此方，则痘点即现，必不待三日而自出也。方用黄 三钱，白术一钱，
甘草一钱，当归二钱，川芎二钱，茯苓三钱，柴胡一钱五分，升麻五分，麦冬二钱，元参三钱，
陈皮五分，荆芥一钱，金银花先用五分，水三碗，煎汤二碗，再煎药至五分，与小儿饮之。此方五
岁以上俱照此分两，五岁以下减半；周岁内者又降序之。服此药，自然神思清爽。病家不肯服，劝
其速服，包其速愈，不妨身任之。服后见点，再用第二方。
第二日方∶白术二钱，麦冬三钱，甘草一钱，桔梗二钱，当归五钱，生地五钱，元参三钱，柴
胡一钱，升麻三分，荆芥一钱，茯苓二钱，白芍三钱，白芥子二钱，金银花三钱，水煎服。服此药后，
一身尽现点矣，其色必红，而无色白色黑之虞矣。
第三日方∶人参五分，白芍三钱，白术三钱，茯苓三钱，元参二钱，神曲三分，丹皮一钱，水煎
服。此方服后，尽皆灌浆，无不气血之足，永无退症之虞矣。再服第四日方。
第四日方∶人参一钱，当归二钱，熟地五钱，茯苓三钱，金银花三钱，陈皮五分，甘草一钱，元参
三钱，白术三钱，白芍二钱，神曲五分。服此方后，小儿必然口健，要吃食不已，不妨少少频与，亦不
可多食也，第五方可不必用矣。然更传之者，恐小儿多食则生他病，故又传此方。
第五日方∶人参一钱，茯苓三钱，白术二钱，甘草一钱。有食，加麦芽五分，山楂五粒。若不伤食
不必加，止加金银
花三钱。能服此五方，期七日前而回春也，以上小儿年岁小者，俱照第一方减之。如小
儿已身热三日，则用第三方，四日则用第四方。如坏症，另用坏症方。
秦真人传坏症方∶治痘疮坏症已黑者，人将弃之，下喉即活。人参三钱，陈皮一钱，蝉蜕五分，
元参二钱，当归二钱，荆芥穗一钱，水二钟，煎八分，灌下喉中即活。大约坏症，皆元气虚而火不
能发也。我用参以助元气，用元参以去浮游之火，用陈皮去痰开胃，则参无所碍，而相得益彰，荆
芥以发之，又能引火归经，当归以生新去旧消滞气，蝉蜕亦解毒去斑。世人如何知此妙法。初起不
可服，必坏症乃可，一剂即回春，不必再剂也。
雷真君传痘疮坏症方∶痘疮坏症，最为可怜，身如黑团之气，口不能言，食不能下，世人到此，
尽弃之沟中，医者到此，亦置而罔顾，谁知尽人皆可生之乎。吾有奇方，名必全汤。人参三钱，元参一
两，荆芥一钱，金银花一两，陈皮三分，水煎五分灌之。下喉而眼开，少顷而身动，久之而神气回，
口能言，食能下矣。不必再服他药。痘疮自面而生全，至奇至神之方也。盖痘疮坏症，皆气虚而火不能
发也。火毒留于中而不得泄，故形如死状，其实脏腑未坏。我用参以固元气，用元参以去火，用金银花
以消毒，用陈皮以化痰，用荆芥以引经，而发出于外。内中原有生机，所以一剂回春也。
疹治法 凡疹初起，小儿必发热，口必大渴呼水。其发疹之状，如红云一片，大约发斑相同。
但斑无头粒，而疹有头粒也；头如蚤咬之状，无他别也。我今传四时之疹方∶用元参三钱，麦冬二钱，
苏叶一钱，升麻五分，天花粉一钱，金银花三钱，陈皮三分，甘草一钱，生地三钱，黄芩八分，
桂枝二钱，水钟半，煎五分，热服。凡有疹子，无不神效。
惟夏天加青蒿三钱可也。小儿初生数月减半，一周外俱照此分两，不必再传方也。服吾方一剂即愈，
何至三 。
痘疮按日期演变及坏病的诊治方法
疹的治法
天师说：现在的人认为痘疮难以治疗，是因为不知道正确的法则。其实只要掌握了方法，治疗并不难。在痘疮初起的时候，不论患儿体质强弱，都应以补气补血的药物作为主药，再配合发散的药物，那么重症一定会减轻，轻症一定会减少。无奈世人多以寒凉性质的药物为主，又辅以劫夺正气、发散过度的药物，这就是轻症变重、重症致死的原因。我现在传授五个方子，早晚服用，七天之内，没有不结痂痊愈的，再也没有回毒的症状，十个人能救活十个，绝不杀害一个小儿。
第一个方子：看到小儿身体发热，眼睛像喝醉了一样迷离（醉眼），这是出痘的征兆。如果不是这种“醉眼”状态，就不是出痘，不能用这个方子。如果是外感病引起的症状，用治疗外感的方子来治；如果见到“醉眼”，立即投用此方，痘点就会立刻显现，必定不用等到三天就会自然发出。方药组成：黄芪三钱，白术一钱，甘草一钱，当归二钱，川芎二钱，茯苓三钱，柴胡一钱五分，升麻五分，麦冬二钱，玄参三钱，陈皮五分，荆芥一钱，金银花先用五分。用水三碗，煎成汤剂两碗，再将药渣煎至剩余五分药液，给小儿饮用。此方适用于五岁以上儿童，剂量照此执行；五岁以下减半；周岁以内的婴儿剂量再依次递减。服用此药后，小儿自然会神思清爽。如果家属不肯服用，要劝他们尽快服用，保证迅速痊愈，我可以承担责任。服药后见到痘点出现，再用第二个方子。
第二日方：白术二钱，麦冬三钱，甘草一钱，桔梗二钱，当归五钱，生地五钱，玄参三钱，柴胡一钱，升麻三分，荆芥一钱，茯苓二钱，白芍三钱，白芥子二钱，金银花三钱。水煎服。服用此药后，全身都会现出痘点，颜色必定红润，而没有出现白色或黑色的危险了。
第三日方：人参五分，白芍三钱，白术三钱，茯苓三钱，玄参二钱，神曲三分，丹皮一钱。水煎服。服用此方后，痘疮全部灌浆，气血充足，永远没有退症（痘疮塌陷不起）的危险了。接着服用第四日方。
第四日方：人参一钱，当归二钱，熟地五钱，茯苓三钱，金银花三钱，陈皮五分，甘草一钱，玄参三钱，白术三钱，白芍二钱，神曲五分。服用此方后，小儿必然胃口好，不停地想吃东西，可以少量多次喂食，但也不可多吃。第五个方子可以不必用了。但我还是传授出来，是担心小儿吃多了会生出其他疾病，所以又传此方。
第五日方：人参一钱，茯苓三钱，白术二钱，甘草一钱。如果有积食，加麦芽五分，山楂五粒。如果没有伤食，不必加这些，只加金银花三钱。如果能服用这五个方子，期望在七天前就能康复如初。以上对于年龄较小的儿童，都参照第一方的剂量减去相应比例。如果小儿已经身热三天，则用第三个方子；四天则用第四个方子。如果是坏症，另用坏症专用方。
秦真人传授的坏症方：治疗痘疮坏症且痘色已黑的情况，人们将要放弃治疗时，此药下喉即可救活。方药组成：人参三钱，陈皮一钱，蝉蜕五分，玄参二钱，当归二钱，荆芥穗一钱。用水二钟，煎至八分，灌入喉中即可救活。大抵坏症，都是元气虚弱而火毒不能透发所致。我用参来补助元气，用玄参来清除浮游之火，用陈皮来祛痰开胃，这样参药就不会受到阻碍，反而相得益彰，荆芥用来发散，又能引火归经，当归用来生新血、去旧瘀、消滞气，蝉蜕也能解毒去斑。世人怎么能知道这种妙法呢？初起阶段不可服用，必须是坏症才可用，一剂药即可回春，不需要再服第二剂。
雷真君传授的痘疮坏症方：痘疮坏症，最为可怜，身体像黑团之气笼罩，口不能言，食不能下，世人到了这种情况，全都弃之于沟中，医生到了这种情况，也置之不理。谁知道所有人都可以救活呢？我有奇方，名叫必全汤。方药组成：人参三钱，玄参一两，荆芥一钱，金银花一两，陈皮三分。水煎至五分，灌服。药下喉后眼睛睁开，片刻后身体活动，久之神气恢复，口能说话，食物能下咽了。不需要再服用其他药物。痘疮从面部开始生长并完全康复，这是极其奇妙神奇的方子。大概痘疮坏症，都是气虚而火毒不能透发。火毒留滞于体内而不能宣泄，所以外形如同死状，其实脏腑并未损坏。我用参来固护元气，用玄参来清火，用金银花来消毒，用陈皮来化痰，用荆芥来引经，使邪气发散于体外。体内原本就有生机，所以一剂药就能回春。
疹的治法
凡是疹子初起，小儿必定发热，口中必定极度口渴呼叫要水喝。其发疹的样子，像一片红云，大体上与发斑相同。但是斑没有颗粒头，而疹有颗粒头；颗粒形状像被跳蚤咬过一样，没有其他区别。我现在传授四季疹子的方子：玄参三钱，麦冬二钱，苏叶一钱，升麻五分，天花粉一钱，金银花三钱，陈皮三分，甘草一钱，生地三钱，黄芩八分，桂枝二钱。用水钟半，煎至五分，热服。凡是有疹子的，没有不神效的。
只有在夏天可以加青蒿三钱。小儿出生数月大的减半，一周岁以上的都照此剂量，不必再传其他方子了。服用我的方子一剂即愈，怎么会拖延到三天呢？
**Treatment of Smallpox by Day and Management of Complicated Cases; Treatment of Measles**
The Heavenly Master said: People nowadays consider smallpox difficult to treat because they do not know the correct principles. In fact, once the method is mastered, treatment is not difficult. At the initial stage of smallpox, regardless of whether the child's constitution is weak or strong, one should first use herbs that tonify Qi and Blood as the principal agents, combined with diaphoretic (sweat-inducing) herbs. Then, severe cases will become mild, and mild cases will be fewer. Regrettably, people mostly rely on cold-natured substances and assist them with harsh dispersing agents. This is why mild cases become severe and severe cases lead to death. I now transmit five prescriptions to be taken morning and evening. Within seven days, there will be no case that fails to crust over, nor any recurrence of toxicity. Ten patients will yield ten recoveries, killing not a single child.
**First Prescription:** If a child presents with fever and eyes that appear glassy or intoxicated ("drunk eyes"), this is a sign of eruptive smallpox. If these "drunk eyes" are absent, it is not smallpox, and this prescription should not be used. For external contraction patterns, use a formula for treating external pathogens. However, if "drunk eyes" are observed, administer this prescription immediately, and the smallpox spots will appear promptly, certainly emerging naturally before three days elapse. The prescription consists of: Huangqi (Astragali Radix) 3 qian, Baizhu (Atractylodis Macrocephalae Rhizoma) 1 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, Danggui (Angelicae Sinensis Radix) 2 qian, Chuanxiong (Ligustici Chuanxiong Rhizoma) 2 qian, Fuling (Poria) 3 qian, Chaihu (Bupleuri Radix) 1.5 qian, Shengma (Cimicifugae Rhizoma) 0.5 qian, Maidong (Ophiopogonis Tuber) 2 qian, Xuanshen (Scrophulariae Radix) 3 qian, Chenpi (Citri Reticulatae Pericarpium) 0.5 qian, Jingjie (Schizonepetae Herba) 1 qian, Jinyinhua (Lonicerae Japonicae Flos) initially 0.5 qian. Use three bowls of water, decoct to two bowls, then re-decoct the dregs to obtain half a bowl of liquid, and administer to the child. For children over five years old, follow these dosages; for those under five, halve the dosage; for infants within their first year, reduce the dosage further in sequence. After taking this medicine, the child will naturally feel mentally clear. If the family refuses to administer it, urge them to do so quickly, guaranteeing rapid recovery, and I shall take responsibility. Once spots appear after administration, proceed to the second prescription.
**Second Day Prescription:** Baizhu (Atractylodis Macrocephalae Rhizoma) 2 qian, Maidong (Ophiopogonis Tuber) 3 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, Jiegeng (Platycodonis Radix) 2 qian, Danggui (Angelicae Sinensis Radix) 5 qian, Shengdi (Rehmanniae Radix) 5 qian, Xuanshen (Scrophulariae Radix) 3 qian, Chaihu (Bupleuri Radix) 1 qian, Shengma (Cimicifugae Rhizoma) 0.3 qian, Jingjie (Schizonepetae Herba) 1 qian, Fuling (Poria) 2 qian, Baishao (Paeoniae Radix Alba) 3 qian, Baijiezhi (Sinapis Semen Preparatum) 2 qian, Jinyinhua (Lonicerae Japonicae Flos) 3 qian. Decoct in water and take orally. After taking this medicine, spots will appear all over the body, and their color will surely be red, avoiding the danger of white or black discoloration.
**Third Day Prescription:** Renshen (Panacis Ginseng Radix) 0.5 qian, Baishao (Paeoniae Radix Alba) 3 qian, Baizhu (Atractylodis Macrocephalae Rhizoma) 3 qian, Fuling (Poria) 3 qian, Xuanshen (Scrophulariae Radix) 2 qian, Shenqu (Massa Medicata Fermentata) 0.3 qian, Danpi (Moutan Cortex) 1 qian. Decoct in water and take orally. After taking this prescription, pustules will fill completely, ensuring sufficient Qi and Blood, with no fear of collapse symptoms. Proceed to the fourth day prescription.
**Fourth Day Prescription:** Renshen (Panacis Ginseng Radix) 1 qian, Danggui (Angelicae Sinensis Radix) 2 qian, Shudi (Rehmanniae Radix Preparata) 5 qian, Fuling (Poria) 3 qian, Jinyinhua (Lonicerae Japonicae Flos) 3 qian, Chenpi (Citri Reticulatae Pericarpium) 0.5 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, Xuanshen (Scrophulariae Radix) 3 qian, Baizhu (Atractylodis Macrocephalae Rhizoma) 3 qian, Baishao (Paeoniae Radix Alba) 2 qian, Shenqu (Massa Medicata Fermentata) 0.5 qian. After taking this prescription, the child will inevitably have a good appetite and desire food constantly. Offer food in small amounts frequently, but do not allow excessive eating. The fifth prescription may be omitted. However, I still transmit it lest the child develop other illnesses due to overeating.
**Fifth Day Prescription:** Renshen (Panacis Ginseng Radix) 1 qian, Fuling (Poria) 3 qian, Baizhu (Atractylodis Macrocephalae Rhizoma) 2 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian. If there is food stagnation, add Maiya (Hordei Fructus Germinatus) 0.5 qian and Shanzha (Crataegi Fructus) 5 pieces. If there is no food stagnation, do not add these; instead, add only Jinyinhua (Lonicerae Japonicae Flos) 3 qian. By following these five prescriptions, recovery is expected within seven days. For younger children, reduce the dosage according to the first prescription. If the child has had fever for three days, use the third prescription; for four days, use the fourth prescription. For complicated cases, use a separate prescription for complicated conditions.
**Prescription for Complicated Cases transmitted by Daoist Qin:** Treats complicated smallpox where lesions have turned black. When others are ready to give up, this medicine administered orally brings immediate life. Ingredients: Renshen (Panacis Ginseng Radix) 3 qian, Chenpi (Citri Reticulatae Pericarpium) 1 qian, Chantui (Cryptotympanae Pergamen) 0.5 qian, Xuanshen (Scrophulariae Radix) 2 qian, Danggui (Angelicae Sinensis Radix) 2 qian, Jingjiesui (Schizonepetae Spica) 1 qian. Use two zhong of water, decoct to eight fen, and instill into the throat to restore life. Generally, complicated cases result from deficiency of Yuan Qi (Original Qi) preventing the eruption of fire/toxin. I use Renshen to assist Yuan Qi, Xuanshen to clear floating fire, and Chenpi to resolve phlegm and open the stomach, so that Renshen acts without obstruction, enhancing each other's effects. Jingjie promotes eruption and guides fire back to its meridian; Danggui generates new blood, removes old stasis, and resolves qi stagnation; Chantui also detoxifies and clears macules. How can ordinary people know such a wonderful method? It must not be used at the onset; it is only for complicated cases. One dose restores vitality; a second dose is unnecessary.
**Prescription for Complicated Smallpox transmitted by Thunder Deity:** Complicated smallpox is most pitiable. The body appears shrouded in black gas, the mouth cannot speak, and food cannot be swallowed. People abandon such cases in ditches, and physicians ignore them. Who knows that all such individuals can be saved? I have a miraculous prescription named Bi Quan Tang (Sure Recovery Decoction). Ingredients: Renshen (Panacis Ginseng Radix) 3 qian, Xuanshen (Scrophulariae Radix) 1 liang, Jingjie (Schizonepetae Herba) 1 qian, Jinyinhua (Lonicerae Japonicae Flos) 1 liang, Chenpi (Citri Reticulatae Pericarpium) 0.3 qian. Decoct in water to five fen and administer. Upon entering the throat, the eyes open; shortly after, the body moves; eventually, spirit returns, speech resumes, and swallowing is restored. No other medicines need be taken. The smallpox will heal completely starting from the face. This is an extremely miraculous and divine prescription. Complicated smallpox generally stems from Qi deficiency preventing the eruption of fire/toxin. Fire-toxin remains trapped inside without release, making the form resemble death, although the Zang-Fu organs are not actually damaged. I use Renshen to consolidate Yuan Qi, Xuanshen to clear fire, Jinyinhua to eliminate toxin, Chenpi to transform phlegm, and Jingjie to guide the meridians to expel the pathogen externally. Since vital energy exists internally, one dose restores vitality.
**Treatment of Measles:**
When measles first appear, the child invariably develops fever and experiences intense thirst, calling out for water. The appearance of the rash resembles a patch of red clouds, largely similar to macules (ban). However, macules lack granular heads, whereas rashes possess granular heads; the head resembles a flea bite, with no other distinctions. I now transmit a prescription for measles occurring in all four seasons: Xuanshen (Scrophulariae Radix) 3 qian, Maidong (Ophiopogonis Tuber) 2 qian, Suye (Perillae Folium) 1 qian, Shengma (Cimicifugae Rhizoma) 0.5 qian, Tianhuafen (Trichosanthis Radix) 1 qian, Jinyinhua (Lonicerae Japonicae Flos) 3 qian, Chenpi (Citri Reticulatae Pericarpium) 0.3 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, Shengdi (Rehmanniae Radix) 3 qian, Huangqin (Scutellariae Radix) 0.8 qian, Guizhi (Cinnamomi Ramulus) 2 qian. Use half a zhong of water, decoct to five fen, and take hot. This prescription is miraculously effective for all cases of measles.
In summer only, add Qinghao (Artemisiae Annuae Herba) 3 qian. For infants a few months old, halve the dosage; for those over one week old, follow these dosages exactly. There is no need to transmit further prescriptions. One dose of my prescription cures the condition; why would it last until the third day?