一、发热时，用红纸条蘸麻油，点照心头皮肉里。若有一块红者，或遍身有成块红者，八九日后决死，勿治。
一、发热时，身无大热，腹痛腰不痛，过三日后才生红点，坚硬碍手者，勿药有生，所谓吉证。
一、发热时，浑身温暖，不时发惊者，痘在心经而生也，乃为吉兆。
一、发热时，一日遍身即生红点，稠密如蚕种样，摸过不碍手者，决死。
一、发热时，腹中大痛，腰如被杖，乃至出痘干燥，而前痛犹不止者，决死。
一、发热时，头面上有一片色，如胭脂者，八九日以后，决死。
加味败毒散
柴胡 前胡 羌活 独活 防风 荆芥 薄荷 枳壳 桔梗 川芎 天麻 地骨皮（各等分）
上古方除参、苓，恐补早助火也，宜加紫草、蝉蜕、紫苏、麻黄、僵蚕、葱白带根，热服。表汗泄泻，加
猪苓、泽泻，去紫草，水煎热服，出汗为佳；如热盛，谵语烦渴，用此调六一散，尤妙。
升麻葛根汤
川升麻（一钱） 白芍药（一钱） 甘草（一钱） 白粉葛（一钱半）
上锉，作一剂，生姜煎，热服，加山楂、大力子，其疮稀疏而易愈。
参苏饮 治小儿伤风、伤寒，发热咳嗽，痰涎喘急，未明痘疹，疑似之间，此药最稳。
紫苏（三分） 陈皮（二分） 桔梗（二分） 半夏（姜汁炒，三分） 前胡（三分） 干
葛（三分） 甘草（二分） 枳壳（去穣，二分）
上锉，生姜煎，热服。或调紫草膏热服，表汗更佳。
犀角地黄汤 治小儿痘疹，初热太盛，大便黑粪瘀血，或有鼻衄，大小便血。
真犀角（如无此，以升麻代之亦可，一钱） 生地黄（一钱半） 赤芍药（一钱） 牡丹皮（一钱）
上锉，水煎服。热甚，加黄芩。
红线散 治感风寒，发热惊搐，煎调六一散表之。痰盛者，抱龙丸亦妙。
全蝎 麻黄 紫草 荆芥穗 蝉蜕 天麻 甘草 加薄荷（各等分）
上锉，水煎，调药服。
三酥饼 初热，用以表汗解毒，痘出稀少。
辰砂（绢囊盛之，用升麻、麻黄、紫草、荔枝壳煮，过一日夜，研细，仍将前四味
煎汤飞过，晒干再研极细，用蟾酥另捻作饼） 紫草（为细末，用蟾酥另捻作饼） 麻黄（去节，泡烫过晒
干，为细末，用蟾酥另捻作饼） 蟾酥（端午日作蟾取之，捻前三药为饼，每饼加麝香少许更妙）
上方辰砂解胎毒，凉心火，制过又能发痘，紫草解毒发痘，麻黄表汗发痘，蟾酥最能祛脏腑毒瓦斯，俱从
毛窍中作臭汗出，诚解毒稀痘之神方也，如遇天行恶痘，须于发热之初，每三岁儿，将三饼各取一分，或分半，
随大小加减，热酒化下，浓盖出汗。不能饮酒者，将败毒散化下，尤妙。若痘已出，满顶红紫，属热毒者，煎紫
草红花汤，或化毒汤将饼化下解之。又小儿初生，用蜜调辰砂饼一分，以解胎毒，痘出必稀，皆妙法也，麻
黄饼痘出后忌服。
稀痘散 发热未出时服之，最能稀痘。
辰砂（将升麻、麻黄、紫草、荔枝壳四味各煮一日夜，研细，仍将四味煎汤飞过，
晒干，研极细，六钱） 天灵盖（用小儿者佳，净，将麝香涂上，火炙令黄，为末，三钱）
上二味和匀，再研极细，于发热未出时，煎紫草、升麻、紫苏、葱白汤，或败毒散调下，每一岁，以一分为度。
六一散 治热毒太盛，狂言引饮，痘疮红紫黑陷。
滑石（白腻者，研细水飞，晒干再研，六两） 冰片（三分，后和研匀） 粉草（取头
末，研极细，六钱） 辰砂（光明者，水飞，三钱）
上将滑石、甘草末一半研匀，然后加冰片，研匀，作六一散，治痘疮红紫黑陷热渴。余一半，入辰砂
六一散，治惊狂 语。前方发热之初，用败毒散调下，亦能解毒稀痘。若出痘后，红紫属热毒者，春秋各
用灯草煎渴，候冷调服；夏月新汲泉水调服。三五岁服一钱，十岁服二钱。
神解汤 治小儿发热，欲出痘腰痛。
柴胡（一钱半） 干葛（一钱） 川芎（八分） 白茯苓（八分） 麻黄（去节，八分）
升麻（八分） 防风（八分） 甘草（五分）
上锉一剂，水一钟半，先将麻黄滚去白沫，后煎至八分，热饮，
覆被卧取汗，腰痛止为度，不止再进一剂，免出肾经之痘，此法甚奇。
神功散（何知府传） 此方初觉热，服之不出，若见标者，服之毒瓦斯即散；陷者，服之即起。
川芎（六两） 当归（六两） 升麻（六两） 甘草（六两）
上为细末，一起取东流水煎三次，每次用水三碗，文武火煎至一碗半，滤下，又煎二次，共药水四碗
半听用，又用好朱砂四两，以绢袋悬入瓷罐，加前药水封固，水煮尽为度，取出焙干为末，
以纸罗过听用。再以引经散，用糯米二三合，以纸包紧，外用黄泥固济，入火炼红冷定，打碎，取米黄色
者用之，白色者不用。每服以朱砂末一钱，米末一钱，炼蜜二匙，好酒二匙，白沸汤一小钟，
共一处调匀，用茶匙喂尽取效。
黄柏膏 治痘疮初出，先用此膏涂面，若用之早，则痘疮不生于面；用之迟，虽出亦稀少。
黄柏（一两） 红花（二两） 甘草（生，四两） 绿豆粉（四两）
上为末，香油调成膏，从耳前眼唇面上，并涂之，日三五度。
1. When fever occurs, dip a red paper strip in sesame oil and apply it to illuminate the skin and muscle tissue deep within the chest area (Xintou). If there is one patch of redness, or if patches of redness appear all over the body, death will be determined after eight or nine days; do not treat.
2. When fever occurs, if the body does not have high heat, abdominal pain is present but the waist does not hurt, and red spots appear only after three days, which are hard and rough to the touch, life can be sustained without medication; this is called a auspicious sign (Ji Zheng).
3. When fever occurs, if the whole body feels warm and occasional惊悸 (palpitations/fright) happens, the痘毒 (smallpox toxin) is generating in the Heart Meridian (Xin Jing); this is an auspicious omen.
4. When fever occurs, if red spots appear all over the body within one day, dense like silkworm eggs, and smooth to the touch, death will be determined.
5. When fever occurs, if there is severe abdominal pain, the waist feels as if beaten by a stick, and even after the痘疮 (smallpox lesions) emerge and become dry, the previous pain continues unabated, death will be determined.
6. When fever occurs, if there is a patch of color on the head and face resembling rouge, death will be determined after eight or nine days.
Jiawei Baidu San (Modified Decoction to Overcome Toxicity)
Chai Hu (Bupleuri Radix), Qian Hu (Peucedani Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Spica), Bo He (Menthae Haplocalycis Herba), Zhi Ke (Aurantii Fructus Immaturus), Jie Geng (Platycodonis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Tian Ma (Gastrodiae Rhizoma), Di Gu Pi (Lycii Cortex) (equal parts).
Ancient formulas removed Ren Shen (Ginseng Radix) and Fu Ling (Poria), fearing that early tonification would assist fire. It is advisable to add Zi Cao (Arnebiae Radix seu Lithospermi Radix), Chan Tui (Cicadae Periostracum), Zi Su (Perillae Folium), Ma Huang (Ephedrae Herba), Jiang Can (Bombyx Batryticatus), and Cong Bai with roots (Allii Fistulosi Bulbus cum Radice). Take hot. If sweating leads to diarrhea, add Zhu Ling (Polyporus) and Ze Xie (Alismatis Rhizoma), remove Zi Cao, decoct in water and take hot; sweating is desirable. If heat is excessive, with delirious speech, irritability, and thirst, use this powder to mix with Liu Yi San (Six-to-One Powder), which is especially effective.
Shengma Gegen Tang (Decoction of Cimicifugae Radix and Puerariae Radix)
Chuan Shengma (Cimicifugae Rhizoma, 1 qian), Bai Shao Yao (Paeoniae Radix Alba, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Bai Fen Ge (Puerariae Radix, 1.5 qian).
Crush the herbs, prepare as one dose, decoct with Sheng Jiang (Zingiberis Rhizoma Recens), and take hot. Adding Shan Zha (Crataegi Fructus) and Da Li Zi (Arctii Fructus) will make the lesions sparse and easy to heal.
Shen Su Yin (Decoction of Perillae and Panax)
Treats children's wind-cold injury, cold damage, fever, cough, phlegm-saliva wheezing, and when smallpox/rash is not yet clear, amidst suspicion, this medicine is most stable.
Zi Su Ye (Perillae Folium, 3 fen), Chen Pi (Citri Reticulatae Pericarpium, 2 fen), Jie Geng (Platycodonis Radix, 2 fen), Ban Xia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, stir-fried with ginger juice, 3 fen), Qian Hu (Peucedani Radix, 3 fen), Gan Ge (Puerariae Radix, 3 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 fen), Zhi Ke (Aurantii Fructus Immaturus, de-albendo, 2 fen).
Crush the herbs, decoct with Sheng Jiang, and take hot. Alternatively, mix with Zi Cao Gao (Arnebiae/Lithospermi Radix Ointment) and take hot; inducing sweating is better.
Xijiao Dihuang Tang (Decoction of Rhinoceros Horn and Rehmanniae Radix)
Treats children's smallpox/rash where initial heat is too excessive, stool contains black fecal stasis/blood, or there is epistaxis, hematuria, and hematochezia.
Zhen Xi Jiao (Rhinocerotis Cornu, 1 qian; if unavailable, Shengma may substitute), Sheng Di Huang (Rehmanniae Radix, 1.5 qian), Chi Shao Yao (Paeoniae Radix Rubra, 1 qian), Mu Dan Pi (Moutan Cortex, 1 qian).
Crush the herbs, decoct in water and take. If heat is severe, add Huang Qin (Scutellariae Radix).
Hong Xian San (Red Thread Powder)
Treats contraction of wind-cold, fever with convulsions. Decoct and mix with Liu Yi San to release the exterior. For excessive phlegm, Bao Long Wan (Dragon-Embracing Pill) is also excellent.
Quan Xie (Scorpio, equal parts), Ma Huang (Ephedrae Herba, equal parts), Zi Cao (Arnebiae Radix seu Lithospermi Radix, equal parts), Jing Jie Sui (Schizonepetae Spica, equal parts), Chan Tui (Cicadae Periostracum, equal parts), Tian Ma (Gastrodiae Rhizoma, equal parts), Gan Cao (Glycyrrhizae Radix et Rhizoma, equal parts), plus Bo He (Menthae Haplocalycis Herba, equal parts).
Crush the herbs, decoct in water, and take mixed with medicine.
San Su Bing (Three Paste Cakes)
Used during initial fever to induce sweating, resolve toxicity, and make smallpox lesions sparse.
Chen Sha (Cinnabaris, contained in silk bag, boiled with Shengma, Ma Huang, Zi Cao, Lizhi Qiao for one day and night, ground fine; then decoct the four ingredients again, filter, dry, grind extremely fine, and knead into cakes using Chan Su); Zi Cao (Arnebiae Radix seu Lithospermi Radix, ground fine, kneaded into cakes with Chan Su); Ma Huang (Ephedrae Herba, nodes removed, soaked/scalded, dried, ground fine, kneaded into cakes with Chan Su); Chan Su (Toad Venom, collected on Dragon Boat Festival day, kneading the above three medicines into cakes, adding a little She Xiang (Moschus) per cake is better).
In the above formula, Chen Sha resolves fetal toxicity and cools Heart Fire; processed, it also promotes eruption. Zi Cao resolves toxicity and promotes eruption. Ma Huang induces sweating and promotes eruption. Chan Su best removes internal organ toxins, expelling them as foul sweat through hair follicles. This is truly a divine formula for resolving toxicity and thinning smallpox. In cases of epidemic malignant smallpox, at the onset of fever, for every three years of age, take 1 fen of each of the three cakes (adjust up or down by age), dissolve in hot wine, drink, cover thickly to sweat. Those who cannot drink alcohol should dissolve in Baidu San, which is especially good. If lesions have erupted, covering the scalp with red-purple indicating heat toxicity, decoct Zi Cao Hong Hua Tang (Arnebiae/Lithospermi Radix and Carthami Flos Decoction) or Huadu Tang (Resolving Toxicity Decoction) to dissolve the cakes for detoxification. Additionally, for newborns, mix 1 fen of Chen Sha Bing with honey to resolve fetal toxicity; eruptions will surely be sparse. These are all excellent methods. Ma Huang Bing is contraindicated after eruptions.
Xi Dou San (Smallpox-Thinning Powder)
Take before eruptions appear during fever; it best thins the smallpox.
Chen Sha (Cinnabaris, boiled with Shengma, Ma Huang, Zi Cao, Lizhi Qiao for one day and night, ground fine; decoct the four ingredients again, filter, dry, grind extremely fine, 6 qian); Tian Ling Gai (Skull of Human Infant, preferably from a healthy child, cleaned, smeared with She Xiang, roasted until yellow, ground fine, 3 qian).
Mix the two ingredients evenly, grind extremely fine. During fever before eruptions, decoct Zi Cao, Shengma, Zi Su, Cong Bai soup, or mix with Baidu San to take. Dosage: 1 fen per year of age.
Liu Yi San (Six-to-One Powder)
Treats excessive heat toxicity, delirious speech, craving drinks, and smallpox lesions turning red, purple, black, and sunken.
Hua Shi (Talcum, white and greasy, ground fine, wet-processed, dried, re-ground, 6 liang), Bing Pian (Borneolum Syntheticum, 3 fen, added last and ground evenly), Fen Cao (Licorice Root finest powder, ground extremely fine, 6 qian), Chen Sha (Cinnabaris, bright, wet-processed, 3 qian).
First, grind half of the Hua Shi and Gan Cao powders evenly, then add Bing Pian and grind evenly to make Liu Yi San, treating smallpox red/purple/black/sunken lesions with heat and thirst. The remaining half, mixed with Chen Sha, makes Chen Sha Liu Yi San, treating fright and delirium. At the onset of fever, taking this mixed with Baidu San can also resolve toxicity and thin smallpox. After eruptions, if red/purple indicates heat toxicity, in spring and autumn, decoct Deng Cao (Junci Medulla) tea, cool, and take mixed; in summer, use fresh well water. Dosage: 1 qian for 3-5 years old, 2 qian for 10 years old.
Shenjie Tang (Divine Resolution Decoction)
Treats children's fever and lower back pain when smallpox is about to erupt.
Chai Hu (Bupleuri Radix, 1.5 qian), Gan Ge (Puerariae Radix, 1 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 8 fen), Bai Fu Ling (Poria, 8 fen), Ma Huang (Ephedrae Herba, nodes removed, 8 fen), Shengma (Cimicifugae Rhizoma, 8 fen), Fang Feng (Saposhnikoviae Radix, 8 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen).
Crush into one dose, add 1.5 zhong of water. First boil Ma Huang to remove white foam, then decoct until 0.8 zhong remains. Drink hot, lie under covers to induce sweating. Stop when lower back pain ceases; if not, take another dose to prevent smallpox from emerging from the Kidney Meridian. This method is very unique.
Shengong San (Divine Merit Powder) (Passed down by Prefect He)
If taken at the first sign of fever, eruptions will not appear; if signs (bumps) are seen, taking it disperses toxins; if sunken, taking it raises them.
Chuan Xiong (Ligustici Chuanxiong Rhizoma, 6 liang), Dang Gui (Angelicae Sinensis Radix, 6 liang), Shengma (Cimicifugae Rhizoma, 6 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 6 liang).
Grind into fine powder. Together, decoct three times with East-flowing stream water, 3 bowls each time. Use medium-low heat to reduce to 1.5 bowls per decoction. Filter. Decoct twice more. Total liquid: 4.5 bowls. Take 4 liang of good Zhu Sha (Cinnabaris), hang in a silk bag inside a porcelain jar, add the decocted liquid, seal tightly, and boil until liquid is exhausted. Remove, bake dry, grind to powder, sieve with paper. Then use Yinjing San (Meridian-Guiding Powder): take 2-3 he of glutinous rice, wrap tightly in paper, seal with yellow mud, roast in fire until red, cool, crush, and use only the rice-yellow part, not white. Each dose: mix 1 qian Zhu Sha powder, 1 qian rice powder, 2 spoons refined honey, 2 spoons good wine, 1 small zhong boiling water. Mix well, feed with a tea spoon until effect is achieved.
Huangbai Gao (Phellodendron Ointment)
Treats initial smallpox eruptions. Apply this ointment to the face first. If applied too early, smallpox will not grow on the face; if applied too late, although they emerge, they will be sparse.
Huang Bai (Phellodendri Cortex, 1 liang), Hong Hua (Carthami Flos, 2 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, raw, 4 liang), Lv Dou Fen (Vigna Radiata Starch, 4 liang).
Grind into powder, mix with Sesame Oil to form ointment. Apply to areas from front of ears, eyes, lips, and face. Apply 3-5 times daily.