热邪内外熏蒸，遇风寒辄与内热相拒而不得入内，热为风寒所闭而不得出，毒瓦斯壅于肌表，故形如痕点，
其色青紫者有之，宜用生地、紫草、凌霄花、丹皮、玄参、连翘、黄芩、红花、全
蝎、石膏、川连，如大便秘结加生军。
连出不收者，热毒太甚也。不能一时发透，宜重表之。如回后用化斑解毒汤治之（玄参、知母、升麻、
力子、人中黄、连翘、石膏），大便闭结加生军、生地、红花、紫草。
牙根血出胃火并，宜投天麻枳花粉，麦冬生地黄连入，重用石膏生条芩。此因积热毒火入胃，宜用清胃
饮、凉膈散（薄荷、山栀、连翘、桔梗、黄芩、生地、甘草、川连、升麻、丹皮、石膏）。
齿颊肿痛口流涎（宜用川芎、防风、石膏、黄连、玄参、黄芩、甘草、牛蒡子），不投阳剂痛连绵。
疹后红斑作痒，疹后发热一二日，红斑作痒遍身散出，愈爬愈痒，状如细粟，或成云片，一涌而出，此因
回后不禁辛辣、油腻之味，放心纵食，以致风热寒湿之气外感而成也。急宜三花斑汤加防风、黄连，以除
风热，免生泻利。倘泻痢日久不已，此余毒移入于大肠也，切勿妄投止涩，以致内毒上攻，转成呕吐，噤
口不食，而莫可疗生也。如滑泄不止，或下鲜血，或如屋漏尘水者，急服三黄汤加槟榔、枳壳、六一散，治之可望愈矣。
热邪在体内内外熏蒸，遇到风寒时便与内热相互抗拒而不能入内，热邪被风寒闭阻而不能外出，毒气壅塞于肌表，所以皮肤出现如斑疹样的点状痕迹。其中颜色呈青紫色的情况也有，适宜使用生地、紫草、凌霄花、丹皮、玄参、连翘、黄芩、红花、全蝎、石膏、川连（黄连），如果大便秘结则加入生军（大黄）。
皮疹连续发出而收不住，是因为热毒过于严重。不能一时透发出来，应当加重解表的力量。如果在疹子回退后，使用化斑解毒汤进行治疗（药物组成：玄参、知母、升麻、枳实、人中黄、连翘、石膏），若大便闭结则加入生军、生地、红花、紫草。
牙根出血是胃火炽盛所致，适宜投用天麻、枳壳、花粉、麦冬、生地黄、黄连，并重用石膏和生条芩（黄芩）。这是因为积滞的热毒之火进入胃部，适宜使用清胃饮、凉膈散（药物组成：薄荷、山栀、连翘、桔梗、黄芩、生地、甘草、川连、升麻、丹皮、石膏）。
牙齿和面颊肿痛、口角流涎（适宜使用川芎、防风、石膏、黄连、玄参、黄芩、甘草、牛蒡子），此时不可使用温阳的药物，否则疼痛会连绵不断。
出疹之后出现红斑并伴有瘙痒，出疹后发热一两天，红斑瘙痒遍布全身散发出来，越抓越痒，形状像细小的粟米，或者形成云片状，一下子涌出。这是因为疹子回退后不禁忌辛辣、油腻的食物，放纵饮食，导致风热寒湿之气外感而成。急需使用三花斑汤加入防风、黄连，以祛除风热，避免产生腹泻痢疾。如果泻痢日久不止，这是余毒转移到大肠所致，千万不要胡乱使用收敛止涩的药物，以免导致内毒上攻，转而变成呕吐、噤口不食，从而无法救治。如果出现滑泄不止，或者排出鲜血，或者像屋漏滴水、浑浊水样，急需服用三黄汤加入槟榔、枳壳、六一散，进行治疗有望痊愈。
Heat pathogens steaming internally and externally, when encountering wind-cold, repel the internal heat and cannot enter; the heat is blocked by wind-cold and cannot exit. Toxic qi stagnates at the muscle surface, resulting in macule-like spots on the skin. Some may appear cyanotic or purplish. It is appropriate to use Shengdi (Rehmanniae Radix), Zicao (Arnebiae Radix), Lingxiaohua (Campsis Grandiflora Flos), Danpi (Moutan Cortex), Xuanshen (Scrophulariae Radix), Lianqiao (Forsythiae Fructus), Huangqin (Scutellariae Radix), Honghua (Carthami Flos), Quanxie (Buthus), Shigao (Gypsum Fibrosum), Chuanlian (Coptidis Rhizoma). If constipation occurs, add Shengjun (Rhei Radix et Rhizoma).
Continuous eruption without receding indicates excessive heat toxicity. If it fails to erupt thoroughly at once, heavy exterior-releasing methods should be employed. After the rash subsides, Huaban Jiedu Tang (Macula-Resolving and Toxin-Clearing Decoction) should be used (composition: Xuanshen, Zhimu, Shengma, Zhizi [Zhi Shi], Renzhonghuang, Lianqiao, Shigao). If constipation persists, add Shengjun, Shengdi, Honghua, and Zicao.
Bleeding from the gums indicates blazing stomach fire. Tianma (Gastrodiae Rhizoma), Zhike (Aurantii Fructus), Huafen (Puerariae Radix), Maidong (Ophiopogonis Radix), Shengdihuang (Rehmanniae Radix Recens), and Huanglian (Coptidis Rhizoma) are suitable, with heavy doses of Shigao and Shengtiaoxin (Huangqin). This results from accumulated heat and toxic fire entering the stomach. Qingwei Yin (Stomach-Clearing Drink) and Liangge San (Cooling Diaphragm Powder) are appropriate (composition: Bohe, Shanzhi, Lianqiao, Jiegeng, Huangqin, Shengdi, Gancao, Chuanlian, Shengma, Danpi, Shigao).
Swelling and pain in the teeth and cheeks with salivation flowing from the mouth corners (suitable for using Chuanxiong, Fangfeng, Shigao, Huanglian, Xuanshen, Huangqin, Gancao, Niubangzi) require avoiding yang-tonifying agents, otherwise pain will persist continuously.
After the rash, red macules appear with itching. One to two days after the rash, red macules itch all over the body as they spread out. Scratching increases the itchiness; the appearance resembles fine millet seeds or cloud-like patches erupting suddenly. This is caused by consuming spicy and greasy foods without restraint after the rash subsides, leading to external contraction of wind-heat and cold-dampness. Urgently apply Sanhua Ban Tang (Three-Flower Macula Decoction) added with Fangfeng and Huanglian to dispel wind-heat and prevent diarrhea/dysentery. If diarrhea/dysentery persists for a long time, this indicates residual toxins shifting to the large intestine. Do not recklessly administer astringents, which may cause internal toxins to attack upward, turning into vomiting, inability to eat due to locked mouth (Jinkou), and untreatable conditions. If slippery diarrhea continues unceasingly, or if fresh blood is passed, or if stools resemble dripping roof water or turbid liquid, urgently take Sanhuang Tang (Three-Yellow Decoction) added with Binglang (Arecae Semen), Zhike (Aurantii Fructus), and Liu Yi San (Six-to-One Powder); treatment offers hope for recovery.