小儿将出痘，身必发热，口必发渴，眼必如醉，此时当以表药散之，则火毒大
解。无如世人未敢信为出痘，因循数日，见点而始用表散。有形之解与无形之解大
有不同，所以轻变重，而重变死也。虽然，见点不用表药则火毒又将安解，岂不药
得中医而可望其自愈乎。不知能善用表散之药，正自有功耳。大约痘疮初出之时，
不可不用表散之药，而又不可全用表散，当于补中表散之，则正气无伤，而火毒又
可尽解也。方用至慈汤∶
人参（三分） 荆芥（炒黑，三钱） 生甘草（一钱） 柴胡（一钱） 当归（三钱） 茯苓（二钱）
陈皮（三分） 麦冬（二钱） 元参（三钱） 天花粉（一钱） 水煎服。一剂火毒少除，二剂火
毒全散，不必三剂也。若已见点，则重变轻，而死变生矣。
此方正用柴胡、荆芥以疏通其表里，得元参以去其浮游之火，得生甘草以败其
毒。妙在人参、归、冬之类俱是补气补津之味，佐前药以充其力，使无壅闭之忧，
以速其至隐之火毒也。世人治痘，一见用补，无不惊惧。谁知火毒非补，万不能由，
内而发于外。能于补中用表散之法，何愁小儿之不尽登于寿考也。此方十岁为准，
如周岁小儿，用十分之一，每岁增加可也。若十岁之外小儿，宜加人参而已，余味
不必加也。
小儿已出痘，遍身上下尽是鲜血点，粒粒可数，此至佳之痘也。不必发散，只
须助其正气，自然饱满贯浆，收靥亦速，九日而始回矣。然而纯用补剂，又虑呆补
而无疏通之气，恐速于见功，未免升上而不能降下，亦非治之善也。方用安幼汤∶
当归（三钱） 荆芥（一钱） 元参（三钱） 陈皮（三钱） 熟地（三钱） 麦冬（三钱）
生甘草（五分） 生地（一钱） 黄连（一分） 丹皮（一钱） 贝母（三分） 水煎服。一剂而绽，
不必二剂也。
此方妙在补中带散，则痘疮力足，无内怯之忧；散中实补，则痘疮大泄，少外
阻之祸。世人不知治法，往往一味是补，所以多留后患耳。至于一味呆散，未有不
将佳痘而变为恶疮者，每至死亡犹以为胎毒之未尽净也，仍用散火败毒之剂，以至
不救。谓非医杀之，而欲冀免于阴报也，得乎。幸人善用其方以安幼耳。
小儿出痘，其痘疮之色红盛，烦渴，大便干燥，小便短涩而黄赤，脉洪大不伦，
舌上生疮，此阳症之疮也，切忌用湿热之味。然又不可见为大热，而即用寒凉之药，
恐火热太盛，骤得寒凉，而火不肯遽退，热不肯骤解，反至生变者有之。治法宜用
寒而佐以化热之品，用凉而辅以散火之味，则不违火热之性，而自得寒凉之益也。
方用全痘散火汤∶
元参（三钱） 黄芩（一钱） 生甘草（一钱） 栀子（一钱） 桔梗（二钱） 生地（二钱）
荆芥（三钱，炒黑） 当归（一钱） 水煎服。一剂而热毒火毒尽行解散矣。
此方用芩、栀以清火，又得元参以退其浮游之火，更妙在用荆芥、桔梗引火
外出，而生地、当归滋其腑脏之燥，则雨润风吹，有不变火宅而清凉者乎。所以获
解散之功而无背违之失也。
小儿出痘，痘疮虚空，而色又清白，发痒中塌，身寒颤切牙不已，腹中虚胀，
上吐下泻，脉复沉细微弱，此阴症之痘疮也。盖内寒之极，疮不能发出，必须用大
补气血之药，而佐以温热之味，则疮无冰冻之虞。倘不知其故，而亦用寒散之品，
则痘疮内陷，而死亡顷刻矣，是阴痘戒用阴分之药明甚。然而其中有似是而非者，
又不可不辩，以痘疮之善变也。色白，虚也，而发痒又有实症；身寒，凉也，而发
颤又有热症；腹胀，虚寒也，而吐泻又多实热之症。既非虚寒，而亦用温热之品，
安得不死乎。然则，终何以辩之？吾辩之于舌焉。舌红者热，舌白者寒也。舌红而
带白者，热中之寒，舌白而微红者，寒中之热，舌大红而又燥，热之极也，舌纯白
而又滑，寒之极也。倘舌白而又滑，此阴症无疑。方用祛阴救痘丹∶
人参（一钱） 当归（三钱） 白术（三钱） 附子（三分） 荆芥（一钱） 黄 （三钱）
水煎服。一剂而色白者即变为红，阳回而寒之气尽散矣。
此方用参、 、归、术以补气血，气旺而阴自难留，血足而阳自可复。然后益之附子，
则奏功始神。方中又加荆芥者，以附子直攻其内，非荆芥则不能引附子外散耳。
痘疮初出，隐于肌肉之间，不见点粒，人以为疮毒之内藏而不肯遽出也，孰知是气虚而不能
推送以发于外乎。论理用升麻、桔梗、羌活之类亦能外发，然而不补其气，而惟用散药，吾恐元
气益虚，痘发之后，未必无他病之生，尚非治之善者也。方用发痘散∶
生黄 （二钱） 甘草（五分） 当归（一钱） 桔梗（一钱） 荆芥（一钱） 防风（二分）
水煎服。一剂而点粒见，再剂而痘尽出也，可以不必再服药矣。
此方之妙，虽用桔梗、荆芥、防风之散药，而实得黄 、当归补气之力，则易
于推送，所以火毒不能隐藏，一齐而尽出也。
痘疮已见点后，热气大盛，疮粒过多，人以为火毒之太甚，谁知是血虚而不能
以润乎。若止用发散之剂，而不用补血之药，则火盛水干，痘难贯浆矣。故必须于
补血之中，而少佐之以解毒也。方用养痘汤∶
当归（二钱） 川芎（一钱） 连翘（五分） 麦冬（一钱） 天花粉（三分） 木通（三分）
甘草（二分） 水煎服。一剂而热退，二剂而疮粒明净，尽行贯浆矣。
此方之妙，妙在当归、麦冬、川芎为君，而少用连翘、木通、天花粉为佐使，
则血旺而火不过炎，热消而毒不内隐，故能速于收功而又无后患也。
痘疮已出，四、五日后大小不等，根窠不甚红泽，色暗顶陷，不能起发者，人
以为火毒之倒塌也，谁知是血气之亏欠，欲出而不能，欲发而不得。倘徒用化毒之
药，则毒反不消。倘徒用催浆之药，则浆反不贯，变生不测，往往有入于死亡者。
治之法，必须于补气之中而辅以化毒催浆之味。方用催痘汤∶
人参（三分） 牛蒡子（一钱） 当归（二钱） 川芎（一钱） 黄 （二钱） 茯苓（一钱） 桔梗（五分）
陈皮（二分） 连翘（三分） 肉桂（半分） 水煎服。一剂而色红，二剂而顶突贯浆矣。
此方之妙，妙在用参、 、归、芎之多，而发散化毒为佐使。气足而不祛于中，
血足而不陷于内，自然痘色润泽而肥满矣。
痘疮至六日，毒宜化，浆宜行矣。乃颜色不红绽肥满，是气血大虚也，万不可
徒攻其火，而妄用败毒之味也。必须以补气补血为主，方用护痘万全汤∶
人参（五分） 黄 （一钱） 当归（二钱） 川芎（一钱） 白术（二钱） 茯苓（一钱） 陈皮（三分）
牛蒡子（三分） 桔梗（五分） 天花粉（三分）水煎服。一剂红润而肥满矣，不必二剂也。
此方之妙用，全不去消毒攻火，但补气血而痘自外发。且补中有散，而补非呆
补，更易奏功。所以有益无损，而收万全之效也。
痘疮七、八日，宜浆满足矣。今疮平浆薄，饮食少减，人以为毒瓦斯之内陷也，
谁知是气血之不充乎。夫气血之不充者，由于脾胃之气弱也。脾胃气弱，则肝血不
生，肝血不生，则脾胃之气更弱，又何能致浆足而疮突哉。治之法，必须大补其脾
胃之气，而少佐之补血之品。气血旺而脾胃自健，脾胃健而痘疮安得不充满乎。方
用保痘汤∶
人参（一钱） 白术（二钱） 黄 （二钱） 当归（二钱） 麦冬（二钱） 陈皮（五分） 荆芥（一钱）
如痒，加白芷三分、蝉蜕二分，不痒不必加也。如痘色白而薄，倍加参、 ，一剂而白者不白，薄
者不薄矣。
此方纯是补气血，而补气更重于补血者，以血得气而易生也。气足血旺，何愁浆薄哉。自然
饮食倍增，浆老结靥矣。
痘疮至九日、十日之后，浆稀痂薄，人以为痘毒之内蕴也，谁知仍是气血之亏乎。夫气虚补气，
血虚补血，又何碍乎。然而气血虽虚，而痘毒未清，不兼顾火毒，一味呆补，则火毒内藏，亦恐痘
愈之后，有回毒之虞，必须于补中微散之为得也。方用全痘汤∶
人参（二钱） 白术（二钱） 牛蒡子（一钱） 茯神（三钱） 陈皮（三分） 当归（三钱） 通草（一钱）
甘草（五分） 荆芥（一钱） 金银花（三钱） 水煎服。一剂而浆浓靥高矣。
此方用人参而不用黄 者，以黄 过于补气，且恐有胀满之虞，不若多用人参，既补气而复无增
闷之嫌耳。尤妙在用牛蒡子、金银花于补中泻毒，得补之益，而更
获散之利，真善后之妙法也。
痘疮至十一二日，身发潮热，饮食不思，当靥不靥，痂落无托，人以为毒瓦斯之犹
存也，谁知是气血之虚而毒多未化乎。方用化痘仙丹∶
当归（三钱） 白芍（二钱） 人参（一钱） 山楂（五粒） 黄 （三钱） 荆芥（一钱） 牛蒡子（一钱）
防风（三分） 甘草（一钱） 金银花（三钱） 水煎服。一剂而胃气开，思饮食矣，二剂全愈。
此方之妙，用金银花与荆芥、牛蒡子、参、 、归、芍之中，则胃气不伤，脾
气大旺，气血既润，复不克土，则火毒全解，又安有留余之患。大凡痘疮不补，则
火毒不出，而痘疮纯补，则火毒亦不尽出也。今于补中用散，所以未出能出，而既
出者尽出也。
痘已见形，又出一层红斑者，此夹疹痘也。或似斑而非斑，或零星错杂，皆是
夹疹之症。人以为痘毒之深，前未发出，而后再发也。谁知痘出之时而又感寒风，
使内热留中，闭塞凑理，激动腑毒而并出乎。治法宜脏腑并治，然治脏不若先治
腑也。盖痘毒出于脏，疹毒出于腑，脏之毒深，腑之毒浅，浅之毒先散，而深之毒
亦自难留，故治痘须先治疹。方用分痘汤∶
升麻（一钱） 元参（三钱） 麦冬（三钱） 当归（二钱） 青蒿（二钱） 生甘草（二钱） 半夏（五分）
生地（三钱） 荆芥（一钱） 水煎服。一剂而疹全散矣。
此方退阳明之火，解肺经之热，妙在多用升麻引火向外，发于皮毛，虽曰消疹，
而实所以成痘也。又何必治疹之后，再去治痘哉。
痘症虽发全，数日之后身复发热，遍身发出红斑，痒甚，愈抓愈痒，先出大小
不一如粟米之状，渐渐长大如红云片。人以为痘毒之尚存，从前未经畅发，故如此，
谁知是痘毒全无，乃收痂大愈之后放心纵欲，饮食过伤，又兼风热而成之。此名为
盖痘疹，似痘而非痘也。治法散其风热，而不必顾其痘毒。然风热既解，即有毒亦
无不共解矣。方用安痘汤∶
玄参（五钱） 当归（三钱） 连翘（一钱） 白芍（二钱） 丹皮（二钱） 荆芥（二钱） 甘菊花（二钱）
升麻（五分） 天花粉（一钱） 水煎服。一剂而斑轻，再剂而斑尽散矣。
此方化毒而不耗其气，解热而不损其血，所以风热全消，而痘无变症耳。
痘疮五、六日后，色变纯黑，或炭灰之色，头顶陷下不起，饮食到口即吐，此
死症无疑，所谓坏症也。世医到此无不辞去，然而死中可以求生，勿以其坏症而轻
弃之也。盖小儿纯阳之气易离，而阴气难绝，倘有一线之阴可续，则引阴以接阳，
往往死者可以重生，而生者得以不死。我受异传，何敢独秘不共传以救万世之小儿
乎。方用起死救儿丹∶
人参（三钱） 元参（一两） 金银花（一两） 白术（二钱） 当归（三钱） 麦冬（三钱）
甘草（一钱） 荆芥（二钱） 天花粉（二钱） 茯神（三钱） 水煎服。一剂黑变为红，再剂而陷
者起，干者润，饮食知味矣。
此方之妙，全在用金银花与玄参之多，既能解毒，复善散火，而又助之参、术、
归、冬，则足以济二味之力，而益成其祛除之功。所以能转败而为胜，起死而变生
也。万勿惊其药品之重与用参之多，而减去其分两。盖药不重，火毒难消；参不多，
则阴阳难复矣。愿人加意于此方，以救小儿于危险哉。
小儿痘疮治之不得法，多至不救，谁知痘疮可以不治治之乎。夫儿已生疮，何
可听其自生乎，所谓不治治之者，服吾药可使之不生痘，不必用药以治痘也。夫儿
之生痘疮者，感父母之淫气以生之也。解其淫气而又助之化毒之品，安得而生痘哉。
前人亦知此意，曾造稀痘丹，或治截痘法，然服之有验有不验者，未能深窥痘毒之
源与解毒之药也。盖解毒之品未有不损人元气者，元气一虚，毒即难解。且毒成于
火，而清必用寒凉之药，但小儿脾胃最忌寒凉之药，一服寒凉，土气匮乏，而火毒
又安能外泄乎，此所以服之而不效也。铎逢异人之传，方法平平，而取效实奇。
方名止痘丹∶
生甘草（一钱） 金银花（三两） 元参（一两） 贝母（五分） 苦参（三钱） 丹皮（三钱）
黄芩（二钱） 将七味择天赦日，用水二碗，煎一碗，不必两煎。将此一碗汁，重汤又熬至三分，
用茯苓五钱为细末，将汁调为丸，如米粒大。俟半周之时，将药用蜜拌与小儿
小儿即将出痘时，身体必然发热，口中必然发渴，眼睛必然像喝醉了一样（红赤），此时应当用解表药来发散，这样火毒就能大大解除。无奈世人不敢确信这是出痘的征兆，拖延了几天，直到看到痘点才开始使用解表发散的方法。有形之邪的解除与无形之邪的解除大不相同，所以轻症变成重症，重症变成死亡。虽然如此，如果见到痘点后不用解表药，那么火毒又靠什么来解除呢？难道不用药而指望它自愈吗？不知道善于使用解表散邪的药物，正是有功效的。大概痘疮刚出来的时候，不可不用解表散邪的药，但又不能全用解表药，应当在补益正气的基础上进行解表散邪，这样正气就不会受伤，而火毒又可以完全解除。方剂用至慈汤：人参（三分）、荆芥（炒黑，三钱）、生甘草（一钱）、柴胡（一钱）、当归（三钱）、茯苓（二钱）、陈皮（三分）、麦冬（二钱）、玄参（三钱）、天花粉（一钱），水煎服。一剂后火毒稍微减轻，两剂后火毒全部消散，不需要第三剂。如果已经见到痘点，那么重症变轻症，死亡变生存了。
这个方子正用柴胡、荆芥来疏通表里，得到玄参来去除浮游之火，得到生甘草来败解毒性。妙在人参、当归、麦冬之类都是补气生津的味道，辅助前面的药物以充实其力量，使没有壅滞闭塞的忧虑，以加速到达隐蔽的火毒。世人治疗痘疮，一见用补药，无不惊恐害怕。谁知道火毒如果不通过补益，万万不能由内而发于外。能在补益中运用解表散邪的方法，何必担心小儿不能尽享高寿呢。此方以十岁为标准，如果是周岁小儿，用十分之一剂量，每增加一岁可增加相应剂量即可。如果是十岁以上的小儿，适宜只加人参而已，其他味道不必加。
小儿已经出痘，遍身上下全是鲜红的血点，粒粒可以数清，这是最好的痘疮。不必发散，只需要帮助其正气，自然饱满贯浆，收靥也迅速，九日就开始回退了。然而纯用补剂，又担心呆补而没有疏通的气机，恐怕急于见效，未免升上而不能降下，也不是治疗的善法。方剂用安幼汤：当归（三钱）、荆芥（一钱）、玄参（三钱）、陈皮（三钱）、熟地（三钱）、麦冬（三钱）、生甘草（五分）、生地（一钱）、黄连（一分）、丹皮（一钱）、贝母（三分），水煎服。一剂就绽放，不需要第二剂。
这个方子的妙处在于补中带散，则痘疮力气充足，没有内怯的忧虑；散中实补，则痘疮大泄，减少外阻的祸患。世人不知道治疗方法，往往一味是补，所以多留下后患。至于纯粹呆板地发散，没有不把好的痘疮变成恶疮的，每每导致死亡还认为是胎毒没有尽净，仍然用散火败毒的药剂，以至于无法挽救。说不是医生杀死的，而希望免于阴报，能行吗？幸好人们善于使用这个方子来安抚幼儿。
小儿出痘，痘疮的颜色红盛，烦躁口渴，大便干燥，小便短涩且黄赤，脉象洪大无序，舌上生疮，这是阳症的疮，切忌使用湿热性质的味道。然而又不可以见到大热，就立即用寒凉的药物，恐怕火热太盛，突然得到寒凉，而火不肯立刻退去，热不肯骤然解除，反而导致产生变故的情况是有过的。治法适宜用寒凉而佐以化热的药品，用凉性而辅以散火的滋味，就不违背火热的本性，而自然得到寒凉的益处。方剂用全痘散火汤：玄参（三钱）、黄芩（一钱）、生甘草（一钱）、栀子（一钱）、桔梗（二钱）、生地（二钱）、荆芥（三钱，炒黑）、当归（一钱），水煎服。一剂后热毒火毒全部解散。
这个方子用黄芩、栀子来清火，又得到玄参来退去浮游之火，更妙在用荆芥、桔梗引导火外出，而生地、当归滋润脏腑的燥热，那么雨润风吹，有不把火宅变成清凉的吗。所以获得解散的功效而没有背违的失误。
小儿出痘，痘疮虚空，而且颜色清白，发痒中间塌陷，身体寒冷颤抖咬牙不止，腹中虚胀，上吐下泻，脉象又沉细微弱，这是阴症的痘疮。因为内寒到了极点，疮不能发出，必须用大补气血的药物，而佐以温热的味道，那么疮就没有冰冻的担忧。倘若不知道其中的缘故，而也用寒散的药品，那么痘疮内陷，顷刻间就会死亡，这是阴痘忌讳使用阴分药物的明显道理。然而其中有似是而非的情况，又不可以不辨别，因为痘疮善于变化。颜色白，是虚证，但发痒又有实证；身体寒冷，是凉证，但发颤又有热证；腹胀，是虚寒，但吐泻又多属实热之症。既然不是虚寒，却也用温热的药品，怎么能不死呢。既然如此，最终如何辨别呢？我在舌头上辨别。舌红的是热，舌白的是寒。舌红而带白的是，热中之寒，舌白而微红的是，寒中之热，舌大红而又干燥，是热之极，舌纯白而又滑润，是寒之极。倘若舌白而又滑润，这是阴症无疑。方剂用祛阴救痘丹：人参（一钱）、当归（三钱）、白术（三钱）、附子（三分）、荆芥（一钱）、黄芪（三钱），水煎服。一剂后颜色白的立即变为红，阳气回复而寒气全部消散。
这个方子用人参、黄芪、当归、白术来补气血，气旺而阴自然难留，血足而阳自然可复。然后加上附子，那么奏效才神奇。方中又加荆芥的原因，是因为附子直攻其内，不是荆芥就不能引导附子外散。
痘疮刚出来，隐藏在肌肉之间，不见痘点颗粒，人们以为疮毒内藏而不肯立刻出来，谁知道这是气虚而不能推送使其发于外呢。按理说用升麻、桔梗、羌活之类也能向外发散，然而不补其气，而只用散药，我恐怕元气更加虚弱，痘发之后，未必没有其他疾病产生，这还不是治疗的善法。方剂用发痘散：生黄芪（二钱）、甘草（五分）、当归（一钱）、桔梗（一钱）、荆芥（一钱）、防风（二分），水煎服。一剂后痘点颗粒出现，再一剂后痘全部发出，可以不必再服药了。
这个方子的妙处，虽然用桔梗、荆芥、防风的散药，而实际得到黄芪、当归补气之力，则易于推送，所以火毒不能隐藏，一齐全部发出。
痘疮已经见到点后，热气大盛，疮粒过多，人们以为火毒太甚，谁知道这是血虚而不能滋润呢。如果只用发散的药剂，而不用补血药，那么火盛水干，痘难贯浆。所以必须在补血之中，稍微佐以解毒药。方剂用养痘汤：当归（二钱）、川芎（一钱）、连翘（五分）、麦冬（一钱）、天花粉（三分）、木通（三分）、甘草（二分），水煎服。一剂后热退，二剂后疮粒明净，全部贯浆。
这个方子的妙处，妙在当归、麦冬、川芎为君药，而少用连翘、木通、天花粉为佐使药，则血旺而火不过炎，热消而毒不内隐，所以能迅速收功又没有后患。
痘疮已经发出，四、五日后大小不等，根窠不甚红泽，色暗顶陷，不能起发的，人们以为火毒倒塌，谁知道这是气血亏欠，想发出而不能，想发起来而不得。倘若徒然用化毒药，则毒反而不消。倘若徒然用催浆药，则浆反而不贯，变生不测，往往有进入死亡的。治法，必须在补气之中辅以化毒催浆的味道。方剂用催痘汤：人参（三分）、牛蒡子（一钱）、当归（二钱）、川芎（一钱）、黄芪（二钱）、茯苓（一钱）、桔梗（五分）、陈皮（二分）、连翘（三分）、肉桂（半分），水煎服。一剂后色红，二剂后顶突贯浆。
这个方子的妙处，妙在用参、芪、归、芎的多，而发散化毒为佐使。气足而不祛于中，血足而不陷于内，自然痘色润泽而肥满。
痘疮到六日，毒宜化，浆宜行了。乃颜色不红绽肥满，是气血大虚，万万不可徒然攻其火，而妄用败毒的味道。必须以补气补血为主，方剂用护痘万全汤：人参（五分）、黄芪（一钱）、当归（二钱）、川芎（一钱）、白术（二钱）、茯苓（一钱）、陈皮（三分）、牛蒡子（三分）、桔梗（五分）、天花粉（三分），水煎服。一剂红润而肥满，不需要第二剂。
这个方子的妙用，全不去消毒攻火，只补气血而痘自然外发。且补中有散，而补非呆补，更容易奏效。所以有益无损，而收万全的效果。
痘疮七、八日，应该浆满足了。如今疮平浆薄，饮食减少，人们以为毒瓦斯内陷，谁知道是气血不充呢。气血不充的原因，是由于脾胃之气弱。脾胃气弱，则肝血不生，肝血不生，则脾胃之气更弱，又怎么能致浆足而疮突呢。治法，必须大补其脾胃之气，而少佐以补血药。气血旺而脾胃自健，脾胃健而痘疮怎么不充满呢。方剂用保痘汤：人参（一钱）、白术（二钱）、黄芪（二钱）、当归（二钱）、麦冬（二钱）、陈皮（五分）、荆芥（一钱）。如果痒，加白芷三分、蝉蜕二分，不痒不必加。如果痘色白而薄，倍加参、芪，一剂后白的不白，薄的不薄。
这个方子纯是补气血，而补气更重于补血，因为血得气而易生。气足血旺，何必愁浆薄呢。自然饮食倍增，浆老结靥。
痘疮到九日、十日之后，浆稀痂薄，人们以为痘毒内蕴，谁知道仍是气血亏乎。气虚补气，血虚补血，又有什么妨碍呢。然而气血虽虚，而痘毒未清，不兼顾火毒，一味呆补，则火毒内藏，也恐痘愈之后，有回毒的担忧，必须在补中微散才得当。方剂用全痘汤：人参（二钱）、白术（二钱）、牛蒡子（一钱）、茯神（三钱）、陈皮（三分）、当归（三钱）、通草（一钱）、甘草（五分）、荆芥（一钱）、金银花（三钱），水煎服。一剂后浆浓靥高。
这个方子用人参而不用黄芪的原因，是因为黄芪过于补气，且恐有胀满的担忧，不如多用人参，既补气又无增闷的嫌疑。尤其妙在用牛蒡子、金银花在补中泻毒，得到补的益处，而更获得散的便利，真是善后的妙法。
痘疮到十一二日，身体发潮热，饮食不思，当靥不靥，痂落无托，人们以为毒瓦斯犹存，谁知道是气血虚而毒多未化呢。方剂用化痘仙丹：当归（三钱）、白芍（二钱）、人参（一钱）、山楂（五粒）、黄芪（三钱）、荆芥（一钱）、牛蒡子（一钱）、防风（三分）、甘草（一钱）、金银花（三钱），水煎服。一剂后胃气开，思饮食，二剂全愈。
这个方子的妙处，用金银花与荆芥、牛蒡子、参、芪、归、芍之中，则胃气不伤，脾气大旺，气血既润，又不克土，则火毒全解，又哪里有遗留的祸患。大凡痘疮不补，则火毒不出，而痘疮纯补，则火毒也不尽出。现在于补中用散，所以未出能出，而既出者尽出。
痘已见形，又出一层红斑的，这是夹疹痘。或似斑而非斑，或零星错杂，都是夹疹的症状。人们以为痘毒深，前未发出，而后又发。谁知道痘出的时候又感寒风，使内热留中，闭塞腠理，激动腑毒而并出乎。治法适宜脏腑并治，然而治脏不如先治腑。因为痘毒出于脏，疹毒出于腑，脏之毒深，腑之毒浅，浅的毒先散，而深的毒也难留，所以治痘须先治疹。方剂用分痘汤：升麻（一钱）、玄参（三钱）、麦冬（三钱）、当归（二钱）、青蒿（二钱）、生甘草（二钱）、半夏（五分）、生地（三钱）、荆芥（一钱），水煎服。一剂后疹全散。
这个方子退阳明之火，解肺经之热，妙在多用升麻引火向外，发于皮毛，虽说消疹，而实际是成痘。又何必治疹之后，再去治痘呢。
痘症虽然发全，数日后身体又发热，遍身发出红斑，痒甚，愈抓愈痒，先出大小不一如粟米状，渐渐长大如红云片。人们以为痘毒尚存，从前未经畅发，所以如此，谁知道是痘毒全无，乃收痂大愈之后放心纵欲，饮食过伤，又兼风热而成。此名为盖痘疹，似痘而非痘。治法散其风热，而不必顾其痘毒。然而风热既解，即有毒也无不清解。方剂用安痘汤：玄参（五钱）、当归（三钱）、连翘（一钱）、白芍（二钱）、丹皮（二钱）、荆芥（二钱）、甘菊花（二钱）、升麻（五分）、天花粉（一钱），水煎服。一剂后斑轻，再剂后斑尽散。
这个方子化毒而不耗其气，解热而不损其血，所以风热全消，而痘无变症。
痘疮五、六日后，色变纯黑，或炭灰之色，头顶陷下不起，饮食到口即吐，这是死症无疑，所谓坏症。世医到此无不辞去，然而死中可以求生，不要因其为坏症而轻易放弃。因为小儿纯阳之气易离，而阴气难绝，倘有一线之阴可续，则引阴以接阳，往往死者可以重生，而生者得以不死。我受异传，何敢独秘不共传以救万世之小儿呢。方剂用起死救儿丹：人参（三钱）、玄参（一两）、金银花（一两）、白术（二钱）、当归（三钱）、麦冬（三钱）、甘草（一钱）、荆芥（二钱）、天花粉（二钱）、茯神（三钱），水煎服。一剂后黑变为红，再剂后陷者起，干者润，饮食知味。
这个方子的妙处，全在用金银花与玄参之多，既能解毒，复善散火，而又助之参、术、归、冬，则足以济二味之力，而益成其祛除之功。所以能转败而为胜，起死而变生。千万不要惊其药品之重与用参之多，而减去其分量。因为药不重，火毒难消；参不多，则阴阳难复。愿人加意于此方，以救小儿于危险。
小儿痘疮治之不得法，多至不救，谁知道痘疮可以不治治之呢。婴儿已生疮，怎么可听其自生呢，所谓不治治之，服我的药可使之不生痘，不必用药以治痘。婴儿生痘疮，是感父母之淫气而生。解其淫气而又助之化毒之品，怎得而生痘呢。前人亦知此意，曾造稀痘丹，或治截痘法，然而服之有验有不验，未能深窥痘毒之源与解毒之药。因为解毒之品未有不损人元气的，元气一虚，毒即难解。且毒成于火，而清必用寒凉药，但小儿脾胃最忌寒凉药，一服寒凉，土气匮乏，而火毒又怎能外泄，此所以服之而不效。我逢异人之传，方法平平，而取效实奇。方名止痘丹：生甘草（一钱）、金银花（三两）、玄参（一两）、贝母（五分）、苦参（三钱）、丹皮（三钱）、黄芩（二钱），将七味择天赦日，用水二碗，煎一碗，不必两煎。将此一碗汁，重汤又熬至三分，用茯苓五钱为细末，将汁调为丸，如米粒大。等到半周岁时，将药用蜜拌给小儿
When a child is about to develop smallpox, the body will inevitably have fever, the mouth will inevitably feel thirsty, and the eyes will appear red and swollen as if intoxicated. At this time, exterior-releasing medicines should be used to dissipate the pathogen, so that the fire-toxin can be greatly resolved. Unfortunately, people are often unwilling to believe it is smallpox at first, delaying for several days until spots appear before using exterior-releasing methods. The resolution of有形 (tangible) pathogens differs significantly from that of 无形 (intangible) pathogens; thus, mild cases become severe, and severe cases become fatal. Nevertheless, if exterior-releasing medicines are not used once spots appear, how else can the fire-toxin be resolved? Can one expect spontaneous recovery without medication? It is unknown that skillfully using exterior-releasing herbs is indeed effective. Generally, when smallpox first emerges, exterior-releasing herbs must be used, but they should not be used exclusively. One should employ exterior release within the context of tonifying the righteous qi (Zheng Qi), so that the righteous qi remains unharmed while the fire-toxin is completely resolved. The formula used is Zhi Ci Tang (Ultimate Compassion Decoction): Ren Shen (Ginseng Radix, 3 fen), Jing Jie (Schizonepetae Herba, stir-fried black, 3 qian), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 1 qian), Chai Hu (Bupleuri Radix, 1 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian), Fu Ling (Poria, 2 qian), Chen Pi (Citri Reticulatae Pericarpium, 3 fen), Mai Dong (Ophiopogonis Radix, 2 qian), Xuan Shen (Scrophulariae Radix, 3 qian), Tian Hua Fen (Trichosanthis Radix, 1 qian). Decoct in water and take orally. After one dose, the fire-toxin is slightly reduced; after two doses, the fire-toxin is fully dispersed; a third dose is unnecessary. If used after spots have appeared, severe cases become mild, and fatal cases become survivable.
This formula uses Chai Hu and Jing Jie to unblock the exterior and interior, Xuan Shen to clear floating fire, and Sheng Gan Cao to neutralize toxicity. Its brilliance lies in the use of Ren Shen, Dang Gui, and Mai Dong, which tonify qi and generate fluids, assisting the previous herbs to enhance their strength and prevent stagnation, thereby accelerating the resolution of hidden fire-toxin. People treating smallpox are often terrified by the use of tonics. Who knows that without tonification, fire-toxin cannot emerge from the interior to the exterior? By employing exterior release within tonification, why worry that children will not enjoy longevity? This formula is standardized for ten-year-olds. For one-year-olds, use one-tenth of the dose, increasing proportionally with age. For children over ten, only increase the dosage of Ren Shen; other ingredients remain unchanged.
When a child has developed smallpox, and the entire body is covered with bright red blood spots, each distinct and countable, this is an excellent sign of smallpox. Exterior release is unnecessary; one need only support the righteous qi. Naturally, the pustules will fill with pus, and the scabs will form quickly, retreating by the ninth day. However, using purely tonic formulas may lead to stagnant tonification without free-flowing qi, potentially causing upward movement without downward descent, which is not ideal treatment. The formula used is An You Tang (Infant Peace Decoction): Dang Gui (3 qian), Jing Jie (1 qian), Xuan Shen (3 qian), Chen Pi (3 qian), Shu Di Huang (Rehmanniae Radix Praeparata, 3 qian), Mai Dong (3 qian), Sheng Gan Cao (5 fen), Sheng Di Huang (Rehmanniae Radix, 1 qian), Huang Lian (Coptidis Rhizoma, 1 fen), Dan Pi (Moutan Cortex, 1 qian), Bei Mu (Fritillariae Bulbus, 3 fen). Decoct in water and take orally. The lesions open after one dose; a second dose is unnecessary.
The brilliance of this formula lies in combining tonification with dispersion, ensuring sufficient force for the smallpox without internal weakness; and combining dispersion with substantial tonification, preventing external obstruction despite the discharge of toxins. People unfamiliar with these methods often rely solely on tonification, leaving behind complications. Conversely, relying solely on dispersing herbs turns good smallpox into malignant sores, leading to death, yet practitioners still blame incomplete fetal toxins and continue using heat-clearing and detoxifying herbs, resulting in untreatable conditions. Is this not medical error? Fortunately, people can use this formula to protect infants.
If the smallpox lesions are intensely red, accompanied by irritability, thirst, dry stool, scanty dark yellow urine, irregular large pulse, and sores on the tongue, this is a Yang-type lesion. Wet-heat herbs must be strictly avoided. However, one should not immediately use cold-cooling herbs upon seeing intense heat, as sudden cooling of excessive fire may cause the heat to linger or transform unpredictably. The treatment should use cold herbs assisted by those that transform heat, and cool herbs aided by those that dissipate fire, respecting the nature of fire while gaining the benefits of cooling. The formula used is Quan Du San Huo Tang (Complete Smallpox Fire-Dissipating Decoction): Xuan Shen (3 qian), Huang Qin (Scutellariae Radix, 1 qian), Sheng Gan Cao (1 qian), Zhi Zi (Gardeniae Fructus, 1 qian), Jie Geng (Platycodonis Radix, 2 qian), Sheng Di Huang (2 qian), Jing Jie (3 qian, stir-fried black), Dang Gui (1 qian). Decoct in water and take orally. Heat-toxin and fire-toxin are fully resolved after one dose.
This formula uses Huang Qin and Zhi Zi to clear fire, Xuan Shen to subdue floating fire, and Jing Jie and Jie Geng to guide fire outward. Sheng Di Huang and Dang Gui moisten the dryness of the zang-fu organs. Like rain and wind, it transforms a fiery dwelling into a cool one, achieving dispersion without contradiction.
If the smallpox lesions are hollow, pale white, itchy, collapsing during itching, accompanied by chills, teeth grinding, abdominal distension, vomiting, diarrhea, and a deep, fine, weak pulse, this is a Yin-type smallpox. Extreme internal cold prevents eruption. Large doses of qi- and blood-tonifying herbs, assisted by warm herbs, are required to prevent freezing of the lesions. If ignored and cold-dispersing herbs are used, the lesions will collapse inward, leading to immediate death. Thus, Yin smallpox clearly contraindicates Yin-category drugs. However, there are deceptive cases requiring differentiation due to the variability of smallpox. Pale color indicates deficiency, but itching may indicate excess; cold body indicates chill, but trembling may indicate heat; abdominal distension indicates deficiency-cold, but vomiting/diarrhea may indicate excess-heat. Using warm herbs for non-deficiency-cold leads to death. How to differentiate? Observe the tongue. Red tongue indicates heat; white tongue indicates cold. Red with white coating indicates heat-within-cold; white with slight redness indicates cold-within-heat. Deep red and dry indicates extreme heat; pure white and slippery indicates extreme cold. White and slippery tongue confirms Yin syndrome. The formula used is Qu Yin Jiu Dou Dan (Expel Yin Save Smallpox Elixir): Ren Shen (1 qian), Dang Gui (3 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 qian), Fu Zi (Aconiti Lateralis Radix Praeparata, 3 fen), Jing Jie (1 qian), Huang Qi (Astragali Radix, 3 qian). Decoct in water and take orally. After one dose, white lesions turn red, yang returns, and cold dissipates.
This formula uses Ren Shen, Huang Qi, Dang Gui, and Bai Zhu to tonify qi and blood. When qi is vigorous, yin cannot remain; when blood is sufficient, yang recovers. Adding Fu Zi enhances efficacy. Jing Jie is added because Fu Zi attacks internally, and Jing Jie guides it outward.
When smallpox first emerges, hiding in the muscles without visible spots, people assume the toxin is retained internally. In reality, this is due to qi deficiency failing to push the eruption outward. While herbs like Sheng Ma, Jie Geng, and Qiang Huo can promote eruption, using them without tonifying qi may further deplete yuan qi, risking other diseases post-eruption. The formula used is Fa Dou San (Erupt Smallpox Powder): Sheng Huang Qi (2 qian), Gan Cao (5 fen), Dang Gui (1 qian), Jie Geng (1 qian), Jing Jie (1 qian), Fang Feng (Saposhnikoviae Radix, 2 fen). Decoct in water and take orally. Spots appear after one dose; all erupt after two doses; no further medication is needed.
The brilliance lies in using dispersing herbs (Jie Geng, Jing Jie, Fang Feng) supported by the qi-tonifying power of Huang Qi and Dang Gui, facilitating eruption so fire-toxin cannot hide and emerges completely.
After spots appear, if heat is intense and lesions numerous, people attribute it to excessive fire-toxin. In fact, it is blood deficiency failing to moisten. Using only dispersing herbs without blood tonification leads to fire flourishing and water drying, preventing pus formation. Blood tonification must be combined with minor detoxification. The formula used is Yang Dou Tang (Nourish Smallpox Decoction): Dang Gui (2 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 qian), Lian Qiao (Forsythiae Fructus, 5 fen), Mai Dong (1 qian), Tian Hua Fen (3 fen), Mu Tong (Akebiae Caulis, 3 fen), Gan Cao (2 fen). Decoct in water and take orally. Heat subsides after one dose; lesions become clear and fill with pus after two doses.
The brilliance lies in Dang Gui, Mai Dong, and Chuan Xiong as sovereign herbs, with minor Lian Qiao, Mu Tong, and Tian Hua Fen as minister-assistants. This ensures blood abundance controls fire, heat clears, and toxin does not hide, achieving rapid results without sequelae.
Four to five days after eruption, if lesions vary in size, roots are not red/lustrous, color is dark, tops are sunken, and they fail to rise, people assume fire-toxin collapse. Actually, it is qi-blood deficiency preventing eruption. Using only detoxifiers fails to resolve toxin; using only pus-promoters fails to fill pustules, risking death. Treatment requires qi tonification assisted by detoxification and pus-promotion. The formula used is Cui Dou Tang (Urge Smallpox Decoction): Ren Shen (3 fen), Niu Bang Zi (Arctii Fructus, 1 qian), Dang Gui (2 qian), Chuan Xiong (1 qian), Huang Qi (2 qian), Fu Ling (1 qian), Jie Geng (5 fen), Chen Pi (2 fen), Lian Qiao (3 fen), Rou Gui (Cinnamomi Cortex, 0.5 fen). Decoct in water and take orally. Color turns red after one dose; tops rise and fill with pus after two doses.
The brilliance lies in high doses of Ren Shen, Huang Qi, Dang Gui, and Chuan Xiong, with dispersing/detoxifying herbs as assistants. Sufficient qi prevents central depletion; sufficient blood prevents internal collapse, resulting in lustrous, plump lesions.
By the sixth day, toxin should transform and pus should flow. If color is not red/plump, it indicates severe qi-blood deficiency. Do not attack fire or use toxic-resolving herbs blindly. Prioritize qi-blood tonification. The formula used is Hu Dou Wan Quan Tang (Protect Smallpox Perfect Safety Decoction): Ren Shen (5 fen), Huang Qi (1 qian), Dang Gui (2 qian), Chuan Xiong (1 qian), Bai Zhu (2 qian), Fu Ling (1 qian), Chen Pi (3 fen), Niu Bang Zi (3 fen), Jie Geng (5 fen), Tian Hua Fen (3 fen). Decoct in water and take orally. Lesions become red and plump after one dose; a second dose is unnecessary.
The brilliance is avoiding direct toxin/fire attack, instead tonifying qi-blood so lesions emerge naturally. Tonification includes dispersion, avoiding stagnation, ensuring efficacy and safety.
By days seven to eight, pus should be full. If lesions are flat and pus thin, with reduced appetite, people assume toxin collapse. Actually, it is insufficient qi-blood due to weak spleen-stomach qi. Weak spleen-stomach fails to generate liver blood, further weakening spleen-stomach, preventing full pus/lesions. Treatment requires major spleen-stomach qi tonification with minor blood tonification. The formula used is Bao Dou Tang (Guard Smallpox Decoction): Ren Shen (1 qian), Bai Zhu (2 qian), Huang Qi (2 qian), Dang Gui (2 qian), Mai Dong (2 qian), Chen Pi (5 fen), Jing Jie (1 qian). If itchy, add Bai Zhi (Angelicae Dahuricae Radix, 3 fen) and Chan Tui (Cicadae Periostracum, 2 fen); if not itchy, do not add. If lesions are white/thin, double Ren Shen and Huang Qi; after one dose, whiteness and thinness resolve.
This formula tonifies qi-blood, emphasizing qi over blood since blood generates easily with qi. Abundant qi-blood resolves thin pus, increases appetite, and matures scabs.
By days nine to ten, if pus is thin and scabs light, people assume toxin retention. Actually, it is qi-blood deficiency. Tonifying qi/blood is appropriate, but if toxin remains, pure tonification may trap fire-toxin, risking rebound. Mild dispersion within tonification is best. The formula used is Quan Dou Tang (Complete Smallpox Decoction): Ren Shen (2 qian), Bai Zhu (2 qian), Niu Bang Zi (1 qian), Fu Shen (Poria with Hostwood, 3 qian), Chen Pi (3 fen), Dang Gui (3 qian), Tong Cao (Tetrapanacis Medulla, 1 qian), Gan Cao (5 fen), Jing Jie (1 qian), Jin Yin Hua (Lonicerae Japonicae Flos, 3 qian). Decoct in water and take orally. Pus thickens and scabs rise after one dose.
Ren Shen is used instead of Huang Qi to avoid excessive qi tonification causing distension. Niu Bang Zi and Jin Yin Hua clear toxin within tonification, offering both benefits. This is an excellent follow-up method.
By days eleven to twelve, if tidal fever occurs, appetite is lost, scabs fail to form/fall properly, people assume lingering toxin. Actually, it is qi-blood deficiency with unresolved toxin. The formula used is Hua Dou Xian Dan (Transform Smallpox Immortal Elixir): Dang Gui (3 qian), Bai Shao (Paeoniae Radix Alba, 2 qian), Ren Shen (1 qian), Shan Zha (Crataegi Fructus, 5 pieces), Huang Qi (3 qian), Jing Jie (1 qian), Niu Bang Zi (1 qian), Fang Feng (3 fen), Gan Cao (1 qian), Jin Yin Hua (3 qian). Decoct in water and take orally. Stomach qi opens and appetite returns after one dose; full recovery after two doses.
The brilliance lies in Jin Yin Hua combined with Jing Jie, Niu Bang Zi, Ren Shen, Huang Qi, Dang Gui, and Bai Shao. This protects stomach qi, strengthens spleen qi, moistens qi-blood without damaging earth, resolves fire-toxin, and prevents sequelae. Without tonification, toxin does not exit; with pure tonification, toxin does not fully exit. Combining tonification with dispersion ensures emergence of both un-erupted and erupted lesions.
If red macules appear after smallpox shapes are visible, it is smallpox complicated with measles. Irregular or clustered red spots indicate measles complication. People assume deep toxin emerging late. Actually, wind-cold contracted during eruption trapped internal heat, blocking pores, stirring fu-organ toxin. Treatment should address both zang and fu, but prioritize fu. Measles toxin originates in fu (shallow), smallpox in zang (deep). Clearing shallow toxin helps resolve deep toxin. Treat measles first. The formula used is Fen Dou Tang (Separate Smallpox Decoction): Sheng Ma (Cimicifugae Rhizoma, 1 qian), Xuan Shen (3 qian), Mai Dong (3 qian), Dang Gui (2 qian), Qing Hao (Artemisiae Annuae Herba, 2 qian), Sheng Gan Cao (2 qian), Ban Xia (Pinelliae Rhizoma, 5 fen), Sheng Di Huang (3 qian), Jing Jie (1 qian). Decoct in water and take orally. Measles dissipate after one dose.
This formula clears Yangming fire and Lung heat. Sheng Ma guides fire outward to skin. Clearing measles actually aids smallpox resolution.
If fever recurs days after full eruption, with widespread red macules, severe itching worsening with scratching, starting as millet-sized bumps growing into red cloud patches, people assume lingering toxin. Actually, toxin is gone; this is caused by indulgence/dietary excess after recovery, compounded by wind-heat. This is "Covering Smallpox Measles," resembling but not being smallpox. Treatment disperses wind-heat without targeting smallpox toxin. Once wind-heat clears, any remaining toxin also clears. The formula used is An Dou Tang (Peace Smallpox Decoction): Xuan Shen (5 qian), Dang Gui (3 qian), Lian Qiao (1 qian), Bai Shao (2 qian), Dan Pi (2 qian), Jing Jie (2 qian), Gan Ju Hua (Chrysanthemi Flos, 2 qian), Sheng Ma (5 fen), Tian Hua Fen (1 qian). Decoct in water and take orally. Macules lighten after one dose; fully dissipate after two doses.
This formula resolves toxin without consuming qi, clears heat without damaging blood, eliminating wind-heat and preventing smallpox complications.
Five to six days after eruption, if lesions turn pure black or ash-gray, crown collapses, and food is vomited immediately, this is a fatal condition, termed "ruined syndrome." Physicians often abandon such cases. However, life can be sought from death. Children's pure yang qi departs easily, but yin qi is hard to extinguish. If a thread of yin remains, guiding yin to connect with yang can revive the dead. I received this unique transmission and dare not keep it secret. The formula used is Qi Si Jiu Er Dan (Revive Dead Save Infant Elixir): Ren Shen (3 qian), Xuan Shen (1 liang), Jin Yin Hua (1 liang), Bai Zhu (2 qian), Dang Gui (3 qian), Mai Dong (3 qian), Gan Cao (1 qian), Jing Jie (2 qian), Tian Hua Fen (2 qian), Fu Shen (3 qian). Decoct in water and take orally. Black turns red after one dose; collapsed lesions rise, dry lesions moisten, and appetite returns after two doses.
The brilliance lies in high doses of Jin Yin Hua and Xuan Shen to detoxify and dissipate fire, assisted by Ren Shen, Bai Zhu, Dang Gui, and Mai Dong to enhance efficacy. This turns defeat into victory and death into life. Do not reduce dosages due to fear of heaviness or ginseng amount. Heavy herbs are needed to消 (resolve) fire-toxin; ample ginseng is needed to restore yin-yang. Pay attention to this formula to save infants in danger.
If smallpox treatment is improper, death often results. Who knows that smallpox can be treated by "not treating"? Once lesions appear, ignoring them is dangerous. "Not treating" means taking my medicine prevents smallpox entirely, rather than treating existing lesions. Smallpox arises from parental "lust qi." Resolving this qi and aiding toxin transformation prevents smallpox. Predecessors created Xi Dou Dan (Rare Smallpox Elixir) or Jie Dou methods (Intercept Smallpox), but efficacy varied due to lack of understanding of toxin sources and detoxification. Detoxifying herbs damage yuan qi; weakened qi makes toxin hard to resolve. Toxin forms from fire, requiring cold herbs to clear, but cold herbs harm the delicate spleen-stomach of children, depleting earth qi and preventing toxin expulsion. Hence, failure. I received a unique transmission with ordinary methods but miraculous effects. The formula is Zhi Dou Dan (Stop Smallpox Elixir): Sheng Gan Cao (1 qian), Jin Yin Hua (3 liang), Xuan Shen (1 liang), Bei Mu (5 fen), Ku Shen (Sophorae Flavescentis Radix, 3 qian), Dan Pi (3 qian), Huang Qin (2 qian). Select a "Heavenly Pardon Day," decoct seven herbs in two bowls of water to yield one bowl (do not decoct twice). Further reduce this one bowl by half-pot heating to three parts. Mix with 5 qian of finely powdered Fu Ling to form pills the size of rice grains. When the infant reaches six months, mix pills with honey and administer to the child.