痘出之际热烘烘。纷纷麻点遍身红。脾肺游火夹痘出。托出麻疹痘成功。
初现痘点数十粒。遍身红点细密密。此是大痘夹疹子。由于脾肺风热出。
麻疹有于出痘之时相夹而出者。当出痘之际。发热蒸蒸。才现痘苗数十颗。遍身通红。碎碎
密密。形如出麻。似非出痘。其实大痘夹麻而出。是痘为正出。而麻不过脾肺两家之风热游火。随
痘而出现也。不甚关利害。遇此等症。不必惊慌。以元参升麻汤除升麻、甘草。加黄芩、连翘一
二剂与服。宣托麻疹尽出而消散。正痘自然根据期起灌。而庆成功。此等夹麻之痘。而痘出必多疏
稀。
元参升麻汤 治痘夹麻、夹斑、夹丹等症。
元参（一钱） 升麻（五钱） 防风 荆芥 牛蒡子（炒研各七分） 生甘草（去皮三分） 水煎温服。
痘回水时将结痂。身复发热惊医家。倏尔遍身上下红。现出盖痘解毒麻。
痘至回水结痂之际。复又发热。遍身上下通红。细看痘粒。脓浆充足。此乃盖痘解毒之麻出
也。其名云何。盖痘者。痘之上盖一层麻也。解毒者。此麻一出。可以解痘毒也。宜以大连翘饮去
赤芍、柴胡、甘草。加熟石膏、天花粉、淡竹叶、地骨皮各一钱。以清解其余热。此等症候。盖因痘
起灌之时。痘已稠密。医家极力催浆。过用补剂。以致热滞脾肺而作也。
大连翘饮 治湿毒。利小便。
连翘（去子一钱） 牛蒡子 防风 荆芥 黄芩 赤芍（各七分） 栀仁（酒炒） 滑石（研各
五分） 车前子（炒） 谷瞿麦 木通 当归 柴胡（去芦各八分） 蝉蜕（去头足洗去土十二只）
生甘草（去皮三分） 热甚大便闭。加酒炒大黄一钱。生姜一片引。
前方去栀仁。加紫草。名连翘行风汤。治痘麻热毒壅闭。小便不通。
在痘疹发出的时候，身体感觉热气腾腾。全身布满了红色的麻疹斑点。这是由于脾肺两经的游移之火夹杂在痘疹中发出，将麻疹托出后，痘疹的治疗才能成功。
初期现出的痘点只有几十粒，全身都是细密分布的红点。这是大痘夹带麻疹的症状，是由于脾肺的风热之邪外发所致。
麻疹有时会在出痘的时候夹杂一起发出。正当出痘之际，患者发热蒸腾，刚刚现出几十颗痘苗，全身通红，碎密细小，形状如同出麻疹一样，看起来似乎不是出痘。其实这是大痘夹带麻疹并发，是痘疹正在正常发出，而麻疹不过是脾肺两家的风热游火，随着痘疹而出现罢了，并不太关乎病情的轻重利害。遇到这类病症，不必惊慌。使用元参升麻汤（去掉升麻、甘草），加入黄芩、连翘，服用一两剂，宣发托举使麻疹完全发出并消散，正常的痘疹自然能如期起胀灌浆，从而取得治疗成功。这种夹带麻疹的痘疹，其痘点必然比较稀疏。
元参升麻汤：治疗痘疹夹带麻疹、夹带斑疹、夹带丹毒等症。
药材组成：玄参（一钱）、升麻（五钱）、防风、荆芥、牛蒡子（炒制研碎，各七分）、生甘草（去皮，三分）。用水煎煮，温服。
当痘疹回浆结痂时，身体再次发热，令医生惊讶。忽然间全身上下变红，现出覆盖痘疹以解毒的麻疹。
痘疹到了回浆结痂的阶段，又出现发热，全身上下通红。仔细查看痘粒，脓浆充足。这是为了覆盖痘疹、解除痘毒而发出的麻疹。为什么叫这个名字呢？“盖痘”是指痘疹之上覆盖了一层麻疹；“解毒”是指这层麻疹一出，就可以解除痘毒。适宜使用大连翘饮（去掉赤芍、柴胡、甘草），加入熟石膏、天花粉、淡竹叶、地骨皮各一钱，以清解残留的热邪。这类症候，大概是因为痘疹起胀灌浆之时，痘点已经稠密，医生极力催促成浆，过度使用了补益药剂，导致热邪停滞在脾肺而产生。
大连翘饮：治疗湿毒，通利小便。
药材组成：连翘（去子，一钱）、牛蒡子、防风、荆芥、黄芩、赤芍（各七分）、栀子仁（酒炒）、滑石（研碎，各五分）、车前子（炒）、瞿麦、木通、当归、柴胡（去芦头，各八分）、蝉蜕（去头足，洗净泥土，十二只）、生甘草（去皮，三分）。若热势严重且大便闭塞，加酒炒大黄一钱，生姜一片作为引药。
At the time when the smallpox pustules erupt, the body feels intensely hot. Red measles spots cover the entire body. This is caused by wandering fire in the Spleen and Lung meridians accompanying the eruption of smallpox; once the measles are pushed out, the treatment of smallpox can succeed.
Initially, only dozens of smallpox spots appear, with fine and dense red dots all over the body. This is a case of largepox accompanied by measles, resulting from wind-heat in the Spleen and Lung exteriorizing.
Measles sometimes erupt simultaneously with smallpox. During the phase of smallpox eruption, the patient experiences steaming fever. Just as dozens of smallpox seeds appear, the whole body turns red, with fragmented and dense spots resembling measles, making it seem not like smallpox at first glance. In reality, this is largepox erupting with accompanying measles. The smallpox is erupting normally, while the measles are merely wind-heat wandering fire from the Spleen and Lung, appearing alongside the smallpox. This condition is not critical or life-threatening. Upon encountering such cases, there is no need for panic. Use Yuanshen Shengma Tang (Decoction of Scrophularia and Cimicifugae) by removing Shengma (Cimicifugae Rhizoma) and Gancao (Glycyrrhizae Radix et Rhizoma), adding Huangqin (Scutellariae Radix) and Lianqiao (Forsythiae Fructus), and administering for one to two doses. This will promote the eruption and resolution of the measles. The primary smallpox will naturally proceed to distension and suppuration according to schedule, achieving therapeutic success. In such cases of smallpox with accompanying measles, the smallpox spots tend to be sparse.
Yuanshen Shengma Tang: Treats conditions where smallpox is accompanied by measles, macules, or carbuncles.
Ingredients: Xuanshen (Scrophulariae Radix, 1 qian), Shengma (Cimicifugae Rhizoma, 5 qian), Fangfeng (Saposhnikoviae Radix), Jingjie (Perillae Folium), Niubangzi (Arctii Fructus, fried and ground, 0.7 qian each), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, peeled, 0.3 qian). Decoct in water and take warm.
When the smallpox lesions regress and scabs form, the body develops fever again, surprising the physician. Suddenly, the entire body becomes red, revealing measles that cover the smallpox to resolve toxicity.
At the stage when smallpox lesions regress and scab, fever recurs, and the whole body turns red. Careful examination shows that the pustules are full of pus. This is measles erupting to cover the smallpox and resolve its toxicity. Why is it named so? "Covering smallpox" refers to a layer of measles covering the smallpox lesions; "resolving toxicity" means that the eruption of these measles can resolve the smallpox toxin. It is appropriate to use Dalianqiao Yin (Infusion of Large Forsythia) by removing Chishao (Paeoniae Radix Rubra), Chaihu (Bupleuri Radix), and Gancao (Glycyrrhizae Radix et Rhizoma), and adding Shu Shigao (Prepared Gypsum Fibrosum), Tianhuafen (Trichosanthis Radix), Dan Zhuye (Lophatheri Herba), and Digupi (Phellodendri Cortex) each at 1 qian, to clear residual heat. These symptoms likely arise because during the distension and suppuration phase of smallpox, the lesions were already dense, and the physician excessively used tonic agents to hasten pus formation, causing heat stagnation in the Spleen and Lung.
Dalianqiao Yin: Treats damp-toxin and promotes urination.
Ingredients: Lianqiao (Forsythiae Fructus, de-seeded, 1 qian), Niubangzi (Arctii Fructus), Fangfeng (Saposhnikoviae Radix), Jingjie (Perillae Folium), Huangqin (Scutellariae Radix), Chishao (Paeoniae Radix Rubra, 0.7 qian each), Zhiren (Gardeniae Semen, wine-fried), Huashi (Talcum, ground, 0.5 qian each), Cheqianzi (Plantaginis Semen, fried), Qumai (Dianthi Herba), Mutong (Akebiae Caulis), Danggui (Angelicae Sinensis Radix), Chaihu (Bupleuri Radix, de-rhizome, 0.8 qian each), Chantui (Cicadae Periostracum, head and feet removed, cleaned of soil, 12 pieces), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, peeled, 0.3 qian). If heat is severe and constipation occurs, add Jiuhuang Da (Wine-processed Rheum Palmatum) 1 qian, with Ginger slice (Zingiberis Rhizoma Recens) as a guiding herb.
Removing Zhiren (Gardeniae Semen) from the previous formula and adding Zicao (Arnebiae Radix et Rhizoma) creates the name Lianqiao Xingfeng Tang (Wind-Dispersing Infusion of Forsythia). It treats smallpox and measles complicated by heat-toxin obstruction and urinary retention.