陈文宿先生云∶痘疮收靥之后，浑身壮热，经日不除，别无他症，用柴胡麦门冬散，如不退，服人参白术散。若风
热咳嗽，咽喉不利，用桔梗甘草防风汤。窃谓∶前症有因热毒未解者，有因胃气虚热者，有因胃气实热者，其因不能枚
举，当临症制宜而药之。
一小儿咽痛壮热，痘痕色赤，手微热，此余毒未解，用柴胡麦门冬散而安。七日之后复热，手指初捏似热，久捏则
冷，此脾气虚也，用五味异功散而痊。
一小儿痘咽痛，大便不实，口渴饮汤，手足不热，此脾胃虚弱也，用人参白术散，而大便实。但不时寒热，用加味
逍遥散而愈。
一小儿痘咽痛，发热作渴，面赤饮冷，此胃经实热也，用射干鼠粘子汤而愈。因食浓味复发，手足并热，用泻黄散
一剂而痊。
一小儿痘咽痛，发热饮冷，大便黄色，手足指热，此脾胃实热也，用泻黄、清胃二散，各一剂而愈。后因乳母食浓
味，儿口角流涎，不能吮乳，仍用前药治母而愈。
一小儿痘咽痛足热，余谓此禀足三阴虚而无根之火上炎也，古人有云，痘归肾经，必不可救，当用壮水之剂，亦有
生者。奈彼不悟，翌日果腰痛咽哑，始信余言，乃用大剂地黄丸料加五味子，并补中益气汤而愈。
一男子出痘，上体甚热，两足俱冷，喉痛作渴，疮亦不起发，此禀肾经虚热也，以六味地黄丸料，煎与恣饮，渐
愈，又与八珍汤而痊。
一小儿面色素白，出痘咽痛，发热面赤，作渴饮汤，手足指冷，此禀足三阴虚也，用大剂加减八味丸料，煎与恣
饮，又以益气汤助其脾胃，以滋化源，痛止热退而愈。
射干鼠粘子汤 治痘疹咽喉作痛，及痘疹后痈疽疮毒。
鼠粘子（即牛蒡子） 甘草 升麻 射干（各二钱）
上水煎，量服之。
泻黄散 治脾胃实热患疮，口渴饮冷。
藿香叶（七叶） 石膏（ ，五钱） 甘草（三钱） 防风 山栀仁（炒，各一两）
上为末，每二钱水煎，入蜜少许。婴儿乳母服之。
六味地黄丸（方见痘疮发热属阳属阴）
清胃散（方见痘不结痂）
八珍汤（方见顶陷灰白）
人参白术散（即七味白术散）
柴胡麦门冬散（方见作痒抓破）
加减八味丸（即六味丸加五味子、肉桂）
加味逍遥散（方见欲靥不靥）
五味异功散
补中益气汤（二方见寒战切牙）
Mr. Chen Wensu said: After the pox scabs fall off, if there is high fever all over the body that persists for days without other symptoms, use Chaihu Maidong San (Bupleurum and Ophiopogon Powder). If the fever does not subside, administer Renshen Baizhu San (Ginseng and Atractylodes Macrocephala Powder). If there is cough due to wind-heat and throat discomfort, use Jiegeng Gancao Fangfeng Tang (Platycodon, Licorice, and Saposhnikovia Decoction). I believe that the aforementioned conditions may be caused by unresolved heat-toxin, deficiency-heat due to weak stomach qi, or excess-heat due to strong stomach qi. The causes cannot be listed exhaustively; one must prescribe medication flexibly according to the specific clinical presentation.
A child presented with sore throat and high fever after pox, with red pox scars and slightly warm hands. This indicated residual toxin not yet cleared. He recovered after taking Chaihu Maidong San (Bupleurum and Ophiopogon Powder). Seven days later, he developed recurrent fever. His fingers felt warm upon initial touch but cold upon prolonged holding, indicating Spleen qi deficiency. He was cured using Wuwei Yigong San (Five-Ingredient Powder with Perilla Leaf for Strengthening the Qi).
Another child had a sore throat after pox, loose stools, thirst for drinking hot water, and cool extremities. This indicated Spleen and Stomach weakness. He was treated with Renshen Baizhu San (Ginseng and Atractylodes Macrocephala Powder), which solidified his stools. However, he experienced intermittent chills and fever, which were resolved using Jiawei Xiaoyao San (Modified Free and Easy Wanderer Plus Cinnamon and Angelica Powder).
A third child presented with sore throat after pox, fever, thirst, flushed face, and preference for cold drinks. This indicated excess-heat in the Stomach channel. He was cured using Shegan Niuzangzi Tang (Belamcanda and Arctium Decoction). The condition recurred after consuming rich and greasy food, accompanied by warmth in both hands and feet. One dose of Xiehuang San (Drain the Yellow Powder) led to recovery.
A fourth child had sore throat after pox, fever with desire for cold drinks, yellow stool, and warm fingertips. This indicated excess-heat in the Spleen and Stomach. He was cured using one dose each of Xiehuang San (Drain the Yellow Powder) and Qingwei San (Clear the Stomach Powder). Later, because the wet nurse consumed rich and greasy food, the infant drooled from the mouth corners and could not suckle milk. Treating the mother with the previous prescriptions cured the infant.
A fifth child had sore throat after pox and warm feet. I considered this to be caused by congenital deficiency of the Three Yin channels of the Foot, leading to floating fire from rootlessness. The ancients stated, "If pox enters the Kidney channel, it is incurable." One should use formulas that nourish Water (Kidney Yin), and survival is possible. Unfortunately, the family did not understand. The next day, the child indeed developed lower back pain and hoarseness, confirming my diagnosis. He was then cured using a large dose of Dihuang Wan (Rehmannia Pill) formula with added Wuweizi (Schisandra Fruit), combined with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
A man presenting with pox had extreme heat in the upper body and coldness in both feet, along with sore throat, thirst, and failure of the pox to erupt. This indicated congenital deficiency-heat in the Kidney channel. He was given Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) formula decocted in water to drink freely, gradually improving. He was subsequently cured using Bazhen Tang (Eight-Treasure Decoction).
A child with a pale complexion presented with sore throat after pox, fever, flushed face, thirst for hot water, and cold fingertips. This indicated congenital deficiency of the Three Yin channels of the Foot. He was given a large dose of Jiawei Bawei Wan (Modified Eight-Ingredient Pill) formula decocted in water to drink freely. Additionally, Yiqi Tang (Qi-Augmenting Decoction) was used to support the Spleen and Stomach and nourish the source of transformation. The pain ceased, the fever subsided, and he recovered.
Shegan Niuzangzi Tang (Belamcanda and Arctium Decoction): Treats sore throat due to pox/rash and carbuncles/sores/toxins following pox/rash.
Niuzangzi (Arctii Fructus, i.e., Niu Bang Zi) 2 qian, Gancao (Licoriae Radix et Rhizoma) 2 qian, Shengma (Cimicifugae Rhizoma) 2 qian, Shegan (Belamcandae Rhizoma) 2 qian.
Decoct in water and take an appropriate amount.
Xiehuang San (Drain the Yellow Powder): Treats sores due to excess-heat in the Spleen and Stomach, with thirst and preference for cold drinks.
Huoxiang Ye (Pogostemonis Patchouli Folium) 7 leaves, Shigao (Gypsum Fibrosum, calcined) 5 qian, Gancao (Licoriae Radix et Rhizoma) 3 qian, Fangfeng (Saposhnikoviae Radix) 1 liang, Shanzhiren (Gardeniae Semen Preparatum, stir-fried) 1 liang.
Grind into powder. Take 2 qian per dose, decoct in water, and add a little honey. Suitable for infants and nursing mothers.
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) (See formula under "Pox Fever Belongs to Yang or Yin")
Qingwei San (Clear the Stomach Powder) (See formula under "Pox Does Not Form Scabs")
Bazhen Tang (Eight-Treasure Decoction) (See formula under "Depressed Crown Ashen White")
Renshen Baizhu San (Ginseng and Atractylodes Macrocephala Powder) (i.e., Qiwei Baizhu San / Seven-Ingredient Atractylodes Macrocephala Powder)
Chaihu Maidong San (Bupleurum and Ophiopogon Powder) (See formula under "Itching and Scratching Open")
Jiawei Bawei Wan (Modified Eight-Ingredient Pill) (i.e., Liuwei Dihuang Wan plus Wuweizi and Rougui)
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Plus Cinnamon and Angelica Powder) (See formula under "Desire for Scabbing but Failing to Scab")
Wuwei Yigong San (Five-Ingredient Powder with Perilla Leaf for Strengthening the Qi)
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (Both formulas see "Chattering Teeth and Trembling")