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Tian Gen Dou (Heaven Root Pox): In cases where various pox lesions fail to rise and become robust, but the Tian Ting (central forehead) or Xiao Xing (area above the eyebrows) lesions do rise and fill with pus, this indicates that essence and qi are generating outwardly. Some call this "Tian Gen" (Heaven Root); nine out of ten patients will survive.

Tian Kong Dou (Heaven Void Pox): When various pox lesions rise and become robust, but the Tian Ting or Xiao Xing areas do not, this indicates that blood fails to irrigate the top of the head. Thus, it is said that in "Tian Kong" (Heaven Void) cases, none out of ten will survive.

Ming Lang Dou (Clear and Bright Pox): When various pox lesions do not rise, but only those in the Tai Yin (Yin region of the face) and Tai Yang (Yang region of the face) areas rise independently, resembling the brightness of the sun and moon, this is auspicious.

Ming Shi Dou (Eclipsed Light Pox): When various pox lesions rise and become robust, but the Tai Yin and Tai Yang areas do not rise, resembling an eclipse of the sun and moon, this is an ominous sign.

Hai Yi Dou (Sea Overflow Pox): When various pox lesions do not rise, but only the area one cun round behind the ears rises independently, named "Xing Xiu Hai Yi" (Starry Sea Overflow), this indicates prosperity of the Kidney Meridian; it is treatable.

Hai Ku Dou (Sea Withered Pox): When all pox lesions rise, but only the area one cun round behind the ears does not rise, named "Xing Xiu Hai Ku" (Starry Sea Withered), this indicates failure of the Kidney Qi; it is untreatable.

You Gen Dou (Rooted Pox): When pox lesions are dense over the entire head, face, and body, posing extreme danger, if there are a few bead-like lesions in the Di Ge (chin) area, nine out of ten will survive. Since the Kidney is the root of human life, these lesions indicate strong Kidney Qi, hence called "You Gen" (Rooted). Alternatively, having lesions on the soles of the feet is also considered rooted.

Wu Gen Dou (Unrooted Pox): When other pox lesions are fine, but the Di Ge area is depressed, dry, or grayish-white and non-rising, this indicates exhaustion of Kidney Water; it is untreatable.

Rao Xi Dou (Knee-Encircling Pox): The marrow converges between the knee patella, belonging to the Kidney. If the color is red and vibrant and the lesions rise and swell, it is auspicious; if the color is scorched purple, one must guard against transformation into Ding (carbuncle).

Bao Bi Dou (Nose-Hugging Pox): Facial pox lesions are sparse, but dense around the nasal bridge like silkworm eggs, indicating toxin accumulation in the Spleen and Stomach. Named "Bao Bi" (Nose-Hugging), its Ding nature is dangerous. However, if the color and form are not mutually hostile and other parts are smooth, the patient may remain unharmed.

Dan Suo Kou (Single Locking Mouth): Facial pox lesions are sparse, but there is one large black lesion at the corner of the mouth, named "Dan Suo Kou" (Single Locking Mouth). If a circle of linked lesions forms around the lips, it is named "Teng She Suo Kou" (Flying Snake Locking Mouth); both are malignant signs.

Shuang Suo Kou (Double Locking Mouth): When there is one lesion at each corner of the mouth, named "Shuang Suo Kou" (Double Locking Mouth), also known as "Bai Hu Xu Chuang" (White Tiger Beard Sore), it is an even more malignant sign.

Suo Xiang Tuo Yi Dou (Neck-Locking Jaw-Dropping Pox): Also named Pan She (Coiling Snake), Tuo Sai (Cheek-Supporting), or Chan Hou (Throat-Wrapping). Pox lesions are sparse over the body, but dense in a patch from the neck to the jaw. This is a malignant syndrome.

Zhu Jing Dou (Pig Neck Pox): When there are too many pox lesions in the throat and neck hollows, urgently administer Xuan Shen (Scrophulariae Radix), Jie Geng (Platycodonis Radix), Sheng Di Huang (Rehmanniae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Niu Bang Zi (Arctii Fructus), Shan Dou Gen (Sophorae Tonkinensis Radix), etc. Delay leads to death from toxin knotting in the throat.

Zhun Dou (Abdominal Pox): Lesions are numerous in the middle and scarce at both ends, or even absent. This is a highly malignant pox; internal attacking toxins often damage the Heart and Lungs, leading to death.

Liang Tou Dou (Two-Ends Pox): Also named Liang Jie Dou (Two-Cut Pox) or Chun Shui Duan Qiao (Spring Water Section Bridge). At the initial appearance stage, lesions appear from above the chest to below the navel, while the middle section is completely normal. This is due to excessive toxin congestion causing separation of Qi and Blood, preventing their intersection. Yang Qi participates in the upper part, resulting in the most lesions on the head and face; Yin stagnates in the lower part, resulting in dense lesions on the legs and feet, hence very few on the chest and abdomen. This is due to the separation of Yin and Yang. Therefore, if the lesions are red, vibrant, and have rounded roots, urgent major supplementation of Qi and Blood to reconnect Yuan Qi is essential. Rescue within seven days is ideal; after seven days, rescue is difficult. Only those with sufficient Righteous Qi are unaffected. If there are too many lesions on the head and face, or they are dense on the shoulders and back, death ensues. One must not ignore it simply because the chest and heart areas are sparse.

Ni Dou (Reverse Pox): When there are fewer lesions on the upper body and more on the lower body. This poses no great harm. Some say that appearing from bottom to top is normal, while others consider "younger brother resembling older brother" or "daughter resembling father" patterns as reverse pox.

Ya Ling Dou (Crow Feather Pox): This indicates sufficient Tian Yuan and abundant Ren Gui (Water element), emerging from specific meridians. Named "Jing Zhao Yun Qu" (Whale Covering Cloud Sky), from appearance to swelling, the lesions are black, round, glossy, with circular rims and steep tops. As pus forms, they gradually turn yellow and show spirit. This predicts future great wealth and honor. It is recorded in Zhuangyuan (Top Scholar) illustrations.

Gui Nie Dou (Ghost Pinching Pox): No individual pox lesions appear on the body; instead, patches resemble bruise marks. Named "Gui Nie" (Ghost Pinching), it is absolutely untreatable.

Gui Dou (Ghost Pox): Lesions appear fully formed upon sighting, abundant on the body but absent on the head and face. Also named Wu Tou Dou (Headless Pox). Treatable within five days; beyond five days, rescue is difficult. This is because Qi and Blood descend and cannot ascend. Urgently use Chuan Xiong (Ligustici Chuanxiong Rhizoma), Sheng Ma (Cimicifugae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Jie Geng (Platycodonis Radix), Fang Feng (Saposhnikoviae Radix), Dang Gui (Angelicae Sinensis Radix), Jiang Can (Bombyx Batryticatus), etc. Without urgent treatment, Du (Gallbladder Meridian) acupoint Qu Chi (Hegu) will develop toxicity, leading to bone exposure and death within a month.

Zei Dou (Thief Pox): Initially bright red, pea-sized. After one day, soybean-sized; after another day, larger. They rise and swell first, then turn white. Roots and tops lack blood color. Although shaped like gold and swollen, they feel soft when pressed. Urgently puncture them. Otherwise, bleeding occurs within four to five days, leading to death. Deep red or crimson lesions that feel soft under the skin without resistance are also this type. They steal Qi and Blood from the whole body, attaching to themselves, thus growing and suppurating easily, hence named "Thief Pox." They grow faster and larger than other pox. After three days, they inevitably become blisters, possibly purple or black. Large, black, hard lesions or those with round shell colors are Ding (carbuncles). Urgently puncture with silver chopsticks, rinse mouth with clear water, suck out foul blood, and apply Zi Cao Gao (Arnebiae Unguent) or You Yan Zhi (Oil Carmine) mixed with Xue Yu Hui (Burnt Human Hair Ash) and Zhen Zhu Mo (Pearl Powder) into the sore. Other pox will naturally rise.

She Pi Dou (Snake Skin Pox): No empty space on head, face, or body; flat, collapsed, and white. They inevitably dry up and fail to produce pus, leading to death on days 11-12.

Yao Huan Dou (Medicine Affliction Pox): Initially red and moist upon appearance, but suddenly collapse and fail to rise by days 4-5, approaching interior deficiency. Named "Yao Huan" (Medicine Affliction). Treatment should urgently focus on supporting both exterior and interior.

Jiu Jiao Dou (Nine Scorched Pox): Black, depressed lesions appear on the forehead, chin, cheekbones, chest, back, behind ears, hands, and feet. Named "Jiu Jiao" (Nine Scorched), it is an untreatable syndrome.

Fu Yin Dou (Hidden Yin Pox): Lesions do not fill with pus but internally discharge pus and blood. Named "Fu Yin" (Hidden Yin). Urgently warm the interior.

Shui Jing Dou (Crystal Pox): Color resembles reed catkins, indicating dual deficiency of Qi and Blood. Urgently supplement greatly. However, if the skin is extremely thin, even major supplementation is useless.

Kong Cang Dou (Empty Granary Pox): Lesions appear plump but contain no pus or blood internally; the interior is dry and lacks blood/fluid. This is a fatal syndrome.

Ban Bian Dou (Half-Side Pox): Lesions appear either on the left or right side, skewed, with head tilt, dizziness, and scattered distribution. Despite normal diet, voice, and excretion, survival past seven days is unlikely.

Shi Jiu Dou (Stone Mortar Pox): Concave center, raised edges, glossy and attractive, solid inside. Pus plate does not transform. Hard as stone when touched, resembling a stone mortar. Fatal.

Zhu Yu Dou (Cornel Pox): Lesions do not rise much, are concave in the center, and have wrinkles on all four sides, resembling cornel fruit. If roots are red and vibrant, administer Nei Tuo San (Internal Support Powder) with modifications.

Chong Dou (Insect Pox): Summer pox often breeds insects because intense heat rots flesh, and rotted flesh breeds insects. Some summer pox develop maggots with severe itching. Some argue: Toxin remains in the skin, rots due to heat, and since it rots externally, the toxin resolves externally, leaving Yuan Qi intact internally—considered auspicious. Others argue: Grass rotting produces fireflies, wood rotting produces insects, so it is ominous. Observe form and symptoms to determine auspiciousness/ominousness. Treatment: Remove with silver chopsticks or lay willow branches underneath so maggots exit naturally.

Xue Dou (Blood Pox): Initially bright red-purple, flat like vermilion ink dots all over the body. Internal roots are rotten, external shoots will wither. Fatal within six days.

Huo Li Miao (Fire Seedling): From appearance to scabbing, fever persists, lesions rise and fill with pus according to schedule. Body cools only after scabs fall. Hence named.

Xue Dou (Blood Pox - Variant): Blood mixes with heat-toxin to form pus. If punctured blood is black, it is untreatable. If red, urgently administer Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction) plus Bai Shao (Paeoniae Radix Alba) to control blood and detoxify.

Xue Ye Dou (Blood Scab Pox): Sparse pox lesions, swelling to pea-size by days 4-5, forming bloody scabs by days 6-7, red like cinnabar, falling off by day 9. Indicates low toxin and sufficient Qi/Blood; scabs form before pus can brew. Considered optimal.

Xuan Qing Dou (Hanging Bell Pox): Lesions cluster at Yu Zhen point, turning purple-red or gray-depressed. Extremely critical. This is the Nao Hu acupoint, where major meridians converge.

E Kou Dou (Goose Mouth Pox): During the rising phase, lip/mouth lesions turn yellow first, ripen, and carry pus. Toxin originates in the Spleen, progressing to vomiting and untreatability.

Bai Jiang Dou (White Pus Pox): Lesions carry white pus immediately upon rising. This is Epidemic Pox. Fatal within seven days.

Po Huang Dou (Broken Yellow Pox): One large lesion at the Philtrum (Ren Zhong), distinct from others. Even if sparse, diarrhea occurs during transmission at days 6-7 or 12, untreatable due to Spleen corruption.

Si Wei Dou (Four-Surround Pox): At the initial rising stage of roots, small clustered lesions emerge around the periphery. Primary lesions resemble millet grains. Death occurs from itching before pus can mature.

Lou Chuang Dou (Leaking Sore Pox): At pus maturity, pores open on lesion heads, leaking pus that piles up, dries, and forms scabs like Tian Pao Chuang (Blister Sore). This is the favorable type of leaking sore. Others rupture spontaneously before pus matures, leaking clear fluid that dries black. These are attributed to Qi dynamics and contagion-like spread; no cure exists.

Zhu Dou (Borer Pox): Small holes appear on lesions during the swelling phase, neither black nor white. Named "Zhu Dou" (Borer Pox), indicating exterior deficiency and loose interstices, causing massive leakage of Yuan Qi. Urgently administer Bao Yuan Tang (Protect Yuan Qi Decoction) plus Ding Xiang (Caryophylli Flos) and Rou Gui (Cinnamomi Cortex). Once holes close, lesions rise. If only a few lesions have dark black holes, it is a Ding (carbuncle).

Pan Jian Dou (Shoulder-Climbing Pox): Dense lesions on shoulders and neck. Ominous if color is poor.

Yin Xue Ban (Hidden Blood Spot): Lesions resemble bean shells, gray-white, lacking blood color. Bleeds without pus when rubbed. Untreatable.

Chi Ping Chuang (Red Duckweed Sore): Red, slightly elevated lesions like floating duckweed. If scratched and bleeding, urgently rescue with detoxifying and ascending herbs. If becoming rotten sores, it is harmless.

Qi Xue Liang Bai Dou (Dual Deficiency of Qi and Blood Pox): Close-up looks like Polygonum hydropiper flower; distant view like elegant rouge-purple. Upon pus formation, only clear water appears, no pus. Ancient Sage Shennong had no treatment method.

Zi Ping Chuang (Purple Duckweed Sore): All lesions turn purple, fail to rise, and fail to fill with pus, sticking to flesh like purple duckweed. Untreatable.

Bai Ping Chuang (White Duckweed Sore): All lesions turn white, fail to rise, and fail to fill with pus, sticking to flesh like white duckweed. Untreatable.

Yan Wo Dou (Swallow's Nest Pox): Dense lesions at the posterior neck between Feng Men and Da Zhui acupoints. Critical if color is scorched purple.

Chui Zhu Dou (Hanging Pearl Pox): Ears belong to the Kidney; Kidney normally hides toxin and should not receive pox. Now lesions appear on earlobes, continuous like beads. Severe Kidney injury by toxin/Qi; zero chance of survival.

Cao Wei Zhu (Grass Tail Pearl): All body lesions are depressed, except for a full, pearl-like cluster at the ankle/knee bone. Urgent treatment with tonifying and supporting decoctions to induce pus may yield survival.

Hei Dou (Black Pox): Mostly due to Blood Heat and toxin sinking. Especially concerning if related to Tian Gui (menstruation/reproductive essence), originally the worst syndrome. Forms vary; some with vibrant blood are still salvageable; some with unusual colors predict nobility later. Must distinguish carefully. Only those with non-vibrant blood are untreatable.

Zeng Dou (Gift Pox): "Zeng" means added. New layers appear during swelling, pus filling, and scabbing stages. After head/face lesions break, new pus-filling layers appear on previously clear areas. Also named Bu Kong Dou (Fill Void Pox). Caused by supplemented Righteous Qi driving out evil toxin. Grows and suppurates easily. If no new lesions appear after taking tonifying/supportive medicine, or if broken gift-poex do not swell again, or if connected, it is untreatable.

Fu Chu Dou (Recurrence Pox): One or two spots appear on face or lips, seemingly resolving normally. However, under light, hidden red dots remain within the skin. Urgently apply internal support therapy to cause recurrence. Otherwise, a toxic boil will erupt under the chin. At this stage, urgently disperse toxin. If toxin is not dispersed but pox is stimulated, it becomes a fatal condition with no cure.

Mu Dou (Wood Pox): Center slightly depressed, hard like dry rot, no pus or blood. Caused by phlegm accumulation in children's skin forming toxin. Fatal within nine days.

Wen Dou (Plague Pox): Verse says: Mouth silent, eyes dirty, no appetite, lethargic all day. Severe cases resemble bull madness, limbs twitching together. Morning sees good flowers, afternoon petals fall. Then comes the Top Scholar, nailed to the gate. This is Plague Pox; recognition allows cure.

Fo Ding Zhu (Buddha Crown Pearl): Sparse, lustrous, and beautiful lesions on the Tian Ting (forehead). Most auspicious.