小儿痘疮何以知？腮赤眼泡亦赤时；呵欠喷嚏及惊怖，耳尖手指冰如之；证作三日疮不见，升发
之药不可迟；败毒葛根堪选用，解热表汗最为宜；寒凉之剂慎勿用，脏腑一动
致灾危。
小儿患痘疮，脏腑虚寒者见证（忌服寒凉药）∶恶寒、寒热往来、自汗恶风、手足厥冷、面青、
面色 白、目睛青色、粪色青白；体净、怠惰嗜卧、二便清利、吐泻不渴；昏睡、口鼻气冷、饮
食不进、乳食不化；腹胀、声音微弱、足胫冰冷、精神慢弱；懒言、吐乳泻清、脉浮细而虚（乃表虚）、
脉沉细而迟（乃里虚）。
小儿痘疮，脏腑实热者见证（忌服温热药）∶面赤、大便闭、身体壮热、毛焦肤燥；唇紫、小
便赤、手足热极、惊悸谵语；眼黄、口气热、吐痢而渴、狂乱叫哭；鼻塞、流清涕、大便
焦黄、腹胀不食；头痛、身皆痛、烦躁痰壅、胸膈痞满；呛喉、咽干燥、咳嗽喘促、上下失血；脉浮
数而实大（表）、脉沉实而数（里）。
痘有十候∶发热、初出、出齐、起泛、行浆、浆足、回水、收靥、结痂、还元。
初发热宜∶
加味败毒散 初起发热即服此药，神效。
柴胡 前胡 羌活 独活 防风 荆芥 薄荷 枳壳 桔梗 川芎 天麻 地骨皮。
上古方，除参苓，恐补早助火也。宜加紫草、蝉蜕、苏叶、麻黄、姜蚕、葱白带根解热。泄
泻加猪苓、泽泻，去紫草，水煎热服，出汗为佳。
升麻葛根汤 发热之初，未分麻痘、伤寒、伤食等症，宜此解散，庶无误事。
升麻 葛根 白芍（各三钱） 甘草（一钱）
上锉一剂，生姜三片，水煎热服。寒月加苏叶八分；四肢逆冷加桂枝一钱半；腰痛当知是痘，
加桂枝钱半；时气酷
烈，发热太甚，乃是毒瓦斯盛，加牛蒡子一钱半，只服前败毒散尤妙。
痘初出宜∶
神功散 治痘出毒瓦斯太盛，血红一片，不分地界，如纹蚕种，或诸失血、呕，吐泻，七日以前
诸症可服解毒。
黄 人参 白芍 紫草 生地 红花 牛蒡子（各等分） 前胡 甘草（减半）
上锉，水煎，不拘时服。热甚加黄连、黄芩各一钱；未退者，再加大黄研入。有惊者，加蝉蜕一个
去翅足。若头粒淡黑者，有寒乘之，加官桂一钱。
胡荽酒 痘初出时，宜用此酒遍喷四面床壁，及与患者服。役人皆饮，能辟秽毒；又以净胭脂点
两眼角，防痘入眼。
胡荽一束，铜钱大，细切，用好酒热和与服。须臾，浑身通畅。过一二时，以纸蘸麻油点照于无痘处，
又出如珍珠光亮数十颗矣。如无胡荽，即用胡荽子研亦可。
痘出齐宜
保元汤
人参（二钱） 黄 （嫩者二钱） 甘草（一钱）
上锉一剂，生姜一片，水煎服。
四日以前有寒症，其色黑惨，宜用保元汤加官桂。五日以后，有寒中里者，用附子理中汤，不甚，
只宜保元汤加官桂。
腹痛者，毒盛也，神功散主之。
面红不退，地界不分者，神功散倍前胡。
吐者毒盛，乘火炎而宣也，神功散主之。
泄泻者，火盛而奔越也，服神功散即止。却用升麻以升提之，不可用止涩之药，唯解其毒则自止矣。
渴者，红花子汤加牛蒡子，虽口中如烟起即解。发渴者，或用人参、麦门冬汤饮之亦可。切不可用枣汤。
大渴者，取真黄土百沸汤，碗盖泡取水，少加砂糖调饮立止。
汗不止者而身已凉，乃血随气溢也。用当归（五钱）、黄 （三钱）、酸枣（一钱）。共锉一剂，水煎
温服，立止。
痰，用白附子水磨服，效。不可用二陈汤，使燥阳明经，使孤阳无阴，不能施化也。
嗽，用杏仁煎汤，磨白附子服。
三日内顶陷者，非虚也，乃火盛阳极，反为阴降，如当午树枝向下。宜用九味神功散退其火。
三四日色惨不阴，宜用神功散活血退火，使其莹满光明。
或有失治，不知解毒，五六日间，以灯照之，生气未戕，其毒太盛作热，地界红燥，宜用神功
散治之。观随其变而施治，犹或可救一二。过此则不能施其神功矣。
认痘法∶故曰气尊血分者生，谓火靖而后出，气得其令，头粒尖而白，根颗红而不散，譬如一颗珍
珠放在胭脂上也，头粒白于上，见气升而尊，根红于下，见血附而安其分也，故生。故曰毒参阳位者死，
谓带火而出，气不得令，头粒红紫、地界不分，譬如 血、猪肝，势极而不返，故死。若朱砂胭脂包者，
生息之气犹存，可治也。
痘不治法∶初出涌壮者不治，出如蚕种者不治；随出随没者不治；如蚊虫咬者不治；气血相失者不治；
倒出者不治；饮水如促鼻者不治。与肺气不能疏理也。
大凡七日以前为里实，不可投温燥之剂，能助毒也。八日以后为里虚，不可投寒凉之剂，能伐生气也。
起泛宜∶
当起泛而不起，用川山甲炒成珠，研二钱，温酒调服。
血弱不起，根底淡薄，用保元汤加丁香（三粒）、肉桂（一钱）、当归（二钱）、
川芎（一钱）、水煎服。
凡痘不起胀、灰白色、顶陷者，气血不足、虚寒症也，宜托里散加丁香。
凡痘紫红不起胀者，火盛血热，宜服内托散去桂、加紫草、红花；热盛加黄芩；若紫黑陷伏、用此药
调川山甲炒成珠为末，五分，同服。
内托散 治血气虚损，或风邪秽毒冲触，使疮毒内陷，伏而不出，或出而不匀。用此药活血匀
气、调出补虚、内托疮毒，使之尽出易收。
黄 （蜜炙） 人参 当归（各二钱） 川芎 防风 桔梗 白芷 浓朴（姜汁炒） 甘草（各一钱）
木香 官桂（各三分）
上方于红紫黑陷属热毒者，去桂，加紫草、红花、黄芩；若淡白、灰黑、陷伏属虚寒者，加丁香救里、
官桂救表；当贯脓而不贯脓者，倍参、 、当归，煎热，临服入人乳汁、好酒同参温服，此贯脓之巧法也；
泄泻加丁香、干姜、肉蔻。
行浆宜∶
八日浆不行，其根虚薄、血少故耳。盖以初起时毒载血妄行，未免蹿进，其血亏矣。至此不能成浆，
急以归茸汤益之。
归茸汤
鹿茸（酥炙，一两） 当归（五钱） 锉，酒煎服。
凡痘属虚寒，八九日色光、白如水泡，顶陷根白、痒塌寒战等症。
回阳酒
鹿茸（酥炙焙） 大附子（面包煨去脐皮） 嫩黄 当归（酒洗。）
上锉，好酒煎服。兼有痰嗽，加牛胆南星。
灰陷黑陷，呕吐白沫为表虚，用木香散。
呕甚，用木香散加白豆蔻。此正治也。若未曾解毒，另有法。
寒战切牙、痒塌泄泻为里虚，用异功散。泄泻甚，用异功散加肉豆蔻。
干呕属胃虚里热，用异功散。
木香散
木香（磨） 前胡 黄 白茯苓（去皮） 白术 浓朴（姜汁炒） 诃子（煨，取肉）
陈皮（各一钱） 肉桂（八分） 人参 丁香（雄者五粒。）
上锉一剂，水一钟，煎八分。温服。
异功散
当归 川芎 人参（减半） 黄 白术（去芦） 白茯苓（去皮） 诃子（煨，取肉）
大附子（面包煨去皮脐） 半夏（姜汁炒。各一钱） 浓朴（姜汁炒） 肉桂（各八分） 小丁香（七枚）
上锉一剂，水一钟，煎至八分，温服。
浆行而作痒，此内热而外为风寒所束。用荆芥穗纸裹紧搓糊，粘指头，令不散，灯上烧过，却于桌上吹
去灰，快放手，指定痒痘头用荆芥穗火点痒处一下即放退。患者自以为妙，每痒痘悉点之立止。
行浆行足而发疔，认定是黑疔痘，或黑而硬，或有红丝，或为大紫泡，未曾解毒者，仍以神功散加雄黄、
黄芩、黄连、大黄煎服。却用点法∶雄黄一钱，研胭脂，重浸水合浓，调雄黄末，点疔痘顶上，立时即出
红活，亦神法也。盖雄黄能拔毒，胭脂能活血水。
浆足宜∶
此时有咳逆，胃气上越欲绝也。以真黄土，鼻边闻之，立止。
九日而寒者异功散，甚者宜。九日寒战，大附子半个面裹煨热七钱、干姜炒黑五钱、白术五钱、人
参三钱，水煎温服。
此时浆满，或为寒所薄，一时痘俱紫黑，即如紫葡萄样，不必惊恐，急以肉桂磨汤服之，立见如旧。
回水宜∶
九日十日，回水之时，元气熏蒸，真阳运化，其水自然消燥，此循环之妙理也。其有未曾解毒，至此
时水不能化，反归于胃，与所伏之毒伏于阳明，则脾胃受戕，宜以定中汤治之。
定中汤 用真黄土，能镇安胃气，收敛中土，取真正黄色不杂者，用一块在碗内百沸汤泡，即以碗
盖，少倾出用。如冷倾入盏内，外以热水顿热，用两酒盏和药∶朱砂研细五分，能镇心胞络，使小肠不奔
也；雄黄研细一钱，能解毒，使胃气宁也。二味同和匀，以黄土汤少加砂糖温服，二服立效。烦躁、闷乱、
发渴，定中汤加片脑半分，牛蒡子汤二盏和服。
有寒战切牙等症，宜用附子理中汤。
有擦破周身不能回水，急以新瓦椿作粉，掺在破处，立收。此妙法也。
收靥宜∶
若解毒不尽，或未经解毒，到当靥而不靥，发热蒸蒸者，用甘露回天饮∶砂糖半酒盏，百沸汤调一大碗，
温服，立时退热，痘即靥。万发万中，回天之力也。
若痘靥时湿靥，乃外溃之痘淋漓粘沾者，宜以甄陶散敷之∶新瓦不拘多少，为细末，筛过，绢袋包，扑
患处。若干痂堆不落，内又窨脓，即以瓦粉用鸭蛋清调敷，立收而落
痂矣。
当靥时腹痛不靥，其痛着在中脘，乃热毒凝滞、瘀血作痛也。
手捻散
牛蒡子 白芍 桃仁 大黄（各一钱） 红花（八分） 桂枝（五分）
上锉一剂，水煎温服。一服立愈。
若将靥时，其痘一时尽黑，非靥也，乃火极攻里，即凶矣。
结痂宜∶
外溃不结痂者，甄陶散敷之。结痂而误犯风寒，恶寒发热者，以补中益气汤主之。
补中益气汤
当归 黄 （各一钱） 人参（五分） 白术（八分） 柴胡 升麻 干葛（各一钱） 甘草（五分）
上锉一剂，生姜一片，水煎服。
结痂后虚烦者，宜加味保元汤。
加味保元汤
黄 （二钱） 人参（一钱） 麦门冬（去心，二钱半） 知母（一钱半） 栀子（炒，一钱半）
甘草（五分）
上锉一剂，水煎温服。结痂后有余热者，以前药加牛蒡子（一钱半）、白附子（一钱）。
还元宜∶
痂落，血气尚虚无力者，宜调理，八物汤主之，或十全大补汤。
还元痂落，有余毒，觉其聚于脏腑，时复作热，腹内疼痛，宜牛蒡子饮主之。
牛蒡子饮
牛蒡子 前胡 黄连 黄芩 连翘 白附子 玄参 赤芍（各一钱） 羌活 防风 甘草（各五分）
上锉一剂，水煎服。
五福化毒丹 治痘疹后余毒，神效。（方见前诸热。）
祖传经验秘方 凡痘后，不问痈毒发于何经，初起红肿时用。
黑、绿、赤三豆，以酸醋浸，研浆，时时以鹅翎刷之，随手退去，效。
〔补遗秘方〕
治小儿痘疹不起发。用李树上津胶，每用些须熬水，饮之即起。
复生丸 治小儿痘疹不起发，紫黑陷伏，并痘疹初作，已发未发，服之，其毒即解，五日以前可
服，其效如神。（大梁钟云山传。）
当归 白芍 西芎 升麻 葛根 甘草（各五钱） 嫩紫草茸（一两） 辰砂（一两一钱）
上为末，炼蜜为丸，如梧桐子大。每服一丸，冰、雪、雨三水送下。如无，河水亦可；或糯米汤入酒一
匙送下亦可。
桃红痘疔方
雄黄（一钱） 紫草（三钱）
上为细末，胭脂汁调，将银簪挑破黑疔，将药点入内即效。
发痘方
穿山甲（用钱铺炒焦黄色） 麝香（少许）。
上为细末，六七岁者，热酒调下三分，不可多用，盖被片时，通身汗出。
牛黄散 治痘黑陷，虚弱而不起发。
朱砂（一分） 牛黄（三厘）
上为细末，蜂蜜打湿胭脂汁，取蜜调药，用银簪刺黑陷上为之三次，一日涂一次，去黑。
How to diagnose smallpox in children? When the cheeks are red and the eyelids are swollen and red; accompanied by yawning, sneezing, and signs of fright or terror, with ears and fingers as cold as ice; if three days pass after symptoms appear without visible rash, the herbs for ascending and diffusing cannot be delayed; Baidu Gegen Tang (Decoction for Overcoming Poison and Kudzu Root) can be selected, which is most suitable for resolving heat and inducing sweating to release the exterior; cold-natured agents must be used with caution, as disturbing the Zang-Fu organs may lead to disaster and danger.
For children suffering from smallpox with deficiency-cold of the Zang-Fu organs, the following manifestations occur (cold-natured herbs are contraindicated): aversion to cold, alternating chills and fever, spontaneous sweating with aversion to wind, cold extremities, cyanotic or pale complexion, cyanotic eyes, greenish-white stool; clean body, lethargy and desire to sleep, clear and profuse urination and defecation, vomiting and diarrhea without thirst; drowsiness, cold breath from mouth and nose, inability to eat, undigested milk and food; abdominal distension, weak voice, cold calves, listless spirit; reluctance to speak, vomiting milk and passing clear loose stools, floating-thin-deficient pulse (indicating exterior deficiency), deep-thin-slow pulse (indicating interior deficiency).
For children suffering from smallpox with excess-heat of the Zang-Fu organs, the following manifestations occur (warm-natured herbs are contraindicated): red face, constipation, high fever, dry hair and skin; purple lips, dark yellow urine, extremely hot hands and feet, palpitations and delirious speech; yellow eyes, hot foul breath, vomiting and dysentery with thirst, manic crying; nasal congestion, runny clear nose, dark yellow stool, abdominal distension and anorexia; headache, generalized body pain, irritability with phlegm obstruction, chest and diaphragm fullness and stuffiness; choking cough, dry throat, cough with wheezing, bleeding from upper and lower orifices; floating-rapid-excess-large pulse (exterior syndrome), deep-excess-rapid pulse (interior syndrome).
Smallpox has ten stages: fever, initial eruption, complete eruption, rising and swelling, pus formation, full pus, drying up, scabbing, scab formation, and recovery of vitality.
Treatment during the initial fever stage:
Jiawei Baidu San (Modified Decoction for Overcoming Poison): Take this medicine immediately at the onset of fever for miraculous effects.
Herbs: Chaihu (Bupleuri Radix), Qianhu (Peucedani Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Bohe (Menthae Haplocalycis Herba), Zhike (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Tianma (Gastrodiae Rhizoma), Digupi (Lycii Cortex).
This is an ancient formula, excluding Renshen (Ginseng Radix et Rhizoma) and Fuling (Poria), fearing that early tonification might aid fire. It is advisable to add Zicao (Arnebiae Radix), Chantui (Cicadae Periostracum), Ziye (Perillae Folium), Mahuang (Ephedrae Herba), Jiangcan (Bombyx Batryticatus), and Congbai gen (Allii Fistulosi Bulbus cum Radice) to resolve heat. If there is diarrhea, add Zhuling (Polyporus) and Zexie (Alismatis Rhizoma), remove Zicao, decoct in water and take hot; sweating is ideal.
Shengma Gegen Tang (Decoction of Cimicifugae Rhizoma and Puerariae Radix): At the beginning of fever, before distinguishing between measles, smallpox, cold damage, or food stagnation, use this formula to dissipate the pathogen to avoid errors.
Herbs: Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Radix), Baishao (Paeoniae Radix Alba) (each 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian).
Crush one dose, add three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct in water and take hot. In cold months, add Ziyehuangqin (Perillae Folium) 8 fen; for cold limbs, add Guizhi (Cinnamomi Ramulus) 1.5 qian; for lower back pain, knowing it is smallpox, add Guizhi 1.5 qian; if the epidemic qi is fierce and fever is severe, indicating abundant toxic qi, add Niubangzi (Arctii Fructus) 1.5 qian; taking only the previous Baidu San is particularly excellent.
Treatment during the initial eruption stage:
Shengong San (Divine Merit Powder): Treats excessive toxic qi during eruption, where blood is red and widespread without clear boundaries, resembling silkworm eggs, or for various hemorrhages, vomiting, and diarrhea within seven days; take this for detoxification.
Herbs: Huangqi (Astragali Radix), Renshen (Ginseng Radix et Rhizoma), Baishao (Paeoniae Radix Alba), Zicao (Arnebiae Radix), Shengdi (Rehmanniae Radix Preparata), Honghua (Carthami Flos), Niubangzi (Arctii Fructus) (equal parts), Qianhu (Peucedani Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (halved).
Crush, decoct in water, take at any time. If heat is severe, add Huanglian (Coptidis Rhizoma) and Huangqin (Scutellariae Radix) each 1 qian; if not subsided, add Dahuang (Rhei Radix et Rhizoma) ground into the mixture. For convulsions, add one Chantui (Cicadae Periostracum) with wings and feet removed. If pustules are pale black, indicating cold invasion, add Guanzi Gui (Cinnamomi Cortex) 1 qian.
Huisui Jiu (Coriander Wine): At the initial eruption of smallpox, spray this wine around the bed walls and give it to the patient. Caretakers should also drink it to ward off filth and toxicity; apply pure rouge to the corners of the eyes to prevent toxin entering the eyes.
Take a bunch of Huisui (Coriandri Fructus), size of a copper coin, finely cut, mix well with hot wine and administer. Soon, the whole body feels unblocked. After one or two hours, dip paper in sesame oil and shine on areas without rash; dozens of pearl-like bright spots will emerge. If Huisui is unavailable, grinding Huisui Zi (Coriandri Fructus) works too.
Treatment when eruptions are complete:
Baoyuan Tang (Preserve Origin Decoction)
Herbs: Renshen (Ginseng Radix et Rhizoma) (2 qian), Huangqi (Astragali Radix) (young ones, 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian).
Crush one dose, add one slice of Shengjiang (Zingiberis Rhizoma Recens), decoct in water and take.
If there are cold symptoms before the fourth day with dark color, use Baoyuan Tang plus Guanzi Gui (Cinnamomi Cortex). If after the fifth day there is interior cold, use Fuzi Lizhong Tang; if mild, only Baoyuan Tang plus Guanzi Gui is suitable.
Abdominal pain indicates excessive toxin; treat with Shengong San.
Persistent facial redness with indistinct boundaries: double the Qianhu in Shengong San.
Vomiting indicates excessive toxin rising with fire; treat with Shengong San.
Diarrhea indicates excessive fire rushing out; stop with Shengong San. Use Shengma (Cimicifugae Rhizoma) to lift and raise; do not use astringents. Only by resolving the toxin will it stop naturally.
Thirst: Use Honghua Zi Tang (Red Flower Seed Decoction) plus Niubangzi (Arctii Fructus); even if smoke rises from the mouth, it will resolve. For thirst, Ren Shen Mai Men Dong Tang (Ginseng and Ophiopogon Decoction) is also acceptable. Do not use Jujube Decoction.
Severe thirst: Take real yellow earth soaked in boiling water, cover the bowl, let sit briefly, then pour into a cup. Add a little sugar and drink; it stops immediately.
Unstopping sweating with cool body indicates blood overflowing with qi. Use Danggui (Angelicae Sinensis Radix) (5 qian), Huangqi (Astragali Radix) (3 qian), Suanzaoren (Ziziphi Spinosae Semen) (1 qian). Crush one dose, decoct in water and take warm; it stops immediately.
Phlegm: Use Baifuzi (Aconiti Kusnezoffii Radix) ground in water; effective. Do not use Erchen Tang (Two Aged Things Decoction), as it dries the Yangming channel, leaving solitary yang without yin, unable to transform.
Cough: Decoct Xingren (Pruni Armeniaci Semen Amarum) in water, grind Baifuzi (Aconiti Kusnezoffii Radix) and take.
Depressed crown within three days is not deficiency but extreme fire turning to yin descent, like branches drooping at noon. Use Jiwei Shengong San (Nine-Ingredient Divine Merit Powder) to reduce fire.
Pale and dull color on days 3-4 without moisture: Use Shengong San to invigorate blood and reduce fire, making it bright and full.
If treatment is missed and detoxification is unknown, on days 5-6, shine a lamp on it; if vital qi is not destroyed but toxin is excessive causing heat with red dry boundaries, treat with Shengong San. Observe changes and treat accordingly; perhaps one or two can be saved. Beyond this, divine merit cannot be applied.
Recognizing Smallpox: Those with qi respected and blood distinct survive. This means fire settles before eruption, qi follows its command, tips are sharp and white, roots are red and not scattered, like a pearl placed on rouge. White tips show rising qi respected; red roots show blood adhering securely, thus survival. Those with toxin invading yang positions die. This means erupting with fire, qi losing command, tips red-purple, boundaries indistinct, like blood or pig liver, extreme momentum without return, thus death. If covered by cinnabar and rouge, vital qi remains, treatable.
Incurable Smallpox: Erupting violently and strongly is incurable; erupting like silkworm eggs is incurable; appearing and disappearing immediately is incurable; resembling mosquito bites is incurable; loss of qi and blood harmony is incurable; inverted eruption is incurable; drinking water like obstructed nose breathing is incurable, due to lung qi failing to disperse.
Generally, before seven days is interior excess; do not administer warm-dry agents as they aid toxin. After eight days is interior deficiency; do not administer cold-cool agents as they destroy vital qi.
Treatment during the rising and swelling stage:
If rising fails when it should, use Chuanshanjia (Manis Squama) fried to pearls, ground 2 qian, taken with warm wine.
If blood weakness prevents rising with thin roots, use Baoyuan Tang plus Dingxiang (Caryophylli Flos) (3 grains), Rougui (Cinnamomi Cortex) (1 qian), Danggui (Angelicae Sinensis Radix) (2 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (1 qian), decoct in water and take.
For non-swelling, gray-white, depressed crowns, indicating qi-blood deficiency and deficiency-cold, use Tuoli San (Support Interior Powder) plus Dingxiang (Caryophylli Flos).
For purple-red non-swelling, indicating excessive fire and blood heat, use Neituo San (Interior Support Powder) removing Rougui (Cinnamomi Cortex), adding Zicao (Arnebiae Radix) and Honghua (Carthami Flos); if heat is excessive, add Huangqin (Scutellariae Radix); if purple-black and sunken, mix this powder with Chuanshanjia (Manis Squama) fried to pearls, 5 fen, taken together.
Neituo San (Interior Support Powder): Treats qi-blood deficiency or wind-filth-toxin intrusion causing toxin sinking inward, lying dormant without erupting, or erupting unevenly. Use this to invigorate blood, harmonize qi, supplement deficiency, support interior toxin, ensuring complete eruption and easy healing.
Herbs: Huangqi (Astragali Radix) (honey-fried), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix) (each 2 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Jiegeng (Platycodonis Radix), Baizhi (Angelicae Dahuricae Radix), Houpo (Magnoliae Officinalis Cortex) (fried with ginger juice), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 qian), Muxiang (Aucklandiae Radix), Guanzi Gui (Cinnamomi Cortex) (each 3 fen).
For red-purple-black sinking due to heat-toxin, remove Gui (Cinnamon), add Zicao (Arnebiae Radix), Honghua (Carthami Flos), Huangqin (Scutellariae Radix); for pale-white/gray-black sinking due to deficiency-cold, add Dingxiang (Caryophylli Flos) to save interior, Guanzi Gui (Cinnamomi Cortex) to save exterior; when suppuration should occur but doesn't, double Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), decoct hot, add human milk and good wine before taking warm, a clever method for suppuration; for diarrhea, add Dingxiang (Caryophylli Flos), Ganjiang (Zingiberis Rhizoma), Roukouren (Myristicae Semen).
Treatment during the pus formation stage:
If pus does not form by day eight, roots are deficient and blood scant. Initially, toxin carried blood recklessly, depleting blood. Now unable to form pus, urgently supplement with Gurong Tang (Deer Antler and Angelica Decoction).
Gurong Tang (Deer Antler and Angelica Decoction)
Herbs: Lurong (Cervi Cornu Degelatinatum) (prepared with butter, 1 liang), Danggui (Angelicae Sinensis Radix) (5 qian). Crush, decoct in wine and take.
For deficiency-cold smallpox, on days 8-9 with shiny white appearance like water blisters, depressed crown, white root, itching collapse, and chills.
Huiyang Jiu (Return Yang Wine)
Herbs: Lurong (Cervi Cornu Degelatinatum) (prepared with butter and baked), Dafuzi (Aconiti Lateralis Radix Preparata) (wrapped in flour, baked, navel and skin removed), tender Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix) (washed with wine).
Crush, decoct in good wine and take. If accompanied by phlegm-cough, add Niudan Nanting (Arisaematis Cum Bile Rhizoma).
Gray/black sinking with vomiting of white foam indicates exterior deficiency; use Muxiang San (Aucklandia Powder).
Severe vomiting: Muxiang San plus Bai Doukou (Amomi Fructus Rotundus). This is standard treatment. If detoxification was not done, use another method.
Chills, teeth grinding, itching collapse, and diarrhea indicate interior deficiency; use Yigong San (Extraordinary Merit Powder). Severe diarrhea: Yigong San plus Roudoukou (Myristicae Semen).
Dry retching indicates stomach deficiency with interior heat; use Yigong San (Extraordinary Merit Powder).
Muxiang San (Aucklandia Powder)
Herbs: Muxiang (Aucklandiae Radix) (ground), Qianhu (Peucedani Radix), Huangqi (Astragali Radix), Baifuling (Poria Cocos) (peeled), Baizhu (Atractylodis Macrocephalae Rhizoma), Houpo (Magnoliae Officinalis Cortex) (fried with ginger juice), Hezi (Terminaliae Chebulae Fructus) (baked, flesh taken), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian), Rougui (Cinnamomi Cortex) (8 fen), Renshen (Ginseng Radix et Rhizoma), Dingxiang (Caryophylli Flos) (male, 5 grains).
Crush one dose, add one zhong of water, decoct to 8 fen. Take warm.
Yigong San (Extraordinary Merit Powder)
Herbs: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Renshen (Ginseng Radix et Rhizoma) (halved), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (remove rhizome), Baifuling (Poria Cocos) (peeled), Hezi (Terminaliae Chebulae Fructus) (baked, flesh taken), Dafuzi (Aconiti Lateralis Radix Preparata) (wrapped in flour, baked, navel and skin removed), Banxia (Pinelliae Rhizoma Preparatum) (fried with ginger juice, each 1 qian), Houpo (Magnoliae Officinalis Cortex) (fried with ginger juice), Rougui (Cinnamomi Cortex) (each 8 fen), Xiao Dingxiang (Caryophylli Flos) (7 grains).
Crush one dose, add one zhong of water, decoct to 8 fen. Take warm.
Itching during pus formation indicates internal heat constrained by external wind-cold. Wrap Jingjisui (Schizonepetae Spica) tightly in paper, rub until sticky, burn over lamp, blow off ash on table, quickly touch the itchy pimple once with the burning tip and withdraw. Patients find this wonderful; applying to all itchy pimples stops itching immediately.
If carbuncles develop during pus formation, identified as black carbuncle smallpox, hard black, with red threads, or large purple blisters, untreated previously, still use Shengong San plus Xionghuang (Realgar), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma) decocted and taken. Also use topical method: 1 qian Xionghuang (Realgar) ground with rouge, mixed thick with water, apply Xionghuang powder to top of carbuncle pimple; red vitality appears instantly, a divine method. Xionghuang (Realgar) extracts toxin; rouge invigorates blood and fluid.
Treatment during the full pus stage:
Cough and reversal here indicate stomach qi rising towards exhaustion. Smell real yellow earth near the nose; it stops immediately.
Chills on day nine: Yigong San (Extraordinary Merit Powder); severe cases require specific attention. Chills on day nine: half Dafuzi (Aconiti Lateralis Radix Preparata) wrapped in flour, baked hot, 7 qian; Ganjiang (Zingiberis Rhizoma) stir-fried black, 5 qian; Baizhu (Atractylodis Macrocephalae Rhizoma), 5 qian; Renshen (Ginseng Radix et Rhizoma), 3 qian. Decoct in water and take warm.
When pus is full, if attacked by cold, all pimples turn purple-black like purple grapes. Do not panic; urgently grind Rougui (Cinnamomi Cortex) in soup and take; appearance returns to normal immediately.
Treatment during the drying up stage:
Days 9-10, during drying up, yuan qi steams, true yang transforms, water naturally dries; this is the wonder of circulation. If detoxification was incomplete, water cannot transform, returns to stomach, combining with latent toxin in Yangming, damaging spleen and stomach; treat with Dingzhong Tang (Stabilize Middle Decoction).
Dingzhong Tang (Stabilize Middle Decoction): Uses real yellow earth to calm stomach qi and consolidate middle jiao. Take pure yellow earth, soak a piece in boiling water in a bowl, cover briefly, then use. If cold, place cup in hot water to warm. Mix medicine in two wine cups: Zhusha (Cinnabaris) ground fine 5 fen, calms pericardium collateral, prevents small intestine rushing; Xionghuang (Realgar) ground fine 1 qian, resolves toxin, calms stomach qi. Mix these two evenly, take with yellow earth soup added with a little sugar warm; two doses bring immediate effect. For irritability, confusion, and thirst, add Pian Nao (Borneolum Syntheticum) half fen to Dingzhong Tang, mix with two cups of Niubangzi (Arctii Fructus) decoction.
For chills and teeth grinding, use Fuzi Lizhong Tang (Aconite and Magnolia Decoction to Warm the Middle).
If scratched all over preventing drying up, urgently use new tile powder applied to broken areas; it seals immediately. This is a wonderful method.
Treatment during the scabbing stage:
If detoxification is incomplete or not done, reaching scabbing stage without scabbing, with steaming fever, use Ganlu Huitian Yin (Sweet Dew Heaven-Returning Drink): Half wine cup of sugar, mixed with one large bowl of boiling water, take warm; fever retreats immediately, scabs form. Infinitely accurate, power to restore heaven.
If wet scabbing occurs, oozing and sticking ulcers, apply Zhentao San (Pottery Powder) externally: New tile, any amount, ground fine, sifted, packed in silk bag, dust on affected area. If dry crusts pile up and do not fall, with pus inside, mix tile powder with duck egg white and apply; crusts fall off immediately.
Abdominal pain during scabbing without scabbing, pain centered at Zhongwan (CV12), indicates heat-toxin stagnation and blood stasis causing pain.
Shounian San (Finger-Pinch Powder)
Herbs: Niubangzi (Arctii Fructus), Baishao (Paeoniae Radix Alba), Taoren (Persicae Semen), Dahuang (Rhei Radix et Rhizoma) (each 1 qian), Honghua (Carthami Flos) (8 fen), Guizhi (Cinnamomi Ramulus) (5 fen).
Crush one dose, decoct in water and take warm. One dose brings immediate cure.
If just before scabbing, all pimples suddenly turn black, this is not scabbing but extreme fire attacking interior, ominous.
Treatment during the scab formation stage:
External ulcers not scabbing: apply Zhentao San (Pottery Powder). Scabbing but mistakenly exposed to wind-cold with aversion to cold and fever: treat with Buzhong Yiqi Tang (Tonify Middle and Augment Qi Decoction).
Buzhong Yiqi Tang (Tonify Middle and Augment Qi Decoction)
Herbs: Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix) (each 1 qian), Renshen (Ginseng Radix et Rhizoma) (5 fen), Baizhu (Atractylodis Macrocephalae Rhizoma) (8 fen), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma), Gange (Puerariae Radix) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen).
Crush one dose, add one slice of Shengjiang (Zingiberis Rhizoma Recens), decoct in water and take.
After scabbing, deficiency irritability: use Jiawei Baoyuan Tang (Modified Preserve Origin Decoction).
Jiawei Baoyuan Tang (Modified Preserve Origin Decoction)
Herbs: Huangqi (Astragali Radix) (2 qian), Renshen (Ginseng Radix et Rhizoma) (1 qian), Maidong (Ophiopogonis Radix) (decored, 2.5 qian), Zhimu (Anemarrhenae Rhizoma) (1.5 qian), Zhizi (Gardeniae Fructus) (stir-fried, 1.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen).
Crush one dose, decoct in water and take warm. For residual heat after scabbing, add Niubangzi (Arctii Fructus) (1.5 qian) and Baifuzi (Aconiti Kusnezoffii Radix) (1 qian) to the previous prescription.
Treatment during the recovery stage:
After scabs fall, if qi-blood is still deficient and weak, regulate with Bawu Tang (Eight Substances Decoction) or Shiquan Dabu Tang (Ten Complete Tonifying Decoction).
After scabs fall, if residual toxin gathers in zang-fu, recurring fever and abdominal pain, use Niubangzi Yin (Arctii Decoction).
Niubangzi Yin (Arctii Decoction)
Herbs: Niubangzi (Arctii Fructus), Qianhu (Peucedani Radix), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Lianqiao (Forsythiae Fructus), Baifuzi (Aconiti Kusnezoffii Radix), Xuanshen (Scrophulariae Radix), Chishao (Paeoniae Radix Rubra) (each 1 qian), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 5 fen).
Crush one dose, decoct in water and take.
Wufu Huadu Dan (Five Blessings Detoxifying Pill): Treats residual toxin after smallpox/measles, miraculous effects. (Formula seen in previous Heat sections.)
Ancestral Secret Recipe: After smallpox, regardless of which meridian abscess/toxin erupts, use at initial redness and swelling.
Black, green, and red beans, soaked in sour vinegar, ground to paste, brush frequently with goose feather; retreats instantly, effective.
[Supplementary Secret Recipes]
Treats smallpox/measles not erupting. Use resin from plum tree, boil a small amount in water, drink; eruption occurs immediately.
Fusheng Wan (Revival Pill): Treats smallpox/measles not erupting, purple-black sinking, and initial eruption whether erupted or not; taking it resolves toxin immediately. Can be taken before five days, effect like divine. (Transmitted by Zhong Yunshan of Dalang.)
Herbs: Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Xixiong (Ligustici Chuanxiong Rhizoma), Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 5 qian), tender Zicao Rong (Arnebiae Radix) (1 liang), Chensha (Cinnabaris) (1 liang 1 qian).
Grind to powder, make pills with refined honey, size of paulownia seeds. Take one pill per dose, delivered with ice, snow, or rain water. If unavailable, river water is okay; or glutinous rice soup with one spoon of wine is also acceptable.
Taohong Douding Fang (Peach Red Carbuncle Formula)
Herbs: Xionghuang (Realgar) (1 qian), Zicao (Arnebiae Radix) (3 qian).
Grind to fine powder, mix with rouge juice. Pierce black carbuncle with silver needle, apply medicine inside; effective immediately.
Fa Dou Fang (Promote Eruption Formula)
Herbs: Chuanshanjia (Manis Squama) (fried with coins until yellow-brown), Shexiang (Moschus) (small amount).
Grind to powder. For 6-7 year olds, take 3 fen with hot wine. Do not use more. Cover with blanket for a moment; whole body sweats.
Niuhuang San (Calves' Bile Powder): Treats black sunken smallpox, weakness and failure to erupt.
Herbs: Zhusha (Cinnabaris) (1 fen), Niuhuang (Bovis Calculus) (3 li).
Grind to powder, mix honey-wetted rouge juice with honey to adjust medicine. Pierce black sunken area three times with silver needle, apply once a day to remove blackness.