凡气虚之症初发,必身热,手足厥冷,乍热乍凉,精神倦怠,肌肉 白,饮食减
少,四肢困倦,睡卧安静,便清自调,是属虚症无疑。其治法于未见点前,用参 饮,
加轻剂发散。如紫苏防风之属。见点之后,亦用参 饮,加轻剂升发,如川芎、桔梗之
类。见点四日之后,则重用参 ,随病加减处治,七八日浆足之后,则用保婴百补汤,
调养气血而已。如至塌陷黑陷者,则多用木香异攻散以收功。若夫血热之症,初发则必
身热壮盛,腮红脸赤,毛焦色枯,烦燥渴欲饮水,日夜啼哭,睡卧不宁,好睡冷处,小
便赤涩,是属热症无疑。其治法于未出之前升麻葛根汤,或升麻流气饮。虽皆可服,总
不若十神解毒汤为稳。及至见点三四日后热势悉平,势将行浆,则用太乙保和汤加减,
至八九日,浆足之后,则有保婴百补汤调养之。若至七八日间,或为紫黑干枯,及青灰
干黑陷者,则有夺命百祥猪尾等方,皆可审用,惟经泄泻之后,有黑陷干红者,则从木
香异攻散以救之。若夫热毒壅遏之症,初发则必身热壮,腮红脸赤,皮燥毛焦,气粗喘
满,腹胀烦燥,狂言谵语,睡卧不宁,大便秘结,小便赤涩,面浮眼胀,多啼多怒,是
属热毒壅遏之症无疑,其治之法,如未见点时,先服升麻葛根汤一服,随服羌活散郁
汤,时至见点三日之后,即症悉平,势将行浆,不过照前调治血热之法而已。
In cases of Qi deficiency, the initial onset is invariably characterized by fever, cold extremities, alternating hot and cold sensations, mental fatigue, pale muscles, reduced appetite, lethargy in the four limbs, quiet sleep, and normal, clear bowel movements and urination; this is undoubtedly a deficiency syndrome. The treatment method before the eruption of lesions involves administering Renshen Yin (Ginseng Decoction) with mild dispersing agents such as Zisu (Perilla Leaf) and Fangfeng (Saposhnikovia Root). After the lesions appear, Renshen Yin is still used, combined with mild ascending and dispersing agents such as Chuanxiong (Ligusticum Rhizome) and Jiegeng (Platycodon Root). Four days after the appearance of lesions, Ginseng preparations are heavily utilized, with prescriptions adjusted according to the disease; after seven to eight days when the pustules are full, Baoying Baibu Tang (Infant-Protecting Hundred-Tonics Decoction) is employed solely for nourishing Qi and Blood. In cases where lesions collapse or turn black and sunken, Muxiang Yigong San (Aucklandia Counterattack Powder) is predominantly used to conclude the treatment.
Regarding blood heat syndromes, the initial onset is invariably marked by high fever, red cheeks and flushed face, dry and brittle hair, irritability, thirst with desire to drink water, day-and-night crying, restless sleep, preference for cool places, and dark, scanty, painful urination; this is undoubtedly a heat syndrome. The treatment method before the eruption involves Shengma Gegen Tang (Cimicifuga and Pueraria Decoction) or Shengma Liqi Yin (Cimicifuga Regulating-Qi Decoction). Although both may be taken, Shishen Jiedu Tang (Ten-God Detoxification Decoction) is generally more stable. Three to four days after the lesions appear, once the heat subsides completely and the pustule formation phase begins, Taiyi Baohe Tang (Great Ultimate Harmonizing Decoction) is used with modifications. By the eighth or ninth day, after the pustules are full, Baoying Baibu Tang (Infant-Protecting Hundred-Tonics Decoction) is used for nourishment. If between the seventh and eighth days the lesions become purple-black and dry, or cyan-gray and black-sunken, formulas such as Deming Baixiang Zhuwei (Life-Saving Hundred-Auspicious Pig Tail) can be prudently selected. However, if black-sunken and dry-red lesions occur following diarrhea, Mu Xiang Yigong San (Aucklandia Counterattack Powder) is used for rescue.
As for heat-toxin stagnation and obstruction syndromes, the initial onset is invariably characterized by high fever, red cheeks and flushed face, dry skin and brittle hair, coarse breathing and distension, abdominal fullness and irritability, delirious speech, restless sleep, constipation, dark and scanty urination, facial edema and swollen eyes, excessive crying and anger; this is undoubtedly a heat-toxin stagnation and obstruction syndrome. The treatment method, if before the lesions appear, involves first taking one dose of Shengma Gegen Tang (Cimicifuga and Pueraria Decoction), followed by Qianghuo Sanyu Tang (Notopterygium Dispersing-Stagnation Decoction); three days after the lesions appear, when symptoms subside completely and the pustule formation phase begins, the treatment simply follows the method previously described for regulating blood heat.