Library

When the smallpox rash turns dark purple due to external contact, and sudden panting and urgency occur, one should urgently seek dried loofah skin (Luffae Fructus Cortex), grind it into powder, mix with honey, and apply. Administer Gancao Dihuang Tang (Licorice and Rehmannia Decoction); after one dose, the pustules will rise again. If restlessness and delirium are added, grind Rhinoceros Horn (Rhinocerotis Cornu) into water for administration. This applies to the fourth or fifth day of onset; treatment for contact-induced complications should be as described. If the condition reaches the seventh or eighth day, and the pustules become empty shells due to contact, death is inevitable. If contact occurs when the pus is half-formed, examination must not be vague. (Loofah skin should be harvested before tendons form, dried, and only the skin and stem tips ground into powder for use).

When the smallpox rash turns grayish-white due to contact, accompanied by unbearable itching, use Aconite Radix Preparata (Fuzi, 附子) and Astragali Radix Cum Radicula (Huangqi, 黄芪); the greater the dosage, the more effective the result. The red halo around the base will contract, and this method can yield efficacy. If there are no root-like filaments surrounding the base, it indicates a fatal case.

When the smallpox is raging and just beginning to fill with pus, coinciding with the onset of menstruation, if cleanliness and protection are neglected, the rash pattern suddenly changes. Safflower (Carthami Flos) is a type of flower; boil the whole plant without separating leaves and branches. Boil the tender tips in water, mix with wine, and ingest. Boil the roots and branches strongly, and bathe the patient. Within a short time, normalcy returns, regardless of menstrual blood staining or widespread contact symptoms.

Contact with Musk (Moschus) causes unbearable itching, with black scabs appearing at the center of the spots. Urgently decoct Cimicifugae Rhizoma (Shengma, 升麻) and Xanthii Fructus cum Spina (Cangercao, 苍耳草) in strong concentration, and bathe slowly to restore brightness and delicacy. Internally, use formulas to support the interior and boost Yuan Qi (Original Qi), including Shengdi Huang (Rehmanniae Radix), Fangfeng (Saposhnikoviae Radix), Chantui (Cicadae Periostracum), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Renshen (Ginseng Radix), Chi Shao (Paeoniae Radix Rubra), Honghua (Carthami Flos), Juhong (Citri Reticulatae Pericarpium Rubrum), and Gancao (Glycyrrhizae Radix et Rhizoma).

Contact with corpse qi causes eyes to roll and deviate, with the rash sinking deeply and increased salivation. Quickly burn Argyi Folium Moxa (Aiye, 艾叶) mixed with Celery (Yanhusuo/Yansui, here referring to Coriandri Fructus or Herba, Yan sui, 芫荽) shaped like a tube to dispel evil. Externally, combine Coriander (Yansui, 芫荽) with ginger wine, add a little Cinnabar (Zhensha, 辰砂), boil together, and sip frequently to achieve peace and expel pathogens.

Invasion by Guest Wu (Ke Wu, 客忤 - fright from strangers/unnatural influences) resembles shock, with ceaseless crying and a cyan face. Use mature loofah network fibers which retain fragrance, harvested with dew, steamed, baked, and ground into powder. Upon seeing symptoms, mix with honey and administer according to the child's age and size. Do not despise loofah as cheap; an inch of loofah is worth an inch of gold.

On the fifth or sixth day, while pus formation is proceeding, sudden fright from cats or dogs may halt the process. The ancients specifically established Wulong San (Black Dragon Powder), composed of equal parts Polygalae Radix (Yuanzhi, 远志) and Acori Tatarinowii Rhizoma (Changpu, 菖蒲). Add Cicadae Periostracum (Chantui, 蝉蜕) and boil thoroughly in wine. Discard Polygala and Acorus, retaining only Cicadae Periostracum, grind into fine powder, mix with rock sugar, take in mouth, and swallow with wine.