〔万〕痘疮之病，皆由父母胎毒，蓄于命门之中，命门者，上肾相火也，为人身
生化之本，故毒藏焉。如遇冬令温和，阳气暴泄，人则感之，触动相火，至春夏生
长之时，其毒乃发，传染相似，是谓天行疫疠也。未出痘疹者，但觉冬温，即当预
防，宜服解毒之药，如辰砂散、三豆汤、代天宣化丸、皆可用也，频频与之，使疮
疹之毒轻减，自然易出易收，无陷伏郁遏留连之患。其辰砂散、三豆汤、代天宣
化丸，以解时行疫疠之毒则可，或因父母精血不足者，或其人素有他疾者，或发热
之时别脏形证发见者，并宜兼而治之，不可徒恃解毒而竟忘其本也。如脾胃素弱者，
宜以养脾为重，解毒次之，养脾丸服三之二，解毒三之一。如因父母奉养过浓，精
血蓄毒，素多胎病者，宜二毒并解，以溯源解毒汤、代天宣化丸、相间服之。丹
溪云∶痘疹初出时，或未出时，见时人有患者，宜预服此药，多者令少，重者令轻。
以丝瓜近蒂三寸，连皮子烧灰，存性为末，沙糖拌匀干吃，入朱砂末更妙。
三豆汤
赤小豆 黑大豆 绿豆（各一升，生） 小甘草（三两，生锉）
上，以三豆淘净，同甘草用雪水八升（如无，用长流水代之）煮，豆熟为度，去甘草，将
豆晒干，又入汁再浸再晒，汁尽为度，逐日取豆、水煮，任意食之。
代天宣化丸（即韩氏五瘟丹加减也）
人中黄（属土，甲巳年为君） 黄芩（属金，乙庚年为君） 黄柏（属水，丙辛年为君）
栀子仁（属木，丁壬年为君）
黄连（属火，戊癸年为君） 苦参（佐） 荆芥穗（佐） 防风（去芦，佐） 连翘（酒洗，佐） 山
豆根（佐） 牛蒡子（酒淘、炒，佐） 紫苏叶（佐）
先视其年所属，取其药以为君，其余主岁者为臣，为君者倍之，为臣者半之，
为佐者如臣四分之三，于冬至日修合为末，取雪水煮升麻，和竹沥，调神曲为丸，
外用辰砂、雄黄为衣。每服，竹叶汤下。
制人中黄法，取甘草大者不拘多少，用新竹一节，纳甘草于中，仍紧塞无节空
处，放屎缸中浸七七日，取出晒干，听用。
溯源解毒汤
当归身 川芎 生地黄 白芍药 人参 连翘 黄连 生甘草 陈皮 木通（各等分）
上锉细。加淡竹叶十片，水一盏，煎半盏，去滓，温服，无时。
养脾丸
人参 白术 当归 川芎（各一钱半） 木香 青皮 黄连 陈皮（各一钱） 砂仁 山楂
肉神曲（炒） 麦芽（炒。各五分）
上为细末。水调神曲糊丸，如麻子大。每服三五十丸，陈仓米饮下。
消瘟丹（未曾出痘、及临出者，宜择疗病日、预服）
辰砂（研为极细末，水飞过，周岁以下者五六分，一岁以上者服一钱） 丝瓜（近蒂者、三寸，烧、
存性为末，亦如前数）
上，用蜜调下。或将鸽子及鸠煮熟，以辰砂搽上，令儿服之亦可。屡试有验。
秘传保婴丹
真紫草（去芦，酒洗，勿犯铁器） 缠豆藤（烧灰、存性。各四两，二味为君） 升麻（取新者盐水炒，
引下，不使侵肺气） 川防风（去芦及叉） 荆芥穗（去梗） 牛蒡子（炒。各二两，四味为臣）
真天竹黄 蟾酥（自取，勿用赤眼者） 真牛黄（三味各一钱二分） 大朱砂（麻黄紫草荔枝壳煮过，
就将其汤飞研、取净末三钱四味为佐） 甘草梢（去皮，二两和） 赤小豆 黑小豆 绿豆（各四十
九粒，炒、勿令焦三味为使）
上，各取细末和匀，另用紫草三两，入水三碗煎，去滓，熬成膏半碗，入生砂
糖半碗，和剂为丸如芡实大，另用飞过朱砂为衣。未出痘之先，浓煎甘草汤，每
服，小儿磨一丸，大人二丸。如已发热之时，生姜汤磨服，浓盖取汗，多者可少，
少者可无，大有神效。
袁氏痘前治法 凡欲治痘，须在未发之先，预识其证而分别用药，重者可轻，
轻者必愈，但未痘而愈，则医者无功，故多不肯尽心，及其既发，又无及矣，仁者
须以救生保婴为心，宁我无功，不可使婴儿失命，备陈十八证治法于后。
孩儿未痘之先，感冒风邪，身中火烙，头痛自汗，咳嗽不已，伤寒未愈而痘随
出焉，痘家谓之猿猴跳锁。伤寒之后，元气嚣漓、须滋阴补血，解热疏风，有滋阴
三宝散可服。
滋阴三宝散
当归 黄 生地 白茯苓 芍药 川芎 橘红 甘草 防风 玄参 麦门冬（二味加倍）
上锉细。姜枣煎。
有饮食不能樽节，暑湿不能护养，肚腹伤坏，泄泻频仍，饮食懒进，肢体羸瘦，
愈未几而痘随出焉，痘家谓之观音拂座。此与先泄而出痘者不同，平居无恙，忽泄
而痘出，此则毒随泄减，其痘反美，今久泄初愈而痘出，则脾虚元气弱，如单服补
药，恐来虚胀，若冷药则毫厘不可用者，只宜调脾，如四制白术之类可也。
四制白术散
白术八两，分作四分，一分、砂仁炒，一分、糯米炒，一分、麸皮炒，一分、
壁土炒，拣净，为末，量大小，乳酒调服。
患疟之后，寒热消烁，肌肉渐瘦，或乍愈而痘出，或带疟而患痘，名为马驰剑
道。多有湿热酿成此祸，草果、常山断不可用，即柴胡亦是劫药，须参、苓、白术，
微加消食祛热之药，如八珍膏、卫元汤可用也。
八珍膏
人参（一两） 蜜（四两） 乳汁 梨汁（同熬）
上，加制过紫河车，酒服两匙。
卫元汤
人参 白术 全蝎 山楂 半夏 当归 橘红 枳壳 乌梅
上，姜枣煎，加乳服。
小儿才五六岁，元体薄劣，身发火热，干渴患嗽，疹出未几而痘随出焉，此太
阴脾经症也，痘家谓之一苇航海。此与寻常先疹后痘者不同，凡先痘后疹者谓之逆，
先疹后痘者谓之顺，此则身弱发热，原患嗽渴，又病疹初愈而痘随后出，其势颇危，
须补阴、清肺、培脾，黄 毫厘难犯，内托至奇汤可用也。
内托至奇汤
天门冬 麦门冬 人参 白术 当归 茯苓 薏苡仁 川芎 陈皮 甘草 桔梗 银杏（去皮）
上，加糯米煎，频频服。
小儿平时患疳积，肚大有青筋，四肢羸瘦，变为丁奚，倏然痘发，此谓之三仙
入洞。治之且莫消疳积，浓朴、槟榔、柴、连冷药及抱龙丸之类，皆不可用，宜服
益黄散、滴滴金可也。
滴滴金
虾蟆肚内有黄金，取出金来和酒服。
小儿风寒腠理，时发火热，自头连身，遍启丹瘤，愈未几而痘随形焉，痘家谓
之倒挂银瓶。多发肝心二经痘，忌用三黄，宜犀角地黄汤、紫草散可也。
犀角地黄汤
犀角（用乳汁磨，一钱） 牡丹皮 芍药 生地黄
上，加灯草，水煎服。
小儿未痘之前，火烙脸赤，眼睛直竖，手足撒搐，口燥 语，惊厥屡次，不数
日而痘随形焉，痘家谓之霜桥印迹。此与寻常惊后出痘者不同，凡先惊后痘，痘出
惊止，决系心经之痘，多是吉征，此则惊甚体虚，或见痘而惊不止，朱砂、金石毫
不可用，宜茯神汤可也。
茯神汤
生地 当归 甘草 白芍药 茯神 远志 桔梗
上，加灯草、姜煎服。
小儿未痘之前，身热自汗，口中咯血，或鼻衄，或溺血，不数日而痘随形焉，
谓之藕池踏水。心官失守，致血妄行，宜清心按火，不可妄用寒凉之剂，野仙独圣
散可用也。
野仙独圣散
匾柏 玄参 地榆 血见愁 生地黄 木通 芍药 当归身 甘草 干姜
小儿未痘之先，身发火热，饮食懒飧，肚腹膨胀，眼胞浮肿，睡卧不安，不数
日而痘随形焉，谓之石鼓无鸣。宜理脾补气，参苓白术散加减用之可也。
参苓白术散加减
人参 茯苓 山药 白扁豆 白术 陈皮 莲肉 薏苡仁 当归 防风 枳实
上，锉为散。随宜加减。
小儿身发火热，自汗不止，眼睛昏花，呵欠啼叫，未愈而痘随见焉，谓之赤泽
栽莲。宜敛汗补肝，宜黄 熬人乳，频频服之，并固真汤可用也。
固真汤
绵黄 （二两，蜜炒） 酸枣仁（四两） 人参 白芍药 当归 生地黄 茯苓 甘草 陈皮
上 咀。生姜煎服。
小儿平时父母不能护从，恣其出入，跌磕伤损头面肢体，未愈而痘随出焉，谓
之破瓮澄浆。宜补血扶脾，笼金汤可用也。
笼金汤
木香 生地黄 芍药 红花 当归 甘草 白芷 土木鳖 橘红 木通 桔梗 白术
上，加姜枣煎服。
儿辈胸膈饱胀，饮食厌恶，身发火热，呕吐频频，未愈而痘随发焉，医家谓之
逐鹿亡羊。此与寻常先吐后出痘者不同，大凡因发痘而吐，毒随吐减，出痘必轻，
今则先因胃气有伤，腹胀恶食，吐又频频不止，则危迫之象矣，须要调理脾胃，如
紫霞黄露饮可用也。
紫霞黄露饮
干姜 半夏 藿香 砂仁 枳壳 陈皮 豆蔻 白术（炒） 青皮
上 咀。水煎服。
小儿面色萎黄，时作潮热，眼胞浮肿，肚腹绞痛，此为小HT 未愈而痘随出焉，
医家谓之推车陷雪。此因脾胃有伤，渐成疳积，祛虫逐积之药，俱不可用，惟调理
脾胃为上策，龙旋散最妙。
龙旋散
青皮 干姜 官桂 玄胡索（醋炒） 丁香 豆蔻 砂仁 枳壳 槟榔 浓朴 香附
山楂 艾叶
小儿遍身生疮，头颈脓窠旋绕，手足关轴，如蛇皮缠裹，寒热不时，喷嚏不止，
未愈而痘随出焉，医家谓之霜逐梧桐。法宜凉血卫脾，贞元散可用也。
贞元散
甘草 桔梗 人参 白芍药 黄 茯苓 木通 红花 白术 生地黄 白芷
升麻 陈皮 天花粉
上，用灯草煎服。
孩儿心中刺痛，未愈而痘随出焉，医家谓之犯夺天梯。此非气逆，即为寒积，
龙蟠饮可用也。
龙蟠饮
人参 当归 枳壳 白豆蔻 丁香 木香 官桂 青皮 半夏 山楂 三棱 二蚕砂 浓朴
上，用生姜酒煎服
小儿两眼风热，红肿羞明，刺痛难忍，未愈而痘随出焉，医家谓之弹打天乌。
法宜清肝祛火，滋玄窖，提阴气，谷精龙胆散可用也。
谷精龙胆散
生地黄 红花 荆芥 龙胆草 木通 甘草 赤勺药 谷精草 白茯苓 鼠粘子
上，加灯心煎服。
小儿饮食过度，伤损脾胃，或饱闷，或吞酸，或吐泻，未愈而痘随出焉，医家
谓之风燕失巢。痘全资脾胃，急宜消食理脾，消导饮、磨积散相兼而用可也。
消导饮
浓朴 枳实 砂仁 山楂肉 半夏 神曲 槟榔 三棱 蓬术 丁香
上，加干姜煎服。
磨积散
干蒿 陈皮 麦芽 二蚕砂
上，加生姜煎服。
儿辈小腹硬胀刺痛，小便赤涩难通，欲尿则啼，不尿则痛，未愈而痘随发焉，
医家谓之断桥失渡。此系心经郁火，积于小肠，浚牛膏是对证之药。
浚牛膏
大田螺，用葱盐加少麝，捣烂为膏，热烘，细绢摊贴小腹，用手摩之。
【万全】痘疮这一疾病，都是由父母的胎毒，蓄积在命门之中。命门，就是肾中的相火，它是人身生命生化作用的根本，所以毒素藏在这里。如果遇到冬季气候温和，阳气突然外泄，人就会感受这种邪气，触动相火，到了春夏季生长发育的时候，其中的毒素就会发作，具有传染性，这叫做天行疫疠（流行性疫病）。还没有出痘疹的人，只要觉得冬天温暖，就应当预防，适宜服用解毒的药物，如辰砂散、三豆汤、代天宣化丸，都可以使用，频繁地给孩子服用，使痘疹的毒素减轻，自然容易发出也容易收没，没有毒邪内陷、郁遏滞留的祸患。那辰砂散、三豆汤、代天宣化丸，用来解除时行疫疠的毒素是可以的；但如果是因为父母精血不足，或者孩子平素患有其他疾病，或者发热的时候出现其他脏腑的症状和体征，都应当兼顾治疗，不能仅仅依赖解毒而完全忘记疾病的根本。如果脾胃素来虚弱，就应当以养脾为主，解毒为辅，服用养脾丸占三分之二，解毒药占三分之一。如果是由于父母生活过於丰厚，导致精血中蓄积毒素，平素多有胎毒的孩子，应当同时化解两种毒素，交替服用溯源解毒汤和代天宣化丸。朱丹溪说：痘疹刚开始发出时，或者还没发出的时候，看到周围有人患病，应当预先服用这个药，让多的变少，重的变轻。用丝瓜靠近瓜蒂的三寸部分，连同皮和籽一起烧成灰，保留药性，研成粉末，用沙糖拌匀干吃，加入朱砂末效果更好。
三豆汤
赤小豆、黑大豆、绿豆（各一升，生用），小甘草（三两，生切）。
以上药物，将三豆淘洗干净，同甘草一起用八升雪水（如果没有，用流动的长流水代替）煮，直到豆子煮熟为止，去掉甘草，将豆子晒干，再放入之前的汁液中浸泡，然后再晒干，直到汁液被吸尽为止。每天取这些豆子和水煮，随意食用。
代天宣化丸（即韩氏五瘟丹加减而成）
人中黄（属土，甲年和己年为君药），黄芩（属金，乙年和庚年为君药），黄柏（属水，丙年和辛年为君药），栀子仁（属木，丁年和壬年为君药），黄连（属火，戊年和癸年为君药），苦参（佐药），荆芥穗（佐药），防风（去芦头，佐药），连翘（酒洗，佐药），山豆根（佐药），牛蒡子（酒淘洗、炒，佐药），紫苏叶（佐药）。
先观察当年所属的五行属性，选取对应的药物作为君药，其余主导岁运的为臣药。为君药的剂量加倍，为臣药的剂量减半，为佐药的剂量是臣药的四分之三。在冬至日制作成药末，用雪水煎煮升麻，调和竹沥，用神曲糊制成丸剂，外用辰砂、雄黄包裹作为衣层。每次服用，用竹叶汤送服。
制人中黄的方法：取大的甘草不拘多少，用一节新竹筒，将甘草塞入其中，仍然紧紧塞住没有节的空隙处，放入屎缸中浸泡七十七天，取出晒干，备用。
溯源解毒汤
当归身、川芎、生地黄、白芍药、人参、连翘、黄连、生甘草、陈皮、木通（各等分）。
以上药物切碎。加淡竹叶十片，水一盏，煎至半盏，去渣，温服，不限时间。
养脾丸
人参、白术、当归、川芎（各一钱半），木香、青皮、黄连、陈皮（各一钱），砂仁、山楂肉、神曲（炒）、麦芽（炒，各五分）。
以上药物研成细末。用水调神曲糊制成丸剂，如麻子大小。每次服用三五十丸，用陈仓米饮送下。
消瘟丹（未曾出痘及即将出痘者，宜选择疗病日预先服用）
辰砂（研为极细末，水飞法处理，周岁以下者服五六分，一岁以上者服一钱），丝瓜（靠近瓜蒂的部分，三寸，烧存性为末，用量也如上所述）。
以上药物，用蜂蜜调服。或者将鸽子和斑鸠煮熟，将辰砂涂抹在上面，让孩子服用也可以。多次试验有效。
秘传保婴丹
真紫草（去芦头，酒洗，不要接触铁器），缠豆藤（烧灰存性，各四两，这两味作为君药），升麻（取新的，用盐水炒，引药下行，不使其侵扰肺气），川防风（去芦头和叉枝），荆芥穗（去梗），牛蒡子（炒，各二两，这四味作为臣药），真天竹黄，蟾酥（自行获取，不要用红眼睛的），真牛黄（这三味各一钱二分），大朱砂（用麻黄、紫草、荔枝壳煮过的汤，就在该汤中水飞研磨，取净末三钱，这四味作为佐药），甘草梢（去皮，二两混合），赤小豆、黑小豆、绿豆（各四十九粒，炒，不要让它们焦，这三味作为使药）。
以上各取细末混合均匀，另外用紫草三两，加水三碗煎煮，去渣，熬成半碗膏状，加入生砂糖半碗，和剂制成如芡实大小的丸剂，另外用飞过朱砂作为衣层。在未出痘之前，浓煎甘草汤，每次服用，小儿磨碎一丸，大人磨碎两丸。如果已经发热的时候，用生姜汤磨服，厚盖被子取汗，多的可以变少，少的可以不出，有极大的神效。
袁氏治痘前的方法：凡是想要治疗痘疮，必须在未发作之前，预先识别其证候并分别用药，重的可以变轻，轻的必定痊愈。但是如果痘未发而自愈，那么医生就没有功劳，所以大多不肯尽心，等到痘发了，又来不及了。仁慈的医生必须以救生保婴为心志，宁愿我没有功劳，也不能让婴儿失去生命。后面详细陈述十八种证候的治疗方法。
孩子在未出痘之前，感冒风邪，体内如火灼烧，头痛自汗，咳嗽不止，伤寒未愈而痘随之而出，痘医称之为“猿猴跳锁”。伤寒之后，元气耗损，需要滋阴补血，解热疏风，可以服用滋阴三宝散。
滋阴三宝散
当归、黄芪、生地、白茯苓、芍药、川芎、橘红、甘草、防风、玄参、麦门冬（后两味加倍）。
以上切碎。加姜枣煎服。
如果有饮食不能节制，暑湿不能护养，肚腹受损，泄泻频繁，饮食懒进，肢体消瘦，不久之后痘随之而出，痘医称之为“观音拂座”。这与先泄泻而后出痘的不同，平时无恙，忽然泄泻而出痘，这是毒素随泄泻减少，痘反而好。现在是久泄初愈而痘出，则是脾虚元气弱，如果单服补药，恐怕会导致虚胀，如果用冷药则丝毫不可用，只适宜调理脾胃，如四制白术散之类即可。
四制白术散
白术八两，分成四分，一分用砂仁炒，一分用糯米炒，一分用麸皮炒，一分用壁土炒，拣选干净，研成末，根据年龄大小，用乳汁或酒调服。
患疟疾之后，寒热消耗肌肉，身体逐渐消瘦，或者刚痊愈而痘出，或者带着疟疾患痘，名叫“马驰剑道”。多由湿热酿成此祸，草果、常山绝对不可用，就连柴胡也是劫夺正气的药，必须用人参、茯苓、白术，微加消食祛热的药，如八珍膏、卫元汤可以使用。
八珍膏
人参（一两），蜜（四两），乳汁，梨汁（一同熬制）。
以上，加入制好的紫河车，用酒服两匙。
卫元汤
人参、白术、全蝎、山楂、半夏、当归、橘红、枳壳、乌梅。
以上加姜枣煎，加乳汁服用。
小儿才五六岁，元气体弱，身体发热，口干渴患咳嗽，疹子刚出不久痘随之而出，这是太阴脾经的症候，痘医称之为“一苇航海”。这与寻常先疹后痘的不同，凡先痘后疹的叫逆，先疹后痘的叫顺，这则是身体弱发热，原患咳嗽口渴，又病疹初愈而痘随后出，形势颇为危险，需要补阴、清肺、培脾，黄芪丝毫不能犯，可以用内托至奇汤。
内托至奇汤
天门冬、麦门冬、人参、白术、当归、茯苓、薏苡仁、川芎、陈皮、甘草、桔梗、银杏（去皮）。
以上加糯米煎，频频服用。
小儿平素患疳积，肚子大有青筋，四肢消瘦，变成丁奚（一种疳积重症），忽然痘发，这叫做“三仙入洞”。治疗时暂且不要消除疳积，厚朴、槟榔、柴胡、黄连等冷药及抱龙丸之类，都不可用，适宜服用益黄散、滴滴金。
滴滴金
虾蟆（蛤蟆）肚内的黄金（指胆囊结石或类似物，此处指特定药用部位），取出黄金来和酒服用。
小儿感受风寒，腠理闭塞，时常发热，从头到身，遍起丹瘤（红色皮疹），不久而痘随之形成，痘医称之为“倒挂银瓶”。多发于肝心二经的痘，忌用三黄（大黄、黄连、黄芩），适宜犀角地黄汤、紫草散。
犀角地黄汤
犀角（用乳汁磨，一钱），牡丹皮，芍药，生地黄。
以上加灯草，水煎服。
小儿未出痘之前，火热灼脸赤，眼睛直竖，手足抽搐，口燥谵语，惊厥屡次，不数日而痘随之形成，痘医称之为“霜桥印迹”。这与寻常惊后出痘不同，凡先惊后痘，痘出惊止，决系心经之痘，多是吉兆。这则是惊甚体虚，或者见痘而惊不止，朱砂、金石类药物丝毫不可用，适宜茯神汤。
茯神汤
生地、当归、甘草、白芍药、茯神、远志、桔梗。
以上加灯草、姜煎服。
小儿未出痘之前，身热自汗，口中咯血，或鼻出血，或尿血，不数日而痘随之形成，叫做“藕池踏水”。心官失守，导致血液妄行，适宜清心降火，不可妄用寒凉药剂，野仙独圣散可以使用。
野仙独圣散
侧柏叶、玄参、地榆、血见愁、生地黄、木通、芍药、当归身、甘草、干姜。
小儿未出痘之前，身体发热，饮食懒进，肚腹膨胀，眼胞浮肿，睡卧不安，不数日而痘随之形成，叫做“石鼓无鸣”。适宜理脾补气，参苓白术散加减使用。
参苓白术散加减
人参、茯苓、山药、白扁豆、白术、陈皮、莲肉、薏苡仁、当归、防风、枳实。
以上锉为散剂。随宜加减。
小儿身体发热，自汗不止，眼睛昏花，呵欠啼叫，未愈而痘随之出现，叫做“赤泽栽莲”。适宜敛汗补肝，适宜用黄芪熬人乳，频频服用，并可用固真汤。
固真汤
绵黄芪（二两，蜜炒），酸枣仁（四两），人参，白芍药，当归，生地黄，茯苓，甘草，陈皮。
以上切碎。加生姜煎服。
小儿平时父母不能保护跟随，放纵其出入，跌打磕碰损伤头面肢体，未愈而痘随之而出，叫做“破瓮澄浆”。适宜补血扶脾，笼金汤可以使用。
笼金汤
木香、生地黄、芍药、红花、当归、甘草、白芷、土木鳖、橘红、木通、桔梗、白术。
以上加姜枣煎服。
孩子们胸膈饱胀，厌恶饮食，身体发热，呕吐频繁，未愈而痘随之发作，医家称之为“逐鹿亡羊”。这与寻常先吐后出痘不同，大凡因发痘而吐，毒素随吐减少，出痘必轻。现在则是先因胃气受伤，腹胀恶食，吐又频繁不止，则是危迫的迹象了，需要调理脾胃，如紫霞黄露饮可以使用。
紫霞黄露饮
干姜、半夏、藿香、砂仁、枳壳、陈皮、豆蔻、白术（炒）、青皮。
以上切碎。水煎服。
小儿面色萎黄，时常潮热，眼胞浮肿，肚腹绞痛，此为小儿疳积未愈而痘随之而出，医家称之为“推车陷雪”。这是因为脾胃受伤，渐成疳积，驱虫逐积的药物，都不可用，只有调理脾胃为上策，龙旋散最妙。
龙旋散
青皮、干姜、官桂、玄胡索（醋炒）、丁香、豆蔻、砂仁、枳壳、槟榔、厚朴、香附、山楂、艾叶。
小儿遍身生疮，头颈脓窠环绕，手足关节，如蛇皮缠绕，寒热不时，喷嚏不止，未愈而痘随之而出，医家称之为“霜逐梧桐”。治法适宜凉血卫脾，贞元散可以使用。
贞元散
甘草、桔梗、人参、白芍药、黄芪、茯苓、木通、红花、白术、生地黄、白芷、升麻、陈皮、天花粉。
以上，用灯草煎服。
孩子心中刺痛，未愈而痘随之而出，医家称之为“犯夺天梯”。这不是气逆，就是寒积，龙蟠饮可以使用。
龙蟠饮
人参、当归、枳壳、白豆蔻、丁香、木香、官桂、青皮、半夏、山楂、三棱、二蚕砂、厚朴。
以上，用生姜酒煎服。
小儿两眼风热，红肿羞明，刺痛难忍，未愈而痘随之而出，医家称之为“弹打天乌”。治法适宜清肝祛火，滋养肾阴（滋玄窖），提举阴气，谷精龙胆散可以使用。
谷精龙胆散
生地黄、红花、荆芥、龙胆草、木通、甘草、赤芍药、谷精草、白茯苓、鼠粘子（牛蒡子）。
以上，加灯心煎服。
小儿饮食过度，伤损脾胃，或者饱闷，或者吞酸，或者吐泻，未愈而痘随之而出，医家称之为“风燕失巢”。痘疮全靠脾胃，急宜消食理脾，消导饮、磨积散兼用即可。
消导饮
厚朴、枳实、砂仁、山楂肉、半夏、神曲、槟榔、三棱、蓬术、丁香。
以上，加干姜煎服。
孩子们小腹硬胀刺痛，小便赤涩难通，想尿则哭，不尿则痛，未愈而痘随之发作，医家称之为“断桥失渡”。这是心经郁火，积聚于小肠，浚牛膏是对证的药。
浚牛膏
大田螺，用葱盐加少许麝香，捣烂为膏，加热烘暖，用细绢摊贴在小腹上，用手按摩。
[Wan Quan] The disease of smallpox (Dou Chuang) is caused by fetal toxins (Tai Du) from the parents, accumulated in the Mingmen (Gate of Life). The Mingmen refers to the Ministerial Fire (Xiang Huo) of the Kidneys, which is the root of life and transformation in the human body; therefore, the toxin resides here. If one encounters mild weather in winter, causing a sudden leakage of Yang Qi, the person will be affected by this pathogen, stirring up the Ministerial Fire. When spring and summer arrive, times of growth and development, the toxin erupts. It is contagious, similar to epidemic diseases, known as Tian Xing Yi Li (Heavenly Epidemic Pestilence). For those who have not yet manifested smallpox or measles, if they feel the warmth of winter, prevention should be undertaken immediately. It is appropriate to take detoxifying medicines, such as Chen Sha San (Cinnabar Powder), San Dou Tang (Three Beans Decoction), and Dai Tian Xuan Hua Wan (Pill for Heaven's Declaration and Transformation), all of which can be used. Administer them frequently to reduce the toxicity of the rash, ensuring that the eruption is easy and recovery is smooth, avoiding complications such as toxin sinking inward, stagnation, or lingering. While Chen Sha San, San Dou Tang, and Dai Tian Xuan Hua Wan are suitable for resolving the toxins of seasonal epidemics, if the cause is insufficient essence and blood from the parents, or if the child has pre-existing conditions, or if symptoms of other Zang-Fu organs appear during fever, treatment must address these concurrently. One cannot rely solely on detoxification while forgetting the root. If the Spleen and Stomach are inherently weak, nourishing the Spleen should be prioritized over detoxification: take two-thirds Nourish Spleen Pill (Yang Pi Wan) and one-third detoxifying medicine. If the cause is excessive indulgence of the parents leading to accumulated toxins in essence and blood, and the child has inherent fetal diseases, both toxins should be resolved simultaneously by alternating Su Yuan Jie Du Tang (Decoction for Tracing the Source and Detoxifying) and Dai Tian Xuan Hua Wan. Zhu Danxi said: When smallpox or measles are just beginning to emerge or have not yet emerged, if one sees others in the vicinity suffering from the disease, one should take this medicine preventively to reduce severity. Take three inches of Luffa fruit (Si Gua) near the stem, including skin and seeds, burn to ash retaining its nature, grind into powder, mix with rock sugar, and consume dry. Adding Cinnabar powder (Zhu Sha) is even better.
San Dou Tang (Three Beans Decoction)
Vigna angularis (Chi Xiao Dou), Glycine max (Hei Da Dou), Phaseolus radiatus (Lu Dou) (each 1 sheng, raw); Glycyrrhiza uralensis (Xiao Gan Cao) (3 liang, raw and cut).
Wash the three beans thoroughly, boil together with Licorice in 8 sheng of snow water (if unavailable, use running long-flowing water) until the beans are cooked. Remove the Licorice, dry the beans, then soak them in the decoction again and dry them repeatedly until the liquid is absorbed. Daily, take these beans and boil in water, consuming as desired.
Dai Tian Xuan Hua Wan (Pill for Heaven's Declaration and Transformation) (Modified from Han Shi Wu Wen Dan)
Ren Zhong Huang (Human waste-derived medicament, Earth element, Sovereign herb in Jia/Si years); Scutellaria baicalensis (Huang Qin, Metal element, Sovereign herb in Yi/Geng years); Phellodendron amurense (Huang Bo, Water element, Sovereign herb in Bing/Xin years); Gardenia jasminoides (Zhi Zi Ren, Wood element, Sovereign herb in Ding/Ren years); Coptis chinensis (Huang Lian, Fire element, Sovereign herb in Wu/Gui years); Sophora flavescens (Ku Shen, Assistant); Schizonepeta tenuifolia (Jing Jie Sui, Assistant); Saposhnikovia divaricata (Fang Feng, de-rhizomed, Assistant); Forsythia suspensa (Lian Qiao, wine-washed, Assistant); Dolichos pruriens (Shan Dou Gen, Assistant); Arctium lappa (Niu Bang Zi, wine-rinsed, fried, Assistant); Perilla frutescens (Zi Su Ye, Assistant).
First, determine the elemental attribute of the current year and select the corresponding herb as the Sovereign. The remaining herbs governing the year are Ministers. The Sovereign herb dosage is doubled, the Minister's dosage is halved, and the Assistant's dosage is three-quarters of the Minister's. Process into powder on the Winter Solstice. Use snow water to decoct Cimicifuga foetida (Sheng Ma), mix with Bamboo sap (Zhu Li), and bind with Saccharomyces (Shen Qu) to form pills. Coat with Cinnabar (Zhen Sha) and Realgar (Xiong Huang). Take each dose with Perilla leaf tea (Zhu Ye Tang).
Method for preparing Ren Zhong Huang: Take large Glycyrrhiza uralensis (Gan Cao) in any quantity. Insert it into a section of fresh bamboo tube, tightly packing the empty spaces without nodes. Immerse in a latrine pit for 77 days. Remove, dry, and store for use.
Su Yuan Jie Du Tang (Decoction for Tracing the Source and Detoxifying)
Angelica sinensis (Dang Gui Shen), Ligusticum chuanxiong (Chuan Xiong), Rehmannia glutinosa (Sheng Di Huang), Paeonia lactiflora (Bai Shao Yao), Panax ginseng (Ren Shen), Forsythia suspensa (Lian Qiao), Coptis chinensis (Huang Lian), Glycyrrhiza uralensis (Sheng Gan Cao), Citrus reticulata (Chen Pi), Akebia quinata (Mu Tong) (equal parts).
Cut finely. Add ten leaves of Lophatherum gracile (Dan Zhu Ye), decoct one cup of water until half remains. Strain and take warm, at any time.
Yang Pi Wan (Nourish Spleen Pill)
Panax ginseng (Ren Shen), Atractylodes macrocephala (Bai Zhu), Angelica sinensis (Dang Gui), Ligusticum chuanxiong (Chuan Xiong) (each 1.5 qian); Costus root (Mu Xiang), Citrus reticulata (Qing Pi), Coptis chinensis (Huang Lian), Citrus reticulata (Chen Pi) (each 1 qian); Amomum villosum (Sha Ren), Crataegus pinnatifida (Shan Zha Rou), Saccharomyces (Shen Qu, fried), Hordeum vulgare (Mai Ya, fried) (each 0.5 qian).
Grind into fine powder. Mix with Shen Qu paste made with water to form pills the size of hemp seeds. Take 30-50 pills per dose, washed down with aged rice water.
Xiao Wen Dan (Epidemic-Dissipating Pill) (For those who have not yet had smallpox or are about to, take preventively on designated healing days)
Cinnabar (Zhen Sha, ground to ultra-fine powder, water-triturated): 5-6 fen for infants under one year; 1 qian for children over one year. Luffa fruit (Si Gua, 3 inches near the stem, burned to retain nature, powdered): same dosage as above.
Mix with honey and take. Alternatively, cook pigeon or turtledove, apply Cinnabar powder to the meat, and let the child eat. Proven effective through repeated trials.
Mi Chuan Bao Ying Dan (Secret Preserved Infant-Protecting Pill)
Arnebia euchroma/Lithospermum erythrorhizon (Zhen Zi Cao, remove rhizome, wash with wine, avoid iron); Vitis flexuosa (Chan Dou Teng, burned to ash, retain nature) (each 4 liang, these two are Sovereign herbs); Cimicifuga foetida (Sheng Ma, new ones, stir-fried with salt water to guide downward and prevent invasion of Lung Qi); Saposhnikovia divaricata (Chuan Fang Feng, remove rhizome and forks); Schizonepeta tenuifolia (Jing Jie Sui, remove stems); Arctium lappa (Niu Bang Zi, fried) (each 2 liang, these four are Minister herbs); Talcum (Zhen Tian Zhu Huang); Toad venom (Chan Su, self-collected, do not use from red-eyed toads); Bovine calculus (Zhen Niu Huang) (these three, each 1.2 qian); Large Cinnabar (Da Zhu Sha, boiled with Ephedrae Herba, Arnebiae Radix, and Litchi shell, triturated in this decoction, pure powder 3.4 qian, these four are Assistant herbs); Glycyrrhiza uralensis (Gan Cao Shao, peeled, 2 liang mixed); Vigna angularis (Chi Xiao Dou), Glycine max (Hei Xiao Dou), Phaseolus radiatus (Lu Dou) (each 49 grains, fried, not burnt, these three are Envoy herbs).
Grind each into fine powder and mix evenly. Separately, decoct 3 liang of Arnebiae Radix in three bowls of water, strain, and boil down to half a bowl of paste. Add half a bowl of raw rock sugar. Form pills the size of Euryale ferox seeds (Qian Shi). Coat with water-triturated Cinnabar. Before smallpox eruption, decoct strong Licorice tea. For children, grind one pill; for adults, two pills. If fever has already started, grind with Ginger tea, cover thickly to induce sweating. This greatly reduces severity or prevents eruption entirely, with miraculous effects.
Yuan Shi's Pre-Eruption Treatment Methods: To treat smallpox, one must identify the syndrome before eruption and prescribe accordingly. Severe cases become mild, mild cases heal completely. However, if the disease resolves spontaneously before eruption, the physician gains no merit, so many are unwilling to exert full effort. By the time eruption occurs, it is too late. Benevolent physicians must prioritize saving lives and protecting infants. I would rather bear no credit than let an infant lose their life. Below are eighteen syndromes and their treatments.
Before eruption, if the child contracts Wind pathogen, internal heat burns, headache, spontaneous sweating, and persistent cough occur, and smallpox follows unresolved Cold Damage, this is called "Monkey Jumping Lock" (Yuan Hou Tiao Suo) by smallpox specialists. After Cold Damage, when Yuan Qi is depleted, nourish Yin and tonify Blood, clear heat and disperse Wind. Ziyin Sanbao San (Nourishing Yin Three Treasures Powder) can be taken.
Ziyin Sanbao San
Angelica sinensis (Dang Gui), Astragalus membranaceus (Huang Qi), Rehmannia glutinosa (Sheng Di), Poria cocos (Bai Fu Ling), Paeonia lactiflora (Shao Yao), Ligusticum chuanxiong (Chuan Xiong), Citrus reticulata peel (Ju Hong), Glycyrrhiza uralensis (Gan Cao), Saposhnikovia divaricata (Fang Feng), Scrophularia ningpoensis (Xuan Shen), Ophiopogon japonicus (Mai Men Dong) (the latter two doubled).
Cut finely. Decoct with Ginger and Jujube.
If diet is unregulated, Summer-heat and Dampness are not guarded against, damaging the abdomen, causing frequent diarrhea, loss of appetite, and emaciation, followed shortly by smallpox eruption, this is called "Guanyin Sweeping the Seat" (Guan Yin Fo Zuo). This differs from diarrhea preceding eruption where toxin is reduced and eruption is favorable. Here, prolonged diarrhea has just healed, indicating Spleen deficiency and weak Yuan Qi. Pure tonics may cause false distension; cold medicines are strictly contraindicated. Only Spleen regulation is suitable, such as Si Zhi Bai Zhu San (Four-Processed Atractylodes Powder).
Si Zhi Bai Zhu San
Atractylodes macrocephala (Bai Zhu) 8 liang, divided into four parts: one part stir-fried with Amomum villosum (Sha Ren), one with Glutinous Rice (Nuomi), one with Bran (Fu Pi), one with Wall Soil (Bi Tu). Pick clean, grind to powder. Adjust dose by age, take with milk or wine.
After Malaria, wasting of heat and cold thins muscles. If eruption occurs upon recovery or alongside malaria, it is named "Horse Galloping on Sword Path" (Ma Chi Jian Dao). Often caused by Damp-Heat. Caosu (Tsooco Fructus) and Changshan (Radix Dichroiae) are absolutely forbidden. Even Bupleurum (Chai Hu) is a depredatory herb. Use Ginseng, Poria, Atractylodes, with slight addition of digestive and heat-clearing herbs. Bazhen Gao (Eight-Treasure Paste) or Weiyuan Tang (Guarding Origin Decoction) can be used.
Bazhen Gao
Panax ginseng (Ren Shen, 1 liang), Honey (Mi, 4 liang), Milk, Pear juice (boiled together).
Add processed Placenta Hominis (Zi He Che). Take two spoonfuls with wine.
Weiyuan Tang
Panax ginseng (Ren Shen), Atractylodes macrocephala (Bai Zhu), Scorpio (Quan Xie), Crataegus pinnatifida (Shan Zha), Pinellia ternata (Ban Xia), Angelica sinensis (Dang Gui), Citrus reticulata peel (Ju Hong), Aurantium indicum (Zhi Ke), Prunus mume (Wu Mei).
Decoct with Ginger and Jujube, add milk before taking.
At age five or six, if the child has weak constitution, fever, dry thirst, and cough, and smallpox erupts shortly after measles, this is a Taiyin Splein Meridian syndrome, called "Single Reed Crossing Sea" (Yi Wei Hang Hai). Unlike the normal order (measles then smallpox is smooth; smallpox then measles is reverse), this case involves weakness, fever, prior cough/thirst, and recent measles recovery followed by smallpox. The condition is critical. Need to tonify Yin, clear Lung, and fortify Spleen. Huang Qi (Astragalus) is strictly contraindicated. Neituo Zhiqi Tang (Inner-Supporting Extraordinary Decoction) can be used.
Neituo Zhiqi Tang
Asparagus cochinchinensis (Tian Men Dong), Ophiopogon japonicus (Mai Men Dong), Panax ginseng (Ren Shen), Atractylodes macrocephala (Bai Zhu), Angelica sinensis (Dang Gui), Poria cocos (Fu Ling), Coix seed (Yi Yi Ren), Ligusticum chuanxiong (Chuan Xiong), Citrus reticulata (Chen Pi), Glycyrrhiza uralensis (Gan Cao), Platycodon grandiflorus (Jie Geng), Ginkgo biloba (Yin Xing, peeled).
Decoct with Glutinous Rice, take frequently.
If the child suffers from chronic malnutrition (Gan Ji) with abdominal distension and visible veins, emaciated limbs (Ding Xi), and sudden smallpox eruption, this is called "Three Immortals Entering Cave" (San Xian Ru Dong). Do not attempt to eliminate Gan Ji immediately. Hou Po (Magnolia bark), Bin Lang (Areca nut), Chai Hu, Huang Lian, cold medicines, and Bao Long Wan are all contraindicated. Yihuang San (Yellow-Regulating Powder) and Didijin (Dripping Gold) are suitable.
Didijin
The "gold" found in the stomach of a toad (Xi Wa). Extract and take with wine.
If Wind-Cold affects the pores, causing intermittent fever from head to body, widespread red rashes (Dan Liu), followed shortly by smallpox, this is called "Inverted Silver Vase" (Dao Gua Yin Ping). Often involves Liver and Heart meridians. San Huang (Da Huang, Huang Lian, Huang Qin) are forbidden. Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) or Zicao San (Arnebia Powder) are suitable.
Xijiao Dihuang Tang
Rhinoceros horn (Xi Jiao, ground with milk, 1 qian), Paeonia suffruticosa (Mu Dan Pi), Paeonia lactiflora (Shao Yao), Rehmannia glutinosa (Sheng Di Huang).
Add Juncus effusus (Deng Cao), decoct in water and take.
Before eruption, if the face is red from heat, eyes stare straight, limbs twitch, mouth is dry with delirious speech, and convulsions recur, followed by smallpox within days, this is called "Frost Bridge Imprint" (Shuang Qiao Yin Ji). Unlike typical post-convulsion eruption (which indicates Heart meridian involvement and is auspicious), this case features severe convulsions with extreme deficiency. If convulsions persist despite eruption, Cinnabar (Zhu Sha) and mineral drugs are strictly forbidden. Fushen Tang (Poria Spirit Decoction) is suitable.
Fushen Tang
Rehmannia glutinosa (Sheng Di), Angelica sinensis (Dang Gui), Glycyrrhiza uralensis (Gan Cao), Paeonia lactiflora (Bai Shao Yao), Poria cocos with wood (Fu Shen), Polygala tenuifolia (Yuan Zhi), Platycodon grandiflorus (Jie Geng).
Add Juncus effusus (Deng Cao) and Ginger, decoct and take.
Before eruption, if there is fever, spontaneous sweating, hemoptysis, epistaxis, or hematuria, followed by smallpox within days, this is called "Lotus Pond Wading" (Ou Chi Ta Shui). Loss of Heart control causes reckless bleeding. Clear Heart and suppress Fire. Do not recklessly use cold/cold-natured agents. Yexian Dusheng San (Wild Fairy Sole Saint Powder) can be used.
Yexian Dusheng San
Platycladi Cacumen (Bai Bai), Scrophularia ningpoensis (Xuan Shen), Sanguisorba officinalis (Di Yu), Commelina communis (Xue Jian Chou), Rehmannia glutinosa (Sheng Di Huang), Akebia quinata (Mu Tong), Paeonia lactiflora (Shao Yao), Angelica sinensis (Dang Gui Shen), Glycyrrhiza uralensis (Gan Cao), Zingiber officinale (Gan Jiang).
Before eruption, if fever, poor appetite, abdominal distension, eyelid edema, and restlessness occur, followed by smallpox within days, this is called "Stone Drum Silent" (Shi Gu Wu Ming). Regulate Spleen and tonify Qi. Shenling Baizhu San (Poria and Atractylodes Powder) modified can be used.
Shenling Baizhu San Modified
Panax ginseng (Ren Shen), Poria cocos (Fu Ling), Dioscorea opposita (Shan Yao), Lablab purpureus (Bai Bian Dou), Atractylodes macrocephala (Bai Zhu), Citrus reticulata (Chen Pi), Lotus seed (Lian Rou), Coix seed (Yi Yi Ren), Angelica sinensis (Dang Gui), Saposhnikovia divaricata (Fang Feng), Ziziphus jujuba (Zhi Shi).
Grind into powder. Modify as needed.
If fever, continuous sweating, blurred vision, yawning, crying, and smallpox eruption occur before full recovery, this is called "Red Marsh Planting Lotus" (Chi Ze Zai Lian). Astringe sweat and tonify Liver. Huang Qi (Astragalus) decocted in human milk, taken frequently, along with Guzhen Tang (Solidify True Decoction), is suitable.
Guzhen Tang
Astragalus membranaceus (Mian Huang Qi, 2 liang, honey-fried), Ziziphus jujuba (Suan Zao Ren, 4 liang), Panax ginseng (Ren Shen), Paeonia lactiflora (Bai Shao Yao), Angelica sinensis (Dang Gui), Rehmannia glutinosa (Sheng Di Huang), Poria cocos (Fu Ling), Glycyrrhiza uralensis (Gan Cao), Citrus reticulata (Chen Pi).
Cut coarsely. Decoct with Ginger and take.
If parents fail to protect the child, allowing unrestricted movement leading to falls and injuries to head/limbs, followed by smallpox eruption, this is called "Broken Jar Clarifying Slurry" (Po Weng Cheng Jiang). Tonify Blood and support Spleen. Longjin Tang (Golden Cage Decoction) can be used.
Longjin Tang
Costus root (Mu Xiang), Rehmannia glutinosa (Sheng Di Huang), Paeonia lactiflora (Shao Yao), Carthamus tinctorius (Hong Hua), Angelica sinensis (Dang Gui), Glycyrrhiza uralensis (Gan Cao), Angelica dahurica (Bai Zhi), Elaeagnus multiflora (Tu Mu Bie), Citrus reticulata peel (Ju Hong), Akebia quinata (Mu Tong), Platycodon grandiflorus (Jie Geng), Atractylodes macrocephala (Bai Zhu).
Decoct with Ginger and Jujube and take.
If children have chest/stomach fullness, food aversion, fever, and frequent vomiting, followed by smallpox eruption, this is called "Chasing Deer Losing Sheep" (Zhu Lu Wang Yang). Unlike vomiting due to eruption (where toxin reduction lightens the disease), this case involves prior Stomach Qi injury, abdominal distension, food aversion, and persistent vomiting, indicating danger. Regulate Spleen and Stomach. Zixia Huanglu Yin (Purple Cloud Yellow Dew Drink) can be used.
Zixia Huanglu Yin
Zingiber officinale (Gan Jiang), Pinellia ternata (Ban Xia), Agastache rugosa (Huo Xiang), Amomum villosum (Sha Ren), Aurantium indicum (Zhi Ke), Citrus reticulata (Chen Pi), Cardamom (Dou Kou), Atractylodes macrocephala (Bai Zhu, fried), Citrus reticulata (Qing Pi).
Cut coarsely. Decoct in water and take.
If the child has sallow complexion, tidal fever, eyelid edema, and abdominal colic, with smallpox erupting before Gan Ji (malnutrition) heals, this is called "Pushing Cart Falling into Snow" (Tui Che Xian Xue). Due to Spleen/Stomach injury progressing to Gan Ji, vermifuges and accumulation-draining drugs are contraindicated. Regulating Spleen/Stomach is best. Longxuan San (Dragon and Spinning Top Powder) is excellent.
Longxuan San
Citrus reticulata (Qing Pi), Zingiber officinale (Gan Jiang), Cinnamon twig (Guan Gui), Corydalis yanhusuo (Xuan Hu Suo, vinegar-fried), Syzygium aromaticum (Ding Xiang), Cardamom (Dou Kou), Amomum villosum (Sha Ren), Aurantium indicum (Zhi Ke), Areca nut (Bing Lang), Magnolia officinalis (Hou Po), Cyperus rotundus (Xiang Fu), Crataegus pinnatifida (Shan Zha), Artemisia argyi (Ai Ye).
If the child has widespread sores, pus-filled lesions around head/neck, limb stiffness like snake skin wrapping, irregular fever/chills, and persistent sneezing, followed by smallpox eruption, this is called "Frost Chasing Paulownia" (Shuang Zhu Wu Tong). Cool Blood and protect Spleen. Zhenyuan San (True Origin Powder) can be used.
Zhenyuan San
Glycyrrhiza uralensis (Gan Cao), Platycodon grandiflorus (Jie Geng), Panax ginseng (Ren Shen), Paeonia lactiflora (Bai Shao Yao), Astragalus membranaceus (Huang Qi), Poria cocos (Fu Ling), Akebia quinata (Mu Tong), Carthamus tinctorius (Hong Hua), Atractylodes macrocephala (Bai Zhu), Rehmannia glutinosa (Sheng Di Huang), Angelica dahurica (Bai Zhi), Cimicifuga foetida (Sheng Ma), Citrus reticulata (Chen Pi), Angelica dahurica (Tian Hua Fen).
Decoct with Juncus effusus (Deng Cao) and take.
If the child has stabbing heart pain, followed by smallpox eruption, this is called "Offending the Heavenly Ladder" (Fan Duo Tian Ti). This is either Qi rebellion or Cold accumulation. Longpan Yin (Dragon Pool Drink) can be used.
Longpan Yin
Panax ginseng (Ren Shen), Angelica sinensis (Dang Gui), Aurantium indicum (Zhi Ke), White Cardamom (Bai Dou Kou), Syzygium aromaticum (Ding Xiang), Costus root (Mu Xiang), Cinnamon twig (Guan Gui), Citrus reticulata (Qing Pi), Pinellia ternata (Ban Xia), Crataegus pinnatifida (Shan Zha), Sparganium stoloniferum (San Leng), Bombyx Batryticatus (Er Can Sha), Magnolia officinalis (Hou Po).
Decoct with Ginger and wine and take.
If the child has Wind-Heat in eyes, redness, swelling, photophobia, and unbearable stabbing pain, followed by smallpox eruption, this is called "Shooting the Dark Sky" (Dan Da Tian Wu). Clear Liver, dispel Fire, nourish Kidney Yin (Zi Xuan Jiao), and raise Yin Qi. Gujing Longdan San (Valerian Flower and Gentian Powder) can be used.
Gujing Longdan San
Rehmannia glutinosa (Sheng Di Huang), Carthamus tinctorius (Hong Hua), Schizonepeta tenuifolia (Jing Jie), Gentiana scabra (Long Dan Cao), Akebia quinata (Mu Tong), Glycyrrhiza uralensis (Gan Cao), Paeonia lactiflora (Chi Shao Yao), Centipeda minima (Gu Jing Cao), Poria cocos (Bai Fu Ling), Arctium lappa (Shu Niu Zi).
Add Juncus effusus (Deng Xin), decoct and take.
If excessive eating damages Spleen/Stomach, causing fullness, acid regurgitation, or vomiting/diarrhea, followed by smallpox eruption, this is called "Wind Swallow Losing Nest" (Feng Yan Shi Chao). Smallpox relies entirely on Spleen/Stomach. Urgently digest food and regulate Spleen. Xiaodao Yin (Digestion-Guiding Drink) and Moji San (Accumulation-Grinding Powder) can be used together.
Xiaodao Yin
Magnolia officinalis (Hou Po), Ziziphus jujuba (Zhi Shi), Amomum villosum (Sha Ren), Crataegus pinnatifida (Shan Zha Rou), Pinellia ternata (Ban Xia), Saccharomyces (Shen Qu), Areca nut (Bing Lang), Sparganium stoloniferum (San Leng), Curcuma wenyujin (Peng Zhu), Syzygium aromaticum (Ding Xiang).
Add Zingiber officinale (Gan Jiang), decoct and take.
Moji San
Artemisia annua (Gan Hao), Citrus reticulata (Chen Pi), Hordeum vulgare (Mai Ya), Bombyx Batryticatus (Er Can Sha).
Add Zingiber officinale (Sheng Jiang), decoct and take.
If the lower abdomen is hard, distended, and painfully tender, with dark, difficult urination, crying when needing to urinate, and pain when not, followed by smallpox eruption, this is called "Broken Bridge Lost Ferry" (Duan Qiao Shi Du). This is Depression-Fire of the Heart accumulating in the Small Intestine. Junniu Gao (Ox-Dredging Paste) is the specific remedy.
Junniu Gao
Large apple snail (Da Tian Luo). Add Green onion, Salt, and a little Moschus (She Xiang). Pound into paste. Heat gently, spread on fine silk, and apply to the lower abdomen. Massage with hand.