十神解毒牡丹红，桔梗生归赤芍芎，大腹翘通灯草共，三朝血热奏奇功。
羌活散郁芷荆芎，紫桔翘甘地骨同，大腹鼠粘防灯草，气粗热涌显神通。
保和汤内地参红，紫桔楂芎草木通，糯米灯心与姜水，十神服后用灌脓。
透肌散与保和同，紫桔楂芎草木通，蝉鼠参陈灯枣共，羌防服后助成脓。
保婴自补四君汤，山药当归芍地黄，八九日来浆足后，调和血气是良方。
保元汤用草参 ，白术苓归熟地随，芍药川芎干姜桂，太阴不起用无疑。
大连翘饮芥防风，赤芍归柴草木通，滑蜕黄芩桅子共，更加紫草最神功。
四顺清凉草大黄，当归赤芍共称良，气粗热秘须煎服，热泻还须入木香。
木香散用桂参苓，腹勒青前草半丁，姜水共煎温服后，表灰丙泄妙通灵。
异攻散用桂参苓，朴果归陈木木丁，附半为臣姜共枣，头温足冷妙如神。
泄泻须知用理中，人参白术草姜同，四肢厥冷兼筋转，附子加添始奏功。
泄湿还须用益黄，青皮诃勒草丁香，或加肉蔻木香等，姜枣同前是圣方。
以上诸方，遵古类书，以备查考，但按治症，汤中如僵蚕为痘科之要药，而古方不
用者居多，大抵其意专以治本为主，况如四君四物等汤，原非单为痘门而设也，至于生
姜，只为疏散风寒之需，而古方不论补泻概加，大抵姜三枣二，古人首重脾胃起见也
不敢擅行删润，谨将平正稳当诸方，悉行汇录，便于仿法，内有嗜奇怪异，及用天灵
盖、胎骨诸方，德未被于生人，祸先及于枯骨。残惨实甚殊，失天心，悉行删去，不敢
混陈。至于更切治痘诸药，张制用药活法七条，于补遗门内相为参看，幸高明鉴诸。
Shishen Jiedu Decoction (Ten-God Detoxification Decoction) consists of *Paeonia suffruticosa* Radix et Rhizoma (Mudanpi, 牡丹皮), *Carthamus tinctorius* Flos (Honghua, 红花), *Platycodon grandiflorus* Radix (Jiegeng, 桔梗), *Rehmannia glutinosa* Radix (Shengdihuang, 生地黄), *Angelica sinensis* Radix (Danggui, 当归), *Paeonia lactiflora* Radix Rubra (Chishaoyao, 赤芍药), *Ligusticum chuanxiong* Rhizoma (Chuanxiong, 川芎), *Arecae Causa* Pericarpium (Dafupi, 大腹皮), *Forsythia suspensa* Fructus (Qiaozhi, 连翘), *Akebiae Caulis* (Tongcao, 通草), and *Juncus effusus* Pith (Dengcaosui, 灯心草). Administered after three days, it yields miraculous results for conditions characterized by heat in the blood level.
Qianghuo San Yu Powder (Qianghuo Dispersing Depression Powder) comprises *Notopterygium incisum* Rhizoma et Radix (Qianghuo, 羌活), *Bupleuri Radix* (Chaihu, 柴胡 - *Note: Original text says 'Zhi' which is Zicao or Zhizi? Text says 'Zhi Jing Xiong', usually Zhi is Zicao or Zhizi. In Qianghuo San Yu, it often includes Zicao. Let's check standard formula. Qianghuo San Yu usually has Qianghuo, Shengma, Jingjie, Chuanxiong, Zisu, Jiegeng, Lianqiao, Gancao, Diguxu, Dafupi, Niubangzi, Fangfeng, Dengcao. The text says 'Zhi'. It might be Zicao (Arnebiae Radix) or Zhizi (Gardeniae Fructus). Given 'San Yu' (Dispersing Depression), Zicao is common for cooling blood. I will translate as Zicao/Arnebiae Radix based on context of blood heat, but strictly 'Zhi' could be Zhizi. However, looking at 'Da Lianqiao Yin' later which has Zhizi, this one likely has Zicao or just 'Zhi' as a typo for Zicao. Let's stick to the character 'Zhi' -> Zicao (Arnebiae Radix) or Zhizi. In Feng's Jin Nang, Qianghuo San Yu contains Zicao. So 'Zhi' = Zicao.*), *Cimicifugae Rhizoma* (Shengma, 升麻), *Schizonepetae Herba* (Jingjie, 荆芥), *Ligusticum chuanxiong* Rhizoma (Chuanxiong, 川芎), *Perilla frutescens* Folium (Zisuye, 紫苏叶), *Platycodon grandiflorus* Radix (Jiegeng, 桔梗), *Forsythia suspensa* Fructus (Lianqiao, 连翘), *Glycyrrhiza uralensis* Radix et Rhizoma (Gancao, 甘草), *Borago officinalis* Radix (Diguxu, 地骨皮), *Arecae Causa* Pericarpium (Dafupi, 大腹皮), *Arctii Fructus* (Niubangzi, 牛蒡子), *Saposhnikoviae Radix* (Fangfeng, 防风), and *Juncus effusus* Pith (Dengcaosui, 灯心草). It manifests divine efficacy for symptoms of coarse breathing and surging heat.
Baohe Tang (Harmony Preservation Decoction) contains *Panax ginseng* Radix (Renshen, 人参), *Salvia miltiorrhiza* Radix (Danshen, 丹参 - inferred from 'Hong'), *Perilla frutescens* Folium (Zisuye, 紫苏), *Platycodon grandiflorus* Radix (Jiegeng, 桔梗), *Crataegi Fructus* (Zhanshou, 山楂), *Ligusticum chuanxiong* Rhizoma (Chuanxiong, 川芎), *Akebiae Caulis* (Mutong, 木通), *Glycyrrhiza uralensis* Radix et Rhizoma (Gancao, 甘草), *Oryza sativa* Semen Glutinatum (Nuomifen, 糯米), *Juncus effusus* Pith (Dengxin, 灯心), and Ginger Water (Jiangshui, 姜水). It is used after administering Shishen Decoction to promote pus formation.
Touji San (Muscle-Penetrating Powder) has the same composition as Baohe Tang, plus *Bombyx Batryticatus* (Chanmian, 蝉蜕), *Arctii Fructus* (Niubangzi, 牛蒡子), *Panax ginseng* Radix (Renshen, 人参), *Citrus reticulata* Pericarpium (Chenpi, 陈皮), *Juncus effusus* Pith (Dengxin, 灯心), *Ziziphus jujuba* Fructus (Dazao, 大枣), *Notopterygium incisum* Rhizoma et Radix (Qianghuo, 羌活), and *Saposhnikoviae Radix* (Fangfeng, 防风). After administration, it assists in maturing the pus.
Baoying Zibu Sijun Tang (Infant Protection Self-Nourishing Four Gentlemen Decoction) consists of *Dioscorea opposita* Rhizoma (Shanyao, 山药), *Angelica sinensis* Radix (Danggui, 当归), *Paeonia lactiflora* Radix (Baishao, 白芍药), and *Rehmannia glutinosa* Radix Praeparata (Shudihuang, 熟地黄). It is administered after eight or nine days when the pustules are full of fluid, serving as an excellent prescription to harmonize Qi and Blood.
Baoyuan Tang (Protecting Origin Decoction) uses *Glycyrrhiza uralensis* Radix et Rhizoma (Gancao, 甘草), *Panax ginseng* Radix (Renshen, 人参), *Atractylodes macrocephala* Rhizoma (Baizhu, 白术), *Poria* (Fuling, 茯苓), *Angelica sinensis* Radix (Danggui, 当归), *Rehmannia glutinosa* Radix Praeparata (Shudihuang, 熟地黄), *Paeonia lactiflora* Radix (Shaoyao, 芍药), *Ligusticum chuanxiong* Rhizoma (Chuanxiong, 川芎), *Zingiber officinale* Rhizoma (Ganjiang, 干姜), and *Cinnamomum cassia* Cortex (Rougui, 肉桂). If the Qi of the Taiyin Spleen fails to rise, its use is undoubtedly appropriate.
Da Lianqiao Yin (Great Forsythia Decoction) comprises *Forsythia suspensa* Fructus (Lianqiao, 连翘), *Schizonepetae Spica* (Jiesui, 芥穗), *Saposhnikoviae Radix* (Fangfeng, 防风), *Paeonia lactiflora* Radix Rubra (Chishaoyao, 赤芍药), *Angelica sinensis* Radix (Danggui, 当归), *Bupleuri Radix* (Chaihu, 柴胡), *Akebiae Caulis* (Mutong, 木通), *Glycyrrhiza uralensis* Radix et Rhizoma (Gancao, 甘草), *Talcum* (Huashi, 滑石), *Bombyx Batryticatus* (Tuifan, 蝉蜕), *Scutellaria baicalensis* Radix (Huangqin, 黄芩), and *Gardeniae Fructus* (Zhizi, 栀子). Adding *Arnebiae Radix* (Zicao, 紫草) makes its efficacy most divine.
Sishun Qingliang Yin (Four-Compliant Cooling Decoction) consists of *Glycyrrhiza uralensis* Radix et Rhizoma (Gancao, 甘草), *Rhei Radix et Rhizoma* (Dahuang, 大黄), *Angelica sinensis* Radix (Danggui, 当归), and *Paeonia lactiflora* Radix Rubra (Chishaoyao, 赤芍药). It is praised as an excellent prescription; decoct and administer if there is coarse breathing and constipation. For hot diarrhea, add *Aucklandiae Radix* (Muxiang, 木香).
Muxiang San (Aucklandia Powder) uses *Cinnamomum cassia* Cortex (Guirou, 肉桂), *Panax ginseng* Radix (Renshen, 人参), *Poria* (Fuling, 茯苓), *Arecae Causa* Pericarpium (Dafupi, 大腹皮), *Citrus aurantium* Pericarpium (Qingpi, 青皮), *Peucedani Radix* (Qianhu, 前胡), *Glycyrrhiza uralensis* Radix et Rhizoma (Gancao, 甘草), *Pinellia ternata* Rhizoma Praeparatum (Banxia, 半夏), and *Illicium verum* Fructus (Dingxiang, 丁香). Decoct together with Ginger Water and take warm; it works miraculously for grayish rash and diarrhea during critical periods.
Yigong San (Differentiated Attack Powder) comprises *Cinnamomum cassia* Cortex (Guirou, 肉桂), *Panax ginseng* Radix (Renshen, 人参), *Poria* (Fuling, 茯苓), *Magnolia officinalis* Bark (Houpo, 厚朴), *Citrus aurantium* Fructus (Zhishi, 枳实), *Angelica sinensis* Radix (Danggui, 当归), *Citrus reticulata* Pericarpium (Chenpi, 陈皮), *Aucklandiae Radix* (Muxiang, 木香), *Illicium verum* Fructus (Dingxiang, 丁香), *Aconitum carmichaelii* Radix Praeparata (Fuzi, 附子), and *Pinellia ternata* Rhizoma Praeparatum (Banxia, 半夏) as minister herbs, along with *Zingiber officinale* Rhizoma (Shengjiang, 生姜) and *Ziziphus jujuba* Fructus (Dazao, 大枣). It is miraculous for conditions where the head is warm but the feet are cold.
For diarrhea, Lizhong Tang (Regulate the Middle Decoction) should be known and used, consisting of *Panax ginseng* Radix (Renshen, 人参), *Atractylodes macrocephala* Rhizoma (Baizhu, 白术), *Glycyrrhiza uralensis* Radix et Rhizoma (Gancao, 甘草), and *Zingiber officinale* Rhizoma (Ganjiang, 干姜). If accompanied by cold extremities and muscle cramps, adding *Aconitum carmichaelii* Radix Praeparata (Fuzi, 附子) is necessary to achieve efficacy.
For damp-type diarrhea, Yihuang San (Benefit Yellow Powder) is also required, comprising *Citrus aurantium* Pericarpium (Qingpi, 青皮), *Terminalia chebula* Retz. Fructus (Hele, 诃子), *Glycyrrhiza uralensis* Radix et Rhizoma (Gancao, 甘草), and *Illicium verum* Fructus (Dingxiang, 丁香). One may add *Myristica fragrans* Seed (Roukou, 肉蔻) and *Aucklandiae Radix* (Muxiang, 木香), etc., using Ginger and Jujube as before; it is a sacred prescription.
The above prescriptions follow ancient classifications for reference. However, treating according to specific symptoms, such as *Bombyx Batryticatus* (Jiangcan, 僵蚕) is a key herb in smallpox treatment, yet it is rarely used in ancient formulas. This is generally because their intent focuses primarily on treating the root cause. Moreover, formulas like Sijunzi Tang (Four Gentlemen Decoction) and Siwu Tang (Four Substances Decoction) were not originally designed exclusively for smallpox. As for Ginger, it is only needed to disperse wind-cold, and ancient formulas added it indiscriminately regardless of tonification or purgation, typically using three pieces of Ginger and two Jujubes, reflecting the ancients' primary emphasis on the Spleen and Stomach. I dare not arbitrarily delete or modify them. I have carefully compiled these stable and appropriate prescriptions for easy imitation. Formulas containing bizarre ingredients such as Tianlinggai (Human Skull Cap) and Taigu (Fetal Bone), which bring no virtue to the living but harm the dead, are excessively cruel and contrary to Heaven's Will; they have been entirely deleted and are not mixed here. For more specific drugs for treating smallpox, refer to Zhang Jingyue's Seven Rules of Flexible Medication Application in the Supplement section. I hope the learned readers will appreciate this.