上各另研为末和匀，汤浸蒸饼为丸，如黍米大，三岁以下儿二、三丸，八岁以上十数丸，食前米饮或乳汁送下。
辨形气病（五）
如疮已出而声不变者，形病也。疮未出而声变者，气病也，宜
补肺散加生黄 。疮出而声不出者，形气俱病也。形病身温者，宜
解毒防风汤。大便闭者，宜当归丸。形气俱病，小儿禀赋素弱者，宜豫服十奇散倍归、 ，少加木香，煎服。
补肺散
阿胶（一钱半，炒成珠） 牛蒡子（炒，三分） 马兜铃（五分） 甘草（二分半） 杏仁（三粒，去皮） 糯米
（一钱，炒）
加生黄 （五分）
上为末，分二服，水一小盏，煎六分，食后时时与之。
解毒防风汤
防风（去芦，一钱） 地骨皮 生黄 芍药 荆芥穗 鼠粘子（炒，各五分）
上细切，作一服，水煎。或为细末，用温水调服亦可。
当归丸
当归（五钱） 黄连（炒，一钱五分） 大黄（二钱五分） 甘草（炙，一钱，一本作一两）
上先以当归熬成膏子，以下三味研为细末，以膏和为丸，如胡椒大，三岁以下儿十丸，七八岁儿二十丸，食前清米
饮下，渐加至以利为度。
十奇散（即托里十补散，又名十宣散，出和剂方）。
黄 人参 当归（各二钱） 浓朴（姜制） 桔梗（去芦，各一钱） 桂心（三分） 川芎 防风（去芦） 甘
草白芷（各一钱）
上为细末，每服一钱或二钱，温酒调下。细切水煎亦可。
辨三阴三阳经候（六）
太阳病，恶寒身热，小便赤涩，出不快，宜荆芥甘草防风汤。少阳病，乍寒乍热，出不快，宜连翘防风汤。阳明病，
身热目赤，大便闭实，疮遍肌肉，出不快，宜升麻葛根汤加紫草。太阴病，自利，四肢逆冷，宜附子理中汤、木香散。
少阴病，疮黑陷，口舌燥，宜四物汤加紫草、红花。厥阴病，舌卷卵缩，时发厥逆，宜异功散。
三阴病法当救里，故宜以温剂助之。
荆芥甘草防风汤
荆芥 薄荷 牛蒡子 防风 甘草（炙，各六分）
上细切，作一服，水一盏，煎六分，食前稍温服。
连翘防风汤
连翘 防风 瞿麦 荆芥穗 木通 车前子 当归 柴胡 赤芍药 白滑石 蝉蜕 黄芩 紫草茸（各三分） 甘
草（炙，一分）
上细切，作一服，水一盏，煎七分，随儿大小，量数轻重与之。大小便自利者，不宜用。
升麻葛根汤（方见前辨内外因条）。每服加粳米五十粒，紫草半钱煎。
又一方升麻汤 治斑在面。
升麻（一钱） 犀角 射干 黄芩（酒浸焙干） 人参 甘草（各五分）
上细切，作一服，水一盏，煎六分，食前温服。
理中汤
人参 甘草（炙） 干姜（炮，各八分） 白术（八分）
上细切，作一服，加炮附子三分，甚者五分，量儿大小加减，水煎，食前稍热服。
木香散
木香 大腹皮（酒洗净） 人参 桂心 青皮 赤茯苓 前胡 诃子（煨去核） 半夏（姜制） 丁香 甘草（各
三分）
上细切，作一服，加生姜三片，枣一枚，水煎，量儿大小，加减分数与之。
异功散
木香 当归（酒洗去芦） 桂心 白术（麸炒） 茯苓 陈皮 浓朴
（姜制） 人参 肉果（面裹煨） 丁香 半夏（汤炮七次） 附子（泡，各三分）
上细切，作一服，加生姜三片，大枣一枚，水煎温服。
辨三阳证治（七）
（凡痘疹春夏为顺，当纯阳之时也，古人治法与伤寒同）
足胫热，两腮红，大便秘，小便涩，渴不止，上气急，脉洪数。
以上七证，不宜服热药。
若痘疹一发，有密如蚕种布，或如糠秕者，合清表，宜连翘升麻汤。或未出而先发搐，是兼外感风寒之邪，宜茶汤
下解毒丸及犀角地黄汤。疮出不快，清便自调，知其在表，当微发散，升麻葛根汤。若疮青干黑陷，身不大热，大小便
涩滞，是热蓄于内，宜煎大黄汤下宣风散。若表大热者，不可下。黑陷甚者，百祥丸。
若疮已发稠密，微喘，渴欲饮水，宜微下之，当归丸及庞氏地黄膏，外以黄柏膏涂面，佳。
值盛夏暑热正炽，适疮大发，烦渴大便实者，宜玉露散及甘露饮子。或昏冒不知人，时作搐搦，疮倒靥黑陷者，宜
猪心龙脑膏。
连翘升麻汤（即升麻葛根汤加连翘一分是也。）
犀角地黄汤
犀角（镑） 生地黄 牡丹皮 赤芍药（各等分）
上细切，水煎服。
解毒丸
寒水石（研） 石膏（研，各一两） 青黛（五钱）
上以二石细研如粉，入青黛和匀，汤浸蒸饼为丸，如芡实大，每
服一丸，食后新汲水化下，或细嚼姜水下亦可，三岁儿服半丸，量岁数加减服之。
宣风散
槟榔（二枚） 陈皮 甘草（各五钱） 黑丑（四两，取头末一两）
上为末，量儿大小，以蜜汤调服。
百祥丸
红牙大戟（不拘多少，阴干，浆水煮极软，去骨，日中曝干，复纳汁中，煮汁尽，焙干为末）
上一味，以汤浸蒸饼为丸，如粟米大，每服三十丸研碎，升麻汤下，量儿大小加减丸数与之。
地黄膏（庞氏）
生地黄（四两） 豆豉（半升） 雄黄（一钱） 麝香（五分）
上以猪膏一斤和匀，露一宿，煎五六沸，令三分去一，绞去渣，下雄黄、麝香搅匀，稍稍饮之，毒从皮肤中出，即
愈。
黄柏膏
黄柏（一两，去粗皮，酒炒） 绿豆（一两，去壳） 甘草（四两）
上为细末，以生芝麻油调，从耳前至眼眶并浓涂之，日三二次。如用早，能令疮不至面，纵有亦稀少。
玉露散（方见前吐泻门。）
王海藏云∶非肾热相火盛者，不宜服，此药利北方。
甘露饮子
生地黄 熟地黄（并用酒洗） 天门冬（去心） 麦门冬（去心） 枇杷
叶（炙，去毛） 枳壳（麸炒黄色） 黄芩 石斛（去根子） 山茵陈 甘草（各等分，炙）
上细切，作一服，水一盏，煎六分，食后温服。
猪心龙脑膏
梅花脑子（一字，研）
上取新宰 猪心血一个，为丸如芡实大，每服一丸或半丸，量儿大小与之，紫苏汤下，或井花水化下亦可。
辨三阴证治（八）
（凡疮发于秋冬为逆，当纯阴之时也）
足胫冷，腹虚胀，粪青色，面 白，呕乳食，目睛青，脉沉微。
以上七证，不宜服寒药。
痘疮盛出，四肢逆冷，或自利，系在太阴脾经，宜急温之，用异功散、附子理中汤、调中丸。痘疮平塌，灰白色不
泽，此是正气不足，宜十补托里散倍黄 ，加熟附子。或四肢厥逆，时作搐搦，系在厥阴，宜温之，异功散加防风、青
皮，或和中散去干葛、藿香，加附子、肉桂心。
调中丸
白术（五钱，炒） 人参（五钱） 甘草（炙，五钱） 干姜（炮，四钱）
上为细末，炼蜜为丸，如绿豆大，每服多不过二十丸，温水食前送下。
辨形气不足（九）
肺主气，气不足则致后三证∶自汗声不出，疮顶陷塌，不绽肥。
并宜十奇散（自汗倍黄 ，声不出倍桔梗。）
心主血，血不足则致后三证∶灰白色，根窠不红，不光泽。
并宜芎归汤加芍药、紫草、红花，良验。
芎归汤
川归 川芎（各二钱半）
上细切，水煎服。
辨表里虚实（十）
表里俱实，其疮难出而易靥。
表里俱虚，其疮易出而难靥。
诸痛为实。（内快外痛，为外实内虚。内痛外快，为内实外虚。）
诸寒为痛。（凡疮发身痛，不为外寒所折，则肉腠浓密，宜分而治之。若红点方见，为寒所折，而肉体有热，宜
木香参苏饮。轻者，消毒饮或葛根升麻加芍药汤。肉腠密者，宜活血散、匀气散。）
诸痒为虚。（凡血气不足多痒，此证所谓诸痒为虚也，宜十补托里散，及木香散加丁香、官桂。胃主肌肉，尤宜四君
子汤加归、芎，木香、紫草煎服。或患者不能忌口，因食毒物而作痒者，二物汤、百花膏，或四君子汤加解毒药。）
消毒饮
牛蒡子（三钱，炒。一名鼠粘子，一名大力子） 荆芥（一钱） 甘草（五分，生用） 防风（去芦，五分）
上细切，作一服，水煎。加生犀角，尤妙。
葛根升麻加芍药汤（升麻葛根汤倍芍药是也。）
活血散
白芍药
上为细末，每服一钱，温水调下。止痛，用酒调下尤验。王海藏云∶四肢出不快，加防风。一方用赤芍药。
匀气散（即《济生方》八味顺气散加木香也。）
白术 白茯苓 白芷 陈皮 乌药 人参（各五分） 甘草（炙，二钱半） 木香（一分半） 青皮（五分）
上细切，作一服，水一盏，煎七分服。或细末，酒调亦可。
二物汤
蝉蜕（洗净，二十一枚） 甘草（炙，一两）
上为末，水煎，时时服之。
百花膏
石蜜（不拘多少，略用汤和，时时以鹅翎刷之，疮痂易落无痕）
平治诸方（十一，以平为期，万不失一）
石壁胡氏曰∶小儿难任非常之热，亦不可任非常之冷，如热药太过，轻则吐利腹胀。重则陷伏倒靥，是宜温凉适中
可也。仁斋杨氏曰∶诸热不可骤去，宜轻解之，盖痘疮无热，则不能起发。史氏曰∶比之种豆，值天时暄暖，则易生。
凡值天时不正，乡邻痘疮盛发，宜服禁方不出方∶三豆汤、油饮子、凤龙膏。
凡初觉痘疮欲发，当先解利，与伤寒相类疑似之间，兼用解表。胡氏云∶非微汗则表不解，解表当于红斑未见之
时，宜用王氏惺惺散、钱氏惺惺散、张氏防风汤、升麻葛根汤、张氏四物解肌汤、参苏饮。
三豆汤
赤小豆 大黑豆 绿豆（各一升） 甘草（三两）
上以三豆淘净，用水八升，煮豆熟为度，逐日空心任意饮豆汁七日，永不出。
油饮子
真麻油（一升）
上逐日饮尽，永不出。
（以上二方，出扁鹊仓公方。）
凤龙膏
乌鸡卵（一个） 地龙（一条，活者细小者）
上以鸡卵开一小窍，入地龙在内，夹皮纸糊其窍，饭锅上蒸熟，去地龙，与儿食之。每岁立春日食一枚，终身不出
痘疮。觉邻里有此症流行时，食一、二枚亦好。
惺惺散（钱氏，方见前辨内外因条，与王氏同，但一方有防风、川芎减半。）
解毒防风汤（方见前。）
四物解肌汤
白芍药 黄芩 升麻 葛根（各七分）
上细切，作一服，水一盏，煎（六分），温服，不拘时。
疮出不快（十二）
活血散加防风汤（方见前辨表里虚实条。）
红花汤（庞氏）
红花子（一合）
上以水半升，煎百沸，服之。
紫草汤 治疮出不快，及大便自利。（一名紫草木香汤。）
紫草 木香 茯苓 白术（各一钱） 甘草（五分）
上细切，作一服，入糯米一百粒，水一盏，煎六分，食前服。
四圣散
紫草 木通（各一钱） 甘草 枳壳（麸炒黄色，各半钱）
上细切，作一服，水一盏，煎七分，温服不拘时。
桦皮饮子
桦木皮（二两）
上用水一升，煮取半升，时时细饮。
凡痘疮出不快者有五证，临病审儿调之。
一证，天时严寒，为寒所折，不能起发，宜散寒温表，冬三月寒甚，红斑初见，宜五积散、正气散，参苏饮、杨氏
调解散、陈氏木香散。
五积散
白芷 川芎（各三分） 桔梗（去芦，一分半） 芍药 茯苓 甘草（炙） 川归 肉桂（去粗皮） 半夏（各二
分） 陈
皮（去白） 枳壳（去穣，麸炒） 麻黄（去根节，各五分） 苍术（米泔浸，一钱） 干姜（炮，四分） 浓朴（姜
制，四分）
上除肉桂、枳壳二味别为粗末外，余十三味细切，慢火炒令转色，摊冷，次入二味末令均，作一服，水一盏半，入
生姜三片，煎至一盏，去渣稍热服。
正气散
甘草（炙，三分半） 陈皮 藿香（去梗） 白术（各五分） 浓朴（姜制） 半夏（姜制，各一钱半）
上细切，作一服，加生姜三片，大枣一枚，水煎服。
调解散
青皮 陈皮 枳壳（麸炒） 桔梗（去芦炒） 人参 半夏（泡七次） 川芎 木通 干葛（各四分） 甘草 紫
苏（各二分）
上细切，作一服，加生姜三片，大枣一枚，水煎服。一方加紫草、糯米。
一证，炎暑隆盛，烦渴昏迷，疮出不快，宜辰砂五苓散，煎生地
黄、麦门冬调服。身热甚者，小柴胡加生地黄。烦渴而便实者，白虎加人参汤。轻者人参竹叶汤加生地黄，煎服。
辰砂五苓散（五苓散加辰砂细研为末是也。）
小柴胡汤 人参白虎汤 人参竹叶汤（方俱见伤寒门。）
一证，服凉药损伤脾胃，或胃虚吐利，当温中益气，宜理中汤。吐利甚者，加附子，或陈氏异功散、木香豆蔻丸。
肉豆蔻丸
木香 砂仁 白龙骨 诃子肉（各五钱） 赤石脂 枯白矾（各七钱半） 肉豆蔻（五钱，湿面裹，煨熟）
上为细末，面糊为丸，如黍米大，每服三十丸至五十丸，煎异功散送下。
一证，或成血 ，一半尚是红点，此毒瓦斯发越不透，必不能食，大便如常者，宜半温里半助养之剂，用四圣散加减，
及紫草木香汤、丝瓜汤、阮氏万全散、汤氏安斑汤。
四圣散 紫草木香汤（即紫草汤，方并见前。）
丝瓜汤
苦丝瓜（不拘几个，连皮子烧存性，为末）
上每服一抄，时时用米汤调服。
Grind each of the aforementioned herbs separately into powder, mix evenly, soak steamed wheat dough in decoction to form pills the size of millet seeds. For children under three years old, administer two or three pills; for those over eight years old, administer more than ten pills. Take before meals with rice water or breast milk.
Differentiating Xing (Form) and Qi Diseases (5)
If the pustules have erupted but the voice remains unchanged, it is a Xing (Form) disease. If the voice changes before the pustules erupt, it is a Qi disease; Bu Fei San (Lung-Nourishing Powder) with raw Huangqi (Astragalus Root) is indicated. If the pustules erupt but no sound comes out, both Xing and Qi are diseased. If it is a Xing disease accompanied by warm body temperature, Jiedu Fangfeng Tang (Detoxifying Saposhnikovia Decoction) is indicated. In cases of constipation, Danggui Wan (Angelica Pill) is indicated. If both Xing and Qi are diseased, and the child has a congenital constitution that is inherently weak, Shiqi San (Ten Miracles Powder) should be taken prophylactically, with increased dosage of Danggui (Angelica Sinensis Root) and a small amount of Muxiang (Aucklandia Root), decocted and administered.
Bu Fei San (Lung-Nourishing Powder)
Ejiao (Donkey-hide Gelatin, 1.5 qian, stir-fried until bead-like) Niubangzi (Arctii Fructus, fried, 3 fen) Tudiling (Aristolochiae Fructus, 5 fen) Gancao (Licorice Root, 2.5 fen) Xingren (Prunus Seed, 3 grains, peeled) Nuomi (Glutinous Rice, 1 qian, fried)
Add raw Huangqi (Astragalus Root, 5 fen)
Grind all ingredients into fine powder, divide into two doses. Decoct with one small cup of water until reduced to 0.6 cup. Administer frequently after meals.
Jiedu Fangfeng Tang (Detoxifying Saposhnikovia Decoction)
Fangfeng (Saposhnikovia Root, de-awned, 1 qian) Digupi (Lycium Bark, unspecified dose) Raw Huangqi (Astragalus Root, unspecified dose) Shaoyao (Peony Root, unspecified dose) Jingjie Sui (Schizonepeta Flower Spike, unspecified dose) Shuniuzi (Arctii Fructus, fried, 5 fen each)
Finely chop, prepare as one dose, decoct with water. Alternatively, grind into fine powder and take with warm water.
Danggui Wan (Angelica Pill)
Danggui (Angelica Sinensis Root, 5 qian) Huanglian (Coptis Rhizome, fried, 1.5 qian) Dahuang (Rhubarb Root, 2.5 qian) Gancao (Licorice Root, honey-fried, 1 qian; another version says 1 liang)
First, decoct Danggui into a paste. Grind the other three herbs into fine powder. Mix the paste with the powder to form pills the size of peppercorns. For children under three, take ten pills; for children aged seven to eight, take twenty pills. Take before meals with clear rice water. Gradually increase the dose until bowel movements become smooth.
Shiqi San (Ten Miracles Powder) (Also known as Tuoli Shibu San [Ten Tonifying Interior Powder] or Shixuan San [Ten Extensive Powder], from *Heji Fang*).
Huangqi (Astragalus Root) Renshen (Ginseng Root) Danggui (Angelica Sinensis Root) (each 2 qian) Nongpo (Magnolia Bark, ginger-processed) Jiegeng (Platycodon Root, de-awned, each 1 qian) Guixin (Cinnamon Twig Heart, 3 fen) Chuanxiong (Ligusticum Rhizome) Fangfeng (Saposhnikovia Root, de-awned) Gancao (Licorice Root) Baizhi (Angelica Dahurica Root) (each 1 qian)
Grind into fine powder. Take 1 qian or 2 qian per dose, mixed with warm wine. Finely chopped and decocted with water is also acceptable.
Differentiating Three Yin and Three Yang Channel Manifestations (6)
Taiyang Disease: Aversion to cold, fever, dark and scanty urination, slow eruption of pustules. Jingjie Gancao Fangfeng Tang (Schizonepeta Licorice Saposhnikovia Decoction) is indicated.
Shaoyang Disease: Alternating chills and fever, slow eruption of pustules. Lianqiao Fangfeng Tang (Forsythia Saposhnikovia Decoction) is indicated.
Yangming Disease: Fever, red eyes, constipation, pustules covering muscles, slow eruption. Shengma Gegen Tang (Cimicifuga Pueraria Decoction) with Zicao (Arnebiae Radix et Rhizoma) is indicated.
Taiyin Disease: Spontaneous diarrhea, cold limbs. Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction) and Muxiang San (Aucklandia Powder) are indicated.
Shaoyin Disease: Black and sunken pustules, dry mouth and tongue. Siwu Tang (Four Substances Decoction) with Zicao (Arnebiae Radix et Rhizoma) and Honghua (Carthami Flos) is indicated.
Jueyin Disease: Rolled-up tongue, retracted testicles, frequent syncope. Yigong San (Yi Gong Powder) is indicated.
For Three Yin diseases, the treatment principle is to rescue the interior; thus, warming agents are appropriate.
Jingjie Gancao Fangfeng Tang (Schizonepeta Licorice Saposhnikovia Decoction)
Jingjie (Schizonepeta Spike) Bohe (Mentha Herb) Niubangzi (Arctii Fructus) Fangfeng (Saposhnikovia Root) Gancao (Licorice Root, honey-fried) (each 6 fen)
Finely chop, prepare as one dose. Decoct with one cup of water until reduced to 0.6 cup. Take slightly warm before meals.
Lianqiao Fangfeng Tang (Forsythia Saposhnikovia Decoction)
Lianqiao (Forsythia Fruit) Fangfeng (Saposhnikovia Root) Qumai (Dianthus Herb) Jingjie Sui (Schizonepeta Flower Spike) Mutong (Akebia Stem) Cheqianzi (Plantago Seed) Danggui (Angelica Sinensis Root) Chaihu (Bupleurum Root) Chi Shaoyao (Red Peony Root) Bai Huashi (White Talcum) Chantui (Cicada Slough) Huangqin (Scutellaria Root) Zicao Rong (Arnebiae Radix et Rhizoma bud) (each 3 fen) Gancao (Licorice Root, honey-fried, 1 fen)
Finely chop, prepare as one dose. Decoct with one cup of water until reduced to 0.7 cup. Adjust dosage according to the child's age and severity. Do not use if urination and defecation are spontaneous.
Shengma Gegen Tang (Cimicifuga Pueraria Decoction) (See formula in "Differentiating Internal and External Causes"). Add 50 grains of Jingmi (Japonica Rice) and 0.5 qian of Zicao (Arnebiae Radix et Rhizoma) per dose for decoction.
Another prescription: Shengma Tang (Cimicifuga Decoction). Treats macules on the face.
Shengma (Cimicifuga Rhizome, 1 qian) Xijiao (Rhino Horn, unspecified dose) Shegan (Belamcanda Rhizome) Huangqin (Scutellaria Root, wine-soaked and dried) Renshen (Ginseng Root) Gancao (Licorice Root) (each 5 fen)
Finely chop, prepare as one dose. Decoct with one cup of water until reduced to 0.6 cup. Take warm before meals.
Lizhong Tang (Regulate the Middle Decoction)
Renshen (Ginseng Root) Gancao (Licorice Root, honey-fried) Jiangjiang (Dried Ginger, processed) (each 8 fen) Baizhu (Atractylodes Rhizome, 8 fen)
Finely chop, prepare as one dose. Add Paofuzi (Processed Aconite Lateralis Radix) 3 fen, or 5 fen for severe cases. Adjust according to age. Decoct with water, take slightly hot before meals.
Muxiang San (Aucklandia Powder)
Muxiang (Aucklandia Root) Dafupi (Arecae Pericarpium, washed with wine) Renshen (Ginseng Root) Guixin (Cinnamon Twig Heart) Qingpi (Citrus Unripe Peel, green) Chi Fuling (Poria with Red Mycelium) Qianhu (Peucedani Radix) Hezi (Chebula Fruit, baked, pitted) Banxia (Pinellia Tuber, ginger-processed) Dingxiang (Caryophylli Flos) Gancao (Licorice Root) (each 3 fen)
Finely chop, prepare as one dose. Add three slices of fresh ginger and one jujube. Decoct with water. Adjust dosage according to age.
Yigong San (Yi Gong Powder)
Muxiang (Aucklandia Root) Danggui (Angelica Sinensis Root, wine-washed, de-awned) Guixin (Cinnamon Twig Heart) Baizhu (Atractylodes Rhizome, bran-fried) Fuling (Poria) Chenpi (Citrus Ripe Peel) Nongpo (Magnolia Bark, ginger-processed) Renshen (Ginseng Root) Rouguo (Myristica Seed, flour-wrapped and baked) Dingxiang (Caryophylli Flos) Banxia (Pinellia Tuber, boiled seven times) Fuzi (Aconite Lateralis Radix, soaked) (each 3 fen)
Finely chop, prepare as one dose. Add three slices of fresh ginger and one large jujube. Decoct with water and take warm.
Differentiating Three Yang Syndromes and Treatments (7)
(Pustules erupting in spring and summer are favorable, corresponding to the time of pure Yang. Ancient treatment methods are similar to Shanghan.)
Heat in lower legs and calves, red cheeks, constipation, difficult urination, unquenchable thirst, rapid breathing, surging and rapid pulse.
The above seven signs indicate that hot medicines should not be used.
If pustules erupt densely like silkworm eggs or chaff, clearing and releasing the exterior is required; Lianqiao Shengma Tang (Forsythia Cimicifuga Decoction) is indicated. If convulsions occur before eruption, it indicates concurrent external wind-cold invasion; Jiedu Wan (Detoxifying Pill) and Xijiao Dihuang Tang (Rhino Horn Rehmannia Decoction) should be taken with tea water. If eruption is slow but stool and urine are normal, indicating pathogen in the exterior, mild diaphoresis is needed; Shengma Gegen Tang (Cimicifuga Pueraria Decoction) is indicated. If pustules are blue, dry, black, and sunken, with slight fever and obstructed urination/defecation, heat is accumulated internally; Dahuang Tang (Rhubarb Decoction) to send down Xuanfeng San (Dispersing Wind Powder) is indicated. If there is intense surface heat, purgatives are contraindicated. For severe black sinking, Baixiang Wan (Hundred Auspicious Pills) is indicated.
If pustules are dense with slight wheezing and thirst for water, mild purgation is needed; Danggui Wan (Angelica Pill) and Pangshi Dihuang Gao (Pang's Rehmannia Ointment) are indicated. Apply Huangbai Gao (Phellodendron Ointment) externally to the face for best results.
In midsummer with intense heat, sudden severe eruption, irritability, thirst, and constipation, Yulu San (Jade Dew Powder) and Ganlu Yinzi (Sweet Dew Drink) are indicated. If unconsciousness occurs with convulsions, and pustules invert to black and sink, Zhuxin Longnao Gao (Pig Heart Camphor Ointment) is indicated.
Lianqiao Shengma Tang (Forsythia Cimicifuga Decoction) (i.e., Shengma Gegen Tang plus 1 fen of Lianqiao).
Xijiao Dihuang Tang (Rhino Horn Rehmannia Decoction)
Xijiao (Rhino Horn, shaved) Shengdihuang (Rehmannia Root, fresh) Mudanpi (Moutan Bark) Chi Shaoyao (Red Peony Root) (equal parts)
Finely chop, decoct with water and take.
Jiedu Wan (Detoxifying Pill)
Hanshuishi (Halloysitum Rubrum, ground) Shigao (Gypsum Fibrosum, ground) (each 1 liang) Qingdai (Indigo Naturalis, 5 qian)
Grind the two minerals into fine powder, mix evenly with Qingdai. Soak steamed wheat dough in decoction to form pills the size of Euryale Seeds. Take one pill after meals, dissolved in fresh well water, or chewed finely with ginger water. Half a pill for three-year-olds; adjust dosage by age.
Xuanfeng San (Dispersing Wind Powder)
Binglang (Areca Seed, 2 pieces) Chenpi (Citrus Ripe Peel) Gancao (Licorice Root) (each 5 qian) Heiqiu (Morning Glory Seed, 4 liang, take first extraction powder 1 liang)
Grind into powder. Adjust dosage by age, take with honey water.
Baixiang Wan (Hundred Auspicious Pills)
Hongya Daji (Euphorbia Kansui Root, any amount, dried in shade, boiled in starch water until soft, remove woody part, dry in sun, boil again in juice until dry, dry and grind)
Take this single herb, soak steamed wheat dough in decoction to form pills the size of millet seeds. Crush 30 pills per dose, take with Shengma Tang (Cimicifuga Decoction). Adjust number of pills by age.
Dihuang Gao (Rehmannia Ointment) (Pang Shi)
Shengdihuang (Rehmannia Root, fresh, 4 liang) Douchi (Fermented Soybean, half sheng) Xionghuang (Realgar, 1 qian) Shexiang (Musk, 5 fen)
Mix with 1 jin of lard. Leave exposed overnight. Boil 5-6 times, reducing volume by one-third. Strain dregs. Add Xionghuang and Shexiang, mix well. Give small amounts orally. Toxin exits through skin, then cured.
Huangbai Gao (Phellodendron Ointment)
Huangbai (Phellodendron Bark, 1 liang, remove coarse bark, wine-fried) Lv dou (Mung Bean, 1 liang, shelled) Gancao (Licorice Root, 4 liang)
Grind into fine powder. Mix with raw sesame oil. Apply thickly from ear front to eye orbit, 2-3 times daily. Early application prevents facial eruption; if present, it will be sparse.
Yulu San (Jade Dew Powder) (See formula in "Vomiting and Diarrhea" section.)
Wang Haicang said: Not suitable for those without Kidney Heat and flourishing Ministerial Fire; this medicine benefits the North (cold nature).
Ganlu Yinzi (Sweet Dew Drink)
Shengdihuang (Rehmannia Root, fresh) Shudihuang (Rehmannia Root, prepared) (both wine-washed) Tianmendong (Asparagus Tuber, heart removed) Maidong (Ophiopogon Tuber, heart removed) Pipaye (Loquat Leaf, roasted, hairs removed) Zhike (Aurantii Fructus, bran-fried yellow) Huangqin (Scutellaria Root) Shihu (Dendrobium Stem, roots removed) Shanyinchen (Artemisia Capillaris) Gancao (Licorice Root, honey-fried) (equal parts)
Finely chop, prepare as one dose. Decoct with one cup of water until reduced to 0.6 cup. Take warm after meals.
Zhuxin Longnao Gao (Pig Heart Camphor Ointment)
Meihua Nao (Camphor, one zi, ground)
Take blood from a freshly slaughtered pig (one heart). Form pills the size of Euryale Seeds. Take one or half a pill per dose, adjusted by age. Take with Zisu Tang (Perilla Decoction) or dissolve in well water.
Differentiating Three Yin Syndromes and Treatments (8)
(Pustules erupting in autumn and winter are unfavorable, corresponding to the time of pure Yin.)
Cold lower legs and calves, abdominal distension with deficiency, green stools, pale face, vomiting milk/food, blueish eyeballs, deep and faint pulse.
The above seven signs indicate that cold medicines should not be used.
When pustules are abundant with cold limbs or spontaneous diarrhea, the pathogen is in the Taiyin Spleen channel; urgent warming is needed using Yigong San (Yi Gong Powder), Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction), or Tiaozhong Wan (Regulate Middle Pill). If pustules are flat, gray-white, and lusterless, this indicates deficiency of righteous Qi; Shibu Tuoli San (Ten Tonifying Interior Powder) with doubled Huangqi (Astragalus Root) and added Shufuzi (Prepared Aconite Lateralis Radix) is indicated. If limbs are cold with convulsions, the pathogen is in Jueyin; warming is needed using Yigong San with Fangfeng (Saposhnikovia Root) and Qingpi (Citrus Unripe Peel), or Hezhong San (Harmonize Middle Powder) removing Gan Ge (Pueraria Root) and Huoxiang (Pogostemon Herb), adding Fuzi (Aconite Lateralis Radix) and Rouguixin (Cinnamon Twig Heart).
Tiaozhong Wan (Regulate Middle Pill)
Baizhu (Atractylodes Rhizome, fried, 5 qian) Renshen (Ginseng Root, 5 qian) Gancao (Licorice Root, honey-fried, 5 qian) Jiangjiang (Dried Ginger, processed, 4 qian)
Grind into powder. Make pills with refined honey, size of mung beans. Take no more than 20 pills per dose, with warm water before meals.
Differentiating Deficiency of Xing (Form) and Qi (9)
The Lung governs Qi. Qi deficiency leads to three symptoms: spontaneous sweating, voicelessness, sunken and non-plump pustule tops.
All are treated with Shiqi San (Ten Miracles Powder) (Double Huangqi for spontaneous sweating; double Jiegeng for voicelessness).
The Heart governs Blood. Blood deficiency leads to three symptoms: gray-white color, non-red base, lack of luster.
All are treated with Xiong Gui Tang (Cyperi and Angelica Decoction) plus Shaoyao (Peony Root), Zicao (Arnebiae Radix et Rhizoma), and Honghua (Carthami Flos), which is highly effective.
Xiong Gui Tang (Cyperi and Angelica Decoction)
Chuan Gui (Angelica Sinensis Root) Chuanxiong (Ligusticum Rhizome) (each 2.5 qian)
Finely chop, decoct with water and take.
Differentiating Exterior-Interior and Excess-Deficiency (10)
Exterior and Interior both Excess: Pustules are hard to erupt but easy to crust.
Exterior and Interior both Deficiency: Pustules are easy to erupt but hard to crust.
Pain indicates Excess. (Comfort inside/pain outside = Exterior Excess/Interior Deficiency. Pain inside/comfort outside = Interior Excess/Exterior Deficiency.)
Cold indicates Pain. (Body pain during eruption not caused by external cold implies dense muscle/cou-li; treat separately. If red spots appear suppressed by cold but flesh is hot, Muxiang Renshen Suxie Yin (Aucklandia Ginseng Perilla Drink) is indicated. Mild cases: Xiaodu Yin (Detoxify Drink) or Gegen Shengma Jia Shaoyao Tang (Pueraria Cimicifuga Plus Peony Decoction). Dense cou-li: Huoxue San (Invigorate Blood Powder) or Yunqi San (Harmonize Qi Powder).)
Itch indicates Deficiency. (Blood/Qi deficiency causes itch. Treat with Shibu Tuoli San (Ten Tonifying Interior Powder) or Muxiang San (Aucklandia Powder) plus Dingxiang (Caryophylli Flos) and Guanchi (Cassia Twig). Stomach governs muscle; Sizijunzi Tang (Four Gentlemen Decoction) plus Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Rhizome), Muxiang (Aucklandia Root), Zicao (Arnebiae Radix et Rhizoma) is especially suitable. If itching is due to dietary indiscretion/toxic food, Erwu Tang (Two Substances Decoction), Baihua Gao (Hundred Flowers Ointment), or Sizijunzi Tang plus detoxifying herbs is indicated.)
Xiaodu Yin (Detoxify Drink)
Niubangzi (Arctii Fructus, fried, 3 qian; also called Shuniuzi, Dali Zi) Jingjie (Schizonepeta Spike, 1 qian) Gancao (Licorice Root, raw, 5 fen) Fangfeng (Saposhnikovia Root, de-awned, 5 fen)
Finely chop, prepare as one dose, decoct with water. Adding raw Xijiao (Rhino Horn) is excellent.
Gegen Shengma Jia Shaoyao Tang (Pueraria Cimicifuga Plus Peony Decoction) (i.e., Shengma Gegen Tang with doubled Shaoyao).
Huoxue San (Invigorate Blood Powder)
Bai Shaoyao (White Peony Root)
Grind into powder. Take 1 qian per dose with warm water. For pain relief, taking with wine is more effective. Wang Haicang said: For slow eruption on limbs, add Fangfeng (Saposhnikovia Root). Another version uses Chi Shaoyao (Red Peony Root).
Yunqi San (Harmonize Qi Powder) (i.e., Bawei Shunqi San [Eight Flavor Smooth Qi Powder] from *Jisheng Fang* plus Muxiang).
Baizhu (Atractylodes Rhizome) Bai Fuling (Poria) Baizhi (Angelica Dahurica Root) Chenpi (Citrus Ripe Peel) Wuyao (Litsea Root) Renshen (Ginseng Root) (each 5 fen) Gancao (Licorice Root, honey-fried, 2.5 qian) Muxiang (Aucklandia Root, 1.5 fen) Qingpi (Citrus Unripe Peel, 5 fen)
Finely chop, prepare as one dose. Decoct with one cup of water until reduced to 0.7 cup. Or grind into powder and take with wine.
Erwu Tang (Two Substances Decoction)
Chantui (Cicada Slough, cleaned, 21 pieces) Gancao (Licorice Root, honey-fried, 1 liang)
Grind into powder. Decoct with water, take frequently.
Baihua Gao (Hundred Flowers Ointment)
Shimi (Rock Sugar, any amount, slightly moisten with water, brush onto scabs with goose feather to facilitate shedding without scarring).
Formulas for Peaceful Treatment (11, aiming for balance, infallible)
Shibi Hu Shi said: Children cannot tolerate extreme heat or cold. Too much hot medicine causes vomiting, diarrhea, and abdominal distension; severely, it causes sinking and inversion. Warm and cool should be balanced. Renzhang Yang Shi said: Heat pathogens should not be removed abruptly; mild resolution is needed because pustules require heat to rise and develop. Shi Shi said: Like planting beans, warmth facilitates growth.
When weather is abnormal and neighbors have outbreaks, take secret formulas: Sandou Tang (Three Beans Decoction), You Yinzi (Oil Drink), Fenglong Gao (Phoenix Dragon Ointment).
At the initial stage of suspected eruption, resolve and benefit, similar to Shanghan, combining exterior release. Hu Shi said: Without slight sweating, the exterior is not resolved. Release exterior when red spots are not yet visible. Use Wang Shi Xingxing San (Wang's Xingxing Powder), Qian Shi Xingxing San (Qian's Xingxing Powder), Zhang Shi Fangfeng Tang (Zhang's Saposhnikovia Decoction), Shengma Gegen Tang (Cimicifuga Pueraria Decoction), Zhang Shi Siwu Jieji Tang (Zhang's Four Substances Muscle-Releasing Decoction), or Renshen Suxie Yin (Ginseng Perilla Drink).
Sandou Tang (Three Beans Decoction)
Chixiaodou (Adzuki Bean) Da Heidou (Black Soybean) Lv dou (Mung Bean) (each 1 sheng) Gancao (Licorice Root, 3 liang)
Wash beans thoroughly. Boil in 8 sheng of water until cooked. Drink bean broth freely on an empty stomach daily for seven days to prevent eruption lifelong.
You Yinzi (Oil Drink)
Zhen Mayou (True Sesame Oil, 1 sheng)
Drink completely daily to prevent eruption lifelong.
(Above two formulas from Bian Que and Cang Gong.)
Fenglong Gao (Phoenix Dragon Ointment)
Wuji Juan (Silkie Chicken Egg, one) Dilong (Earthworm, one live small one)
Make a small hole in the egg, insert earthworm, seal with paper, steam in rice cooker until cooked. Remove earthworm, feed egg to child. Eat one on every Start of Spring lifelong to prevent eruption. If outbreak is near, eating one or two is also good.
Xingxing San (Xingxing Powder) (Qian Shi, see "Differentiating Internal and External Causes"; same as Wang Shi but with half dosage of Fangfeng and Chuanxiong.)
Jiedu Fangfeng Tang (Detoxifying Saposhnikovia Decoction) (See previous.)
Siwu Jieji Tang (Four Substances Muscle-Releasing Decoction)
Bai Shaoyao (White Peony Root) Huangqin (Scutellaria Root) Shengma (Cimicifuga Rhizome) Gegen (Pueraria Root) (each 7 fen)
Finely chop, prepare as one dose. Decoct with one cup of water until reduced to 0.6 cup. Take warm, anytime.
Slow Eruption of Pustules (12)
Huoxue San Jia Fangfeng Tang (Invigorate Blood Powder plus Saposhnikovia) (See "Differentiating Exterior-Interior and Excess-Deficiency".)
Honghua Tang (Carthami Decoction) (Pang Shi)
Honghua Zi (Carthamus Seed, one he)
Decoct with half sheng of water for 100 boils. Take.
Zicao Tang (Arnebia Decoction) Treats slow eruption and spontaneous diarrhea. (Also named Zicao Muxiang Tang.)
Zicao (Arnebiae Radix et Rhizoma) Muxiang (Aucklandia Root) Fuling (Poria) Baizhu (Atractylodes Rhizome) (each 1 qian) Gancao (Licorice Root, 5 fen)
Finely chop, prepare as one dose. Add 100 grains of Nuomi (Glutinous Rice). Decoct with one cup of water until reduced to 0.6 cup. Take before meals.
Sisheng San (Four Saints Powder)
Zicao (Arnebiae Radix et Rhizoma) Mutong (Akebia Stem) (each 1 qian) Gancao (Licorice Root) Zhike (Aurantii Fructus, bran-fried yellow) (each 0.5 qian)
Finely chop, prepare as one dose. Decoct with one cup of water until reduced to 0.7 cup. Take warm, anytime.
Huapi Yinzi (Birch Bark Drink)
Huapi (Birch Bark, 2 liang)
Decoct with one sheng of water until reduced to half sheng. Sip frequently.
There are five syndromes for slow eruption; examine the child clinically.
Syndrome 1: Severe cold weather suppresses eruption. Disperse cold and warm exterior. In winter, when red spots first appear, use Wuji San (Five Accumulations Powder), Zhengqi San (Righteous Qi Powder), Renshen Suxie Yin (Ginseng Perilla Drink), Yang Shi Jieji San (Yang's Harmonizing Powder), or Chen Shi Muxiang San (Chen's Aucklandia Powder).
Wuji San (Five Accumulations Powder)
Baizhi (Angelica Dahurica Root) Chuanxiong (Ligusticum Rhizome) (each 3 fen) Jiegeng (Platycodon Root, de-awned, 1.5 fen) Shaoyao (Peony Root) Fuling (Poria) Gancao (Licorice Root, honey-fried) Chuan Gui (Angelica Sinensis Root) Rougui (Cinnamon Bark, remove coarse bark) Banxia (Pinellia Tuber) (each 2 fen) Chenpi (Citrus Ripe Peel, remove white pith) Zhike (Aurantii Fructus, remove core, bran-fried) Mahuang (Ephedra Stem, remove root/joints, each 5 fen) Cangzhu (Atractylodes Rhizome, soaked in rice water, 1 qian) Jiangjiang (Dried Ginger, processed, 4 fen) Nongpo (Magnolia Bark, ginger-processed, 4 fen)
Except for Rougui and Zhike (grind coarsely separately), finely chop remaining 13 herbs. Stir-fry slowly until color changes. Cool. Mix in coarse powders. Prepare as one dose. Add 1.5 cups water, 3 slices ginger. Decoct to 1 cup. Strain, take slightly hot.
Zhengqi San (Righteous Qi Powder)
Gancao (Licorice Root, honey-fried, 3.5 fen) Chenpi (Citrus Ripe Peel) Huoxiang (Pogostemon Herb, remove stem) Baizhu (Atractylodes Rhizome) (each 5 fen) Nongpo (Magnolia Bark, ginger-processed) Banxia (Pinellia Tuber, ginger-processed) (each 1.5 qian)
Finely chop, prepare as one dose. Add 3 slices ginger, 1 jujube. Decoct with water.
Jieji San (Harmonizing Powder)
Qingpi (Citrus Unripe Peel) Chenpi (Citrus Ripe Peel) Zhike (Aurantii Fructus, bran-fried) Jiegeng (Platycodon Root, de-awned and fried) Renshen (Ginseng Root) Banxia (Pinellia Tuber, soaked seven times) Chuanxiong (Ligusticum Rhizome) Mutong (Akebia Stem) Gan Ge (Pueraria Root) (each 4 fen) Gancao (Licorice Root) Zisu (Perilla Leaf) (each 2 fen)
Finely chop, prepare as one dose. Add 3 slices ginger, 1 jujube. Decoct with water. Another version adds Zicao (Arnebiae Radix et Rhizoma) and Nuomi (Glutinous Rice).
Syndrome 2: Intense summer heat, irritability, thirst, coma, slow eruption. Chen Sha Wuling San (Cinnabar Five Ling Powder) decocted with Shengdihuang (Rehmannia Root, fresh) and Maidong (Ophiopogon Tuber) is indicated. For high fever, Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Shengdihuang. For irritability/thirst with constipation, Baihu Jia Renshen Tang (White Tiger Plus Ginseng Decoction). Mild cases: Renshen Zhuye Tang (Ginseng Bamboo Leaf Decoction) plus Shengdihuang.
Chen Sha Wuling San (Cinnabar Five Ling Powder) (Wuling San plus finely ground Chen Sha/Cinnabar).
Xiao Chaihu Tang (Minor Bupleurum Decoction) Renshen Baihu Tang (Ginseng White Tiger Decoction) Renshen Zhuye Tang (Ginseng Bamboo Leaf Decoction) (See "Shanghan" section.)
Syndrome 3: Cold medicines damaged Spleen/Stomach, or Stomach deficiency with vomiting/diarrhea. Warm middle and boost Qi; Lizhong Tang (Regulate the Middle Decoction) is indicated. For severe vomiting/diarrhea, add Fuzi (Aconite Lateralis Radix), or Chen Shi Yigong San (Chen's Yi Gong Powder) or Muxiang Doukou Wan (Aucklandia Nutmeg Pill).
Doukou Wan (Nutmeg Pill)
Muxiang (Aucklandia Root) Sharen (Amomum Fruit) Bailonggu (Fossilized Bones) Hezirou (Chebula Flesh) (each 5 qian) Chishizhi (Halloysitum Rubrum) Kubaijian (Alumen Exsiccatum) (each 7.5 qian) Roudoukou (Myristica Seed, 5 qian, wrapped in wet dough and baked)
Grind into powder. Make pills with flour paste, size of millet seeds. Take 30-50 pills per dose, sent down with decocted Yigong San.
Syndrome 4: Blood blisters formed, half still red spots. Toxin not fully vented, inability to eat, normal stool. Use half-warming-interior, half-nourishing agents. Sisheng San (Four Saints Powder) modified, Zicao Muxiang Tang (Arnebia Aucklandia Decoction), Sigua Tang (Luffa Decoction), Ruan Shi Wanquan San (Ruan's Complete Safety Powder), Tang Shi Anban Tang (Tang's Calm Macule Decoction).
Sisheng San (Four Saints Powder) Zicao Muxiang Tang (Arnebia Aucklandia Decoction) (i.e., Zicao Tang, see previous.)
Sigua Tang (Luffa Decoction)
Ku Sigua (Bitter Luffa Fruit, any amount, burn with peel until charred but preserved, grind to powder)
Take one scoop per dose, mix with rice water and take frequently.