【方歌】痘疔不与痘疮同，俗呼贼痘是其名，色紫黯黑硬如石，
诸证蜂起难灌脓。疔有多般须宜记，再审何处发其形。
卷帘疔生舌根底，大小不一最易明。火珠疔生鼻孔内，
阗塞喷火面赤红。眼沿生疔名忘汲，肿如封蛤热烦增。
豢虎疔于耳内见，肾毒攻耳致成形。燕窝疔生两腋下，
面赤谵语更肿疼。注命疔生足心里，紫筋直透足股中。
透肠疔在肛内发，痛如锥刺一般同。骊龙疔生尿孔内，
身热谵语便不通。法按疔名施医治，自然诸证悉能平。
【注】此证名多，治不一法。痘生五六日间，或三五枚，或六
七枚，杂于诸痘之间，其色紫黯，甚则黑硬如石，有此
以致诸证蜂起，不能灌脓。如卷帘疔生于舌根底，小如
黑豆，大似葡萄，令儿舌卷喉痛，急用银钩钩破，去净
恶血，随以苦茶漱口，搽拔疔散，再以冰片、硼砂、青
黛、黄连、薄荷、荆芥、炒僵蚕共为细末，吹用。火珠
疔生于鼻孔内，阗塞喷火，面赤眼红，亦用银钩钩破，
用黄连膏加冰片，滴入鼻孔，内服泻金散。忘汲疔生于
眼沿，肿如封蛤，烦热而紫，宜挑破用燕脂嚼汁点之，
兼蒲公英、菊花煎汤洗之。豢虎疔生于耳内，于脓成之
时，宜挑破搽拔疔散。燕窝疔生于腋下，肿硬面赤谵语
，如疔在左腋潜注，则右体之痘沈伏失色，右亦如之，
亦挑破去其根，用拔疔散搽之，服消毒饮子。注命疔生
两足心，肿硬如钱、如豆、如椒，有紫筋直透足股，挑
之去净恶血，用田螺水点之，次用慎火草绿豆浸胀，捣
烂敷之。透肠疔生肛门旁，在六七朝肿硬如锥，挑之，
银花、防风煎汤令洗之，次用轻粉、珍珠、冰片、白蔹
末涂之，内服黄连解毒汤。骊龙疔生尿孔内，于五六朝
身热、谵语、眼翻、肢厥、腹胀、小水闭涩，急用蟾酥
、牛黄、冰片、麝香研末，次用黄连细茶浓煎，候冷取
半匙调末，以细软稻心蘸之，送入孔内，服消毒饮子甚
效。
方剂：泻金散
组成：犀角（镑） 牛蒡子（炒，研）
红花 生地
桔梗 赤芍
紫苏 甘草（生，各一钱）
水煎服。
【方歌】泻金散治火毒疔，面赤眼红鼻内疼，犀蒡红花生地桔，
赤芍紫苏甘草生。
又方：消毒饮子
组成：白茯苓 生地
连翘（去心） 牛蒡子（炒，研）
红花 甘草（生）
犀角（镑） 木通
赤芍（各一钱）
灯心二十根，水煎服。
【方歌】消毒饮子苓生地，翘蒡红花甘草犀，木通芍药灯心共，
善却疔毒火证宜。
又方：拔疔散（见齿部牙疔）
黄连膏（见鼻部鼻疮）
田螺水（见臀部）
黄连解毒汤（见耳部黑疔）
[Verse] Dingchuang (Ding sores on smallpox) differs from ordinary smallpox; commonly called "Thief Smallpox," its characteristics are purple-dark or black color and hardness like stone. Various symptoms arise simultaneously, making it difficult to suppurate. There are many types of Ding sores that must be memorized, and one must carefully examine where they manifest. Juanli Ding (Rolling Curtain Ding) arises at the base of the tongue, varying in size and easily identified. Huozhu Ding (Fire Pearl Ding) arises inside the nostrils, causing blockage and a sensation of fire spitting out, with a red face. Wangji Ding (Forget-Thirst Ding) arises on the eyelids, swelling like a toad with increased irritability and heat. Huhan Ding (Taming Tiger Ding) is seen in the ears, formed by Kidney toxin attacking the ear. Yanyao Ding (Swallow's Nest Ding) arises in both axillae, accompanied by facial redness, delirium, and worsened swelling and pain. Zhuming Ding (Life-Directing Ding) arises in the soles of the feet, with purple veins extending straight into the thighs. Touchang Ding (Penetrating Intestine Ding) erupts inside the anus, with pain similar to needle pricking. Qilong Ding (Black Dragon Ding) arises inside the urethral meatus, accompanied by fever, delirium, and urinary/fecal obstruction. Treatment should follow the specific type of Ding, naturally resolving all symptoms.
[Commentary] This condition has many names and treatments vary. Five to six days after the eruption of smallpox, three to five or six to seven lesions may appear mixed among other pustules. Their color is purple-dark, even black and hard like stone, leading to simultaneous onset of various symptoms and failure to suppurate. If Juanli Ding arises at the base of the tongue, small as a black bean or large as a grape, causing the child's tongue to curl and throat pain, urgently use a silver hook to puncture it, drain all bad blood, rinse with bitter tea, apply Bading San (Ding-Extracting Powder), and then blow a fine powder made of Bingpian (Borneol), Pengsha (Borax), Qingdai (Indigo Naturalis), Huanglian (Coptidis Rhizoma), Bohe (Menthae Haplocalycis Herba), Jingjie (Schizonepetae Spica), and Chao Jiangcan (Stewed Silkworm) into the lesion. Huozhu Ding arises inside the nostrils, causing blockage and a fiery sensation, with red face and eyes; also puncture with a silver hook, apply Huanglian Gao (Coptis Ointment) with Bingpian (Borneol) dropped into the nose, and internally administer Xiejing San (Metal-Draining Powder). Wangji Ding arises on the eyelids, swelling like a toad, with irritability, heat, and purple discoloration; puncture and apply juice from chewed Erythrina seeds (Yanzhi), and wash with a decoction of Gongying (Taraxaci Herba) and Juhua (Chrysanthemi Flos). Huhan Ding arises in the ears; when pus forms, puncture and apply Bading San (Ding-Extracting Powder). Yanyao Ding arises in the axillae, with swelling, hardness, facial redness, and delirium; if the Ding in the left axilla spreads subtly, the smallpox on the right side will sink and lose color, and vice versa; puncture to remove the root, apply Bading San (Ding-Extracting Powder), and take Xiaodu Yinzi (Detoxification Decoction). Zhuming Ding arises in both soles, swelling and hardening like coins, beans, or peppercorns, with purple veins extending to the thighs; puncture to drain bad blood, apply Tianluo Shui (Snail Water), then apply a paste of Shenhuo Cao (Herba Siegesbeckiae) and soaked, mashed Lüdou (Vigna radiata). Touchang Ding arises beside the anus, swelling and hardening like a cone around the sixth or seventh day; puncture, wash with a decoction of Jinyinhua (Lonicerae Japonicae Flos) and Fangfeng (Saposhnikoviae Radix), then apply a powder of Qingfen (Calomel), Zhenzhu (Margarita), Bingpian (Borneol), and Bailian (Belamcandae Rhizoma), and internally administer Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxins). Qilong Ding arises inside the urethral meatus; around the fifth or sixth day, with fever, delirium, eye rolling, cold limbs, abdominal distension, and urinary retention/strangury, urgently use Chansu (Toad Venom), Niuhuang (Calculus Bovis), Bingpian (Borneol), and Shexiang (Moschus) ground into powder. Then, decoct Huanglian (Coptidis Rhizoma) with strong tea, let cool, take half a spoonful to mix with the powder, dip a soft rice stem in it, insert into the meatus, and take Xiaodu Yinzi (Detoxification Decoction) for excellent effect.
Formula: Xiejing San (Metal-Draining Powder)
Composition: Xijiao (Rhinoceros Horn) (shaved), Niubangzi (Burdock Fruit) (stir-fried, crushed), Honghua (Safflower), Shengdi (Rehmanniae Radix), Jiegeng (Platycodon Root), Chishao (Red Peony Root), Zisu (Perilla Leaf), Gancao (Licorice Root) (raw, each 1 qian).
Decoct in water and take orally.
[Verse] Xiejing San treats Ding caused by Fire-Toxin, with symptoms of red face, red eyes, and nasal pain; ingredients include Xijiao (Rhinoceros Horn), Niubangzi (Burdock Fruit), Honghua (Safflower), Shengdi (Rehmanniae Radix), Jiegeng (Platycodon Root), Chishao (Red Peony Root), Zisu (Perilla Leaf), and raw Gancao (Licorice Root).
Another Formula: Xiaodu Yinzi (Detoxification Decoction)
Composition: Baifuling (Poria), Shengdi (Rehmanniae Radix), Lianqiao (Forsythiae Fructus) (heart removed), Niubangzi (Burdock Fruit) (stir-fried, crushed), Honghua (Safflower), Gancao (Licorice Root) (raw), Xijiao (Rhinoceros Horn) (shaved), Mutong (Akebia Stem), Chishao (Red Peony Root) (each 1 qian).
With twenty roots of Dengxincao (Junci Medulla), decoct in water and take orally.
[Verse] Xiaodu Yinzi contains Ling (Poria), Shengdi (Rehmanniae Radix), Qiao (Forsythiae Fructus), Bang (Burdock Fruit), Honghua (Safflower), Gancao (Licorice Root), Xi (Rhinoceros Horn), Mutong (Akebia Stem), Shaoyao (Peony Root), and Dengxin (Junci Medella); it effectively eliminates Ding-Toxin and Fire syndromes.
Another Formula: Bading San (Ding-Extracting Powder) (see Dental Section, Tooth Ding)
Huanglian Gao (Coptis Ointment) (see Nasal Section, Nasal Sore)
Tianluo Shui (Snail Water) (see Gluteal Section)
Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxins) (see Auricular Section, Black Ding)