表虚风邪乘间入，遍身面目虚肿浮，五皮桂枝微汗后，面消身肿胃苓投。
[注]
小儿痘后表气虚弱，见风太早，风邪乘虚而入，
致使面目虚浮，遍身皆肿者，初宜五皮汤微汗之，
服后面目不浮，惟遍身犹肿者，胃苓汤主之。
(五皮汤)
地骨皮 五加皮 桑皮蜜炙 桂枝 姜皮 大腹皮洗 引用灯心水煎服。
(方歌)
痘后浮肿五皮汤，地骨五加蜜炙桑，桂枝姜皮合大腹，引用灯心水煎尝。
(胃苓汤) 方见泻证。
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痘中杂证
余毒未尽痘毒生，轻则疮疖重为痈，内用解毒汤俱可，外敷红玉膏有功。
[注]
凡痘后余毒，皆因灌浆之时，毒气太盛，未得尽化，
留藏于经络，聚而不散，轻则发为疮疖，重即成痈，
或在肌肉之虚处，或发于关节摇动之际，
皆不论已溃未溃，均以解毒内托汤主之，外用红玉膏摊贴患处。
(解毒内托汤) 生黄耆 荆芥 防风 连翘去心 当归 赤芍药
金银花 甘草节 木通 水煎服。
(方歌)
解毒内托汤最灵，黄耆荆芥共防风，连翘当归赤芍药，银花甘草与木通。
(红玉膏) 紫草一两 红花一两 当归二两 黄蜡三两 用香油半筋，
先将药炸焦去渣，后下黄蜡，令匀，以冷为度，摊贴患处。
%
痘中杂证
The exterior is deficient, allowing wind-pathogens to enter opportunistically, resulting in generalized and facial edema of a deficiency nature. After administering Wupi Decoction (Five-Bark Decoction) combined with Guizhi Tang (Cinnamon Twig Decoction) to induce slight sweating, if the facial edema subsides but body swelling persists, Weiling Tang (Gastrodia and Atractylodes Macrocephala Decoction) should be administered.
[Note]
After smallpox, children often have weak exterior qi. If exposed to wind too early, wind-pathogens enter through the deficiency, causing facial puffiness and generalized edema. Initially, it is appropriate to use Wupi Decoction (Five-Bark Decoction) to induce slight sweating. If, after taking the medicine, the face and eyes are no longer puffy but the body remains swollen, Weiling Tang (Gastrodia and Atractylodes Macrocephala Decoction) is the primary treatment.
(Wupi Decoction / Five-Bark Decoction)
* Cortex Lycii Radicis (Digupi), * Cortex Acanthopanacis Senticosi (Wujiapi), * Cortex Mori Radicis Praeparatus cum Melle (Sangbaipi Zhi Mi), * Ramulus Cinnamomi (Guizhi), * Pericarpium Zingiberis Recens (Jiangpi), * Fructus Citri Grandis (Dafupi, washed). Decoct with * Herba Centellae Asiaticae (Dengxincao) as a guide and water.
(Decoction Verse)
For post-smallpox edema, use Wupi Decoction;
Digupi, Wujiapi, and Sangbaipi prepared with honey;
Guizhi, Jiangpi, and Dafupi combined;
Decoct with Dengxincao water for consumption.
(Weiling Tang / Gastrodia and Atractylodes Macrocephala Decoction) See "Diarrhea" chapter for the formula.
%
Miscellaneous Syndromes in Smallpox
Residual toxins remain uneliminated, generating smallpox toxins. Mild cases manifest as sores and boils (Chuangjie); severe cases develop into carbuncles (Yong). Internal administration of Jiedu Tang (Detoxification Decoction) is applicable; external application of Hongyu Gao (Red Jade Ointment) is effective.
[Note]
All residual toxins after smallpox arise because during the pustule-filling stage, the toxin qi was too excessive to be fully transformed. It remains stored in the meridians, gathering without dispersing. Mildly, it erupts as sores and boils (Chuangjie); severely, it forms carbuncles (Yong). Whether occurring in areas of thin muscle or at mobile joints, regardless of whether ulcerated or not, Jiedu Neituo Tang (Detoxification and Supporting Interior Decoction) is the primary internal treatment, while Hongyu Gao (Red Jade Ointment) is applied externally to the affected area.
(Jiedu Neituo Tang / Detoxification and Supporting Interior Decoction)
* Radix Astragali Praeparata cum Melle (Sheng Huangqi), * Herba Schizonepetae (Jingjie), * Radix Saposhnikoviae (Fangfeng), * Flos Forsythiae (Lianqiao, heart removed), * Radix Angelicae Sinensis (Danggui), * Radix Paeoniae Rubra (Chishao), * Flos Lonicerae Japonicae (Jinyinhua), * Caulis Glycyrrhizae (Gancao Jie), * Caulis Akebiae (Mutong). Decoct with water.
(Decoction Verse)
Jiedu Neituo Tang is most efficacious;
Huangqi, Jingjie, and Fangfeng together;
Lianqiao, Danggui, and Chishao;
Jinyinhua, Gancao, and Mutong.
(Hongyu Gao / Red Jade Ointment)
* Radix Lithospermi (Zicao), 1 liang; * Flos Carthami Tinctorii (Honghua), 1 liang; * Radix Angelicae Sinensis (Danggui), 2 liang; * Cera Flava (Huangla), 3 liang. Use half jin of Sesame Oil (Xiangyou). First, fry the herbs until scorched, remove the dregs, then add Huangla (Yellow Beeswax), stir evenly, cool to an appropriate temperature, spread, and apply to the affected area.
%
Miscellaneous Syndromes in Smallpox