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Use *Rhus aromatica* resin (Xiangru) 2 qian, or add Myrrh (Moyao), *Angelica sinensis* root (Danggui), and Red Peony Root (Chishao), decoct in water and take orally. If body heat does not subside, use Xiaochaihu Tang (Minor Bupleurum Decoction) or Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction).

Stroke causing whole-body cyanosis with a firm pulse is terrifying:
After recovery, if the whole body suddenly turns cyanotic or black, with cold extremities, locked jaw, drooling, a sound like sawing wood, and in severe cases slight twitching of limbs, this is due to internal deficiency being invaded by wind pathogen,
named Stroke (Zhongfeng). It is suitable to use Xiaofeng San (Wind-Dispersing Powder) 2 qian, mixed with Cicada Slough powder (Chantui mo) 1 qian, divided into three doses. Add fresh ginger juice, mint juice, and a little wine, take with warm water after soaking, continue for 2-3 doses. Administer in small amounts frequently according to condition; it may manifest as Urticaria (Yinzhen) or skin rash before healing. Alternatively, Xiao Xuming Tang (Minor Continuation Life Decoction) with Cinnamon Twig (Guizhi) and Aconite Fuber (Fuzi) removed, plus Schizonepeta Herb (Jingjie), is also effective.

Twitching and hemoptysis are harder to eliminate:
Non-timely twitching after recovery, eyes rolling up, face red, preference for coolness in diet and living environment, indicates Heart Heat with Phlegm. Suitable to use Daochi San (Guide Out Red Powder), Baolong Wan (Bear Dragon Pill), or Xiaochaihu Tang added with Raw Rehmannia Root (Shengdihuang). Also, post-illness weak Stomach Qi leading to twitching from food stagnation, tidal fever, sour-smelling irregular stool, or vomiting abdominal pain, suitable to select Zishuang Wan (Purple Frost Pill) or Xiaochengqi Tang (Minor Order the Qi Decoction). Malignant symptoms indicate death. For cough triggered by wind-cold, use Shen Su Yin (Ginseng and Perilla Drink) modified; for wheezing and fullness, use Qianhu Zhike Tang (Peucedani and Immature Bitter Orange Decoction). If toxin attacks the Lung, causing rapid wheezing, coughing foul pus and blood, it indicates death.

Eye nebulae (Yi) are all contraindicated for eye drops:
Post-recovery eye nebulae should only be treated by activating blood and resolving toxin, so that the Five Viscera harmonize, pain stops naturally, and nebulae disappear without causing concave damage. Eye drops are unsuitable because toxins reach the exterior from the viscera; forcing them with drops causes harm. Only when nebulae have formed, use blood from live eel spines applied to the nebula, followed by Rabbit Dropping Soup (Tushitang), which is best. If there is no nebula but eyes lack luster, after 100 days, when Qi and Blood recover, vision will naturally brighten. However, those who took excessive hot medicines or foods, or have strong wind-toxin, must take internal clearing medications. Those who took excessive purgatives or have weak constitution leading to blurred vision after smallpox recovery, should酌情 tonify Liver, Kidney, Spleen, and Stomach. For Hot Eyes, Danxi Formula: Gardenia Fruit (Shanzhi), Cassia Seed (Juemingzi), Red Peony Root (Chishao), *Angelica sinensis* root (Danggui), Coptis Rhizome (Huanglian), Saposhnikovia Root (Fangfeng), Forsythia Fruit (Lianqiao), Cimicifuga Rhizome (Shengma), Platycodon Root (Jiegeng), make a small dose, decoct and take. Treats smallpox damaging eyes. For Hot Nebulae, Dihuang San: Raw Rehmannia Root (Shengdihuang), Prepared Rehmannia Root (Shudihuang), *Angelica sinensis* root (Danggui) each 1 fen, Saposhnikovia Root (Fangfeng), Notopterygium Rhizome (Qianghuo), Rhinoceros Horn (Xijiao - note: substitute legally), Cicada Slough (Chantui), Equisetum Stem (Muzei), Galega Seed (Gujingcao), Tribulus Fruit (Bajili), Rhubarb (Dahuang) each 1 qian, Scrophularia Root (Xuanshen) 5 fen, Akebia Caulis (Mutong), Licorice Root (Gancao) each 1.5 qian (one formula has Huanglian), grind to powder. Each 5 fen, according to child's size, mix with juice boiled from sheep liver, observe dietary restrictions. Treats smallpox entering eyes, Heart-Liver congestion heat, red swollen painful eyes, red veins, or white membrane covering pupil. Diffuse edges are easy to treat; sudden dark covering often leads to blindness, use this quickly. Adults also suitable. For Wind Swelling Nebulae, Chanke San: Cicada Slough (Chantui), Cortex Lycii (Digupi), Moutan Bark (Mudanpi), Coptis Rhizome (Huanglian), Atractylodes Macrocephala Rhizome (Baizhu), Chrysanthemum Flower (Juhua), Atractylodes Rhizome (Cangzhu) each 1 liang, Gentian Root (Longdancao) 5 qian, Melon Seed (Tianguazi) half zhan, grind to powder. Each 1.5 qian, take with Schizonepeta decoction. After meals and before bed, one dose each. Also treats residual toxin attacking eyes after epidemic diseases, very effective. Avoid oil, noodles, fried foods, vinegar, soy sauce. Extreme heat generating wind, attacking eyes causing pain, red veins covering pupil, constipation: Xigan San added with Scutellaria Root (Huangqin), Coptis Rhizome (Huanglian), Mirabilite (Mangxiao) to purge. Blurred vision: add Gypsum (Shigao), Notopterygium Rhizome (Qianghuo), Halloysitum (Shijueming), Galega Seed (Gujingcao), Chrysanthemum Flower (Juhua), Mung Bean (Lvdou); Nebulae: add Cicada Slough (Chantui), double Halloysitum (Shijueming), Tribulus Fruit (Bajili). Before scabbing, if smallpox enters eyes, remove Rhubarb (Dahuang) from Xigan San. Eyelid astringency, tearing, nebulae: Chaihu San, Boyun San, or Shenyi San added with Black Soybean Skin (Heidoupi). Deficient eyes: Shudihuang Wan, Ziyin Dihuang Wan, Yiqi Congming Tang. If Liver and Kidney both deficient, Linghu Wan: Antelope Horn (Lingyangjiao), Tiger Tibia Bone (Hujingggu - note: substitute legally), Raw Rehmannia Root (Shengdihuang), Sour Jujube Seed (Suanzaoren) each 5 qian, Cinnamon Bark (Rougui), Saposhnikovia Root (Fangfeng), *Angelica sinensis* root (Danggui), Phellodendron Bark (Huangbai) each 5 fen, grind to powder, honey pills, size of soap bean. One pill, dissolve in warm water and take. Deficient nebulae: boil sheep liver juice, add Cicada Slough powder 2 qian and take. Universal formula for unbearable eye pain: Fuping San: Floating Duckweed (Fuping) powder, each 2 qian, use half jin mutton, pierce with bamboo stick, immerse in half zhan water, squeeze juice and take. Effective for injuries.
Everts of the eyeball indicate critical Qi deficiency, save with Baoyuan Tang added with aged yellow rice; unconsciousness indicates death. Eyes protruding from eating toxic substances: Erxian San: Epimedium Herba (Xianlingpi), Clematis Root (Weilingxian) equal parts, decoct and take. Chronic non-healing: Gu Chan Zhu San: Pig Suspended Hoof Nail 2 liang (sealed in clay in tile pot, burnt to retain nature), Cicada Slough 2 liang, Antelope Horn 1 fen, grind to powder.
Each zi or 5 fen or 2 qian, according to child's size, take with warm water. Treats smallpox entering eyes, effective within one month if over half a year passed. Difficult to treat if over one year.
External treatment for swelling protruding like a peach: Huyan Gao; if swelling does not open, use Coptis Rhizome powder mixed with egg white, apply to both Taiyang acupoints and both Yongquan acupoints on soles. Wind-toxin swelling pain, itching, astringency, discharge, blurred vision, photophobia: Qinpi San: Talcum (Huashi), Coptis Rhizome (Huanglian) three ingredients equal parts, decoct and wash while hot. Wind-induced tearing: crush field bean pods for juice, drip into eyes. For formed nebulae: Sai'er Dan: Mercury 1 qian, Lead Monoxide (Huandan) 5 qian, mix evenly into six pills, put in clay pot, cover with round tile, seal with wet paper, burn in charcoal incense burner for one day, then take out, wrap in thin cotton. Smallpox on left plug left ear, on right plug right ear, immediately expels. Another formula: Calomel (Qingfen), Lead Monoxide (Huandan) equal parts powder, blow into ear with bamboo tube, left eye nebula blow right ear, right eye nebula blow left ear, immediately recedes.

Canthus rot kills, nose looks like cinnabar.
Residual toxin attacks gums, rotting and forming canthus rot, killing fastest. Gum swelling pain and mobility: Ganlu Yin, externally boil leek roots and tea leaves strongly, wash away rotten flesh until bleeding, apply Niobai San, three times daily. If rot reaches throat, blow in with bamboo tube; if red/white/yellow fluid comes out, treatable; if nasal bridge has red spots like cinnabar, untreatable. Color like dry paste, rots 1 fen per day, 1 cun per two days, named Running Horse Canthus Rot (Zouma Gan), refer to previous five types of Gan treatments.

Smallpox abscesses on limbs are Spleen meridian toxin.
Blood heat draws toxin flowing through meridians, so it accumulates in weak muscle areas or mobile joints forming abscesses. Post-recovery, residual toxin not attacking viscera/skin but entering collaterals forms abscesses. Mild cases: tender nodules, swelling, boils. Severe cases: head, chest, ribs, limbs swell and hurt. Toxin flowing into Spleen meridian causes abscesses on limbs, wrists, knees/shins swelling/pain: Qingdu Yin, Shengma Gegen Tang; Deficient: Shi Liu Wei Liuqi Yin added with Aconite Fuber (Fuzi). Externally: Purslane juice mixed with lard and honey boiled into ointment, apply to swelling; or live clams kept in water for 5 days, use water to wash hands/face, gradually regenerates muscle without scars.

Lung meridian issues at hand-Shaoyin acupoints.
Toxin flowing into Lung meridian causes hand-Shaoyin area and wrist swelling, turning into red abscess toxin: Xiaodu Yin, Rusheng Tang, Wufu Huadu Dan; or Turmeric Rhizome (Yujin), Realgar (Xionghuang) each 1.5 qian, Croton Seed Paste (Bashuang) 40 grains, powder, vinegar paste pills, mung bean size, 2-3 pills, take with hot clear tea to purge. Qi/Blood deficient: Neituo Shixuan San added with Immature Bitter Orange (Zhishi), Platycodon Root (Jiegeng), Rhinoceros Horn (Xijiao); Throat obstruction/swelling: Ganjie Tang added with Ophiopogon Tuber (Maimendong), Burr Seed (Niubangzi), Mint (Bohe); Saliva/bloody odor from mouth/teeth: Raw Rehmannia natural juice, dissolve one Wufu Huadu Dan pill, brush into mouth with chicken feather. If Lung toxin flows to Large Intestine, constipation or bloody/purulent stool, see previous miscellaneous hemorrhage section.

San-Yang meridian issues at back, cheeks, neck nodules.
Toxin flowing into San-Yang meridians causes back, cheek, neck nodules swelling/pain: Xiaochaihu Tang added with Raw Rehmannia Root (Shengdihuang) is best. High heat swelling/pain: Baidu San added with Schizonepeta (Jingjie), Saposhnikovia (Fangfeng); Severe swelling: Xiaodu Yin added with Honeysuckle Vine (Ren Dong Teng); Deficient: Neituo Shixuan San reduced Cinnamon Bark (Rougui). Universal: Red Peony Root (Chishao), Forsythia (Lianqiao) as Sovereign; Platycodon (Jiegeng), Licorice (Gancao) as Minister; Fritillaria Bulb (Beimu), Honeysuckle Vine (Ren Dong Teng), Angelica Dahurica Root (Baizhu), Trichosanthes Root (Gualougen) as Assistant; Cimicifuga (Shengma), Kudzu Root (Gegen) as Guide-up; Areca Seed (Binglang), Achyranthes Root (Niu Xi) as Guide-down. Constipation: add Rhubarb (Dahuang); Chills/fever: add Scutellaria (Huangqin), Phellodendron (Huangbai). Suitable for excess constitution regardless of pus formation. Deficient: Baoyuan Tang added with wine-fried Scutellaria/Huanglian slightly. Chronic: Upper body Baoyuan Tang with guiding herbs; Lower body Duhuo Jisheng Tang or Neituo Shixuan San modified. Sandou Yin, regular use for any deficiency-heat.

External care prevents tendons/bones from becoming paralyzed/withered.
Any smallpox abscess, initial red/swollen stage: use Black/Green/Red beans equal parts, vinegar ground to paste, brush with goose feather constantly, all abscesses/pox/boils rupture without needles/knives. If pus ripe: prick with red-hot needle, internally take Xiaodu Yin, add Honeysuckle Flower (Jinyinhua) for cheek/neck. If not treated early, tendon/bone ulceration inevitable. Jinhua San: Lead Monoxide (Huandan), Phellodendron Bark (Huangbai), Coptis (Huanglian), Rhubarb (Dahuang), Scutellaria (Huangqin), Calomel (Qingfen), Musk (Shexiang), powder, dry sprinkle. Dry wounds: pig fat mix. Treats post-pox肥疮 (fat sore), canthus sore, tinea/scratches, dries fluid, cools muscle, resolves toxin. Lianji San: Cortex Lycii (Digupi), Coptis (Huanglian), Chinese Gall (Wubeizi), Phellodendron (Huangbai), Licorice (Gancao), powder, dry sprinkle. Treats canthus erosion non-healing, post-pox pus/blood exudation. Fanjian San: Alum (Bai fan) powder stuffed in silkworm cocoon, burnt until alum juice exhausted, powder, dry sprinkle. Treats post-pox body/limb canthus erosion, continuous pus.

Escape smallpox method is later cleverness, believers even if they get it, it's sparse;
Ancient times had no smallpox, appeared late Zhou/Qin. Newborns: Raw Rehmannia natural juice, 3 clam shells amount, purges filth, can reduce smallpox severity. Warm winter fearing spring outbreak: pre-take Sandou Yin: Black/Red/Green beans equal parts, Licorice half amount, boiled, drink freely. Epidemic smallpox in neighborhood: pre-take 7 days, prevent outbreak. Children Yang excess, Yin insufficient, hair stands up, poor appetite, sign of latent heat: take oil agent: Sesame Oil 1 zhan, drink daily, prevents smallpox. Also take Shengma Gegen Tang, Sandou Yin for prevention. Xiaodu Baoying Dan: Chantou Teng (vine wrapping soybean stalk, harvested Aug, dried) 1.5 liang, Black beans 30, Red beans 70, Hawthorn Flesh (Shanzha rou), Burr Seed (Niubangzi), Raw Rehmannia (Shengdihuang), Cinnabar (Chensha) each 1 liang, Cimicifuga (Shengma), Forsythia (Lianqiao) each 7.5 qian, Schizonepeta (Jingjie), Saposhnikovia (Fangfeng), Angelica Pubescens (Duhuo), Licorice (Gancao), *Angelica sinensis* (Danggui), Red Peony (Chishao), Coptis (Huanglian), Platycodon (Jiegeng) each 5 qian, Frost-killed loofah (5 cun long, burnt to retain nature) 2 pieces.
Pre-prepare fine materials. On Spring/Autumn Equinox, Lantern Festival, Qixi, avoid women/cats/dogs, sincere preparation, powder mix, refined sugar pills, plum pit size.
One pill, dissolve in strong Licorice decoction. Children uninfected: take one pill on Equinoxes, toxin gradually digested. 1-2 doses reduces severity; 3 years 6 doses fully digests toxin, no worry.

Qian, Liu, Chen, Wei methods are worthy, but value Danxi's book most.
Qian/Liu believe smallpox is fetal toxin, resolved then Qi/Blood extends; Chen/Wei believe although internal toxin, eruption causes deficiency. Danji uses warming/tonifying/resolving based on exterior/interior/deficiency/excess. Heat signs: clear muscle/resolve toxin, even use Mirabilite/Rhubarb; Deficiency signs: warm middle/support interior, even use Ginger/Aconite. Alas! Methods are good, application is key. Smallpox is part of surgical Shanghan, involving internal injury/miscellaneous diseases, women's obstetrics, children's convulsions/stagnation. Is smallpox not central to medicine?