一小儿身热喘嗽，呕吐不食，余谓疹症也。皆由风寒封闭腠理，故伏而不出。以麻黄
葛根汤表之，得汗则皮肤通畅，疹透而症悉平矣。亦有表之无汗不透，或虽透即没，反加喘胀不治。
一儿身热咳嗽，疹出隐隐，医以疹药发之不见不没。余谓瘾疹也，由客受风寒郁而不
散，非若中腑之正疹也，以芎苏散治之愈。
一女出疹，药用寒凉。又食生梨一二，疹即隐没，喘急胸满，面青肢冷，眼合，声呕，昏
晕。余谓毒为寒郁，反毒内攻而然也。以麻黄汤加葛根紫苏甘草桔梗生姜服之，外以被覆
得汗而苏，疹复出。喘甚于前，余谓骤用麻黄燥烈之药，致毒火盛而肺气热也，宜清润之，
以甘草桔梗牛蒡前胡杏仁元参知母天花粉黄芩麦门冬治之，喘息而愈。
一儿身热，喘急腹胀。医云内伤外感，治之不效。召余，视其胸背隐隐赤色乃疹症也。
以麻黄葛根汤表之，疹虽见头面，不出即没而死。
一儿身热喘胀，人事不苏，口鼻出血，面色青白，干枯，余谓闷疹，不治。
一儿身热，疹出吐泻。余谓初出疹而吐泻者，乃阳火得泄，吉兆也。以升麻葛根汤表之，
疹尽透而愈，亦有兼伤食吐利者，前方加消化之药。
一儿身热，头疼骨痛（伤寒症）咳嗽气急，（疹症也）哕恶不食，余谓伤寒而兼疹。发以百
解散十神解毒汤治之，症平疹透愈。亦有症类如前医缓治之疹，虽透而色紫黑喘胀闷乱不治。
一儿疹半出，壮热喘胀，烦躁闷乱。余谓疹不尽透，邪毒内攻而然也。以麻黄甘草桔梗
干葛荆芥前胡枳壳牛蒡治之。疹尽出，二三番渐没而愈。
一儿疹不易透，喘胀昏愦。余谓客冒风寒致毒郁而不易出。以桂枝汤加麻黄葛根前胡
服之。又以防风煎汤一盆，置病患床下熏之，浓衾，汗出，疹毒尽透而愈。或以芫荽防风汤
浴洗头面手足，为妙。又以苎麻蘸芫荽酒遍身戛之愈妙。
一儿汗出疹透喘急不止。余谓邪气壅盛。以炒黑麻黄杏仁甘草石膏治愈。
一儿疹出色紫，便秘溺赤，烦躁闷乱。余谓疹毒亢盛。以大柴胡汤利行三次，前症悉平愈。
一儿疹出弥盛，形如锦纹，而间有头粒，色赤，壮热烦躁，舌胎，便秘，全谓斑疹并行。
以调胃承气汤利之，又白虎汤合葛根汤治之愈。
一儿疹出紫色，喘嗽，哕泻不食。余谓疹
毒亢盛。以解毒饮挑痧法愈。
一儿疹尽出，客冒风寒，没早，喘胀，不治。亦有急用麻黄桂枝汤而疹复见愈。
一儿元月发疹身肢隐见不振，而头面不出，面色青白，喘胀闷乱，右寸脉微。余谓正气
虚不能逐邪上升于头面。宜补益而助升发为主，以麻黄桂枝汤加人参二钱水煎服，又以芫
荽防风煎汤浴洗头面手足，疹透症平而愈。
一儿疹出色紫，便秘溺赤，烦躁闷乱。余谓疹毒亢盛。以大柴胡汤愈。
一儿疹正出，而恣食停滞，腹饱便秘，壮热谵语。余谓食壅而毒不化。以大黄枳实浓
朴栝蒌仁甘草黄连利之。而尚喘嗽，壮热，脉迟肢冷。以附子理中汤又归芍六君子汤治之愈。
一儿疹虽出而喘胀便秘，壮热谵语。余谓毒壅不尽出。以黄连枳实栝蒌仁桑白皮地骨
皮知母石膏人中黄治之愈。
一儿出疹误与酸醋闻之，声哑不清，竟尔终身痼疾。
君相司天之岁，时行发疹。凡治以清凉发解之剂无有不愈。若以燥悍药发之多有坏乱
也。经曰∶必先岁气，毋伐天和。正此谓也。
德按∶每逢甲庚戊壬辰戌巳亥之年，少阳客气所胜，多见时行发疹，治宜宣毒发表为先。
一儿疹不易出，余以二仁膏服之疹即尽出而愈。
一儿疹出腹饱便秘。余谓内伤发疹。以承气汤下之愈。
一儿疹出紫色没早，喘急不嗽，通关嚏不，口张肩耸，胸高如龟，舌干唇燥，摇头搦
手，面枯青白。余谓邪火炽盛而肺窍窒塞不通，不治也。故曰∶喘而咳嗽者可疗，喘而不嗽者难医。
一儿疹虽出而咽喉呛水，舌胎唇燥。余谓毒留心胃。以黄连解毒汤加连翘牛蒡治之愈。
一儿疹出身热，咳嗽不止。余谓余毒乘金。以清金化毒汤愈。
一儿出疹，汗出喘甚。余谓，仲景曰喘而大热者，内热甚也。以麻黄杏仁石膏治之愈。
一儿夏月出疹不易透，无汗而喘，以麻黄汤加知母石膏黄芩治之愈。
一儿夏月出疹，身热头疼，喘嗽无汗。余谓风寒壅闭腠理。以升麻葛根汤加羌活白芷
荆芥桔梗前胡知母治之出疹尽透，而但身热，以香薷饮而合化斑汤愈。
一儿夏月出疹热甚烦渴。余谓疹兼暑毒。以香薷饮合葛根汤治之愈。
一儿痘后出疹。众谓痘后正气未复，以补兼升发之剂，喘急而为闷疹不治。
一男子身热喘嗽，医以退热止嗽之剂，身凉喘甚，咽痛。余谓疹症，药误寒凉，毒为寒
郁，而疹不出也。以麻黄桂枝汤加干葛治之冷汗微出，疹透而愈。
一儿疹邪不尽，身热喘嗽声喑。余以甘桔牛蒡汤加苏子前胡桑皮杏仁连翘治之愈。又
一儿症亦如前，余以甘桔牛蒡汤加杏仁知母元参前胡天花粉麦门冬淡竹叶治之愈。
一儿疹后身热，余以凉膈散治之愈。
一儿疹后干咳不续。余谓医过发散，致肺气虚耗。以小异功散加门冬五味子贝母桔梗治之愈。
一儿疹后干咳，便溏，减食。余谓中气亏耗。宜温补之，以六君子汤治之愈。
一儿疹后身热不已，午后尤甚。余谓疹出之后，阴分曾受煎熬，血必亏耗，乃血虚症也。
治当滋阴清火，此养阴退阳之义也。
一儿疹后咽喉肿痛。余谓余毒不解。以甘桔汤加牛蒡射干元参连翘知母治之，又葛槿散吹之而愈。
一儿疹后身热，烦渴不已。余谓虚烦。以竹叶石膏汤去半夏加干葛花粉治愈。
一儿疹后痰嗽口疳，身热腹饱。余谓补益太早。以清胃汤加腹皮枳壳治愈。
一儿疹后衄血不止，余以茅花煎浓汁服之愈，或用白茅根亦可。
一儿疹后壮热，咳嗽痰血。余谓毒留肺
胃。以黄连黄芩山栀知母花粉元参人中黄愈。
一儿疹后壮热烦渴，利下鲜血不止。以白头翁汤治之愈。
一儿疹后利下脓血，里急后重。余谓毒入大肠。先以三黄丸利之，次黄连芍药汤治之愈。
一儿疹后滞下不止，饮食少进，脉缓肢冷。余谓脾胃气虚。用理中汤又归芍六君子
汤治之愈。亦有不应药者，或噤口而死，或飧泄而死。
一儿疹后壮热羸瘦，烦躁闷瞀。余谓邪不尽解，而乘心肝。治以清解之剂愈。亦有不应
药者，渐至皮毛枯槁，成为疳瘵，津液干涸而卒。
一儿疹后壮热干咳，烦渴便秘。余谓疹邪不解。以三黄汤利之，又以知母门冬前胡元参
黄连当归天花粉淡竹叶治之。热虽退而咳渴不止。余谓肺气受伤而津液不足。以参苓门
冬五味贝母陈皮甘草桔梗花粉知母治之渐愈。
一儿症亦如前但热不退，渐至肌肉消瘦，面色枯白，哕恶泄利。余谓疹后疳劳，不治。延至六旬而殁。
一儿疹后干咳便溏，身热羸瘦，皮毛枯悴。余谓疹后疳瘵之症。以小异功散加贝母
黄连青蒿地骨皮龙胆草芍药治之渐愈。亦有不应药渐为慢脾风而死。
一子新婚出疹后痰嗽不已，众谓余毒不尽，用清解药而痰愈炽。余谓阴亏而火炎无
制，故午后潮热而咳甚也。治宜壮水为主，以六味地黄丸料加麦冬知母治之愈。又一妇出
疹症亦如前，余以前方加当归治之愈。
一儿疹后两目赤肿，壮热烦渴。余谓毒不尽解，乘于肝胃。以清胃解毒汤治之愈。每有延绵失治，或瞽或瞎。
一儿疹后疮痍遍体，壮热躁烦。余谓疹毒不尽。先以葛根汤加荆防发之，又犀角地黄汤治之愈。
一儿疹后走马牙疳，龈溃穿鼻，诸药不
效。（德按∶或恐梅花疳毒）余以黄牯牛粪，后尖瓦上 存性， 人中白黄柏为末，等分和匀
吹之，溃窍渐长，龈齿俱生而愈。
一儿疹邪不尽发为疔毒。余谓痧疔也。治同痘疔。又一儿疹毒不解发为肿痈。余谓痧痈也。治同痘痈。
一儿疹后干咳不已。余谓疹时过于解散，肺气虚耗，宜补脾肺为主，不信，只以清火止
嗽药，其背渐驼，腿足细小，终身痼疾。亦有嗽久而胸高肿满，状如龟胸。启云先生曰∶疹后
久嗽则金衰，金衰不能生肾水，肾主骨髓，肾无生气则骨枯而髓减，风寒乘虚而入于髓，其
邪凝滞故腰脊不举而为斯疾也。治法先以防风散其邪，又八味地黄丸，加人参 杜仲 牛
膝当归 石斛 何首乌 米仁 菟丝子 萆 鹿茸蜜丸，又以驱风壮筋活血膏贴其
凸处，又灸肺俞穴。（第三椎骨下各开一寸半）膈俞穴（第七椎骨下各开一寸半）一儿患
此，余诊右脉缓弱，谓脾肺不足，先以人参白术茯苓陈皮甘草贝母当归芍药米仁石斛水煎
服，脾土稍固，又以前方法治之，腿足渐而生肉，背驼稍愈，但不能脱然如故。
盖疹后当避风寒，节饮食，以保脾土为上，若有虚实为之补泻，不可因循苟且以致变
坏也。其鸡肉荤腥咸酸辛辣宜过七七期方渐与食。故曰鸡肉早飧，岂免脾泄之患；咸酸不
禁，难免哮喘之 。一或不慎终身痼疾，为父母者当加谨焉。
A child presented with fever, wheezing, cough, vomiting, and inability to eat. I diagnosed this as a rash disease (Zhen Zheng). This is caused by wind-cold sealing the couli (skin pores), causing the pathogenic factor to remain latent and unable to erupt. By using Mahuang Gegen Tang (Ephedra and Pueraria Decoction) to release the exterior, sweating was achieved, allowing the skin to become unobstructed, the rash to emerge fully, and the symptoms to resolve completely. In some cases, despite diaphoretic treatment, there is no sweat or eruption; or if the rash emerges briefly then disappears, it may worsen with wheezing and abdominal distension, becoming incurable.
Another child had fever and cough, with only faint traces of rash. The physician used eruptive medicines, but the rash neither appeared nor disappeared. I diagnosed this as Urticaria (Yin Zhen), caused by exogenous wind-cold stagnating and failing to disperse, which differs from the true measles affecting the fu organs. It was cured with Xiong Su San (Ligusticum and Perilla Powder).
A girl developed a rash, but was treated with cold-natured herbs. She also consumed one or two raw pears, after which the rash vanished. She presented with rapid wheezing, chest fullness, cyanotic face, cold limbs, closed eyes, hoarse voice with vomiting, and syncope. I reasoned that the toxin was constrained by cold and counter-attacked internally. I administered Mahuang Tang (Ephedra Decoction) augmented with Gegen (Pueraria Root), Zisu (Perilla Leaf), Gancao (Licorice), Jiegeng (Platycodon Root), and Shengjiang (Fresh Ginger). Covering her with blankets induced sweating, leading to recovery and re-emergence of the rash. However, wheezing worsened. I attributed this to the sudden use of the drying and acrid nature of Mahuang, causing intense toxin-fire and lung heat. Treatment should focus on clearing and moistening. I prescribed Gancao, Jiegeng, Niubangzi (Arctium Fruit), Qianhu (Peucedanum Root), Xingren (Apricot Seed), Xuanshen (Scrophularia Root), Zhimu (Anemarrhena Rhizome), Tianhuafen (Trichosanthes Root), Huangqin (Scutellaria Root), and Maimendong (Ophiopogon Tuber). The wheezing resolved.
A child had fever, rapid wheezing, and abdominal distension. The attending physician diagnosed internal injury combined with external contraction, but treatment failed. Upon my examination, faint redness was visible on the chest and back, indicating a rash disease. I used Mahuang Gegen Tang to release the exterior. Although the rash appeared on the head and face, it failed to fully emerge and subsequently vanished, leading to death.
A child had fever, wheezing, abdominal distension, unconsciousness, bleeding from the mouth and nose, cyanotic-white complexion, and dryness. I diagnosed this as "Menzhen" (Stifled Rash, where toxins are trapped internally), which is incurable.
A child had fever, rash, vomiting, and diarrhea. I reasoned that vomiting and diarrhea during the initial eruption of rash indicate the venting of yang fire, which is an auspicious sign. I used Shengma Gegen Tang (Cimicifuga and Pueraria Decoction) to release the exterior. The rash fully emerged, and the child recovered. In cases complicated by food stagnation causing vomiting and diarrhea, digestive aids were added to the formula.
A child had fever, headache, and bone pain (symptoms of Shanghan/Taiyang syndrome), along with cough and rapid breathing (symptoms of rash disease), hiccups, nausea, and anorexia. I diagnosed this as Shanghan combined with rash disease. I treated with Baijie San (Hundred Resolutions Powder) and Shishen Jiedu Tang (Ten Spirits Detoxification Decoction) to induce sweating. The symptoms resolved, the rash emerged, and the child recovered. Conversely, if similar symptoms are treated slowly by physicians, even if the rash emerges, a purple-black color with wheezing, distension, and mental confusion indicates an incurable condition.
A child had half-emerged rash, high fever, wheezing, abdominal distension, irritability, and mental confusion. I reasoned that incomplete eruption allows evil toxins to attack internally. I treated with Mahuang, Gancao, Jiegeng, Gange (Kudzu Root), Jingjie (Schizonepeta), Qianhu, Zhike (Aurantium Fructus), and Niubangzi. The rash fully emerged, faded gradually over two or three episodes, and the child recovered.
A child had difficulty in rash eruption, accompanied by wheezing, distension, and coma. I reasoned that exogenous wind-cold caused toxin stagnation, hindering eruption. I administered Guizhi Tang (Cinnamon Twig Decoction) augmented with Mahuang, Gegen, and Qianhu. Additionally, Fangfeng (Saposhnikovia Root) decoction was prepared in a basin and placed under the patient's bed for fumigation. Covered with thick quilts, sweating occurred, allowing the rash toxins to fully emerge and the child to recover. Alternatively, bathing the head, face, hands, and feet in Yanxu Fangfeng Tang (Celery and Saposhnikovia Decoction) is effective. Rubbing the body with Ramie dipped in Yanxu wine is even more beneficial.
A child sweated and the rash emerged, but wheezing persisted. I reasoned that pathogenic qi was excessive. I treated with charred Mahuang, Xingren, Gancao, and Shigao (Gypsum) to cure the condition.
A child had purple-colored rash, constipation, dark urine, irritability, and mental confusion. I reasoned that the rash toxin was hyperactive. I used Dachaihu Tang (Major Bupleurum Decoction) to promote bowel movements three times, resolving all prior symptoms.
A child had profuse rash resembling brocade patterns, interspersed with granules, red in color, with high fever and irritability, coated tongue, and constipation. I diagnosed this as simultaneous Ban (macules) and Zhen (papules). I treated with Tiaowei Chengqi Tang (Regulating the Stomach and Directing Downward Magnolia Bark Decoction) to purge, followed by Baihu Tang (White Tiger Decoction) combined with Gegen Tang to cure.
A child had purple rash, wheezing, cough, hiccups, diarrhea, and anorexia. I reasoned that the rash toxin was hyperactive. I used Jiedu Yin (Detoxification Drink) combined with Sha (plucking sand/scarification) therapy to cure.
A child’s rash fully emerged but was prematurely suppressed due to exogenous wind-cold, resulting in wheezing and distension, which was incurable. However, urgent administration of Mahuang Guizhi Tang (Ephedra and Cinnamon Twig Decoction) can sometimes cause the rash to reappear and lead to recovery.
A child in the first lunar month developed rash, with faint visibility on the body and limbs, poor spirit, and no rash on the head and face. The complexion was cyanotic-white, with wheezing, distension, mental confusion, and a faint pulse at the right Cun position. I reasoned that righteous qi was deficient and unable to drive pathogens upward to the head and face. Treatment should prioritize tonifying and assisting ascent. I administered Mahuang Guizhi Tang plus 2 qian of Renshen (Ginseng) decocted in water. Bathing the head, face, hands, and feet in Yanxu Fangfeng Tang helped the rash emerge and symptoms resolve.
A child had purple rash, constipation, dark urine, irritability, and mental confusion. I reasoned that the rash toxin was hyperactive. Dachaihu Tang cured the condition.
A child was erupting rash but indulged in food, leading to stagnation, abdominal fullness, constipation, high fever, and delirium. I reasoned that food stagnation prevented toxin resolution. I treated with Dahuang (Rhubarb), Zhishi (Bitter Orange), Houpo (Magnolia Bark), Gualou Ren (Trichosanthes Seed), Gancao, and Huanglian (Coptis Rhizome) to purge. However, wheezing, cough, high fever, slow pulse, and cold limbs persisted. I treated with Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction) and Guishao Liujunzi Tang (Angelica and Peony Six Gentlemen Decoction) to cure.
A child had erupted rash but presented with wheezing, distension, constipation, high fever, and delirium. I reasoned that toxins were stagnant and not fully expelled. I treated with Huanglian, Zhishi, Gualou Ren, Sangbaipi (Mulberry Root Bark), Digupi (Groundcherry Root Bark), Zhimu, Shigao, and Renzhonghuang (Human Waste Charcoal) to cure.
A child exposed to the smell of vinegar while erupting rash suffered hoarseness, resulting in a lifelong chronic ailment.
In years governed by the Sovereign and Ministerial Qi, epidemic rashes are common. Treatment with cooling and dispersing agents invariably leads to recovery. However, using harsh, drying, and aggressive dispersing agents often causes complications. The Classics state: "First understand the seasonal qi, do not violate the harmony of heaven and humanity." This applies here.
De notes: In years of Jia, Geng, Wu, Ren, Chen, Xu, Si, and Hai, when Shaoyang guest qi prevails, epidemic rashes are frequent. Treatment should prioritize releasing toxins and the exterior.
A child with difficult rash eruption was cured by Er Ren Gao (Two Seeds Paste), which caused the rash to fully emerge.
A child with rash, abdominal fullness, and constipation was diagnosed with internal injury triggering rash. Chengqi Tang (Magnolia Bark Decoction) purged the bowels, leading to recovery.
A child had purple rash, premature suppression, rapid wheezing without cough, blocked nasal passages, open mouth and shrugging shoulders, convex chest like a turtle shell, dry tongue and lips, head shaking, and hand grasping. The complexion was withered and cyanotic-white. I reasoned that fierce evil fire obstructed the lung orifices, making it incurable. Thus, it is said: Wheezing with cough is treatable; wheezing without cough is difficult to heal.
A child with emerging rash had choking on water in the throat, coated tongue, and dry lips. I reasoned that toxins lingered in the heart and stomach. Huanglian Jiedu Tang (Coptis Detoxification Decoction) augmented with Lianqiao (Forsythia) and Niubangzi cured the condition.
A child with post-rash fever and persistent cough was diagnosed with residual toxins attacking the Metal (Lung). Qingjin Huadu Tang (Clear Metal Transform Toxin Decoction) cured the condition.
A child with rash had profuse sweating and severe wheezing. I cited Zhang Zhongjing: "Wheezing with high fever indicates intense internal heat." Mahuang, Xingren, and Shigao cured the condition.
A child in summer had difficult rash eruption, no sweat, and wheezing. Mahuang Tang augmented with Zhimu, Shigao, and Huangqin cured the condition.
A child in summer had rash, fever, headache, wheezing, cough, and no sweat. I reasoned that wind-cold obstructed the couli. Shengma Gegen Tang augmented with Qianghuo (Notopterygium), Baizhi (Angelica Dahurica), Jingjie, Jiegeng, Qianhu, and Zhimu allowed the rash to fully emerge. For residual fever, Xiangru Yin (Elsholtzia Decoction) combined with Huaban Tang (Transform Macules Decoction) cured the condition.
A child in summer had severe rash heat, irritability, and thirst. I reasoned that rash combined with summerheat toxin. Xiangru Yin combined with Gegen Tang cured the condition.
A child developed rash after smallpox. Others believed righteous qi was unrecovered and used tonifying and ascending agents, resulting in rapid wheezing and stifled rash, which was incurable.
A man had fever, wheezing, and cough. The physician used antipyretic and antitussive agents. The body cooled, but wheezing worsened, and sore throat appeared. I diagnosed rash disease, mismanaged by cold-natured drugs causing toxin constraint by cold, preventing eruption. Mahuang Guizhi Tang augmented with Gange induced slight cold sweat, rash emergence, and recovery.
A child with unresolved rash pathogens had fever, wheezing, cough, and hoarseness. Ganjie Niubang Tang (Licorice, Platycodon, and Arctium Decoction) augmented with Suzi (Perilla Fruit), Qianhu, Sangbaipi, Xingren, and Lianqiao cured the condition. Another child with similar symptoms was cured by Ganjie Niubang Tang augmented with Xingren, Zhimu, Xuanshen, Qianhu, Tianhuafen, Maimendong, and Danzhuye (Lophatherum Herb).
A child with post-rash fever was cured by Liangge San (Cool the Diaphragm Powder).
A child with post-rash intermittent dry cough was diagnosed with lung qi deficiency due to excessive dispersion. Xiaoyigong San (Minor Extraordinary Merit Powder) augmented with Maimendong, Wuweizi (Schisandra), Beimu (Fritillaria), and Jiegeng cured the condition.
A child with post-rash dry cough, loose stools, and reduced appetite was diagnosed with middle qi depletion. Tonification with Liujunzi Tang (Six Gentlemen Decoction) cured the condition.
A child with persistent post-rash fever, worse in the afternoon, was diagnosed with yin deficiency and blood depletion due to previous yin consumption. Treatment should nourish yin and clear fire, following the principle of nourishing yin to retreat yang.
A child with post-rash sore throat and swelling was diagnosed with unresolved residual toxins. Ganjie Tang augmented with Niubangzi, Yeyan (Belamcanda), Xuanshen, Lianqiao, and Zhimu, combined with Gejin San (Kadsura Vine Powder) insufflated into the throat, cured the condition.
A child with post-rash fever and persistent irritability/thirst was diagnosed with deficiency vexation. Zhuyeshigu Tang (Bamboo Leaf and Gypsum Decoction) minus Banxia, augmented with Gange and Tianhuafen, cured the condition.
A child with post-rash phlegm-cough, oral ulcers, fever, and abdominal fullness was diagnosed with premature tonification. Qingwei Tang (Clear Stomach Decoction) augmented with Fupi (Areca Peel) and Zhike cured the condition.
A child with post-rash epistaxis was cured by drinking concentrated Maohua (Rhododendron Flower) decoction, or using Baimaogen (Imperata Rhizome).
A child with post-rash high fever, cough, and hemoptysis was diagnosed with toxins lingering in the lungs and stomach. Huanglian, Huangqin, Shanzhi (Gardenia), Zhimu, Tianhuafen, Xuanshen, and Renzhonghuang cured the condition.
A child with post-rash high fever, thirst, and continuous bloody diarrhea was cured by Baitouweng Tang (Pulsatilla Decoction).
A child with post-rash dysentery (pus and blood, tenesmus) was diagnosed with toxins entering the large intestine. Sanhuang Wan (Three Yellows Pill) was used first to purge, followed by Huanglian Shaoyao Tang (Coptis and Peony Decoction) to cure.
A child with post-rash persistent dysentery, poor intake, slow pulse, and cold limbs was diagnosed with spleen-stomach qi deficiency. Lizhong Tang (Regulate the Middle Decoction) and Guishao Liujunzi Tang cured the condition. Non-responsive cases may result in death from Jin Kou Li (Closed Mouth Dysentery) or Sun Xie (Undigested Food Diarrhea).
A child with post-rash high fever, emaciation, irritability, and mental clouding was diagnosed with unresolved pathogens attacking the heart and liver. Clearing and resolving agents cured the condition. Non-responsive cases progressed to withered skin and hair, forming Gan Zhai (Infantile Malnutrition and Consumption), dried fluids, and death.
A child with post-rash high fever, dry cough, thirst, and constipation was diagnosed with unresolved rash pathogens. Sanhuang Tang purged, followed by Zhimu, Maimendong, Qianhu, Xuanshen, Huanglian, Danggui (Angelica Sinensis), Tianhuafen, and Danzhuye. After fever subsided, persistent cough and thirst indicated lung qi injury and fluid deficiency. Renshen, Maimendong, Wuweizi, Beimu, Chenpi (Tangerine Peel), Gancao, Jiegeng, Tianhuafen, and Zhimu led to gradual recovery.
A child with similar symptoms but persistent fever progressed to muscle wasting, pale complexion, hiccups, nausea, and diarrhea. Diagnosed as post-rash Gan Lao (Infantile Consumption), it was incurable. Death occurred at age sixty.
A child with post-rash dry cough, loose stools, fever, emaciation, and withered skin/hair was diagnosed with post-rash Gan Zhai. Xiaoyigong San augmented with Beimu, Huanglian, Qinghao (Artemisia Annua), Digupi, Longdancao (Gentian Root), and Shaoyao cured the condition gradually. Non-responsive cases may develop Man Pi Feng (Slow Spleen Wind) and die.
A son developed persistent phlegm-cough after post-rash illness. Others attributed it to residual toxins and used clearing agents, worsening the phlegm. I diagnosed yin deficiency with unconstrained fire, causing afternoon tidal fever and severe cough. Treatment prioritized strengthening water (nourishing yin). Liuwei Dihuang Wan (Six Ingredient Pill with Rehmannia) material augmented with Maimendong and Zhimu cured the condition. A woman with similar symptoms was cured by adding Danggui.
A child with post-rash red swollen eyes, high fever, and thirst was diagnosed with unresolved toxins attacking the liver and stomach. Qingwei Jiedu Tang (Clear Stomach and Detoxify Decoction) cured the condition. Delayed treatment may lead to blindness.
A child with post-rash widespread sores, high fever, and restlessness was diagnosed with unresolved rash toxins. Gegen Tang augmented with Jingjie and Fangfeng released the exterior, followed by Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) to cure.
A child with post-rash Zouma Yagan (Running Horse Gum Rot), gum ulceration penetrating the nose, and ineffective treatments was treated. De notes: Suspect Plum Blossom Gan toxin. I used Huanggu Niu Fen (Yellow Ox Dung) charred on tile, Renzhongbai (Calcinis Humanis), and Huangbai (Phellodendron Bark) powdered and insufflated. Ulcers healed, gums and teeth regenerated.
A child with unresolved rash pathogens developed Ding Du (Carbuncle). I diagnosed Sha Ding (Sand Carbuncle), treating similarly to Dou Ding (Smallpox Carbuncle). Another child developed Zhong Yong (Swelling Abscess) from unresolved rash toxins. I diagnosed Sha Yong (Sand Abscess), treating similarly to Dou Yong.
A child with persistent post-rash dry cough was diagnosed with lung qi deficiency from excessive dispersion. Spleen and lung tonification was advised, but ignored. Only clearing fire and stopping cough agents were used, leading to kyphosis and thin legs, a lifelong ailment. Some developed convex chest (Gui Xiong). Mr. Qiyun stated: Post-rash chronic cough weakens Metal; Metal weakness fails to generate Kidney Water. Kidney governs marrow; lack of kidney vitality leads to bone withering and marrow depletion. Wind-cold enters marrow, stagnates, and causes spinal immobility. Treatment: First dispel evil with Fangfeng San. Then, Bajia Dihuang Wan (Eight Ingredient Rehmannia Pill) augmented with Renshen, Duzhong (Eucommia), Niuxi (Achyranthes), Danggui, Shihu (Dendrobium), Heshouwu (Polygonum Multiflorum), Yimi (Coix Seed), Tusizi (Cuscuta), Bibi (Dioscorea), and Lurong (Deer Antler) honey pills. Apply Qufeng Zhuangjin Huoxue Gao (Wind-Dispersing, Tendon-Strengthening, Blood-Activating Ointment) to protrusions. Moxibustion on Feishu (BL13) and Geshu (BL17) points. For a child with slow-weak right pulse indicating spleen-lung deficiency, Renshen, Baizhu (Atractylodes), Fuling (Poria), Chenpi, Gancao, Beimu, Danggui, Shaoyao, Yimi, and Shihu decocted strengthened the spleen earth. Subsequent treatment allowed leg flesh regeneration and slight improvement in kyphosis, though not complete recovery.
Generally, post-rash care requires avoiding wind-cold and regulating diet to protect spleen earth. Tonification or purgation should be applied based on excess or deficiency. Do not neglect care to avoid deterioration. Chicken, meat, salty, sour, pungent, and spicy foods should be avoided for 49 days (seven sevens) before gradual reintroduction. Thus, early chicken consumption risks spleen diarrhea; unrestricted salty/sour intake risks asthma. Carelessness may cause lifelong ailments. Parents must be vigilant.