周 女 一周零一月 庚申六月 身热耳冷，隐隐有点，防痘，夏令感温暑而发，先宜
辛凉解肌，令其易出，切忌辛温发表，致表虚发痒，溃烂，且助温热。
连翘（三钱） 甘草（一钱） 苦桔梗（三钱） 芦根（三钱） 炒银花（三钱） 薄荷（八分）
芥穗（八分）
初二日 点出未透，仍宜解肌。照前方。
初三日 险痘三天，来已出齐，但顶陷色暗，与活血提顶法，再色白皮薄，两太阴素虚
之体，此痘如用羌活、防风，必致塌痒，进苦降必致泄泻。
当归（二钱） 苦桔梗（一钱） 焦白芍（钱半） 银花（三钱） 白芷（二钱） 黄芩炭（钱半）
木通（二钱） 紫草（八分） 南山楂炭（一钱） 连翘（二钱） 暹逻犀角（一钱）
初四日 气虚则根松顶陷，血郁则色淡盘软，毒重则攒簇，且与消毒活血提顶，扶过七
日，能用补托，方可有成。不然，九朝塌痒可虑，况现泄泻。
当归（二钱，土炒） 甘草（钱半） 白芷（二钱） 红花（一钱） 暹逻犀角（三钱） 皂针（
一钱
）羚羊角（三钱） 连翘（三钱） 苦桔梗（二钱） 紫草（钱半） 炒银花（三钱） 公鸡冠血（每
大半黄酒杯点三小匙）
初五日 痘五天半，气虚不能解毒外出，牵延时日，必致内陷塌痒，今日仍然外感用事
，未敢大补，亦须少用托法。
白芷（二钱） 连翘（钱半） 丹皮（二钱） 皂针（钱半） 苦桔梗（二钱） 白归身（三钱）
甘草（五分） 紫草（一钱） 燕窝根（五钱） 生绵黄 （三钱） 鸡冠血（三五匙）
浓煎一茶杯，服完，渣再煮浓半杯，明早服。
初六日 六天少用补托，业已起胀，颜色颇鲜，但皮薄壳亮。今日须大补，明日须峻补
。
生绵黄 （五钱） 苦桔梗（三钱） 鸡冠血（每一酒杯点三滴） 炙甘草（钱半） 紫草（二
钱）
党参（三钱） 白归身（三钱） 广皮炭（一钱） 白芷（二钱） 川芎（一钱） 燕窝根（一两）
公鸡汤煎药。
初七日 两用托补，色鲜而润，陷者复起，但清浆十之二三，亮壳颇多。今到七日，脏
腑已周，气血用事，正好施补气载毒之方。
生绵 （五钱） 广皮（一钱） 炙甘草（二钱） 白芷（一钱） 苦桔梗（三钱） 人参（一钱）
广木香（八分） 煨肉果（钱半） 川芎（四分） 燕窝根（一两）
公鸡汤煎药。
八天痘顶圆绽者不过一二，头面行浆，胸背清浆三四，四肢全然空亮，根盘色淡。此
气血两虚，急宜峻补，用参、归、鹿茸，合陈氏异功法。
人参（一钱） 归身（六钱） 煨肉果（二钱） 黄毛茸（五钱，水黄酒另煎） 苦桔梗（三钱）
白
芷（三钱） 广木香（一钱） 炙甘草（三钱） 燕窝（一两） 生绵 （一两） 茯苓块（三钱） 广
皮炭（三钱） 公鸡汤（一中碗）
此药煮成四茶杯，加茸汁半茶杯，鸡汤一中碗，燕窝汤一碗，和匀上火煨浓，小人服一
半，乳母服一半。
初九日 九天昨用峻补，两臂虽有黄浆，四肢仍然空亮，泄泻之故，用文仲大异功散
。
生嫩 （一两） 人参（一钱） 广木香（二钱） 当归（五钱，土炒） 煨肉果（三钱） 广皮
炭
（二钱） 煨诃子（三钱） 于白术（五钱，炒） 上肉桂（一钱，研细去粗皮） 茯苓块（六钱）
炙甘草（三钱） 鹿茸尖（六钱，酒煎）
初十日 即于前方内，去肉桂、鹿茸尖、归身，减黄 四钱，加∶
泽泻（五钱）
十一日 照前方。
十二日 即于前方内加∶
薏米仁（五钱）
十三日 浆未十分满足，四肢间有破损，难保无痘毒咳嗽等事，兹用利水以助结痂，驱
逐余毒，即在其中，所谓一举两得者也。
洋参（三钱） 泽泻（三钱） 广皮炭（一钱） 茯苓块（五钱） 生苡仁（八钱） 炙甘草（钱
半） 焦于术（三钱） 广木香（三钱） 煨肉果（二钱） 煨诃子（二钱）
十四日 脚肿胸闷溲短，水不利也。
茯苓块（五钱） 炒银花（二钱） 冬白术（三钱） 泽泻（二钱） 生苡仁（五钱） 广皮炭（
钱半） 飞滑石（二钱） 连翘（二钱） 五谷虫（钱半）
何 男 四岁 九月初三日 三天气虚毒重。粘连成片，兼之色滞顶陷，攻毒则碍虚，
温托则碍毒，两难措手，和中安表，更不济事，勉议活血摆毒。
苦桔梗（三钱） 乌犀角（五钱） 连翘（三钱） 生甘草（一钱） 白芷（一钱） 薄荷（一钱）
炙天虫（二钱） 紫草（三钱） 全归（三钱） 南楂（三钱） 丹皮（三钱） 羚羊角（三钱）
每一酒杯，和猪尾膏三小匙。
初五日 四天昨用活血解毒，大有起色，但喉声微哑，面目浮肿太甚，唇色绛红，时疠
之火毒太重，今日犹宜解毒。
苦桔梗（六钱） 暹罗犀角（六钱） 连翘（三钱） 人中黄（三钱） 桃仁（钱半） 古勇黄连
（一
钱） 天虫（三钱） 白芷（一钱） 全归（二钱） 炒楂肉（二钱） 紫草（三钱） 谷精草（三钱）
丹皮（三钱） 羚羊角（三钱） 银花（五钱） 紫花地丁（五钱）
以银花紫地丁前汤代水。
初六日 五天半渐有起色，但险症变幻不一，时刻小心为要，今日仍宜活血提顶，微加
托里。
生绵 （三钱） 紫草（三钱） 红花（三分） 炙甘草（三钱） 归身（三钱，土炒） 银花（
三钱）
白芷（二钱） 谷精草（三钱） 皂针（一钱） 犀角（三钱） 连翘（三钱每一酒杯约加） 鸡冠
血（三小匙）
初七日 六天半时疠已退，气血用事，头面清浆三四，周身亮壳，非重用温托不可。
看守勿懈，不致损破，可望成功。
生黄 （八钱） 紫草（二钱） 燕窝根（五钱） 炙甘草（三钱） 广木香（钱半） 归身（三
钱） 党参（三钱） 白芷（二钱） 鸡冠血（每酒杯冲三匙）
初八日 七天半浆未及半，切牙寒战，灰白塌陷，非陈文仲大异功散不可。
人参（钱半） 广皮（钱半） 焦于术（三钱） 生绵 （八钱） 广木香（二钱） 茯苓块（二
钱） 炙甘草（三钱） 白芷（三钱） 糯米（三钱） 上上桂心（钱半） 归身（四钱）
公鸡汤煎。
初九日 八天半昨用大异功法，切牙寒战，已去大半，但浆犹未足，用异功参归鹿茸法
。
绵黄 （一两） 上上肉桂（二钱，去粗皮） 广木香（二钱） 人参（三钱） 黄毛鹿茸（五
钱，
生） 白芷（二钱） 茯苓块（三钱） 当归（三钱，土炒） 诃子肉（二钱，炒） 焦于术（三钱）
煨肉果（二钱） 炙甘草（钱半） 广皮炭（半钱）
熬浓服。
初十日 九天半切牙寒战，已去十分之九，但身上浆清，腿足未灌，泄泻频仍。翁仲仁
有泄泻安宁大虚少毒之诊，今日犹宜峻补，如泄泻不止，再加涩肠。
绵黄 （一两） 广木香（钱半） 人参（三钱） 生鹿茸（五钱，酒另煎） 上肉桂（二钱）
白芷
（二钱） 炙甘草（二钱） 煨肉果（三钱） 浓朴（二钱） 诃子肉（三钱，煨）
十一日 十天半
用异功散得效，但泄泻不止，肤痒浆薄，必有余毒，今日仍可托补一天，议于明日用实脾利
水收痂法，俾不尽之热毒，从小便而去。
生绵黄 （一两） 广木香（二钱） 煨肉果（三钱） 人参（二钱） 广皮炭（二钱） 炙甘草
（三钱） 上肉桂（一钱） 浓朴（二钱） 诃子肉（三钱）
十二日 十一天痂虽结而浆薄，泄泻，以实脾利水为法，仍兼涩肠。
人参（八分） 煨肉果（三钱） 浓朴（二钱） 焦于术（三钱） 炙甘草（钱半） 上肉桂（一
钱）
茯苓块（三钱） 炙黄 （五钱） 生苡仁（五钱） 广皮炭（二钱） 诃子肉（五钱） 广木香（二
钱）
十三日 十二天浆薄微咳，痂痒，便溏，仍当补气，兼与实脾。
人参（八分） 煨肉果（钱半） 浓朴（二钱） 生黄 （五钱） 诃子肉（二钱） 广木香（一
钱） 茯苓块（五钱） 炙甘草（三钱） 焦于术（三钱） 生苡仁（五钱） 广皮炭（一钱）
十四日 十三天喉哑咳嗽而渴，肺中余毒未清，便溏溺短，痘后脾虚宜实。
茯苓块（三钱） 五谷虫（一钱） 冬白术（三钱，炒） 浓朴（钱半） 生苡仁（五钱） 苦桔
梗（三钱） 诃子肉（二钱，煨） 炒银花（二钱） 地骨皮（二钱） 连翘（钱半）
吴氏 五岁 辛酉九月二十日 险中逆痘三天，繁红扁阔，成片不起，翁仲仁谓重壅遏
。其形退缩，且烦躁肢逆，唇焦舌黄，溲短腹痛，痘顶先出者已焦，勉用双解法。
芥穗（三钱） 全归（三钱） 苦桔梗（三钱） 楂肉（三钱） 生大黄（五钱） 生甘草（一钱）
牛
蒡子（三钱） 连翘（二钱） 银花（三钱） 猪尾（三匙，入梅片二分熬膏） 桃仁粉（二钱） 薄
荷（一钱）
二十一日 四天艳红扁阔，下后稍见起发，究不肥绽，何能起胀成浆，咳嗽痰多，且与
清凉败毒，活血松肌，开提肺气。
犀角（三钱） 杏仁（三钱） 紫草（二钱，和猪尾膏） 羚羊角（三钱） 苦桔梗（五钱） 银
花
（三钱） 连翘（三钱） 甘草（一钱） 大力子（三钱） 芥穗（三钱） 归尾（一钱） 楂炭（五钱）
二十二日 五天密布不齐，身热未退，扁阔瘪陷，形色滞暗，不能起胀，那得成浆，勉
于清毒之中，兼与活血提顶。
犀角（三钱） 天虫（三钱） 杏仁（三钱） 羚羊角（三钱） 归须（二钱） 银花（三钱） 苦
桔梗
（三钱） 牛蒡子（三钱） 白芷（二钱） 甘草（一钱） 皂针（一钱） 楂肉（二钱） 连翘（三钱）
紫草（二钱） 鸡冠血（每杯冲四茶匙）
二十三日 六天头面虽有行浆之意，究竟周身平陷，较昨日颜色略润耳。仍与清毒活血
提顶，少加托里。
生黄 （三钱） 天虫（二钱） 全归（三钱） 皂针（钱半） 人中黄（一钱） 杏仁（三钱）
白芷
（二钱） 紫草（三钱） 牛蒡子（三钱） 银花（三钱） 穿山甲（一钱） 苦桔梗（五钱） 犀角（
三钱） 鸡冠血（每杯冲四茶匙）
二十四日 七天头面行浆，周身平塌空壳，用伍氏内托法。
生绵 （八钱） 大力子（三钱，炒研） 白芷（二钱） 全归（三钱） 苦桔梗（三钱） 川芎
（钱
半） 炙甘草（钱半） 洋参（钱半，炒老黄色） 紫草（二钱） 燕窝根（五钱） 公鸡汤（一茶杯
）鸡冠血（每杯冲三茶匙）
二十五日 八天头面浆足，周身平塌者已起，空壳者亦有行浆之势，翁仲仁谓喉哑声嘶
，浆行饱满，亦无妨。切牙在七日以后属气虚，况其食少乎，非阴虚也。
生绵 （八钱） 炙甘草（一钱） 公丁香（四分） 白芷（二钱） 象贝（二钱） 苦桔梗（五
钱） 天虫（三钱） 洋参（钱半，炒老黄） 牛蒡子（三钱） 鸡汤（一茶杯）
二十六日 九天浆已行及大半，但气虚作痒，看守勿懈，毋令损破为要。
生绵 （一两一钱） 象贝（三钱） 白芷（三钱） 天虫（三钱） 苦桔梗（六钱） 牛蒡子（
三钱） 洋参（二钱） 冬白术（二钱） 炙甘草（三钱） 广木香（一钱）
二十七日 十天浆已行及十之七八，惟痰咳微痒，眼中出脓为可虑。
生绵 生甘草 谷精草 苦桔梗 焦冬术 桑叶 生苡仁 连翘 土贝母
二十八日 十一天湿重，小便不利，畏寒切牙。
洋参（钱半） 广皮炭（钱半） 生黄 （五钱） 炙甘草（三钱） 生苡仁（五钱） 冬白术（
三钱） 谷精草（三钱） 茯苓块（三钱）
二十九日 十二天实脾利水以收痂止嗽，加辛凉败毒以护目疾。
生黄 （二钱） 地骨皮（二钱） 炙甘草（钱半） 连翘（二钱） 炒冬术（三钱） 炒银花（
二钱） 茯苓块（三钱） 谷精草（三钱） 生苡仁（五钱）
初一日 十三天湿气已行，痂结过半，正气已化，痂落过半，饮甚好，目开无恙，已收
全功，惟咳嗽减而未清，仍宜实脾利水，复以辛凉败毒。
炒冬术（三钱） 地骨皮（一钱） 茯苓块（三钱） 炒银花（钱半） 生苡仁（三钱） 五谷虫
（一钱） 连翘（钱半） 象贝（钱半）
某（七官） 痘粒分颗，原属纯正，但壳薄顶平无浆，间有二三陷者，且有灰色，明日七
朝，
气血用事，非峻补不可。一切辛窜走里者，必不可不用，为其温中而托络也。其走表者断不
可用，以其虚表而致塌痒也。再九日以后，须防泄泻咳嗽。
嵩女 五个月 初十日 相火用事，病民病温，防发痘，先宜辛凉达表，切忌发汗。
连翘（二钱） 银花（二钱） 甘草（一钱） 苦桔梗（二钱） 杏仁粉（二钱） 薄荷（五钱）
芥穗（八分） 芦根（三把） 牛蒡子（二钱）
十一日 险痘一天。
连翘（二钱） 银花（二钱） 苦桔梗（二钱） 甘草（一钱） 紫草（一钱） 芦根（二两） 归
[Case of Zhou, Female] Age: 1 year and 1 month. In the sixth lunar month of Gengshen year, she presented with fever in the body but cold ears, with faintly visible pustules, indicating a prevention of smallpox (Xiaozhen). The onset was due to contracting warm-summerheat pathogens during summer. Treatment should initially employ acrid-cool herbs to release the muscle layer, facilitating eruption. It is strictly forbidden to use acrid-warm exterior-releasing methods, which would cause deficiency at the exterior leading to itching and ulceration, while also assisting the warm-heat pathogen.
Forsythiae Fructus (Lianqiao, 3 qian) Licorice Root (Gancao, 1 qian) Platycodon Root (Kujiegeng, 3 qian) Reed Rhizome (Lugen, 3 qian) Fried Honeysuckle Flower (Chao Yinhua, 3 qian) Mint (Bohe, 8 fen) Schizonepeta Spike (Jiesui, 8 fen)
Second day: Pustules have erupted but not thoroughly; releasing the muscle layer is still appropriate. Continue with the previous prescription.
Third day: Dangerous smallpox for three days; eruption is complete, but the apices are depressed and color is dark. Apply blood-invigorating and apex-lifting method. If the color remains white and skin thin, considering the patient's inherent deficiency of both Taiyin (Spleen and Lung), using Notopterygium Root (Qianghuo) or Saposhnikovia Root (Fangfeng) will inevitably lead to collapsed and itchy pustules. Administering bitter-descending herbs will inevitably cause diarrhea.
Angelica Sinensis Root (Danggui, 2 qian) Bitter Platycodon Root (Kujiegeng, 1 qian) Scorched White Peony Root (Jiao Baishao, 1.5 qian) Honeysuckle Flower (Yinhua, 3 qian) Angelica Dahurica Root (Baizhi, 2 qian) Charred Scutellaria Root (Huangqin Tan, 1.5 qian) Akebia Stem (Mutong, 2 qian) Arnebia Root/Lithospermum Root (Zicao, 8 fen) Charred Hawthorn Fruit (Nanshan Zha Tan, 1 qian) Forsythia Fruit (Lianqiao, 2 qian) Siam Rhinoceros Horn (Xiluo Xijiao, 1 qian)
Fourth day: Qi deficiency leads to loose roots and depressed apices; Blood stasis leads to pale color and soft bases; Heavy toxin leads to clustering. Now administer detoxification, blood invigoration, and apex lifting. Support through the seventh day; if tonifying and pushing-out methods can be used, success may be achieved. Otherwise, collapse and itching by the ninth day are concerning, especially given the current diarrhea.
Angelica Sinensis Root (Danggui, 2 qian, earth-fried) Licorice Root (Gancao, 1.5 qian) Angelica Dahurica Root (Baizhi, 2 qian) Safflower (Honghua, 1 qian) Siam Rhinoceros Horn (Xiluo Xijiao, 3 qian) Soap Nut (Zaoren/Zaozhen, 1 qian) Antelope Horn (Lingyangjiao, 3 qian) Forsythia Fruit (Lianqiao, 3 qian) Bitter Platycodon Root (Kujiegeng, 2 qian) Arnebia/Lithospermum Root (Zicao, 1.5 qian) Fried Honeysuckle Flower (Chao Yinhua, 3 qian) Rooster Comb Blood (Gongji Guanxue, 3 small spoons added to half a large yellow wine cup)
Fifth day: Smallpox for five and a half days. Qi deficiency prevents detoxification from exiting outward; delaying time will inevitably lead to internal collapse and itching. Today, external pathogens are still active; bold tonification is not attempted, but mild pushing-out methods are necessary.
Angelica Dahurica Root (Baizhi, 2 qian) Forsythia Fruit (Lianqiao, 1.5 qian) Moutan Bark (Danpi, 2 qian) Soap Nut (Zaozhen, 1.5 qian) Bitter Platycodon Root (Kujiegeng, 2 qian) Angelica Sinensis Root Body (Bai Guishen, 3 qian) Licorice Root (Gancao, 0.5 qian) Arnebia/Lithospermum Root (Zicao, 1 qian) Swallow Nest Root (Yanwo Gen, 5 qian) Raw Astragalus Root (Sheng Huangqi, 3 qian) Chicken Comb Blood (Ji Guanxue, 3-5 spoons)
Decoct strongly to one cup of tea. After finishing, decoct the dregs strongly again to half a cup for consumption the next morning.
Sixth day: After six days of mild tonifying and pushing-out, swelling has risen and color is fresh, but the skin is thin and the shell is bright. Today requires strong tonification; tomorrow requires severe tonification.
Raw Astragalus Root (Sheng Huangqi, 5 qian) Bitter Platycodon Root (Kujiegeng, 3 qian) Chicken Comb Blood (Ji Guanxue, 3 drops per wine cup) Honey-fried Licorice Root (Zhi Gancao, 1.5 qian) Arnebia/Lithospermum Root (Zicao, 2 qian) Codonopsis Root (Dangshen, 3 qian) Angelica Sinensis Root Body (Bai Guishen, 3 qian) Charred Tangerine Peel (Guangpi Tan, 1 qian) Angelica Dahurica Root (Baizhi, 2 qian) Ligusticum Chuanxiong Rhizome (Chuanxiong, 1 qian) Swallow Nest Root (Yanwo Gen, 1 liang)
Decoct with rooster soup.
Seventh day: Using pushing-out and tonification for two days, color is fresh and moist, depressed areas have risen, but clear serum is only 20-30%, with many bright shells. Now at seven days, the zang-fu organs are complete, and Qi and Blood are active. It is the right time to apply formulas that tonify Qi to carry the toxin.
Raw Astragalus Root (Sheng Huangqi, 5 qian) Tangerine Peel (Guangpi, 1 qian) Honey-fried Licorice Root (Zhi Gancao, 2 qian) Angelica Dahurica Root (Baizhi, 1 qian) Bitter Platycodon Root (Kujiegeng, 3 qian) Ginseng (Renshen, 1 qian) Aucklandia Root (Guangmuxiang, 0.8 fen) Baked Myrobalan (Wei Rouguo, 1.5 qian) Ligusticum Chuanxiong Rhizome (Chuanxiong, 0.4 fen) Swallow Nest Root (Yanwo Gen, 1 liang)
Decoct with rooster soup.
Eighth day: Only one or two pustules have round, bursting apices. Head and face are filling with serum, chest and back have 3-4 parts clear serum, limbs are entirely empty and bright, and root discs are pale. This indicates dual deficiency of Qi and Blood; urgent severe tonification is needed using Ginseng, Angelica, and Deer Antler, combined with Chen’s Yi Gong San method.
Ginseng (Renshen, 1 qian) Angelica Sinensis Root Body (Guishen, 6 qian) Baked Myrobalan (Wei Rouguo, 2 qian) Yellow Hair Deer Antler (Huangmaorong, 5 qian, decocted separately with water and yellow wine) Bitter Platycodon Root (Kujiegeng, 3 qian) Angelica Dahurica Root (Baizhi, 3 qian) Aucklandia Root (Guangmuxiang, 1 qian) Honey-fried Licorice Root (Zhi Gancao, 3 qian) Swallow Nest (Yanwo, 1 liang) Raw Astragalus Root (Sheng Huangqi, 1 liang) Poria Block (Fuling Kuai, 3 qian) Charred Tangerine Peel (Guangpi Tan, 3 qian) Rooster Soup (Zhong Wan)
This medicine is boiled into four cups of tea, add half a cup of antler juice, one bowl of rooster soup, and one bowl of swallow nest soup. Mix well and simmer on fire until thick. The child takes half, the wet nurse takes half.
Ninth day: Nine days old. Yesterday used severe tonification; although arms have yellow serum, limbs remain empty and bright due to diarrhea. Use Wen Zhong’s Da Yi Gong San.
Fresh Ginger (Sheng Jiang, 1 liang) Ginseng (Renshen, 1 qian) Aucklandia Root (Guangmuxiang, 2 qian) Angelica Sinensis Root (Danggui, 5 qian, earth-fried) Baked Myrobalan (Wei Rouguo, 3 qian) Charred Tangerine Peel (Guangpi Tan, 2 qian) Baked Chebula Fruit (Wei Hezi, 3 qian) Atractylodes Macrocephala Rhizome (Baizhu, 5 qian, fried) Cinnamon Bark (Rougui, 1 qian, ground fine, coarse bark removed) Poria Block (Fuling Kuai, 6 qian) Honey-fried Licorice Root (Zhi Gancao, 3 qian) Deer Antler Tip (Lurong Jian, 6 qian, decocted in wine)
Tenth day: From the previous formula, remove Cinnamon Bark, Deer Antler Tip, and Angelica Root Body; reduce Astragalus by 4 qian; add: Alisma Rhizome (Zexie, 5 qian)
Eleventh day: Follow the previous formula.
Twelfth day: Add Coix Seed (Yiyiren, 5 qian) to the previous formula.
Thirteenth day: Serum is not fully satisfied; there are breaks between limbs. Cannot guarantee absence of smallpox toxin cough etc. Now use diuresis to assist scabbing and drive out residual toxins, achieving two goals with one move.
American Ginseng (Yangshen, 3 qian) Alisma Rhizome (Zexie, 3 qian) Charred Tangerine Peel (Guangpi Tan, 1 qian) Poria Block (Fuling Kuai, 5 qian) Raw Coix Seed (Sheng Yiren, 8 qian) Honey-fried Licorice Root (Zhi Gancao, 1.5 qian) Scorched Atractylodes Macrocephala Rhizome (Jiao Baizhu, 3 qian) Aucklandia Root (Guangmuxiang, 3 qian) Baked Myrobalan (Wei Rouguo, 2 qian) Baked Chebula Fruit (Wei Hezi, 2 qian)
Fourteenth day: Foot swelling, chest fullness, short urination indicates fluid metabolism dysfunction.
Poria Block (Fuling Kuai, 5 qian) Fried Honeysuckle Flower (Chao Yinhua, 2 qian) Winter Atractylodes Rhizome (Dong Baizhu, 3 qian) Alisma Rhizome (Zexie, 2 qian) Raw Coix Seed (Sheng Yiren, 5 qian) Charred Tangerine Peel (Guangpi Tan, 1.5 qian) Calcined Talcum (Fei Huashi, 2 qian) Forsythia Fruit (Lianqiao, 2 qian) Metaphidion Worm (Wugu Chong, 1.5 qian)
[Case of He, Male] Age: 4 years. Third day of ninth lunar month: Three days of Qi deficiency and heavy toxin. Pustules adhere in patches, accompanied by dull color and depressed apices. Attacking toxin hinders deficiency; warming and pushing out hinders toxin. Both are difficult to handle. Harmonizing middle and stabilizing exterior is ineffective. Tentatively propose blood invigoration and toxin dispersal.
Bitter Platycodon Root (Kujiegeng, 3 qian) Black Rhinoceros Horn (Wuxijiao, 5 qian) Forsythia Fruit (Lianqiao, 3 qian) Raw Licorice Root (Sheng Gancao, 1 qian) Angelica Dahurica Root (Baizhi, 1 qian) Mint (Bohe, 1 qian) Honey-fried Isaria Cicadae (Zhi Tianchong, 2 qian) Arnebia/Lithospermum Root (Zicao, 3 qian) Whole Angelica Sinensis (Quanguishen, 3 qian) Southern Hawthorn (Nanzha, 3 qian) Moutan Bark (Danpi, 3 qian) Antelope Horn (Lingyangjiao, 3 qian)
Mix three small spoons of Pig Tail Paste into each wine cup.
Fifth day: Four days old. Yesterday used blood invigoration and detoxification; significant improvement, but throat sound is slightly hoarse, facial and ocular edema is severe, lip color is crimson. The fire-toxin of epidemic pestilence is too heavy; today still suitable for detoxification.
Bitter Platycodon Root (Kujiegeng, 6 qian) Siam Rhinoceros Horn (Xiluo Xijiao, 6 qian) Forsythia Fruit (Lianqiao, 3 qian) Human Excrement Cake (Renzhonghuang, 3 qian) Peach Kernel (Taoren, 1.5 qian) Yong'an Coptis Rhizome (Guyong Huanglian, 1 qian) Isaria Cicadae (Tianchong, 3 qian) Angelica Dahurica Root (Baizhi, 1 qian) Whole Angelica Sinensis (Quanguishen, 2 qian) Fried Hawthorn Meat (Chao Zharou, 2 qian) Arnebia/Lithospermum Root (Zicao, 3 qian) Centipedia Herb (Gujingcao, 3 qian) Moutan Bark (Danpi, 3 qian) Antelope Horn (Lingyangjiao, 3 qian) Honeysuckle Flower (Yinhua, 5 qian) Violet Herb (Zihuadiding, 5 qian)
Use the previous decoction of Honeysuckle and Violet as water for subsequent decoctions.
Sixth day: Five and a half days; gradually improving. However, dangerous conditions vary; caution is essential. Today still suitable for blood invigoration and apex lifting, slightly adding interior-supporting methods.
Raw Astragalus Root (Sheng Huangqi, 3 qian) Arnebia/Lithospermum Root (Zicao, 3 qian) Safflower (Honghua, 0.3 fen) Honey-fried Licorice Root (Zhi Gancao, 3 qian) Angelica Sinensis Root Body (Guishen, 3 qian, earth-fried) Honeysuckle Flower (Yinhua, 3 qian) Angelica Dahurica Root (Baizhi, 2 qian) Centipedia Herb (Gujingcao, 3 qian) Soap Nut (Zaozhen, 1 qian) Rhinoceros Horn (Xijiao, 3 qian) Forsythia Fruit (Lianqiao, 3 qian, approx. added per wine cup) Chicken Comb Blood (Ji Guanxue, 3 small spoons)
Seventh day: Six and a half days; epidemic pestilence has receded, Qi and Blood are active. Head and face have 3-4 parts clear serum, whole body has bright shells. Severe warming and pushing-out is indispensable. Guard without slackening to prevent damage; success is hopeful.
Raw Astragalus Root (Sheng Huangqi, 8 qian) Arnebia/Lithospermum Root (Zicao, 2 qian) Swallow Nest Root (Yanwo Gen, 5 qian) Honey-fried Licorice Root (Zhi Gancao, 3 qian) Aucklandia Root (Guangmuxiang, 1.5 qian) Angelica Sinensis Root Body (Guishen, 3 qian) Codonopsis Root (Dangshen, 3 qian) Angelica Dahurica Root (Baizhi, 2 qian) Chicken Comb Blood (Ji Guanxue, 3 spoons per wine cup)
Eighth day: Seven and a half days; serum less than half, teeth-chattering and chills, gray-white and collapsed. Must use Chen Wen Zhong’s Da Yi Gong San.
Ginseng (Renshen, 1.5 qian) Tangerine Peel (Guangpi, 1.5 qian) Scorched Atractylodes Macrocephala Rhizome (Jiao Baizhu, 3 qian) Raw Astragalus Root (Sheng Huangqi, 8 qian) Aucklandia Root (Guangmuxiang, 2 qian) Poria Block (Fuling Kuai, 2 qian) Honey-fried Licorice Root (Zhi Gancao, 3 qian) Angelica Dahurica Root (Baizhi, 3 qian) Glutinous Rice (Nuomi, 3 qian) Superior Cassia Bark (Shangshang Guixin, 1.5 qian) Angelica Sinensis Root Body (Guishen, 4 qian)
Decoct with rooster soup.
Ninth day: Eight and a half days. Yesterday used Da Yi Gong San method; teeth-chattering and chills reduced by more than half, but serum is still insufficient. Use Yi Gong San with Ginseng, Angelica, and Deer Antler method.
Astragalus Root (Huangqi, 1 liang) Superior Cinnamon Bark (Shangshang Rougui, 2 qian, coarse bark removed) Aucklandia Root (Guangmuxiang, 2 qian) Ginseng (Renshen, 3 qian) Yellow Hair Deer Antler (Huangmao Lurong, 5 qian, raw) Angelica Dahurica Root (Baizhi, 2 qian) Poria Block (Fuling Kuai, 3 qian) Angelica Sinensis Root (Danggui, 3 qian, earth-fried) Chebula Fruit Flesh (Hezirou, 2 qian, fried) Scorched Atractylodes Macrocephala Rhizome (Jiao Baizhu, 3 qian) Baked Myrobalan (Wei Rouguo, 2 qian) Honey-fried Licorice Root (Zhi Gancao, 1.5 qian) Charred Tangerine Peel (Guangpi Tan, 0.5 qian)
Simmer thick and take.
Tenth day: Nine and a half days. Teeth-chattering and chills reduced by 90%, but serum on body is clear, legs and feet not filled, frequent diarrhea. Weng Zhong Ren diagnosed diarrhea with peace, great deficiency, and little toxin. Today still suitable for severe tonification; if diarrhea persists, add intestinal-astringing herbs.
Astragalus Root (Huangqi, 1 liang) Aucklandia Root (Guangmuxiang, 1.5 qian) Ginseng (Renshen, 3 qian) Raw Deer Antler (Sheng Lurong, 5 qian, decocted separately in wine) Cinnamon Bark (Rougui, 2 qian) Angelica Dahurica Root (Baizhi, 2 qian) Honey-fried Licorice Root (Zhi Gancao, 2 qian) Baked Myrobalan (Wei Rouguo, 3 qian) Magnolia Bark (N Houpo, 2 qian) Chebula Fruit Flesh (Hezirou, 3 qian, baked)
Eleventh day: Ten and a half days. Yi Gong San was effective, but diarrhea persists, skin itches, serum is thin; must be residual toxin. Today can still push-out and tonify for one day. Plan to use Spleen-strengthening and diuresis scab-forming method tomorrow, so that remaining heat-toxin exits via urine.
Raw Astragalus Root (Sheng Huangqi, 1 liang) Aucklandia Root (Guangmuxiang, 2 qian) Baked Myrobalan (Wei Rouguo, 3 qian) Ginseng (Renshen, 2 qian) Charred Tangerine Peel (Guangpi Tan, 2 qian) Honey-fried Licorice Root (Zhi Gancao, 3 qian) Cinnamon Bark (Rougui, 1 qian) Magnolia Bark (N Houpo, 2 qian) Chebula Fruit Flesh (Hezirou, 3 qian)
Twelfth day: Eleven days. Scabs formed but serum is thin, diarrhea present. Method: Strengthen Spleen and promote diuresis, still combining intestinal astringency.
Ginseng (0.8 fen) Baked Myrobalan (Wei Rouguo, 3 qian) Magnolia Bark (N Houpo, 2 qian) Scorched Atractylodes Macrocephala Rhizome (Jiao Baizhu, 3 qian) Honey-fried Licorice Root (Zhi Gancao, 1.5 qian) Cinnamon Bark (Rougui, 1 qian) Poria Block (Fuling Kuai, 3 qian) Honey-fried Astragalus (Zhi Huangqi, 5 qian) Raw Coix Seed (Sheng Yiren, 5 qian) Charred Tangerine Peel (Guangpi Tan, 2 qian) Chebula Fruit Flesh (Hezirou, 5 qian) Aucklandia Root (Guangmuxiang, 2 qian)
Thirteenth day: Twelve days. Thin serum, slight cough, itchy scabs, loose stools. Still need to tonify Qi and strengthen Spleen.
Ginseng (0.8 fen) Baked Myrobalan (Wei Rouguo, 1.5 qian) Magnolia Bark (N Houpo, 2 qian) Raw Astragalus Root (Sheng Huangqi, 5 qian) Chebula Fruit Flesh (Hezirou, 2 qian) Aucklandia Root (Guangmuxiang, 1 qian) Poria Block (Fuling Kuai, 5 qian) Honey-fried Licorice Root (Zhi Gancao, 3 qian) Scorched Atractylodes Macrocephala Rhizome (Jiao Baizhu, 3 qian) Raw Coix Seed (Sheng Yiren, 5 qian) Charred Tangerine Peel (Guangpi Tan, 1 qian)
Fourteenth day: Thirteen days. Hoarse throat, cough, thirst; residual toxin in Lungs not cleared. Loose stools, short urination; post-smallpox Spleen deficiency should be strengthened.
Poria Block (Fuling Kuai, 3 qian) Metaphidion Worm (Wugu Chong, 1 qian) Winter Atractylodes Rhizome (Dong Baizhu, 3 qian, fried) Magnolia Bark (N Houpo, 1.5 qian) Raw Coix Seed (Sheng Yiren, 5 qian) Bitter Platycodon Root (Kujiegeng, 3 qian) Baked Chebula Fruit (Hezirou, 2 qian, baked) Fried Honeysuckle Flower (Chao Yinhua, 2 qian) Cortex Lycii (Digupi, 2 qian) Forsythia Fruit (Lianqiao, 1.5 qian)
[Case of Wu, Female] Age: 5 years. Twentieth day of ninth lunar month, Xinyou year: Dangerous adverse smallpox for three days, abundant red, flat and broad, forming patches without rising. Weng Zhong Ren stated this is heavy obstruction. Shape is retracted, with irritability and reversed limbs, scorched lips, yellow tongue, short urination, abdominal pain. Pustules that erupted first are already scorched. Tentatively use double-resolution method.
Schizonepeta Spike (Jiesui, 3 qian) Whole Angelica Sinensis (Quanguishen, 3 qian) Bitter Platycodon Root (Kujiegeng, 3 qian) Hawthorn Meat (Zharou, 3 qian) Raw Rhubarb Root (Sheng Dahuang, 5 qian) Raw Licorice Root (Sheng Gancao, 1 qian) Arctium Fruit (Niubangzi, 3 qian) Forsythia Fruit (Lianqiao, 2 qian) Honeysuckle Flower (Yinhua, 3 qian) Pig Tail (San Chi, mixed with 2 fen Menthol to make paste) Peach Kernel Powder (Taoren Fen, 2 qian) Mint (Bohe, 1 qian)
Twenty-first day: Four days. Bright red, flat and broad; after purgation, slightly showing rise, but not plump or bursting. How can it swell and form serum? Cough with much phlegm. Provide cooling and detoxification, blood invigoration and muscle loosening, opening and lifting Lung Qi.
Rhinoceros Horn (Xijiao, 3 qian) Apricot Kernel (Xingren, 3 qian) Arnebia/Lithospermum Root (Zicao, 2 qian, mixed with Pig Tail Paste) Antelope Horn (Lingyangjiao, 3 qian) Bitter Platycodon Root (Kujiegeng, 5 qian) Honeysuckle Flower (Yinhua, 3 qian) Forsythia Fruit (Lianqiao, 3 qian) Licorice Root (Gancao, 1 qian) Arctium Fruit (Dali Zi, 3 qian) Schizonepeta Spike (Jiesui, 3 qian) Angelica Sinensis Root Tail (Guiwei, 1 qian) Charred Hawthorn (Zha Tan, 5 qian)
Twenty-second day: Five days. Dense but uneven, fever not subsided, flat, broad, sunken, dull color and shape, unable to swell, how can it form serum? Tentatively within clearing toxin, combine blood invigoration and apex lifting.
Rhinoceros Horn (Xijiao, 3 qian) Isaria Cicadae (Tianchong, 3 qian) Apricot Kernel (Xingren, 3 qian) Antelope Horn (Lingyangjiao, 3 qian) Angelica Sinensis Root Threads (Guixu, 2 qian) Honeysuckle Flower (Yinhua, 3 qian) Bitter Platycodon Root (Kujiegeng, 3 qian) Arctium Fruit (Niubangzi, 3 qian) Angelica Dahurica Root (Baizhi, 2 qian) Licorice Root (Gancao, 1 qian) Soap Nut (Zaozhen, 1 qian) Hawthorn Meat (Zharou, 2 qian) Forsythia Fruit (Lianqiao, 3 qian) Arnebia/Lithospermum Root (Zicao, 2 qian) Chicken Comb Blood (Ji Guanxue, 4 tea spoons per cup)
Twenty-third day: Six days. Head and face show intention of filling with serum, but overall body is flat and sunken, color slightly moister than yesterday. Still provide clearing toxin, blood invigoration, and apex lifting, slightly adding interior support.
Raw Astragalus Root (Sheng Huangqi, 3 qian) Isaria Cicadae (Tianchong, 2 qian) Whole Angelica Sinensis (Quanguishen, 3 qian) Soap Nut (Zaozhen, 1.5 qian) Human Excrement Cake (Ren Zhonghuang, 1 qian) Apricot Kernel (Xingren, 3 qian) Angelica Dahurica Root (Baizhi, 2 qian) Arnebia/Lithospermum Root (Zicao, 3 qian) Arctium Fruit (Niubangzi, 3 qian) Honeysuckle Flower (Yinhua, 3 qian) Pangolin Scales (Chuanshanjia, 1 qian) Bitter Platycodon Root (Kujiegeng, 5 qian) Rhinoceros Horn (Xijiao, 3 qian) Chicken Comb Blood (Ji Guanxue, 4 tea spoons per cup)
Twenty-fourth day: Seven days. Head and face filling with serum, whole body flat and collapsed with empty shells. Use Wu Shi’s Internal Pushing-Out method.
Raw Astragalus Root (Sheng Huangqi, 8 qian) Arctium Fruit (Dali Zi, 3 qian, fried and ground) Angelica Dahurica Root (Baizhi, 2 qian) Whole Angelica Sinensis (Quanguishen, 3 qian) Bitter Platycodon Root (Kujiegeng, 3 qian) Ligusticum Chuanxiong Rhizome (Chuanxiong, 1.5 qian) Honey-fried Licorice Root (Zhi Gancao, 1.5 qian) American Ginseng (Yangshen, 1.5 qian, fried to old yellow) Arnebia/Lithospermum Root (Zicao, 2 qian) Swallow Nest Root (Yanwo Gen, 5 qian) Rooster Soup (One tea cup) Chicken Comb Blood (Ji Guanxue, 3 tea spoons per cup)
Twenty-fifth day: Eight days. Head and face serum sufficient, whole body flat/collapsed areas have risen, empty shells show tendency to fill with serum. Weng Zhong Ren stated hoarse voice and serum filling are acceptable. Teeth-chattering after seven days belongs to Qi deficiency, especially with poor appetite; not Yin deficiency.
Raw Astragalus Root (Sheng Huangqi, 8 qian) Honey-fried Licorice Root (Zhi Gancao, 1 qian) Public Clove (Gong Dingxiang, 0.4 fen) Angelica Dahurica Root (Baizhi, 2 qian) Fritillaria Thunbergii Bulb (Xiangbei, 2 qian) Bitter Platycodon Root (Kujiegeng, 5 qian) Isaria Cicadae (Tianchong, 3 qian) American Ginseng (Yangshen, 1.5 qian, fried to old yellow) Arctium Fruit (Niubangzi, 3 qian) Chicken Soup (One tea cup)
Twenty-sixth day: Nine days. Serum has reached more than half, but Qi deficiency causes itching. Guard without slackening; preventing damage is key.
Raw Astragalus Root (Sheng Huangqi, 1 liang 1 qian) Fritillaria Thunbergii Bulb (Xiangbei, 3 qian) Angelica Dahurica Root (Baizhi, 3 qian) Isaria Cicadae (Tianchong, 3 qian) Bitter Platycodon Root (Kujiegeng, 6 qian) Arctium Fruit (Niubangzi, 3 qian) American Ginseng (Yangshen, 2 qian) Winter Atractylodes Rhizome (Dong Baizhu, 2 qian) Honey-fried Licorice Root (Zhi Gancao, 3 qian) Aucklandia Root (Guangmuxiang, 1 qian)
Twenty-seventh day: Ten days. Serum has reached 70-80%, only phlegm-cough and slight itch, pus in eyes is concerning.
Raw Astragalus Root Sheng Licorice Root Centipedia Herb Bitter Platycodon Root Scorched Winter Atractylodes Rhizome Mulberry Leaf Raw Coix Seed Forsythia Fruit Earth Fritillaria Bulb
Twenty-eighth day: Eleven days. Heavy dampness, difficult urination, aversion to cold, teeth-chattering.
American Ginseng (Yangshen, 1.5 qian) Charred Tangerine Peel (Guangpi Tan, 1.5 qian) Raw Astragalus Root (Sheng Huangqi, 5 qian) Honey-fried Licorice Root (Zhi Gancao, 3 qian) Raw Coix Seed (Sheng Yiren, 5 qian) Winter Atractylodes Rhizome (Dong Baizhu, 3 qian) Centipedia Herb (Gujingcao, 3 qian) Poria Block (Fuling Kuai, 3 qian)
Twenty-ninth day: Twelve days. Strengthen Spleen and promote diuresis to form scabs and stop cough; add acrid-cool detoxification to protect eye disease.
Raw Astragalus Root (Sheng Huangqi, 2 qian) Cortex Lycii (Digupi, 2 qian) Honey-fried Licorice Root (Zhi Gancao, 1.5 qian) Forsythia Fruit (Lianqiao, 2 qian) Fried Winter Atractylodes Rhizome (Chao Dong Zhu, 3 qian) Fried Honeysuckle Flower (Chao Yinhua, 2 qian) Poria Block (Fuling Kuai, 3 qian) Centipedia Herb (Gujingcao, 3 qian) Raw Coix Seed (Sheng Yiren, 5 qian)
First day: Thirteen days. Dampness has moved, scabs formed over half, righteous Qi has transformed, scabs fallen over half, drinking is good, eyes open without issue, full merit achieved. Only cough reduced but not cleared; still suitable to strengthen Spleen and promote diuresis, then use acrid-cool detoxification.
Fried Winter Atractylodes Rhizome (Chao Dong Zhu, 3 qian) Cortex Lycii (Digupi, 1 qian) Poria Block (Fuling Kuai, 3 qian) Fried Honeysuckle Flower (Chao Yinhua, 1.5 qian) Raw Coix Seed (Sheng Yiren, 3 qian) Metaphidion Worm (Wugu Chong, 1 qian) Forsythia Fruit (Lianqiao, 1.5 qian) Fritillaria Thunbergii Bulb (Xiangbei, 1.5 qian)
[Case of Mou (Qi Guan)] Pustules are distinct, originally pure, but shells are thin, apices flat without serum, occasionally 2-3 depressed ones, some gray. Tomorrow is the seventh day, when Qi and Blood are active; severe tonification is indispensable. All acrid, penetrating, interior-moving herbs must be used to warm the middle and push out through collaterals. Exterior-moving herbs must absolutely not be used, as deficient exterior leads to collapse and itching. After the ninth day, guard against diarrhea and cough.
[Case of Song, Female] Age: 5 months. Tenth day: Ministerial Fire is active, people suffer from warm disease, preventing smallpox eruption. Initially suitable for acrid-cool reaching the exterior; sweating is strictly forbidden.
Forsythia Fruit (Lianqiao, 2 qian) Honeysuckle Flower (Yinhua, 2 qian) Licorice Root (Gancao, 1 qian) Bitter Platycodon Root (Kujiegeng, 2 qian) Apricot Kernel Powder (Xingren Fen, 2 qian) Mint (Bohe, 5 qian) Schizonepeta Spike (Jiesui, 0.8 fen) Reed Rhizome (Lugen, 3 bundles) Arctium Fruit (Niubangzi, 2 qian)
Eleventh day: Dangerous smallpox for one day.
Forsythia Fruit (Lianqiao, 2 qian) Honeysuckle Flower (Yinhua, 2 qian) Bitter Platycodon Root (Kujiegeng, 2 qian) Licorice Root (Gancao, 1 qian) Arnebia/Lithospermum Root (Zicao, 1 qian) Reed Rhizome (Lugen, 2 liang) Angelica Sinensis