〔 烂〕夫痘疮脓熟溃烂者，常候也，若未成脓，先即溃者，此名 烂。 烂
之由，病当发散而不发散，则毒瓦斯闭塞，喘促闷乱。不当发散而误发散，则热毒随
阳气暴出，遍身皮肉溃烂，此不善表之过。治之宜调脾进食，令大便得所，安养荣
卫，生肌解毒，解之不至于冷，调养不至于热，方为良法，宜十全大补汤（汗），去桂枝加
防风、荆芥穗，多服佳。大便秘，以胆导法（便秘）润之。脓水不干，以败草散（溃烂）衬
之。 烂作脓痛甚者，以天水散（即六一散见初热）和百花膏（收靥）涂之。又有发表过甚，外
为烂而内虚，阳气不守，脏腑自利，此又急当救里解表，陈氏木香散（泻利）主之。厥逆
者，异攻散（出不快）。
〔板黄〕〔袁〕痘澄脓则毒尽全美矣，何有乎板黄。岂知玉不在乎浓薄，而在乎
体之纯，珠不在乎大小，而在乎体之明，痘浆不在乎饱满，而在乎黄活。夫黄者，
中央土之正色，浆汲乎脾，其黄自润正者也。彼痘，气得其卫而不逆，血养其荣而
不伤，囊窠鼎疏，脓浆澄注于中者，活动而不腻塞，明润而不死色，乌有所谓板黄
者哉。若阴阳离其正气，枭毒肆其残虐，根窠薄劣，囊房夷委，脓浆之澄注于中者
板腻，牢则死塞而不活动，干蜡而不明黄，以手指抵之，凝结板定，五经瘅而二气
截矣，此谓之板黄。若方广天庭板黄，而余者润活，痈毒必结于脑项。腮脸板黄，
而四体润美，痘痈必发于肩阜。肚腹板黄者，痈起于曲池、三里。背脊板黄者，痈
结于两轴尻骨。遍身板黄者死。项颈前后板黄者死。头面板黄者死。眼眶唇上板黄
者死。两胁、阳球板黄者死。观此而痘囊之脓，固欲其充黄，尤宜润活也。
澄泉散 治痘中板黄。
黄 （上） 当归（中） 红花（下）
上，和酒入坛，固密煮之，另用 蝉蜕 金丸（即雄鸡尾后硬石子）二味，细研，以药酒
调服。
转环丹
鸡一只，以参、 、当归、红花、桂、和蜜、酒煮熟，食之。
【溃烂】痘疮脓液成熟后溃烂，是常见的现象；如果尚未成脓就先溃烂，这称为“烂”。导致“烂”的原因，是病邪应当发散却未发散，导致毒气闭塞，出现气喘急促、胸闷烦乱。不应当发散却误用发散法，导致热毒随着阳气突然外泄，全身皮肉溃烂，这是不当使用表散法的过错。治疗时应调理脾胃、增进食欲，使大便通畅，安养营卫之气，促进肌肉生长并解毒，解表不至于过冷，调养不至于过热，这才是良法。宜服用十全大补汤（用于汗证），去掉桂枝，加入防风、荆芥穗，多服效果佳。若大便秘结，用胆导法（用于便秘）润肠通便。若脓水不干，用败草散（用于溃烂）敷衬。若溃烂化脓且疼痛剧烈，用天水散（即六一散，见于初热阶段）配合百花膏（用于收靥期）涂抹。又有因发表过度，外部溃烂而内部虚弱，阳气不能固守，脏腑功能失调导致自发性腹泻，这种情况又急需救里兼解表，由陈氏木香散（用于泻利）主治。出现四肢厥冷的，用异攻散（用于出疹不畅）。
【板黄】【袁】痘疮浆液澄清则毒气尽去，病情完美痊愈了，哪里还会有“板黄”呢？岂不知玉的好坏不在于厚薄，而在于质地纯正；珍珠的好坏不在于大小，而在于光泽明亮；痘浆的好坏不在于饱满，而在于黄色鲜活。所谓“黄”，是中央土的正色，浆液汲取于脾，其黄色自然润泽端正。那些痘疮，气得到护卫而不逆乱，血滋养营气而不受伤，囊窠疏松，脓浆在中间澄清流动，活动而不黏腻堵塞，明润而不呈死色，哪里有所谓的“板黄”呢？如果阴阳背离正气，枭毒肆意残虐，根窠薄弱低劣，囊房塌陷平夷，脓浆在中间澄清时变得板滞黏腻，干燥则死塞而不活动，像干蜡一样不明亮发黄，用手指按压，凝结固定不动，这是五脏热盛而二气阻断，这就叫做“板黄”。如果方广天庭部位板黄，而其他部位润泽鲜活，痈毒必定结聚于脑项。腮脸部位板黄，而四肢润泽美好，痘痈必定发于肩峰。肚腹部板黄者，痈起于曲池穴、足三里穴。背脊部板黄者，痈结于两侧骶骨。遍身板黄者死。颈项前后板黄者死。头面板黄者死。眼眶及嘴唇上方板黄者死。两胁、睾丸板黄者死。观察这些情况可知，痘囊中的脓液固然希望其充盈黄色，但更应追求润泽鲜活。
澄泉散 治疗痘疮中的板黄。
黄芪（上等） 当归（中等） 红花（下等）
以上药材，与酒一同放入坛中，密封严实后煮制。另外取蝉蜕、金丸（即雄鸡尾后的硬石子）这两味药，细细研磨，用药酒调服。
[Ulceration] When pustules of smallpox mature and ulcerate, it is a common occurrence. However, if they ulcerate before pus has formed, this is termed "Lan" (Ulceration). The cause of "Lan" is when the pathogenic factor should be dispersed via sweating but fails to do so, leading to blockage by toxic qi, resulting in panting, shortness of breath, chest oppression, and restlessness. Conversely, if dispersing methods are mistakenly used when inappropriate, heat toxins erupt violently with the Yang qi, causing widespread ulceration of skin and flesh; this is the fault of improper use of exterior-releasing treatments. Treatment should focus on regulating the Spleen and Stomach, promoting appetite, ensuring proper bowel movements, nourishing Ying (Nutritive) and Wei (Defensive) Qi, generating muscle tissue, and resolving toxicity. The resolution should not be too cold, and nourishment should not be too hot; this constitutes a good method. It is advisable to administer Shiquan Dabu Tang (Ten Complete Tonifying Decoction), removing Guizhi (Cinnamon Twig) and adding Fangfeng (Saposhnikovia Root) and Jingjie Sui (Schizonepeta Spike), taken in generous doses for best results. If constipation occurs, use Dan Dao Fa (Gallbladder Guiding Method) to moisten the intestines. If pus and water do not dry up, apply Baicao San (Decayed Grass Powder) as a dressing. If ulceration and suppuration are accompanied by severe pain, apply Tianshui San (Heavenly Water Powder, i.e., Liuyi San seen in the initial heat stage) mixed with Baihua Gao (Hundred Flowers Ointment, used for scabbing) topically. In cases where exterior-releasing was excessive, leading to external ulceration and internal deficiency, with Yang Qi failing to hold fast and spontaneous diarrhea due to Zang-Fu dysfunction, urgent treatment to rescue the interior while releasing the exterior is required, primarily using Chen's Muxiang San (Aucklandia Powder) as prescribed by Master Chen. For extremity coldness (Jue Ni), Yigong San (Yi Gong Powder) is indicated for poor eruption.
[Board-like Yellow] [Yuan] When smallpox pus clarifies, the toxin is exhausted and the condition is perfect; how could there be "Board-like Yellow"? One must understand that the value of jade lies not in its thickness but in the purity of its substance, and the value of pearls lies not in their size but in their luster. Similarly, the quality of smallpox paste lies not in its fullness but in its vibrant yellow color. "Yellow" is the correct color of Central Earth; the paste draws from the Spleen, so its yellow should naturally be moist and upright. In favorable cases, Qi receives protection without rebellion, Blood nourishes Ying without injury, the follicles are loose, and the clarified pus flows within, active without stickiness or blockage, bright and moist without a dead appearance. Where is there such a thing as "Board-like Yellow"? However, if Yin and Yang deviate from righteous Qi, and fierce toxins act cruelly, the roots and follicles become thin and inferior, the sacs collapse flat, and the clarified pus becomes board-like and sticky. If dry, it is blocked and inactive; if like dry wax, it lacks bright yellow luster. Upon finger pressure, it condenses and remains fixed. This indicates excessive heat in the Five Zang organs and obstruction of the Two Qi, which is called "Board-like Yellow." If the forehead (Fangguang Tian Ting) is board-yellow while the rest is moist and active, carbuncles will likely form at the brain and nape. If the cheeks and face are board-yellow while the four limbs are moist and beautiful, smallpox carbuncles will emerge on the shoulders. If the abdomen is board-yellow, carbuncles arise at Quchi (LI11) and Zusanli (ST36). If the back and spine are board-yellow, carbuncles knot at the lateral sacral bones. Generalized board-yellow across the body is fatal. Board-yellow at the front and back of the neck is fatal. Board-yellow on the head surface is fatal. Board-yellow around the eye sockets and above the lips is fatal. Board-yellow at the flanks and testicles is fatal. Observing these signs, one sees that while smallpox follicle pus should indeed be full and yellow, it is even more crucial that it be moist and active.
Chengquan San treats Board-like Yellow in smallpox.
Huangqi (Astragali Radix, Top grade) Danggui (Angelicae Sinensis Radix, Medium grade) Honghua (Carthami Flos, Bottom grade)
Combine the above herbs with wine in an earthenware jar, seal tightly, and boil. Separately, finely grind Chan Tui (Cicada Slough) and Jin Wan (Golden Pill, i.e., the hard stone behind the rooster's tail). Mix the powder with the medicinal wine for oral administration.
Zhuanhuan Dan
One chicken, cooked thoroughly with Renshen (Ginseng Radix), [missing character], Danggui (Angelicae Sinensis Radix), Honghua (Carthami Flos), Guizhi (Cinnamomi Ramulus), honey, and wine. Consume the meat.