酒红花 当归（各一钱） 前胡（八分） 荆芥（四分） 白芷 甘草节 赤芍药 陈
皮（各五分）
痘中夹斑之轻者，此方主之。
斑之淡红色者，斑之轻也。治痘中之斑，与伤寒、杂证不同。伤寒之斑，宜主寒凉。痘
中之斑，寒之则血凝而痘不起。杂证之斑，间用温补。痘中之斑，补之则血溢而斑愈盛。此
方用酒红花、当归、赤芍药，所以活斑中之血。前胡、白芷、陈皮、荆芥，所以利表里之气。
乃胡荽子、甘草节、酒郁金，皆所以散滞气尔。此其为药，利营调卫，不寒不热，诚得治痘
斑之理也。师云∶斑证之原，由初间不能清热解毒。若能于初间清热解毒，胡然有斑？
生玳瑁（一两半） 片脑（三钱） 水蛭（炒黄，一钱） 蜈蚣（炒，三钱） 麻黄（去
节，一两）
猪尾血为丸，龙眼大。每服一丸，日二。得微汗吉。
痘中有赤黑斑，狂言烦躁者，此丸主之。
原是实热之证，失于清热化毒，则令痘中夹斑，治之失道，则热益盛，而斑赤黑矣。若
以手按之，血散者可治。是方也，生玳瑁能解毒而化斑，蜈蚣能从毒而化毒，水蛭能散瘀而
破血，片脑能化气而利窍，麻黄能透肌而达表。和之以猪尾血，取其动而不滞尔。
黄连（炒） 黄柏（炒） 黄芩（炒） 栀子（炒黑，等分）
里热壅盛者，此方主之。
无热固不化毒，热壅则毒亦不化。故用黄连泻心火，黄芩泻肺肝之火，黄柏泻肾火，栀
子泻上下之火。无他证而惟热壅，故用药亦精专焉。
Jiu Honghua (Radix Bupleuri prepared with wine), Danggui (Radix Angelicae Sinensis) (each 1 qian), Qianhu (Peucedani Radix) (8 fen), Jingjie (Schizonepetae Spica) (4 fen), Baizhi (Angelicae Dahuricae Radix), Gancao Jie (Glycyrrhizae Radix et Rhizoma node), Chishao Yao (Paeoniae Radix Rubra), Chenpi (Citri Reticulatae Pericarpium) (each 5 fen).
For mild cases of pox accompanied by macules, this formula is the primary treatment.
Macules that are pale red indicate a mild condition. Treating macules in pox differs from those in Shanghan (Cold Damage) and miscellaneous diseases. For macules in Shanghan, cold and cool-natured herbs are preferred. For macules in pox, using cold herbs causes blood stasis, preventing the pox from erupting. For macules in miscellaneous diseases, warm-tonifying methods are occasionally used. For macules in pox, using tonifying methods causes blood extravasation, making the macules more severe. This formula uses Jiu Honghua, Danggui, and Chishao Yao to invigorate blood within the macules. Qianhu, Baizhi, Chenpi, and Jingjie are used to promote the flow of qi in the interior and exterior. Additionally, Huisui Zi (Coriandri Fructus), Gancao Jie, and Jiu Yujin (Curcumae Radix prepared with wine) are used to dissipate stagnant qi. These drugs harmonize Ying (Nutrient Qi) and Wei (Defensive Qi), possessing neither cold nor hot properties, thus truly grasping the principle of treating pox macules. The Master said: The origin of macule syndromes lies in the failure to clear heat and resolve toxicity during the initial stage. If heat and toxicity were cleared and resolved initially, how could macules appear?
Sheng Daimao (Trionycis Carapax), Pian Nao (Borneolum Syntheticum) (3 qian), Shuizhi (Hirudo) (stir-fried until yellow, 1 qian), Wugong (Scolopendra), Ma Huang (Ephedrae Herba, nodes removed) (1 liang).
Form into pills using pig tail blood, sized like longan seeds. Take one pill per dose, twice daily. Mild sweating after administration is auspicious.
For pox presenting with dark red or black macules, accompanied by delirious speech and irritability, this pill is the primary treatment.
This originally was a excess-heat syndrome. Failure to clear heat and resolve toxicity led to macules appearing within the pox. Improper treatment exacerbates the heat, causing the macules to turn dark red or black. If pressing the macules with fingers causes the blood color to disperse, it is treatable. In this formula, Sheng Daimao resolves toxicity and transforms macules; Wugong guides out toxicity and transforms toxic pathogens; Shuizhi disperses blood stasis and breaks blood clots; Pian Nao moves qi and opens orifices; Ma Huang penetrates the muscle layer and reaches the exterior. Combined with pig tail blood, the intention is to utilize its dynamic nature without stagnation.
Huanglian (Coptidis Rhizoma, stir-fried), Huangbai (Phellodendri Cortex, stir-fried), Huangqin (Scutellariae Radix, stir-fried), Zhizi (Gardeniae Fructus, stir-fried until black, equal parts).
For cases of excessive internal heat congestion, this formula is the primary treatment.
Without heat, toxins certainly cannot be transformed; if heat is congested, toxins also fail to transform. Therefore, Huanglian is used to drain Heart Fire, Huangqin to drain Lung and Liver Fire, Huangbai to drain Kidney Fire, and Zhizi to drain fire in both the upper and lower jiao. Since there are no other concurrent symptoms and only heat congestion exists, the medication is precise and specialized.