条文：105
毒火煎灼伤阴血，痘体干桔少润泽，当归活血加味尝，治若少缓变莫测。
[注]
色者，血之华也，血和则滋润光莹，血耗则干燥桔竭，
痘之毒火入于血分，轻则焮红，甚则焦紫，
治以救血为急，宜当归活血汤主之。
(当归活血汤) 当归 川芎 赤芍 生地 红花 紫草 黄芩 黄连 大黄 水煎服。
(方歌)
加味当归活血汤，痘色干桔服最良，四物红花共紫草，加人芩连生大黄。
%
条文：106
铺红多因元气弱，血不归附毒漫行，肌肤尽红根赤艳，气失统摄痘多凶，
气虚九味神功补，毒盛凉血解毒清。
[注]
起胀时血尽归附于痘，根下有红线紧束，乃正形也，
若元气虚弱，血不归附，致毒气散漫，肌肤之上，根色紫艳，
是气失统摄之力，多致不救，
若气虚而痘微赤者，以九味神功散主之，
毒盛根艳者，以凉血解毒汤主之。
(九味神功散) 人参 黄耆 紫草茸 红花 前胡 牛蒡子炒研 甘草生
白芍药酒炒 生地黄 引用大枣水煎服。
(方歌)
九味神功治铺红，人参黄耆紫草茸，红花前胡牛蒡草，白芍生地枣相从。
(凉血解毒汤) 方见结痂落痂证治。
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条文：107
血虚痘色多散漫，根窠淡白少鲜艳，芎归保元汤可投，参归鹿茸有奇验。
[注]
痘至成浆时，若气血交会，必有一血线紧附根下，如珍珠置于燕脂之上，
粒粒光彩，此正形也，
设平日气血虚弱，当灌浆时顶虽圆满，根下全无红晕，以芎归保元汤主之，
虚甚者以参归鹿茸汤主之。
(芎归保元汤) 人参 甘草炙 黄耆蜜炙 当归酒洗 川芎 引用龙眼肉水煎服。
(方歌)
芎归保元治血虚，人参甘草共黄耆，酒洗当归川芎配，龙眼作引服无时。
(参归鹿茸汤) 方见灌浆证治。
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Clause 105
Toxic fire scalds and damages Yin blood (Yin Blood), causing the pustules to become dry, shriveled, and lacking in moisture. The modified Danggui Huoxue Decoction is commonly used for treatment; if therapy is delayed even slightly, the condition may change unpredictably.
[Note]
Complexion is the manifestation of blood. When blood is harmonious, the skin is moist, lustrous, and bright; when blood is depleted, it becomes dry and withered.
When the toxic fire of the pustules enters the blood level, it causes mild redness or severe blackish-purple discoloration.
Treatment should urgently focus on rescuing the blood, primarily using Danggui Huoxue Tang (Danggui Blood-Invigorating Decoction).
(Danggui Huoxue Tang) Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Red Peony Root (Chisao), Rehmanniae Radix Preparata (Shengdi), Carthami Flos (Honghua), Arnebiae Radix seu Lithospermi Radix (Zicao), Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Rheii Radix et Rhizoma (Dahuang). Decoct in water and take orally.
(Verse Formula)
Modified Danggui Blood-Invigorating Decoction is best for dry, shriveled pustules;
Combined with Siwu Tang ingredients, Honghua, and Zicao,
Add Huangqin, Huanglian, and raw Dahuang.
Clause 106
The symptom of "Puhong" (Spreading Redness) often arises from weak Yuan Qi (Primal Qi), where blood fails to adhere to the pustules and toxic qi diffuses widely. The entire skin surface turns red, and the base of the pustules is bright red and vivid. Loss of Qi's controlling function leads to a poor prognosis for the pustules.
For Qi deficiency, use Jiwei Shengong San to tonify; for excessive toxicity, use cooling-blood and detoxifying methods to clear heat.
[Note]
During the swelling stage, blood should fully adhere to the pustules, with a tight red line binding the base, which is the normal form.
If Yuan Qi is weak and blood fails to adhere, causing toxic qi to scatter, the skin appears red, and the pustule bases are purple-red and vivid.
This indicates a loss of Qi's controlling power, often leading to untreatable conditions.
If there is Qi deficiency with slight redness of the pustules, use Jiwei Shengong San as the primary formula.
If toxicity is excessive and the bases are vivid, use Liangxue Jiedu Tang (Cooling Blood and Detoxifying Decoction) as the primary formula.
(Jiwei Shengong San) Ginseng Radix et Rhizoma (Renshen), Astragali Radix (Huangqi), Arnebiae Radix seu Lithospermi Radix (Zicaorong), Carthami Flos (Honghua), Peucedani Radix (Qianhu), Arnicae Semen (Niuziqi, stir-fried and crushed), Glycyrrhizae Radix et Rhizoma (Gancao, raw), White Peony Root (Baishaoyao, wine-fried), Rehmanniae Radix Preparata (Shengdihuang). Use Jujubae Fructus (Dazao) as an guide, decoct in water, and take orally.
(Verse Formula)
Jiwei Shengong treats Puhong, using Renshen, Huangqi, and Zicaorong;
Combine with Honghua, Qianhu, Niuziqi, and Gancao,
Followed by Baishaoyao, Shengdihuang, and accompanied by Dazao.
(Liangxue Jiedu Tang) See the section on Crusting and Sloughing for the formula.
Clause 107
Blood deficiency causes the pustule color to be scattered and unfocused, with pale white bases lacking vividness. Xionggui Baoyuan Tang can be administered, and Shen Gui Lurong Tang also shows remarkable efficacy.
[Note]
When the pustules reach the stage of forming pus, if Qi and Blood intersect, there must be a blood line tightly attached to the base, resembling pearls placed on cinnabar, with each grain shining brightly; this is the normal form.
If one normally suffers from Qi and Blood deficiency, during the pus-forming stage, although the apex may be round, the base will completely lack a red halo. In such cases, use Xionggui Baoyuan Tang as the primary formula.
In cases of severe deficiency, use Shen Gui Lurong Tang as the primary formula.
(Xionggui Baoyuan Tang) Ginseng Radix et Rhizoma (Renshen), Glycyrrhizae Radix et Rhizoma (Gancao, honey-roasted), Astragali Radix (Huangqi, honey-roasted), Angelicae Sinensis Radix (Danggui, wine-washed), Chuanxiong Rhizoma (Chuanxiong). Use Longan Arillus (Longyanrou) as a guide, decoct in water, and take orally.
(Verse Formula)
Xionggui Baoyuan treats Blood deficiency, combining Renshen, Gancao, and Huangqi;
Wine-washed Danggui paired with Chuanxiong,
With Longan arillus as the guide, taken at any time.
(Shen Gui Lurong Tang) See the section on Pus Formation for the formula.