痘出五藏主证形，呵欠顿嗽是肝经，肺证欬凉痰嚏涕，心证惊颊面赤红，
脾证喜睡肢热利，耳尻俱凉是肾征，肝泡肺脓心赤小，脾大黄浅肾黑形。
[注]
痘疮之毒伏于五藏，故内出何藏，外即应之，
如呵欠顿闷，此痘出肝经证也，
欬嗽有痰，喷嚏泣涕，此痘出肺经证也，
惊悸烦燥，面色红赤，此痘出心经证也，
喜睡自利，四肢发热，此痘出脾经证也，
惟肾经但见耳尻发凉者，是火不能胜水也，
肝痘之形为水泡，其包青而小，
肺痘之形为脓泡，其色白而大，
心痘之形色赤而小，
脾痘之形其色黄浅而大，
至于肾经不宜有证，若水不胜火，痘色黑者，非吉兆也。
%
额心颏肾鼻脾部，左颊肝位右肺方，周身分主面属胃，头背膀胱腰肾疆，
心肺胸膈肝胆胁，腹肢属脾大小肠，包络之络联藏府，三焦之气应无方．
[注]
小儿出痘，自头面以及周身，各有藏府所属部位，
治者须详察部位以定吉凶，
如额先见点者，是毒发于心也，
颏先见点者，毒发于肾也，
左颊先见点者，毒发于肝也，
右颊先见点者，毒发于肺也，
鼻先见点者，毒发于脾也，
面属胃经部位也，
头背属膀胱经部位也，
腰属肾经部位也，
胸膈属心肺二经部位也，
胁旁属肝胆二经部位也，
肚腹四肢属脾大小肠三经部位也，
至于包络乃周身脂膜之络联属百骸藏府者也，
三焦为周身水精之气，充满躯壳藏府者也，
凡周身发痘，俱从此出，无故一定部位也。
%
The manifestations and main symptomatic forms of smallpox (or variola-like eruptions) in the Five Zang Organs are as follows: yawning and sudden coughing indicate a syndrome of the Liver Meridian; pulmonary symptoms include cough, aversion to cold, phlegm, sneezing, and runny nose; cardiac symptoms present with palpitations, flushed cheeks, and red complexion; splenic symptoms manifest as drowsiness, heat in the four limbs, and diarrhea; coolness in both the ears and the sacrum/coccyx region is a sign of the Kidney Meridian. The morphological form of liver eruptions is vesicles (water blisters); lung eruptions appear as pustules; heart eruptions are red and small; spleen eruptions are yellowish, pale, and large; kidney eruptions are black.
[Note]
The toxic pathogen of the eruptions lies dormant within the Five Zang Organs. Therefore, whichever internal organ is affected, corresponding external signs will appear.
For instance, yawning and sudden chest oppression indicate that the eruptions are emerging from the Liver Meridian.
Coughing with phlegm, sneezing, tearing, and rhinorrhea indicate that the eruptions are emerging from the Lung Meridian.
Palpitations, irritability, and a red facial complexion indicate that the eruptions are emerging from the Heart Meridian.
Drowsiness with spontaneous diarrhea and heat in the four limbs indicate that the eruptions are emerging from the Spleen Meridian.
Only when the Kidney Meridian is involved, presenting solely with coolness in the ears and sacrum, does it signify that Fire cannot overcome Water (Yang deficiency leading to Yin-cold excess).
The shape of liver eruptions is vesicular, with a greenish hue and small size.
The shape of lung eruptions is pustular, with a white color and large size.
The shape and color of heart eruptions are red and small.
The shape and color of spleen eruptions are yellowish, pale, and large.
Regarding the Kidney Meridian, significant symptoms should ideally not appear. If Water fails to control Fire (indicating pathological imbalance or deep-seated toxin), and the eruption color turns black, this is an inauspicious omen.
The forehead, the central area of the face (heart zone), and the chin correspond to the Kidney; the nose corresponds to the Spleen; the left cheek corresponds to the Liver; the right cheek corresponds to the Lungs. In the distribution of the whole body, the face is governed by the Stomach Meridian; the head and back are governed by the Bladder Meridian; the waist belongs to the Kidney Meridian. The Heart and Lungs reside in the chest and diaphragm; the Liver and Gallbladder are located in the hypochondriac region. The abdomen and limbs are governed by the Spleen, Small Intestine, and Large Intestine. The Pericardium Collateral connects with the Zang-Fu organs, while the San Jiao Qi permeates the entire body without fixed boundaries.
[Note]
When children develop eruptions, from the head and face down to the entire body, each area corresponds to specific Zang-Fu organs.
Practitioners must carefully examine the location of the lesions to determine prognosis.
For example, if spots first appear on the forehead, the toxin is erupting from the Heart.
If spots first appear on the chin, the toxin is erupting from the Kidney.
If spots first appear on the left cheek, the toxin is erupting from the Liver.
If spots first appear on the right cheek, the toxin is erupting from the Lungs.
If spots first appear on the nose, the toxin is erupting from the Spleen.
The face belongs to the Stomach Meridian territory.
The head and back belong to the Bladder Meridian territory.
The waist belongs to the Kidney Meridian territory.
The chest and diaphragm belong to the territories of the Heart and Lung meridians.
The hypochondriac sides belong to the territories of the Liver and Gallbladder meridians.
The abdomen and four limbs belong to the territories of the Spleen, Small Intestine, and Large Intestine meridians.
As for the Pericardium, its collaterals are networks of adipose tissue throughout the body, connecting and belonging to the bones and Zang-Fu organs.
The San Jiao is the pathway for the essence and Qi of water and grain throughout the body, filling the trunk and Zang-Fu organs.
Eruptions appearing anywhere on the body emerge from these pathways; there is no rigid, fixed correspondence between specific body parts and specific organs in all cases.