苍术 大黄（减半）
上二味共为细末。红枣煮汤。连肉和成条晒干。宜豫制给人。一凡房屋宽深者。自宜听
其在家。
谨慎将护。倘室庐狭隘。或不足以蔽风雨者。果能筹屋以备暂居。则更妙矣。并且随时酌借
帐被。
─每一小儿。宜给红兴布扎头一条。红稀布小褂一件。取其新洁而又和软也。若极贫之
儿。于冬令严寒之时。则当改给絮袄矣。此宜随时斟酌。
在于发热之时与之。以杜冒滥。既见点后。给灯油鱼馒钱。三百六十文。倘不守禁忌。
将护失宜。致生他症。设有不测者。亦宜量给小费。此虽万中之一。然不得不豫为之筹也。
─一岁之内。四时宜否。要在活人。非富贵之家。自种可比。但于五六七月间。借以深
邃房屋
。少少种之。以为接苗之计。其余各月。不妨随到随种。多多益善也。下苗日期。宜避破闭
。及四立二分二至之前一日。并年命刑冲破害。及岁煞灾煞劫煞。天克地冲比冲之日。
─凡验看小儿。以耳后筋纹为主。红而纹少者为上。纹多而色不紫赤者次之。若纹多而
色兼青
紫。此虽不可与种。然听其自出。则更难矣。宜赠以稀痘药。数服后。令其再诣师验看。
若转
为红色。则又宜亟为之种矣。此外如病后。或现有病。或未及周岁。皆当缓种。必俟其气血
和平。始与之种。除此以往。无不可种之儿也。稀痘药方附后。
消毒救苦汤
羌活 防风 连翘 生地 酒黄柏
升麻 麻黄根（各五分） 川芎 本 柴胡
葛根 生黄芩 酒黄芩 苍术（各二分） 细辛
生甘草 白术 陈皮 红花 苏木（各一分）
当归身 黄连（各三分） 吴茱萸（半分）
共为粗末。周岁之儿。每用三钱。两三岁者用五钱。于四立前一日。东流水煎。调制朱
砂服。
制朱砂法 用当归 川芎 升麻 甘草（各六两）
东流水六大碗。新砂锅。桑柴文火煎减半。倾出。滤去渣。用好朱砂四两。绢包线扎。
悬胎
离砂锅底寸许。挂定。将前所滤之汤。陆续入于锅内。桑柴火缓煮。俟汤将干。取起研极细
末。一岁一分。
下苗后。必以七日。五脏传遍而后发热为则。然亦有六日而即热者。亦有九日十一日而
始热
者。此其常也。若发热于五日以前。此际苗气尚未传遍。热何由作。必因将护不慎。致犯外
感内伤。或已染时行之气。而欲出天花也。与种痘无涉。种师宜豫申明其说焉。若逾十一日
不热。宜更为补种。
附方
柴葛桂枝汤 主表散痘热。
柴胡 干葛 桂枝 防风
白芍 甘草 人参
水一盏。加生姜三片。煎七分温服。表虚加黄 。
温中益气汤 气血双补。疏通隧道。并达四肢。
人参 白术（炒各五分） 生黄 （八分） 归身
白茯苓（各六分） 甘草（炙） 川芎（各四分） 白芷
防风（各四分） 木香 官桂（去粗皮各二分） 山楂肉（六分）
生姜一片。枣一枚去核。水一大钟。煎四分温服。
参 内托散 痘虚发痒。或不化脓。或为倒靥。
人参 黄 （蜜炙） 当归 川芎
浓朴（姜制） 防风 桔梗（炒） 白芷
紫草 官桂（去粗）皮 木香 甘草（各等分）
糯米一撮。水煎。色淡白者。去防风紫草白芷。宜多加糯米。一方有芍药。
十宣散 调气补血。内托疮毒。五日后必用之方也。亦治痈疽。
人参 黄 当归（各二钱） 川芎
防风 桔梗 白芷 炙草
浓朴（各一钱） 桂心（三分）
上为细末。每服一钱。或二钱。木香汤调下。
实表解毒汤
人参 黄 当归 生地
甘草 白芍 柴胡 升麻
片芩（酒炒） 元参 地骨皮
上入薄荷叶少许。淡竹叶十片。水煎。
保元汤 治痘疮气虚 陷者。
人参（二三钱） 甘草（炙一钱） 肉桂（五七分） 黄 （二三钱灌脓时酒炒回浆
水一钟半。加糯米一撮。煎服。此药煎熟。加人乳好酒各半盏。和服更妙。
酌宜用之。头额不起。加川芎（三五分）。面上。加升麻（三四分）。胸腹。加桔梗（三四
分）。
腰膝。加牛膝（四分）。四肢不起。加桂枝（二三分）。呕恶。加丁香（三四分）。元气虚寒。加
大附子（制七八分。或一钱）。
养卫化毒汤
人参 黄 （炙） 桂枝 甘草 当归
上水煎服。
人参败毒散 治时疫 疹。
人参 茯苓 枳壳 甘草 川芎 羌活 独活 前胡 柴胡 桔梗（各等分）
水一钟半。姜三片。煎服。
升麻葛根汤 解发痘毒。
升麻 葛根 白芍 甘草各等分
水一钟。煎七分温服。
搜毒煎 解痘疹热毒炽盛。紫黑干枯。烦热便结。纯阳等症。
紫草 地骨皮 牛蒡子（研） 黄芩 木通 连翘 蝉蜕 芍药（各等分）
水一钟半。煎服。表热者加柴胡。
四味消毒饮 治痘疮热盛。毒瓦斯壅遏。无问前后皆可服。
人参 甘草（炙） 黄连 牛蒡子（各等分）
上为粗末。每服一钱。加姜一片。水一盏。煎四分去滓。温服不拘时。
鼠粘子汤 治痘稠身热毒盛。服此以防青干黑陷。并治 疹稠密。
牛蒡子（炒研） 归身 黄 甘草（炙） 柴胡 黄芩（酒炒） 连翘 地骨皮
水煎服。热退则止。
芎归汤 养营起痘。
当归 川芎（减半）
上为细末。每服一钱。红花汤调服。
六物煎 治痘疹血气不充。随症加减用之。神效不可尽述。
甘草（炙） 当归 熟地（或用生地） 川芎（三四分不宜多） 白芍（俱随宜加减） 人参（或有或无随虚实用
之气不虚者不必用）
水煎服。如发热不解。或痘未出之先。宜加柴胡以疏表。或加防风佐之。如见点后。痘
不起
发。或起而不灌。或灌而浆薄。均宜单用此汤。或加糯米人乳好酒肉桂。以助营气。如气
虚痒 不起。加川山甲炒用。如红紫血热不起。宜加紫草。或犀角。如脾气稍滞。宜加陈
皮山楂。如胃气虚寒多呕者。加干姜炒用。或加丁香。如腹痛兼滞者。加木香陈皮。表虚
气陷不起。或多汗者。加黄 。气血俱虚。未起未灌而先痒者。加肉桂白芷。如元气大虚。
寒战切牙。泄泻。宜去芍药。加黄 。大附子干姜肉桂。
羌活散郁汤 治实热壅盛郁遏
。不得达表。气粗喘满。腹胀烦躁狂言谵语。睡卧不宁。大小便秘。毛竖面浮。眼张若怒。
并有神效。并为风寒外搏。出不快者同治。
防风 羌活 白芷 荆芥 桔梗 地骨皮 川芎 连翘 甘草 紫草 大腹皮 鼠粘子
上为粗末。水一钟。灯心十四根。煎六分温服。
凉血养营煎 治痘疮血虚血热。地红热渴。或色燥不起。及便结溺赤。凡阳盛阴虚等症
。悉宜用此。
生地 当归 白芍 生甘草 地骨皮 紫草 黄芩 红花
水一钟半。煎服。量儿大小加减用之。渴加天花粉。肌热无汗。加柴胡。热毒盛者。加
牛蒡子木通连翘之属。血热毒不透者。加犀角。
犀角散 治痘疮痈毒时毒。热盛烦躁多渴。小便赤涩。或赤 。
犀角（镑） 甘草（炙各五分） 防风 黄芩（各一钱）
上为粗末。每服二钱。水一小盏。煎五分。温服无时。
紫草快 汤 治痘疹血气不足。或血热不能起发灌脓。色不红活。
紫草 人参 白术（炒） 当归 川芎 白芍 茯苓 甘草 木通（等分）
上加糯米。每服三五钱。水煎。
参姜饮 治脾肺胃气虚寒。呕吐咳嗽气短。小儿吐乳等症。
人参 （三五钱或倍之） 甘草（炙三五分） 干姜（炮五分或一二钱或用煨生姜三五
水一钟半。煎七八分。徐徐服之。
当归丸 治便坚三五日不通。里气实而禀赋强者。
当归（五钱） 紫草（三钱） 黄连（一钱五分炒） 甘草（炙一钱） 大黄（二钱
上以当归紫草熬成膏。下三味研为细末。以膏和为丸。如胡椒大。三岁以下儿服十丸。
七八岁儿。二十丸。食前清米饮下。渐加之以和为度。
退火丹 治痘中狂妄神方。
滑石 朱砂（飞各一钱） 冰片（三厘）
共为细末。冷水调一分服。得睡少时。神安气宁。痘转红活矣。
九味异功煎 治痘疮寒战切牙。倒陷呕吐。泄泻腹痛。虚寒等症。用代阵氏十二味异功
散等方。
人参（二三钱） 黄 （炙一二钱） 附子（制一二钱） 熟地（二三钱） 甘草（炙七分或一钱）
当归（二三钱） 肉桂（一钱） 干姜（炮一二钱） 丁香（三五分或一钱）
上量儿大小加减用。水一钟半。煎七分。徐徐与服。泄泻腹痛。可再加肉豆蔻（面炒一
钱） 或白术（一二钱）。
十二味异功散 治元气虚寒。痘疮色白。寒战切牙。泄泻喘嗽等症。
人参 丁香 木香 肉豆蔻 陈皮 浓朴（各二钱五分） 白术（炒） 茯苓
官桂（去粗皮各二钱） 当归（三钱五分） 半夏（制） 附子（制各一钱五分）
上为粗末。每服二三钱。姜枣水煎。去渣服。
木香散 治痘疮虚寒多滞者。
木香 丁香 大腹皮 人参
桂心 甘草（炙） 半夏（制） 诃黎勒
赤茯苓 青皮 前胡（各等分）
上为粗末。每服二三钱。姜水煎。去渣服。薛立斋先生曰。前方治痘疮已出未愈之间。
其疮不光泽。不起发。不红活。五七日内。泄泻作渴。或肚腹作胀。气促作喘。或身虽热
而腹胀。足指冷。或惊悸。或汗出。或寒战切牙。或欲靥不靥。疮不结痂。或靥后腹胀。
泄泻作渴。此皆脾胃虚寒。津液衰少。急用此药治之。若误认为实热。用寒凉之剂。及饮蜜
水生冷瓜果之类。必不救。张景岳先生云。以上二方。温性有余。补性不足。用治寒症则可
用治虚症则不及也。
黄 建中汤 治诸虚羸瘠百病。
甘草（炙） 桂枝 生姜（等分） 白芍（倍用）
大枣 胶饴（即麦芽糖） 黄 （炙）
上水煎减半去渣。入胶饴。更上微火消解。温服。
元参地黄汤 治痘疹衄血。
元参 生地黄 丹皮 栀子仁
甘草 升麻（各五分） 白芍（一钱） 蒲黄（炒五分）
水一钟。煎七分温服。本方宜减去升麻。恶其上升也。加陈墨汁和服。黑色象水。能制
火也。
大厘清饮 治积热闭结。小水不利。或溺血蓄血。腹痛淋闭等症。
茯苓 泽泻 木通 猪苓 栀子 枳壳 车前子
水一钟半。煎八分。食远温服。如内热甚者。加黄芩黄柏龙胆草之属。如大便坚硬胀满
者。加大黄。
调元汤
人参 黄 （炙） 甘草（炙）
上水煎服。按此即保元汤无肉桂者。名为调元汤。即东垣先生之黄 汤也。东垣用为小
儿治
惊之剂。魏桂严用以治痘多效。因美之。名调元汤也。盖小儿元气未充。最易伤残。用此保
全。诚幼科王道之妙方。但能因此扩充。则凡气分血分。虚寒虚陷等症。皆可随症增减。无
不可奏神效也。
葛根解毒汤 治痘毒止渴良方。
葛根 升麻（减半） 生地 麦冬 天花粉（等分） 甘草（减半）
上取糯米泔水一盏。煎七分。入茅根自然汁一杯服之。
黄芩汤 治太阳与少阳合病自下发汗。
黄芩 甘草（炙） 白芍 大枣
上水煎温服。若呕者加半夏生姜。按此方系治泄泻。第此症不多。不可以此方误治虚寒
泄泻也。宜详前热论。
甘桔汤 治一切风热上壅。咽喉肿痛。
甘草（二钱） 桔梗（一钱）
水煎。食后服。喉中有痘。初见点时痛甚者。加牛蒡子。
人参麦门冬散 治痘疮微渴。
麦门冬（一钱） 人参 甘草（炙） 白术（炒） 陈皮 浓朴（姜制各五分）
水煎温服。量儿增减。薛氏曰。此方治痘疮热毒。气虚宜用之。若因气虚作渴。宜人参
白术散。
双解散 治痘疹表里俱实者。
防风 川芎 当归 连翘 白芍 薄荷 大黄（各五分） 石膏 桔梗 黄芩（各八分）
荆芥穗 白术（炒） 桂枝（各二分） 滑石（二钱四分） 甘草（二钱）
水二钟。加生姜三片。煎一钟。温服无时。
六气煎（方见辨惊风之误论）
十全大补汤（方见辨惊风之误论）
柴归饮（方见辨惊风之误论）
四物汤（方见虚论）
六味地黄汤（即地黄丸作煎剂方见热论）
六君子汤（方见寒论）
五君子汤（方见寒论）
理中汤（方见寒论）
五味异功散（方见热论）
四君子汤（方见热论）
人参理中汤（即理中汤人参分量加重用方见寒论）
四顺清凉饮（方见里论）
柴胡饮子（方见实论）
辰砂六一散（方见辨惊风之误论）
导赤散（方见实论）
胃关煎（方见寒论）
犀角地黄汤（方见辨惊风之误论）
Cangzhu (Atractylodis Rhizoma), Dahuang (Rhei Radix et Rhizoma, dosage halved)
The above two herbs are ground together into a fine powder. Boil red dates in water to make a decoction. Mix the powder with the date flesh, form into strips, and dry them in the sun. It is advisable to prepare these in advance for distribution. For those whose houses are spacious and deep, it is naturally appropriate to listen to their wishes to stay at home and exercise caution in nursing care. If the living quarters are narrow or insufficient to shelter from wind and rain, if one can arrange temporary housing, that would be even better. Furthermore, borrow tents and quilts as needed according to circumstances.
—For each child, it is suitable to provide a headband made of Hongxing cloth and a small jacket made of thin red cloth, taking advantage of their freshness, cleanliness, softness, and mildness. For extremely poor children during the severe cold of winter, cotton-padded jackets should be provided instead. This should be adjusted according to the situation.
These items should be given when the child has a fever to prevent misuse. Once the smallpox spots appear, provide three hundred and sixty wen for lamp oil and fish cakes. If taboos are not observed and nursing is improper, leading to other symptoms, and if an unexpected incident occurs, a small fee should also be given proportionally. Although this is a case of one in ten thousand, preparation must be made in advance.
—For children under one year old, whether inoculation is suitable in all four seasons depends on flexible adaptation; it cannot be compared to planting by wealthy families. However, during May, June, and July, use deep and cool rooms to plant a small amount as a plan for seedling connection. In other months, planting can be done upon arrival, more is better. The date for planting should avoid days of Po (Break) and Bi (Close), as well as the day before Li Chun (Start of Spring), Li Xia (Start of Summer), Li Qiu (Start of Autumn), Li Dong (Start of Winter), Chun Fen (Spring Equinox), Qiu Fen (Autumn Equinox), Xia Zhi (Summer Solstice), and Dong Zhi (Winter Solstice). It should also avoid days of punishment, clash, destruction, and harm related to the year's destiny, as well as days of Sui Sha (Yearly Evil), Zai Sha (Disaster Evil), Jie Sha (Robbery Evil), Tian Ke Di Chong (Heavenly Clash Earthly Conflict), and Bi Chong (Parallel Clash).
—When examining children, focus primarily on the vein patterns behind the ears. Red color with few patterns is superior; many patterns with non-purple-red color is secondary. If there are many patterns with cyan-purple color, although inoculation is not suitable, allowing natural infection will be much harder to manage. It is suitable to gift Xidou medicine (medicine to thin out smallpox); after several doses, have the child re-examined by the doctor. If the color turns red, then urgent inoculation is recommended. Additionally, if the child is post-illness, currently ill, or under one year old, inoculation should be delayed. Wait until Qi and Blood are harmonious before proceeding. Apart from these, there are no children who cannot be inoculated. The Xidou medicine prescription is attached below.
Xiaodu Jiuku Tang (Disinfecting and Saving from Distress Decoction)
Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Lianqiao (Forsythiae Fructus), Shengdi Huang (Rehmanniae Radix), Jiu Huangbai (Phellodendri Cortex prepared with wine)
Shengma (Cimicifugae Rhizoma), Mahuang Gen (Ephedrae Radix et Rhizoma) (each 5 fen), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Ben Cao (Ligustici Wallichii Rhizoma), Chaihu (Bupleuri Radix)
Gegen (Puerariae Lobatae Radix), Sheng Huangqin (Scutellariae Radix raw), Jiu Huangqin (Scutellariae Radix prepared with wine), Cangzhu (Atractylodis Rhizoma) (each 2 fen), Xixin (Asari Radix et Rhizoma)
Sheng Gancao (Glycyrrhizae Radix et Rhizoma raw), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Honghua (Carthami Flos), Sumu (Sappan Lignum) (each 1 fen)
Dangguishen (Angelicae Sinensis Radix body), Huanglian (Coptidis Rhizoma) (each 3 fen), Wuzhuyu (Evodiae Fructus) (0.5 fen)
Grind all ingredients into a coarse powder. For a one-year-old child, use 3 qian per dose; for two-to-three-year-olds, use 5 qian. On the day before Li Chun, decoct with East-flowing water, mix with Zhusha (Cinnabar), and take warm.
Method for Preparing Zhusha (Cinnabar)
Use Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 6 liang).
Decoct in six large bowls of East-flowing water using a new clay pot over gentle fire from mulberry wood until reduced by half. Pour out, filter to remove dregs. Take 4 liang of high-quality Zhusha (Cinnabar), wrap in silk cloth, tie with thread, and suspend it about one cun above the bottom of the sand pot. Gradually add the filtered decoction into the pot. Simmer slowly over mulberry wood fire. When the liquid is nearly dry, remove, grind into an extremely fine powder. Dosage for one-year-old: 1 fen.
After planting the seedling, seven days is the standard; fever should occur only after the five zang organs have transmitted the qi. However, some may febrile on the sixth day, or start on the ninth or eleventh day. This is normal. If fever occurs before the fifth day, the seedling qi has not yet fully transmitted; where would the heat come from? It must be due to careless nursing causing external contraction or internal injury, or contracting epidemic qi intending to develop natural smallpox. This is unrelated to inoculation. The inoculator should clarify this beforehand. If fever does not occur after eleven days, supplementary inoculation is appropriate.
Attached Prescriptions
Chaige Guizhi Tang (Bupleurum, Kudzu, and Cinnamon Twig Decoction) Mainly treats dispersing surface smallpox heat.
Chaihu (Bupleuri Radix), Gange (Puerariae Lobatae Radix), Guizhi (Cinnamomi Ramulus), Fangfeng (Saposhnikoviae Radix)
Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Panacis Ginseng Radix)
Decoct one sheng of water with three slices of fresh ginger until reduced to 0.7 sheng; take warm. For deficiency of the exterior, add Huangqi (Astragali Radix).
Wenzhong Yiqi Tang (Warm the Middle and Benefit Qi Decoction) Tonifies both Qi and Blood, unblocks collaterals, and reaches the four limbs.
Renshen (Panacis Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried, each 5 fen), Sheng Huangqi (Astragali Radix raw, 8 fen), Guishen (Angelicae Sinensis Radix body)
Baifuling (Poria, each 6 fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chuanxiong (Ligusticum Chuanxiong Rhizoma, each 4 fen), Baizhi (Angelicae Dahuricae Radix)
Fangfeng (Saposhnikoviae Radix, each 4 fen), Muxiang (Aucklandiae Radix), Guanyi (Cinnamomi Cortex, bark removed, each 2 fen), Shanzha Rou (Crataegi Fructus pulp, 6 fen)
One slice of fresh ginger, one jujube pitted. Decoct in one large cup of water until reduced to 0.4 cup; take warm.
Shen Nei Tuo San (Ginseng Internal Support Powder) Treats itching due to smallpox deficiency, failure to suppurate, or inverted scabs.
Renshen (Panacis Ginseng Radix), Huangqi (Astragali Radix, honey-fried), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligusticum Chuanxiong Rhizoma)
N Hou (Magnoliae Officinalis Cortex, ginger-prepared), Fangfeng (Saposhnikoviae Radix), Jiegeng (Platycodonis Radix, stir-fried), Baizhi (Angelicae Dahuricae Radix)
Zicao (Arnebiae Radix seu Lithospermi Radix), Guanyi (Cinnamomi Cortex, bark removed), Muxiang (Aucklandiae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts)
A pinch of glutinous rice. Decoct in water. If the color is pale white, remove Fangfeng, Zicao, and Baizhi; increase glutinous rice. One variation includes Shaoyao (Paeoniae Radix).
Shixuan San (Ten Acupoints Powder) Regulates Qi and tonifies Blood, supports internally against toxin sores. It is a necessary formula after five days. Also treats carbuncles and ulcers.
Renshen (Panacis Ginseng Radix), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix) (each 2 qian), Chuanxiong (Ligusticum Chuanxiong Rhizoma)
Fangfeng (Saposhnikoviae Radix), Jiegeng (Platycodonis Radix), Baizhi (Angelicae Dahuricae Radix), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
N Hou (Magnoliae Officinalis Cortex, each 1 qian), Guixin (Cinnamomi Ramulus, 3 fen)
Grind into fine powder. Take 1 qian or 2 qian per dose, mixed with Muxiang Tang (Aucklandiae Decoction).
Shibiao Jiedu Tang (Strengthen Exterior and Resolve Toxin Decoction)
Renshen (Panacis Ginseng Radix), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Shengdi Huang (Rehmanniae Radix raw)
Gancao (Glycyrrhizae Radix et Rhizoma), Baishao (Paeoniae Radix Alba), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma)
Pian Qin (Scutellariae Radix, wine-fried), Yuanshen (Scrophulariae Radix), Digupi (Bark of Lycium chinense root)
Add a small amount of Bohe Ye (Menthae Haplocalycis Herba) and ten slices of Danzhuye (Lophatheri Herba). Decoct in water.
Baoyuan Tang (Preserve Origin Decoction) Treats Qi deficiency and sinking in smallpox.
Renshen (Panacis Ginseng Radix, 2-3 qian), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 qian), Rougui (Cinnamomi Cortex, 0.5-0.7 qian), Huangqi (Astragali Radix, 2-3 qian). When filling pus, wine-fry and return to original state. Add 1.5 sheng of water, a pinch of glutinous rice, decoct and take. After decoction, add half a cup of human milk and good wine, mix and take for better effect.
Adjust usage as appropriate. If forehead lesions do not rise, add Chuanxiong (3-5 fen). On the face, add Shengma (3-4 fen). On chest and abdomen, add Jiegeng (3-4 fen).
On waist and knees, add Niuxi (Achyranthis Bidentatae Radix, 4 fen). If four limbs do not rise, add Guizhi (Cinnamomi Ramulus, 2-3 fen). For vomiting and nausea, add Dingxiang (Caryophylli Flos, 3-4 fen). For Yuan Qi deficiency and cold, add Da Fuzi (Aconiti Lateralis Radix Praeparata, processed 7-8 fen or 1 qian).
Yangwei Huadu Tang (Nourish Wei and Transform Toxin Decoction)
Renshen (Panacis Ginseng Radix), Huangqi (Astragali Radix, fried), Guizhi (Cinnamomi Ramulus), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix)
Decoct in water and take.
Renshen Baidu San (Ginseng Detoxification Powder) Treats epidemic rashes.
Renshen (Panacis Ginseng Radix), Fuling (Poria), Zhike (Aurantii Fructus Immaturus), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Qianhu (Peucedani Radix), Chaihu (Bupleuri Radix), Jiegeng (Platycodonis Radix) (equal parts)
Decoct 1.5 sheng of water with three slices of ginger and take.
Shengma Gegen Tang (Cimicifuga and Kudzu Decoction) Resolves and releases smallpox toxin.
Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts)
Decoct one sheng of water until reduced to 0.7 sheng; take warm.
Suodu Jian (Search for Toxin Decoction) Resolves intense heat toxin of smallpox and rashes, purple-black dryness, restlessness, constipation, Pure Yang syndrome, etc.
Zicao (Arnebiae Radix seu Lithospermi Radix), Digupi (Bark of Lycium chinense root), Niubangzi (Arctii Fructus, ground), Huangqin (Scutellariae Radix), Mutong (Akebiae Caulis), Lianqiao (Forsythiae Fructus), Chantui (Cicadae Periostracum), Shaoyao (Paeoniae Radix) (equal parts)
Decoct 1.5 sheng of water and take. For exterior heat, add Chaihu (Bupleuri Radix).
Siwei Xiaodu Yin (Four-Ingredient Disinfecting Decoction) Treats intense heat and blocked toxin in smallpox; usable regardless of stage.
Renshen (Panacis Ginseng Radix), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huanglian (Coptidis Rhizoma), Niubangzi (Arctii Fructus) (equal parts)
Grind into coarse powder. Take 1 qian per dose, add one slice of ginger, one sheng of water, decoct until reduced to 0.4 sheng, remove dregs, take warm at any time.
Shunanzhi Tang (Arctii Decoction) Treats dense smallpox with body heat and intense toxin; takes this to prevent green-drying and black-sinking, and also treats dense rashes.
Niubangzi (Arctii Fructus, stir-fried and ground), Guishen (Angelicae Sinensis Radix body), Huangqi (Astragali Radix), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix, wine-fried), Lianqiao (Forsythiae Fructus), Digupi (Bark of Lycium chinense root)
Decoct in water and take. Stop when heat subsides.
Xiong Gui Tang (Ligusticum and Angelica Decoction) Nourishes Ying to raise smallpox.
Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligusticum Chuanxiong Rhizoma, halved)
Grind into fine powder. Take 1 qian per dose, mixed with Honghua Tang (Carthami Decoction).
Li Wu Jian (Six-Ingredient Decoction) Treats insufficient Qi and Blood in smallpox/rashes; adjust according to symptoms. Divine efficacy cannot be fully described.
Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Danggui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata, or use Shengdi), Chuanxiong (Ligusticum Chuanxiong Rhizoma, 3-4 fen, do not exceed), Baishao (Paeoniae Radix Alba, adjust as appropriate), Renshen (Panacis Ginseng Radix, optional depending on deficiency/excess; not needed if Qi is not deficient)
Decoct in water and take. If fever persists or before spots appear, add Chaihu (Bupleuri Radix) to release the exterior, or assist with Fangfeng (Saposhnikoviae Radix). After spots appear, if smallpox does not rise, rises but does not fill, or fills but pus is thin, use this decoction alone, or add glutinous rice, human milk, good wine, and Rougui (Cinnamomi Cortex) to aid Ying Qi. If Qi deficiency causes itching and failure to rise, add Chuan Shan Jia (Manis Squama, stir-fried). If red-purple blood heat prevents rising, add Zicao (Arnebiae Radix seu Lithospermi Radix) or Xijiao (Rhino CeratUs Cornu). If Pi Qi stagnation is slight, add Chenpi (Citri Reticulatae Pericarpium) and Shanzha (Crataegi Fructus). If Stomach Qi deficiency and cold cause frequent vomiting, add Ganjiang (Zingiberis Rhizoma, stir-fried) or Dingxiang (Caryophylli Flos). If abdominal pain with stagnation, add Muxiang (Aucklandiae Radix) and Chenpi (Citri Reticulatae Pericarpium). If exterior deficiency with Qi sinking and failure to rise, or excessive sweating, add Huangqi (Astragali Radix). If both Qi and Blood are deficient, itching precedes rising and filling, add Rougui (Cinnamomi Cortex) and Baizhi (Angelicae Dahuricae Radix). If Yuan Qi is severely deficient with chills, grinding teeth, diarrhea, remove Shaoyao (Paeoniae Radix), add Huangqi (Astragali Radix), Da Fuzi (Aconiti Lateralis Radix Praeparata), Ganjiang (Zingiberis Rhizoma), and Rougui (Cinnamomi Cortex).
Qianghuo San Yu Tang (Notopterygium Dispelling Depression Decoction) Treats excess heat congestion and depression, unable to reach the exterior, rough breathing, wheezing, abdominal distension, irritability, delirium, restless sleep, constipation, erect hair, floating face, eyes open in anger. Also effective for external wind-cold obstruction causing slow eruption.
Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Baizhi (Angelicae Dahuricae Radix), Jingjie (Schizonepetae Spica), Jiegeng (Platycodonis Radix), Digupi (Bark of Lycium chinense root), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Lianqiao (Forsythiae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Zicao (Arnebiae Radix seu Lithospermi Radix), Dafupi (Arecae Pericarpium), Shunanzhi (Arctii Fructus)
Grind into coarse powder. Decoct one sheng of water with fourteen roots of Dengxin (Junci Medullae) until reduced to 0.6 sheng; take warm.
Liangxue Yangying Jian (Cool Blood and Nourish Ying Decoction) Treats smallpox with Blood deficiency and heat, red skin, thirst, dry appearance without rising, constipation, dark urine, and all conditions of Yang excess and Yin deficiency.
Shengdi Huang (Rehmanniae Radix raw), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Sheng Gancao (Glycyrrhizae Radix et Rhizoma raw), Digupi (Bark of Lycium chinense root), Zicao (Arnebiae Radix seu Lithospermi Radix), Huangqin (Scutellariae Radix), Honghua (Carthami Flos)
Decoct 1.5 sheng of water and take. Adjust dosage based on child's size. For thirst, add Huafen (Trichosanthis Radix). For muscle heat without sweat, add Chaihu (Bupleuri Radix). For intense heat toxin, add Niubangzi (Arctii Fructus), Mutong (Akebiae Caulis), Lianqiao (Forsythiae Fructus). For blood heat preventing toxin penetration, add Xijiao (Rhino CeratUs Cornu).
Xijiao San (Rhino Horn Powder) Treats smallpox, carbuncle toxin, and epidemic toxin with intense heat, irritability, excessive thirst, dark and scanty urination, or painful urination.
Xijiao (Rhino CeratUs Cornu, shaved), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 5 fen), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix, each 1 qian)
Grind into coarse powder. Take 2 qian per dose, decoc t one small cup of water until reduced to 0.5 cup; take warm at any time.
Zicao Kua Dou Tang (Arnebia Rapid Smallpox Decoction) Treats smallpox/rash with insufficient Qi and Blood, or blood heat preventing rising and suppuration, dull color.
Zicao (Arnebiae Radix seu Lithospermi Radix), Renshen (Panacis Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Mutong (Akebiae Caulis) (equal parts)
Add glutinous rice. Take 3-5 qian per dose, decoct in water.
Shen Jiang Yin (Ginseng and Ginger Decoction) Treats Spleen, Lung, and Stomach Qi deficiency and cold, vomiting, cough, shortness of breath, infant spitting up, etc.
Renshen (Panacis Ginseng Radix, 3-5 qian or double), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3-5 fen), Ganjiang (Zingiberis Rhizoma, roasted 5 fen or 1-2 qian, or use Wei Shengjiang/Ginger prepared by stewing 3-5 qian)
Decoct 1.5 sheng of water until reduced to 0.7-0.8 sheng; take slowly.
Danggui Wan (Angelica Pill) Treats hard stool for 3-5 days without passage, indicating solid interior Qi and strong constitution.
Danggui (Angelicae Sinensis Radix, 5 qian), Zicao (Arnebiae Radix seu Lithospermi Radix, 3 qian), Huanglian (Coptidis Rhizoma, stir-fried 1.5 qian), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 qian), Dahuang (Rhei Radix et Rhizoma, 2 qian)
Boil Danggui and Zicao into a paste. Grind the other three herbs into fine powder. Mix paste and powder to form pills the size of peppercorns. Children under three years take 10 pills; children aged seven-eight take 20 pills. Take before meals with clear rice drink. Gradually increase dosage until harmony is achieved.
Tui Huo Dan (Fire-Reducing Pill) Divine prescription for madness during smallpox.
Huashi (Talcum), Zhusha (Cinnabar, purified, each 1 qian), Bingpian (Borneolum Syntheticum, 3 li)
Grind into fine powder. Mix with cold water, take 1 fen. After sleeping briefly, spirit calms, Qi settles, and smallpox turns red and lively.
Jiuwei Yigong Jian (Nine-Ingredient Extraordinary Merit Decoction) Treats chills, grinding teeth, inverted sinking, vomiting, diarrhea, abdominal pain, deficiency-cold in smallpox. Replaces Zhen Shi Twelve-Ingredient Extraordinary Merit Powder.
Renshen (Panacis Ginseng Radix, 2-3 qian), Huangqi (Astragali Radix, honey-fried, 1-2 qian), Fuzi (Aconiti Lateralis Radix Praeparata, processed, 1-2 qian), Shudi (Rehmanniae Radix Preparata, 2-3 qian), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.7-1 qian)
Danggui (Angelicae Sinensis Radix, 2-3 qian), Rougui (Cinnamomi Cortex, 1 qian), Ganjiang (Zingiberis Rhizoma, roasted, 1-2 qian), Dingxiang (Caryophylli Flos, 3-5 fen or 1 qian)
Adjust dosage based on child's size. Decoct 1.5 sheng of water until reduced to 0.7 sheng; give slowly. For diarrhea and abdominal pain, add Roudoukou (Myristicae Semen, flour-roasted, 1 qian) or Baizhu (Atractylodis Macrocephalae Rhizoma, 1-2 qian).
Shi'er Wei Yigong San (Twelve-Ingredient Extraordinary Merit Powder) Treats Yuan Qi deficiency and cold, white smallpox, chills, grinding teeth, diarrhea, wheezing/cough.
Renshen (Panacis Ginseng Radix), Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Roudoukou (Myristicae Semen), Chenpi (Citri Reticulatae Pericarpium), Houpo (Magnoliae Officinalis Cortex) (each 2.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Fuling (Poria)
Guanyi (Cinnamomi Cortex, bark removed, each 2 qian), Danggui (Angelicae Sinensis Radix, 3.5 qian), Banxia (Pinelliae Rhizoma, processed), Fuzi (Aconiti Lateralis Radix Praeparata, processed, each 1.5 qian)
Grind into coarse powder. Take 2-3 qian per dose, decoct with ginger and jujube water, remove dregs, and take.
Muxiang San (Aucklandia Powder) Treats smallpox with deficiency-cold and stagnation.
Muxiang (Aucklandiae Radix), Dingxiang (Caryophylli Flos), Dafupi (Arecae Pericarpium), Renshen (Panacis Ginseng Radix)
Guixin (Cinnamomi Ramulus), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Banxia (Pinelliae Rhizoma, processed), Helile (Terminalia Chebulae Fructus)
Chi Fuling (Poria with red skin), Qingpi (Citri Reticulatae Pericarpium viride), Qianhu (Peucedani Radix) (equal parts)
Grind into coarse powder. Take 2-3 qian per dose, decoct with ginger water, remove dregs, and take. Mr. Xue Lizhai said: The previous formulas treat smallpox between eruption and healing. If lesions lack luster, do not rise, are not red/lively, and within 5-7 days present with diarrhea/thirst, abdominal distension, rapid breathing/wheezing, body heat with abdominal distension and cold toes, palpitations, sweating, chills/grinding teeth, desire for scabbing but failure, failure to form crusts, or post-scabbing abdominal distension/diarrhea/thirst, these are all Spleen/Stomach deficiency-cold with depleted fluids. Use this medicine urgently. If mistakenly treated as excess heat with cold-cooling agents, honey water, or raw fruits/vegetables, it will be incurable. Mr. Zhang Jingyue said: The above two formulas have sufficient warming nature but insufficient tonifying power; they are suitable for cold syndromes but inadequate for deficiency syndromes.
Huangqi Jianzhong Tang (Astragalus Establishing the Middle Decoction) Treats various deficiencies, emaciation, and hundred diseases.
Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Guizhi (Cinnamomi Ramulus), Shengjiang (Zingiberis Rhizoma fresh, equal parts), Baishao (Paeoniae Radix Alba, doubled)
Dazao (Jujubae Fructus), Jiaoyi (Malt Sugar), Huangqi (Astragali Radix, honey-fried)
Decoct in water until reduced by half, remove dregs. Add Jiaoyi. Heat gently over low fire to dissolve. Take warm.
Yuanshen Dihuang Tang (Scrophularia and Rehmannia Decoction) Treats epistaxis in smallpox/rashes.
Yuanshen (Scrophulariae Radix), Sheng Dihuang (Rehmanniae Radix raw), Danpi (Moutan Cortex), Zhizi Ren (Gardeniae Semen)
Gancao (Glycyrrhizae Radix et Rhizoma), Shengma (Cimicifugae Rhizoma) (each 5 fen), Baishao (Paeoniae Radix Alba, 1 qian), Puhuang (Typhae Pollen, stir-fried, 5 fen)
Decoct one sheng of water until reduced to 0.7 sheng; take warm. It is advisable to remove Shengma from this formula because its ascending action is undesirable. Add ink juice and take; black corresponds to water and can control fire.
Dali Qing Yin (Great Clarity Clearing Decoction) Treats accumulated heat and blockage, difficult urination, hematuria, blood stasis, abdominal pain, strangury, etc.
Fuling (Poria), Zexie (Alismatis Rhizoma), Mutong (Akebiae Caulis), Zhuling (Polyporus), Zhizi (Gardeniae Fructus), Zhike (Aurantii Fructus Immaturus), Cheqianzi (Plantaginis Semen)
Decoct 1.5 sheng of water until reduced to 0.8 sheng; take warm long after meals. If internal heat is severe, add Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Longdancao (Gentianae Radix). If stool is hard and abdomen full, add Dahuang (Rhei Radix et Rhizoma).
Tianyuan Tang (Regulate Origin Decoction)
Renshen (Panacis Ginseng Radix), Huangqi (Astragali Radix, honey-fried), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
Decoct in water and take. Note: This is Baoyuan Tang without Rougui (Cinnamomi Cortex), named Tianyuan Tang. It is also Dongyuan先生的 Huangqi Tang. Dongyuan used it as a pediatric formula for treating fright. Wei Guiyan used it to treat smallpox with great effect, hence the name Tianyuan Tang. Since children's Yuan Qi is not yet full and easily damaged, this formula preserves it truly. It is a royal path miracle formula for pediatrics. By expanding upon it, all Qi/Blood, deficiency-cold, and deficiency-sinking syndromes can be adjusted accordingly to achieve divine effects.
Gegen Jiedu Tang (Kudzu Toxin-Resolving Decoction) Good prescription for resolving smallpox toxin and stopping thirst.
Gegen (Puerariae Lobatae Radix), Shengma (Cimicifugae Rhizoma, halved), Shengdi Huang (Rehmanniae Radix raw), Maidong (Ophiopogonis Radix), Huafen (Trichosanthis Radix) (equal parts), Gancao (Glycyrrhizae Radix et Rhizoma, halved)
Take one sheng of glutinous rice washing water, decoct until reduced to 0.7 sheng. Add one cup of natural juice from Maogen (Imperatae Rhizoma) and take.
Huangqin Tang (Scutellaria Decoction) Treats concurrent Taiyang and Shaoyang syndromes with spontaneous sweating from below.
Huangqin (Scutellariae Radix), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Baishao (Paeoniae Radix Alba), Dazao (Jujubae Fructus)
Decoct in water and take warm. If vomiting, add Banxia (Pinelliae Rhizoma) and Shengjiang (Zingiberis Rhizoma fresh). Note: This formula treats diarrhea. However, such cases are rare; do not mistakenly use this formula to treat deficiency-cold diarrhea. Refer to the previous discussion on heat.
Ganjie Tang (Licorice and Platycodon Decoction) Treats all wind-heat congesting upward, sore throat, and swelling/pain.
Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Jiegeng (Platycodonis Radix, 1 qian)
Decoct in water; take after meals. If smallpox in the throat causes severe pain when spots first appear, add Niubangzi (Arctii Fructus).
Renshen Maimendong San (Ginseng and Ophiopogon Powder) Treats slight thirst in smallpox.
Maimendong (Ophiopogonis Radix, 1 qian), Renshen (Panacis Ginseng Radix), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Chenpi (Citri Reticulatae Pericarpium), Houpo (Magnoliae Officinalis Cortex, ginger-prepared, each 5 fen)
Decoct in water and take warm. Adjust dosage based on child. Mr. Xue said: This formula treats smallpox heat toxin; suitable for Qi deficiency. If thirst is due to Qi deficiency, use Renshen Baizhu San (Ginseng and Atractylodes Powder).
Shuangjie San (Double Release Powder) Treats smallpox/rash with excess in both exterior and interior.
Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Lianqiao (Forsythiae Fructus), Baishao (Paeoniae Radix Alba), Bohe (Menthae Haplocalycis Herba), Dahuang (Rhei Radix et Rhizoma) (each 5 fen), Shigao (Gypsum Fibrosum), Jiegeng (Platycodonis Radix), Huangqin (Scutellariae Radix) (each 8 fen)
Jingjie Sui (Schizonepetae Spica tip), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Guizhi (Cinnamomi Ramulus) (each 2 fen), Huashi (Talcum, 2.4 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian)
Decoct two sheng of water with three slices of ginger until reduced to one sheng; take warm at any time.
Liuqi Jian (Six Qi Decoction) (See Discussion on Errors in Treating Convulsions)
Shiquan Dabu Tang (Complete Ten Great Tonifying Decoction) (See Discussion on Errors in Treating Convulsions)
Chai Gui Yin (Bupleurum and Angelica Decoction) (See Discussion on Errors in Treating Convulsions)
Siwu Tang (Four Substances Decoction) (See Discussion on Deficiency)
Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) (Also known as Dihuang Wan made into decoction, see Discussion on Heat)
Liujunzi Tang (Six Gentlemen Decoction) (See Discussion on Cold)
Wujunzi Tang (Five Gentlemen Decoction) (See Discussion on Cold)
Lizhong Tang (Regulate the Middle Decoction) (See Discussion on Cold)
Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder) (See Discussion on Heat)
Sijunzi Tang (Four Gentlemen Decoction) (See Discussion on Heat)
Renshen Lizhong Tang (Ginseng Regulate the Middle Decoction) (Same as Lizhong Tang with increased Renshen dosage, see Discussion on Cold)
Sishun Qingliang Yin (Four Smooth Cooling Clearing Decoction) (See Discussion on Interior)
Chaihu Yinzi (Bupleurum Decoction) (See Discussion on Excess)
Chensha Liuyi San (Cinnabar Six-to-One Powder) (See Discussion on Errors in Treating Convulsions)
Daochi San (Direct Red Outward Powder) (See Discussion on Excess)
Weiguan Jian (Stomass Gate Decoction) (See Discussion on Cold)
Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) (See Discussion on Errors in Treating Convulsions)