须（八分） 薄荷（八分） 牛蒡子（二钱） 芥穗（一钱） 煎汤代水。
十二日 脾经险痘二天，色重粘连，船小载重，夜间烦躁，先以活血败毒。
楂肉（三钱） 大黄（一钱） 连翘（二钱） 当归（八分，土炒） 银花（五钱） 桃仁泥（八
分）
地丁（三钱） 苦桔梗（二钱） 红花（三分） 人中黄（一钱） 丹皮（二钱） 犀角（一钱） 猪尾
膏（三小匙） 白茅根（一两） 煎汤代水。
十三日 险痘三天，色重粘连，间有陷顶，议凉血提顶。
连翘（二钱） 细生地（钱半） 银花（钱半） 归须（八分） 苦桔梗（一钱） 白茅根（三钱）
甘草（八分） 犀角（八分） 红花（五分） 羚羊角（二钱） 丹皮（二钱） 芦根（三把）
十四日 险痘四天，形色俱有起色，但顶平便溏耳，将就可望有成。
生黄 （三钱） 茯苓块（三钱） 炙甘草（钱半） 沙洋参（一钱） 白芷（一钱） 炒山甲（
一钱） 白茅根（三钱） 皂针（八分） 白术炭（二钱） 炒银花（二钱） 鸡冠血（三小匙）
公鸡汤煎药。
十五日 五天即于前方内，去银花、鸡冠血，加∶
广皮（一钱）
十六日 六天虽然行浆，但色灰便溏。
焦于术（钱半） 广木香（一钱） 诃子肉（一钱） 茯苓块（三钱） 煨肉果（钱半） 炙甘草
（二钱） 绵黄 （三钱） 广皮炭（一钱） 洋参（二钱，姜汁炒）
水煎浓。
十七日 七天业已回浆，十分全功，但便溏湿重，仍有意外之虞，法宜实脾利水。
焦于术（三钱） 广木香（一钱） 茯苓块（三钱） 诃子肉（一钱） 生苡仁（三钱） 煨肉果
（一钱） 广皮炭（八分） 人参（一钱，姜炒） 炙甘草（一钱）
嵩女 三岁 癸亥十一月初十日
芥穗（钱半） 藿香叶（八分） 防风（钱半） 薄荷（八分） 连翘（二钱） 杏仁（一钱） 甘
草（一钱） 桑叶（一钱） 苦桔梗（二钱） 芦根（二把）
十一日 重险痘一天，热一日而见点，阳明络现，粘连成片，汗多便溏，气虚毒重，九
朝塌痒难防，勉与摆毒松肌。
连翘（三钱） 银花（五钱） 桑叶（三钱） 丹皮（二钱） 紫花地丁（五钱，先煮代水） 归
尾（
八分） 苦桔梗（三钱） 牛蒡子（八分，研） 甘草（一钱） 芦根（五把） 猪尾膏（三匙，冰片
二厘和入）
十二日 二天出不爽快，未三岁之儿，九日限期时刻有违陷之虑。即于前方内加∶
白茅根（五钱） 暹逻犀角（一钱）
十三日 重险三天，面貌繁红，壳薄顶陷根松，粘连成片，身上色淡不起，小便清，大
便多而稀，头温足冷，应作气虚不能送毒外出看。总之九朝塌痒之症，勉与活血提顶，而补
气兼
之。
连翘（二钱） 白芷（二钱） 红花（一钱） 穿山甲（一钱） 甘草（一钱） 皂针（一钱） 归
尾（钱半） 洋参（一钱） 犀角（一钱） 生绵 （三钱） 猪尾膏（三匙，冰片二厘拌）
十四日 重险四天，较昨日稍好，然不能起胀，焉能成浆。塌痒之证，勉与提顶。
薄荷（八分） 生绵 （五钱） 苦桔梗（二钱） 穿山甲（一钱） 杏仁（二钱） 犀角（二钱）
白芷（二钱） 红花（一钱） 甘草（一钱） 皂针（一钱） 银花（二钱） 鸡冠血（五钱）
十五日 重险五天，较昨日略好，究竟不能起胀，面红身白灰，头温足冷，虚寒之极，
勉与辛温而甘者，助其元阳。
生绵 （五钱） 红花（钱半） 穿山甲（二钱） 焦于术（钱半） 洋参（二钱，姜一片同捣
炒枯
）半夏（钱半） 白芷（二钱） 煨肉果（八分） 公丁香（五分） 广木香（钱半） 桑叶（一条，
生捣汁冲） 炙甘草（钱半）
浓煎如膏。
十六日 六天虚寒壳亮，急用峻补，以救万一。
生绵 （一两） 归身（三钱，土炒） 穿山甲（三钱） 焦于术（四钱） 洋参（六钱） 鹿茸
（五
钱） 白芷（三钱） 红花（钱半） 广木香（三钱） 煨肉果（钱半） 炙甘草（三钱） 茯苓块（三
钱） 广皮炭（二钱）
老公鸡汤煎如膏。
十七日 七天壳薄无浆便溏，气血两虚，用陈文仲法。
生绵 （一两） 炙甘草（三钱） 洋参（三钱，姜炒） 煨肉果（二钱） 焦于术（二钱） 煨
诃子
（三钱） 鹿茸尖（六钱，酒炒） 真 桂（八分，去粗皮） 白芷（二钱） 公丁香（八分） 煨木
香（二钱） 广皮炭（钱半） 半夏（钱半）
公鸡汤煎如膏。
十八日 八天切牙，泄泻，目开，壳薄无浆，皆系虚欲塌痒之象，急用陈文仲大异功散
法，惜无力用参耳。
防风（五钱） 诃子肉（三钱） 肉果霜（三钱） 生绵 （三钱） 洋参（五钱） 熟附片（一
钱）
于术（四钱） 桂（钱半） 茯苓块（三钱） 公丁香（三钱） 白芷（二钱） 广木香（三钱） 广
皮（二钱） 炙甘草（三钱）
浓煎如膏，分六七次服。
十九日 九天昨用文仲大异功，仍然塌陷切牙，水浆不得入口，然根盘未散，断不可弃
而不治。议于前方加∶
煨肉果（二钱） 丁香（二钱）
连服二帖。
二十日 十天昨日异功散方，连服二帖，头面业已行浆，下体仍然灰白塌陷，再用前方
二帖。
二十一日 十一天灰白浆不足必陷，仍服前方二帖。
二十二日 十二天头面浆足，四肢空壳尚多，于前方内改肉桂为桂枝，再二帖。
二十三日 十三天仍须托理温中，白日服完，夜间再服半帖。
二十四日 十四天灰白切牙，泄泻，犹在险途。
生绵 （五钱） 桂枝（五钱） 洋参（五钱） 茯苓块（五钱） 于术（五钱） 白芷（三钱）
诃子
肉（三钱） 炙甘草（三钱） 肉果霜（六钱） 生苡仁（五钱） 公丁香（六钱） 党参（五钱） 广
木香（五钱） 广皮（三钱）
九碗水煎如膏。
徐男 六岁 癸亥腊月初四日 重险痘三天，骨立无肉，血枯而燥，干红色暗，粘连成
片，皆隐在皮中，乃枭毒把持之故，勉议两解重法。如照常理立方，恐鞭长莫及。
大黄（四两，半生半用黄酒炒黑） 楂肉（三钱，半生半炒） 犀角（一两） 紫地丁（一两）
桃
仁（四两，半生半炒） 青皮（二两） 银花（一两） 红花（三钱） 小猪尾血（半酒杯，入梅片
三厘）
水八碗，煮成三碗，先服半碗，约二时再进，以舌苔退痘起发为度。
初五日 重险痘四天大下后，业已起发，不必再用沉降，议凉血提顶。
犀角（八钱） 紫地丁（五钱） 白芷（二钱） 银花（八钱） 苦桔梗（五钱） 皂针（二钱）
羚羊角（五钱） 人中黄（三钱） 白茅根（一两） 连翘（五钱）
初六日 重险痘五天，大有起色，仍宜凉血活血，兼与败毒。
细生地（八钱） 紫地丁（五钱） 白芷（三钱） 犀
角（五钱） 羚羊角（五钱） 人中黄（二钱） 连翘
（四钱） 银花（八钱） 白茅根（一两） 苦桔梗（五钱）
分四次服。
初七日 生险痘六天，虽然行浆，但火毒太重，不必用补，亦不可泻，犹宜用凉血解毒
，以为结痂之地。
元参（五钱） 紫地丁（六钱） 银花（八钱） 细生地（一两） 苦桔梗（五钱） 连翘（三钱）
犀角（一两） 人中黄（二钱） 白茅根（一两） 粉丹皮（八钱）
初八日 七天于前方内减犀角一半，加∶
麦冬（五钱）
初九日 八天浆已满足，色渐苍，胃已旺，议辛凉以助结痂之用。
连翘（三钱） 白茅根（五钱） 银花（三钱） 五谷虫（钱半） 生甘草（钱半）
麦冬（五钱，连心）
初十日 九天四肢太热，非重用辛凉，其痂不结。
连翘（五钱） 黄芩（钱半，酒炒黑） 元参（五钱） 银花（五钱） 生甘草（钱半） 麦冬（
八钱，连心） 细生地（五钱） 白茅根（六钱） 丹皮（五钱）
十一日 十天回浆甚缓，微咳，用辛凉少兼实脾。
连翘（二钱） 黄芩（一钱） 白茅根（三钱） 人中黄（钱半） 麦冬（三钱，连心） 桑叶（
一钱） 细生地（三钱） 生苡仁（五钱） 地骨皮（一钱） 丹皮（三钱）
十二日 十一天仍服前方一帖。
十三日 十二天再服前方一帖。
十五日 十四天十分全功，惟败余毒而已。
连翘（二钱） 人中黄（钱半） 白茅根（三钱） 五谷虫（一钱） 粉丹皮（三钱） 仙人杖皮
（二钱）
吕女 癸亥腊月十三日 重险痘二天色重，粘连成片，攒簇颇多，第一方以达外感活血
松肌为法。
芥穗（二钱） 苦桔梗（三钱） 牛蒡子（三钱） 杏仁（三钱） 前胡（钱半） 薄荷（一钱）
甘草（一钱） 半夏（二钱） 苏叶（一钱） 当归（钱半） 南红花（一钱）
十四日 早第二方，以摆开枭毒为主，盖攒簇者必攻也，况色重乎。
生大黄（一两，半生半用酒炒黑） 桃仁（六钱，半生半炭） 南楂（六钱，半生半炭） 苦
桔梗
（四钱） 青皮（四钱，半生半炭） 人中黄（二钱） 猪尾膏（每次冲三小匙，一酒杯研入梅片
五厘）
十五日 申刻重险痘三天，早用必胜法，现下颜色已退，唇舌色绛，抱鬓蒙头，腰中肾
俞太重，弄口咂嘴，心火太重，恣议以凉血败毒。
犀角（六钱） 甘草（钱半） 羚羊角（三钱） 银花（三钱） 真山连（一钱） 大力子（二钱）
连
翘（三钱） 广皮（钱半） 苦桔梗（三钱） 杏仁（三钱） 全归（三钱） 次生地（三钱） 猪尾膏
（每次三两匙，研入冰片五厘）
十六日 险中逆痘四天，气血既虚，而毒又重，色暗根松，瘪阔壳薄，头温足冷，抱鬓
攒腰，下不可，初又不可，此其所以难也，勉与活血提顶。
红花（钱半） 人中黄（三钱） 犀角（五钱） 全归（三钱） 紫地丁（五钱） 白芷（三钱）
银花
（五钱） 皂针（三钱） 苦桔梗（六钱） 穿山甲（二钱，炙） 楂肉（六钱） 粉丹皮（五钱） 夺
命丹（三粒） 猪尾膏（每次冲三小匙，冰片五厘）
十七日 险中逆痘五天，较昨日虽有起色，究竟色滞而重，板着不行，二日不大便，皆
系枭毒把持，恐不能行浆，如过此关，则不能再用沉降矣。议必胜法∶
生大黄（一两，半生半用酒炒黑） 青皮（六钱） 桃仁（一两，生炒各半） 焦楂肉（一两）
红花（钱半） 苦桔梗（六钱） 甘草（三钱）
十八日 险中逆痘六天，昨日复用必胜法，虽有起色，究竟头面不如周身之半，枭毒把
持，阳亢可知。
犀角（五钱） 大黄（五钱，酒炒黑） 红花（二钱） 人中黄（三钱） 全归（三钱） 银花（
五钱
）紫地丁（五钱） 穿山甲（二钱，炙） 苦桔梗（五钱） 皂针（二钱） 南楂炭（三钱） 广皮（
二钱） 白芷（三钱）
十九日 险中逆痘七天头面起发，色鲜，周身色淡，逆者已顺，现有行浆之势，一以上
浆为主。
于术（三钱） 防风（三钱） 整绵 （一两生咀） 炒广皮（二钱） 洋参（三钱，姜炒） 炙
甘草（三钱） 白芷（三钱） 茯苓块（三钱） 党参（五钱） 桂枝（五钱） 归身（二钱，土炒）
二十日 八天照前方仍服一帖。
二十一日 九天身上色淡灰，四肢尚空，大便频仍，寒战发痒，皆系虚象，急用陈文仲
法，防其内陷。
党参（三钱） 肉果霜（五钱） 诃子肉（五钱，煨） 茯苓块（五钱） 于术（五钱，土炒）
炙甘
草（三钱） 广木香（三钱） 官桂（一钱，去粗皮） 白芷（三钱） 炒广皮（二钱） 姜半夏（三
钱） 熟附子（一钱） 洋参（三钱，姜汁炒） 生姜（三片） 大枣（二枚，去核）
切牙加∶
公丁香（三钱） 第二帖做细末。
二十二日 将昨日第二帖之末药，每服三钱，约二三个时辰服一次。
吕男 二岁 甲子正月十一日 状元痘原不必服药，但现下半生半熟，泄泻唇寒，犹恐
遭毒损目，议托温法。
生黄 （三钱） 党参（三钱） 白术（一两） 茯苓（三钱） 炙甘草（三钱） 半夏（一钱）
广皮（一钱） 诃子肉（二钱） 生苡仁（二钱）
服二帖后去黄 ，再服二帖。
汪男 三岁 初报痘点，形即繁重，表虚脉滑，心热恣甚，谨防八九朝塌痒，且与辛凉
解肌透毒。
苦桔梗（五钱） 生甘草（钱半） 银花（二钱） 牛蒡子（三钱） 苏薄荷（三钱） 杏仁泥（
二钱） 全归（一钱） 连翘（二钱，连心） 丹皮（三钱）
初七日 险痘一天，头面粘连，点现瘪阔，足凉，非纯然毒重，亦非纯然气虚，且与活
血松肌败毒，大凉大温，皆在难施之例。
镑犀角（五钱） 牛蒡子（一钱） 青皮（二钱） 苦桔梗（三钱） 全归（钱半） 银花（五钱）
甘草（二钱） 南楂炭（三钱） 薄荷（八分） 连翘（三钱） 猪尾膏（三匙冲）
(Sentence omitted) Xu (8 fen), Bohe (Menthae Haplocalycis Herba, 8 fen), Niubangzi (Arctii Fructus, 2 qian), Jiesui (Schizonepetae Spica, 1 qian). Decoct with water as substitute.
Twelfth day: Severe smallpox involving the Spleen meridian for two days; the eruption is dark and confluent. It is like a small boat carrying a heavy load. There is restlessness at night. First, employ blood-invigorating and toxin-resolving methods.
Shazha Rou (Crataegi Fructus, 3 qian), Dahuang (Rhei Radix et Rhizoma, 1 qian), Lianqiao (Forsythiae Fructus, 2 qian), Danggui (Angelicae Sinensis Radix, 8 fen, stir-fried with soil), Yinhua (Lonicerae Japonicae Flos, 5 qian), Taoren Ni (Persicae Semen paste, 8 fen).
Ziding (Violaris Herba, 3 qian), Kujiegeng (Platycodonis Radix, 2 qian), Honghua (Carthami Flos, 3 fen), Renzhonghuang (Hominis Excrementum Depuratum, 1 qian), Danpi (Moutan Cortex, 2 qian), Xijiao (Rhinocerotis Cornu, 1 qian), Zhuweigao (Pig Tail Paste, 3 small spoons), Baimaogen (Imperatae Rhizoma, 1 liang). Decoct with water as substitute.
Thirteenth day: Severe smallpox for three days; the eruption is dark and confluent, with some inverted papules. Propose cooling blood and elevating the papule apex.
Lianqiao (Forsythiae Fructus, 2 qian), Xi Shengdi (Rehmanniae Radix preparata, 1.5 qian), Yinhua (Lonicerae Japonicae Flos, 1.5 qian), Guixu (Angelicae Sinensis Radix radix part, 8 fen), Kujiegeng (Platycodonis Radix, 1 qian), Baimaogen (Imperatae Rhizoma, 3 qian).
Gancao (Glycyrrhizae Radix et Rhizoma, 8 fen), Xijiao (Rhinocerotis Cornu, 8 fen), Honghua (Carthami Flos, 5 fen), Lingyangjiao (Saigae Tataricae Cornu, 2 qian), Danpi (Moutan Cortex, 2 qian), Lugeng (Phragmitis Rhizoma, 3 bundles).
Fourteenth day: Severe smallpox for four days; both form and color show improvement, except for flat-topped papules and loose stools. Recovery can be expected.
Sheng Huangqi (Astragali Membranacei Radix, 3 qian), Fuling Kuai (Poria, 3 qian), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 1.5 qian), Shayangshen (Panacis Quinquefolii Radix, 1 qian), Baizhi (Angelicae Dahuricae Radix, 1 qian), Chao Shanjiia (Squama Manis preparata, 1 qian), Baimaogen (Imperatae Rhizoma, 3 qian), Zaozhen (Galla Chinensis, 8 fen), Baizhu Tan (Atractylodis Macrocephalae Rhizoma carbonized, 2 qian), Chao Yinhua (Lonicerae Japonicae Flos preparated, 2 qian), Jiguanxue (Crista Galli Sanguis, 3 small spoons). Decoct using rooster soup.
Fifteenth day: On the fifth day, remove Yinhua and Jiguanxue from the previous formula, add:
Guangpi (Citri Reticulatae Pericarpium, 1 qian).
Sixteenth day: On the sixth day, although pustulation has begun, the color is gray and stools are loose.
Jiao Yuzhu (Atractylodis Macrocephalae Rhizoma charred, 1.5 qian), Guangmuxiang (Aucklandiae Radix, 1 qian), Hezirou (Terminaliae Chebulae Fructus, 1 qian), Fuling Kuai (Poria, 3 qian), Wei Roudoukou (Myristicae Semen prepared by baking, 1.5 qian), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 2 qian), Mian Huangqi (Astragali Membranacei Radix, 3 qian), Guangpi Tan (Citri Reticulatae Pericarpium carbonized, 1 qian), Yangshen (Panacis Quinquefolii Radix, 2 qian, stir-fried with ginger juice).
Decoct strongly with water.
Seventeenth day: On the seventh day, scabbing has occurred, nearing completion. However, loose stools and heavy dampness remain, posing a risk of complications. The method should focus on strengthening the Spleen and promoting diuresis.
Jiao Yuzhu (Atractylodis Macrocephalae Rhizoma charred, 3 qian), Guangmuxiang (Aucklandiae Radix, 1 qian), Fuling Kuai (Poria, 3 qian), Hezirou (Terminaliae Chebulae Fructus, 1 qian), Sheng Yiren (Coicis Semen, 3 qian), Wei Roudoukou (Myristicae Semen prepared by baking, 1 qian), Guangpi Tan (Citri Reticulatae Pericarpium carbonized, 8 fen), Renshen (Ginseng Radix et Rhizoma, 1 qian, stir-fried with ginger), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 1 qian).
Song Girl, 3 years old, 10th day of the 11th lunar month, Guihai year.
Jiesui (Schizonepetae Spica, 1.5 qian), Huoxiang Ye (Agastaches Herba leaf part, 8 fen), Fangfeng (Saposhnikoviae Radix, 1.5 qian), Bohe (Menthae Haplocalycis Herba, 8 fen), Lianqiao (Forsythiae Fructus, 2 qian), Xingren (Armeniacae Semen Amarum, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Sangye (Mori Folium, 1 qian), Kujiegeng (Platycodonis Radix, 2 qian), Lugeng (Phragmitis Rhizoma, 2 bundles).
Eleventh day: Severe smallpox for one day; fever lasted one day before spots appeared. Yangming collaterals are visible; spots are confluent. Profuse sweating and loose stools indicate Qi deficiency and heavy toxin. The ninth-day stage of collapse and itching is hard to prevent. Tentatively apply methods to disperse toxin and relax the skin.
Lianqiao (Forsythiae Fructus, 3 qian), Yinhua (Lonicerae Japonicae Flos, 5 qian), Sangye (Mori Folium, 3 qian), Danpi (Moutan Cortex, 2 qian), Ziding (Violaris Herba, 5 qian, decocted first as water substitute), Guiwei (Angelicae Sinensis Radix tail part, 8 fen), Kujiegeng (Platycodonis Radix, 3 qian), Niubangzi (Arctii Fructus, 8 fen, ground), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Lugeng (Phragmitis Rhizoma, 5 bundles), Zhuweigao (Pig Tail Paste, 3 spoons, mixed with 2 li of Bingpian/Borneolum Syntheticum).
Twelfth day: Eruption on the second day was not smooth. For a child under three years old, there is concern about deviation from the nine-day timeline leading to internal collapse. Add to the previous formula:
Baimaogen (Imperatae Rhizoma, 5 qian), Xiluo Xijiao (Siamese Rhinoceros Horn, 1 qian).
Thirteenth day: Severe smallpox for three days; face is very red. Papules have thin shells, inverted tops, and loose roots, appearing confluent. Body eruption is pale and raised poorly. Urine is clear; stools are frequent and loose. Head is warm, feet are cold. This should be viewed as Qi deficiency failing to expel toxin outward. In short, it is the ninth-day collapse and itching syndrome. Tentatively apply blood-invigorating and apex-elevating methods, combined with Qi tonification.
Lianqiao (Forsythiae Fructus, 2 qian), Baizhi (Angelicae Dahuricae Radix, 2 qian), Honghua (Carthami Flos, 1 qian), Shanjiia (Squama Manis, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Zaozhen (Galla Chinensis, 1 qian), Guiwei (Angelicae Sinensis Radix tail part, 1.5 qian), Yangshen (Panacis Quinquefolii Radix, 1 qian), Xijiao (Rhinocerotis Cornu, 1 qian), Sheng Mian Huangqi (Astragali Membranacei Radix, 3 qian), Zhuweigao (Pig Tail Paste, 3 spoons, mixed with 2 li of Bingpian/Borneolum Syntheticum).
Fourteenth day: Severe smallpox for four days; slightly better than yesterday. However, swelling cannot rise, so how can pustulation occur? For collapse and itching, tentatively elevate the apex.
Bohe (Menthae Haplocalycis Herba, 8 fen), Sheng Mian Huangqi (Astragali Membranacei Radix, 5 qian), Kujiegeng (Platycodonis Radix, 2 qian), Shanjiia (Squama Manis, 1 qian), Xingren (Armeniacae Semen Amarum, 2 qian), Xijiao (Rhinocerotis Cornu, 2 qian).
Baizhi (Angelicae Dahuricae Radix, 2 qian), Honghua (Carthami Flos, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Zaozhen (Galla Chinensis, 1 qian), Yinhua (Lonicerae Japonicae Flos, 2 qian), Jiguanxue (Crista Galli Sanguis, 5 qian).
Fifteenth day: Severe smallpox for five days; slightly better than yesterday. Ultimately, swelling does not rise. Face is red, body is white-gray. Head is warm, feet are cold. Extreme deficiency-cold. Tentatively use acrid-warm and sweet substances to assist Yuan Yang.
Sheng Mian Huangqi (Astragali Membranacei Radix, 5 qian), Honghua (Carthami Flos, 1.5 qian), Shanjiia (Squama Manis, 2 qian), Jiao Yuzhu (Atractylodis Macrocephalae Rhizoma charred, 1.5 qian), Yangshen (Panacis Quinquefolii Radix, 2 qian, pounded with one slice of ginger and stir-fried until dry), Banxia (Pinelliae Rhizoma, 1.5 qian), Baizhi (Angelicae Dahuricae Radix, 2 qian), Wei Roudoukou (Myristicae Semen prepared by baking, 8 fen), Gong Dingxiang (Syzygii Aromatisati Flos bud part, 5 fen), Guangmuxiang (Aucklandiae Radix, 1.5 qian), Sangye (Mori Folium, one strip, fresh juice squeezed and added), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 1.5 qian).
Decoct strongly into a paste.
Sixteenth day: Six days in, deficiency-cold with bright shell. Urgently use strong tonification to save the situation.
Sheng Mian Huangqi (Astragali Membranacei Radix, 1 liang), Guishen (Angelicae Sinensis Radix root part, 3 qian, stir-fried with soil), Shanjiia (Squama Manis, 3 qian), Jiao Yuzhu (Atractylodis Macrocephalae Rhizoma charred, 4 qian), Yangshen (Panacis Quinquefolii Radix, 6 qian), Lurong (Cervi Cornu Deglorificatum, 5 qian), Baizhi (Angelicae Dahuricae Radix, 3 qian), Honghua (Carthami Flos, 1.5 qian), Guangmuxiang (Aucklandiae Radix, 3 qian), Wei Roudoukou (Myristicae Semen prepared by baking, 1.5 qian), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 3 qian), Fuling Kuai (Poria, 3 qian), Guangpi Tan (Citri Reticulatae Pericarpium carbonized, 2 qian).
Decoct into a paste using old rooster soup.
Seventeenth day: Seven days in, thin shell, no pus, loose stools. Both Qi and Blood are deficient. Use Chen Wenzhong's method.
Sheng Mian Huangqi (Astragali Membranacei Radix, 1 liang), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 3 qian), Yangshen (Panacis Quinquefolii Radix, 3 qian, stir-fried with ginger), Wei Roudoukou (Myristicae Semen prepared by baking, 2 qian), Jiao Yuzhu (Atractylodis Macrocephalae Rhizoma charred, 2 qian), Wei Hezi (Terminaliae Chebulae Fructus prepared by baking, 3 qian), Lurong Jian (Tip of Cervi Cornu Deglorificatum, 6 qian, stir-fried with wine), Zhen Rongui (Cinnamomi Cortex true variety, 8 fen, remove coarse bark), Baizhi (Angelicae Dahuricae Radix, 2 qian), Gong Dingxiang (Syzygii Aromatisati Flos bud part, 8 fen), Wei Muxiang (Aucklandiae Radix prepared by baking, 2 qian), Guangpi Tan (Citri Reticulatae Pericarpium carbonized, 1.5 qian), Banxia (Pinelliae Rhizoma, 1.5 qian).
Decoct into a paste using rooster soup.
Eighteenth day: Eight days in, teeth grinding, diarrhea, eyes open, thin shell, no pus. All are signs of deficiency impending collapse and itching. Urgently use Chen Wenzhong's Da Yigong San method. Regrettably, insufficient strength to use Ginseng.
Fangfeng (Saposhnikoviae Radix, 5 qian), Hezirou (Terminaliae Chebulae Fructus, 3 qian), Roushuang (Myristicae Semen powder, 3 qian), Sheng Mian Huangqi (Astragali Membranacei Radix, 3 qian), Yangshen (Panacis Quinquefolii Radix, 5 qian), Shu Fupian (Aconiti Lateralis Radix Preparata, 1 qian).
Yuzhu (Atractylodis Macrocephalae Rhizoma, 4 qian), Guizhi (Cinnamomi Ramulus, 1.5 qian), Fuling Kuai (Poria, 3 qian), Gong Dingxiang (Syzygii Aromatisati Flos bud part, 3 qian), Baizhi (Angelicae Dahuricae Radix, 2 qian), Guangmuxiang (Aucklandiae Radix, 3 qian), Guangpi (Citri Reticulatae Pericarpium, 2 qian), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 3 qian).
Decoct strongly into a paste, divide into six or seven doses.
Nineteenth day: Nine days in. Yesterday used Wenzhong's Da Yigong San. Collapse and teeth grinding persist; fluids cannot enter the mouth. However, the base remains intact. Do not abandon treatment. Propose adding to the previous formula:
Wei Roudoukou (Myristicae Semen prepared by baking, 2 qian), Dingxiang (Syzygii Aromatisati Flos, 2 qian).
Take two doses consecutively.
Twentieth day: Ten days in. Yesterday's Yigong San formula, taken for two doses. Head and face have pustulated; lower body remains gray-white and collapsed. Continue with the previous formula for two more doses.
Twenty-first day: Eleven days in. Gray-white, insufficient pus implies inevitable collapse. Continue with the previous formula for two doses.
Twenty-second day: Twelve days in. Head and face have sufficient pus; limbs still have many empty shells. Change Rongui to Guizhi in the previous formula, take two more doses.
Twenty-third day: Thirteen days in. Still need to support and warm the middle. Take full dose during the day, half dose at night.
Twenty-fourth day: Fourteen days in. Gray-white, teeth grinding, diarrhea. Still in danger.
Sheng Mian Huangqi (Astragali Membranacei Radix, 5 qian), Guizhi (Cinnamomi Ramulus, 5 qian), Yangshen (Panacis Quinquefolii Radix, 5 qian), Fuling Kuai (Poria, 5 qian), Yuzhu (Atractylodis Macrocephalae Rhizoma, 5 qian), Baizhi (Angelicae Dahuricae Radix, 3 qian).
Hezirou (Terminaliae Chebulae Fructus, 3 qian), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 3 qian), Roushuang (Myristicae Semen powder, 6 qian), Sheng Yiren (Coicis Semen, 5 qian), Gong Dingxiang (Syzygii Aromatisati Flos bud part, 6 qian), Dangshen (Codonopsis Radix, 5 qian), Guangmuxiang (Aucklandiae Radix, 5 qian), Guangpi (Citri Reticulatae Pericarpium, 3 qian).
Decoct with nine bowls of water into a paste.
Xu Male, 6 years old, 4th day of the 12th lunar month, Guihai year. Severe smallpox for three days. Emaciated, blood dry and parched. Dry red-dark color, confluent, hidden within the skin. Due to fierce toxin holding sway. Tentatively propose a dual-resolution heavy method. If following normal principles, it may be too late.
Dahuang (Rhei Radix et Rhizoma, 4 liang, half raw, half stir-fried black with yellow rice wine), Shazha Rou (Crataegi Fructus, 3 qian, half raw, half stir-fried), Xijiao (Rhinocerotis Cornu, 1 liang), Ziding (Violaris Herba, 1 liang).
Taoren (Persicae Semen, 4 liang, half raw, half stir-fried), Qingpi (Citri Reticulatae Pericarpium viride, 2 liang), Yinhua (Lonicerae Japonicae Flos, 1 liang), Honghua (Carthami Flos, 3 qian), Xiao Zhuweixue (Young Pig Tail Blood, half wine cup, add 3 li of Meipian/Borneolum Syntheticum).
Cook with eight bowls of water until three bowls remain. Take half bowl first, then another after two hours. Stop when tongue coating recedes and eruption rises.
Fifth day: Severe smallpox for four days after heavy purgation. Eruption has risen. No longer need descending agents. Propose cooling blood and elevating the papule apex.
Xijiao (Rhinocerotis Cornu, 8 qian), Ziding (Violaris Herba, 5 qian), Baizhi (Angelicae Dahuricae Radix, 2 qian), Yinhua (Lonicerae Japonicae Flos, 8 qian), Kujiegeng (Platycodonis Radix, 5 qian), Zaozhen (Galla Chinensis, 2 qian).
Lingyangjiao (Saigae Tataricae Cornu, 5 qian), Renzhonghuang (Hominis Excrementum Depuratum, 3 qian), Baimaogen (Imperatae Rhizoma, 1 liang), Lianqiao (Forsythiae Fructus, 5 qian).
Sixth day: Severe smallpox for five days. Great improvement. Still suitable to cool blood, invigorate blood, and resolve toxin.
Xi Shengdi (Rehmanniae Radix preparata, 8 qian), Ziding (Violaris Herba, 5 qian), Baizhi (Angelicae Dahuricae Radix, 3 qian), Xijiao (Rhinocerotis Cornu, 5 qian), Lingyangjiao (Saigae Tataricae Cornu, 5 qian), Renzhonghuang (Hominis Excrementum Depuratum, 2 qian), Lianqiao (Forsythiae Fructus, 4 qian), Yinhua (Lonicerae Japonicae Flos, 8 qian), Baimaogen (Imperatae Rhizoma, 1 liang), Kujiegeng (Platycodonis Radix, 5 qian).
Divide into four doses.
Seventh day: Emerging severe smallpox for six days. Although pustulating, fire toxin is too heavy. No need for tonification, nor for purgation. Still suitable to cool blood and resolve toxin to prepare for scabbing.
Yuanshen (Scrophulariae Radix, 5 qian), Ziding (Violaris Herba, 6 qian), Yinhua (Lonicerae Japonicae Flos, 8 qian), Xi Shengdi (Rehmanniae Radix preparata, 1 liang), Kujiegeng (Platycodonis Radix, 5 qian), Lianqiao (Forsythiae Fructus, 3 qian).
Xijiao (Rhinocerotis Cornu, 1 liang), Renzhonghuang (Hominis Excrementum Depuratum, 2 qian), Baimaogen (Imperatae Rhizoma, 1 liang), Fen Danpi (Moutan Cortex, 8 qian).
Eighth day: Seven days in. Reduce Xijiao by half in the previous formula, add:
Maidong (Ophiopogonis Tuber, 5 qian).
Ninth day: Eight days in. Pus is sufficient, color turning grayish-green, Stomach Qi recovering. Propose acrid-cool to assist scabbing.
Lianqiao (Forsythiae Fructus, 3 qian), Baimaogen (Imperatae Rhizoma, 5 qian), Yinhua (Lonicerae Japonicae Flos, 3 qian), Wuguchong (Bruchi Semen, 1.5 qian), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 1.5 qian).
Maidong (Ophiopogonis Tuber, 5 qian, with heart).
Tenth day: Nine days in. Limbs too hot. Without heavy acrid-cool, scabs will not form.
Lianqiao (Forsythiae Fructus, 5 qian), Huangqin (Scutellariae Radix, 1.5 qian, stir-fried black with wine), Yuanshen (Scrophulariae Radix, 5 qian), Yinhua (Lonicerae Japonicae Flos, 5 qian), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 1.5 qian), Maidong (Ophiopogonis Tuber, 8 qian, with heart), Xi Shengdi (Rehmanniae Radix preparata, 5 qian), Baimaogen (Imperatae Rhizoma, 6 qian), Danpi (Moutan Cortex, 5 qian).
Eleventh day: Ten days in. Scabbing slow, slight cough. Use acrid-cool slightly combined with strengthening the Spleen.
Lianqiao (Forsythiae Fructus, 2 qian), Huangqin (Scutellariae Radix, 1 qian), Baimaogen (Imperatae Rhizoma, 3 qian), Renzhonghuang (Hominis Excrementum Depuratum, 1.5 qian), Maidong (Ophiopogonis Tuber, 3 qian, with heart), Sangye (Mori Folium, 1 qian), Xi Shengdi (Rehmanniae Radix preparata, 3 qian), Sheng Yiren (Coicis Semen, 5 qian), Digupi (Lycei Cortex, 1 qian), Danpi (Moutan Cortex, 3 qian).
Twelfth day: Eleven days in. Continue taking one dose of the previous formula.
Thirteenth day: Twelve days in. Take one more dose of the previous formula.
Fifteenth day: Fourteen days in. Nearly complete success, only clearing residual toxin remains.
Lianqiao (Forsythiae Fructus, 2 qian), Renzhonghuang (Hominis Excrementum Depuratum, 1.5 qian), Baimaogen (Imperatae Rhizoma, 3 qian), Wuguchong (Bruchi Semen, 1 qian), Fen Danpi (Moutan Cortex, 3 qian), Xianrenzhang Pi (Cissampi Herba bark, 2 qian).
Lu Female, 13th day of the 12th lunar month, Guihai year. Severe smallpox for two days; dark color, confluent, clustered heavily. First formula focuses on releasing exterior, invigorating blood, and relaxing skin.
Jiesui (Schizonepetae Spica, 2 qian), Kujiegeng (Platycodonis Radix, 3 qian), Niubangzi (Arctii Fructus, 3 qian), Xingren (Armeniacae Semen Amarum, 3 qian), Qianhu (Peucedani Radix, 1.5 qian), Bohe (Menthae Haplocalycis Herba, 1 qian).
Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Banxia (Pinelliae Rhizoma, 2 qian), Suye (Perillae Folium, 1 qian), Danggui (Angelicae Sinensis Radix, 1.5 qian), Nan Honghua (Carthami Flos southern variety, 1 qian).
Fourteenth day: Morning second formula, primarily to disperse fierce toxin. Clusters must be attacked, especially with dark color.
Sheng Dahuang (Raw Rhei Radix et Rhizoma, 1 liang, half raw, half stir-fried black with wine), Taoren (Persicae Semen, 6 qian, half raw, half carbonized), Nan Zha (Southern Crataegi Fructus, 6 qian, half raw, half carbonized), Kujiegeng (Platycodonis Radix, 4 qian), Qingpi (Citri Reticulatae Pericarpium viride, 4 qian, half raw, half carbonized), Renzhonghuang (Hominis Excrementum Depuratum, 2 qian), Zhuweigao (Pig Tail Paste, 3 small spoons each time, dissolved in one wine cup with 5 li of Meipian/Borneolum Syntheticum).
Fifteenth day: Shen hour, severe smallpox for three days. Used winning method morning. Color faded now. Lips and tongue crimson. Hairline covered, Kidney Shu area on waist very heavy. Mouth twisting, sucking lips. Heart fire too heavy. Freely propose cooling blood and resolving toxin.
Xijiao (Rhinocerotis Cornu, 6 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1.5 qian), Lingyangjiao (Saigae Tataricae Cornu, 3 qian), Yinhua (Lonicerae Japonicae Flos, 3 qian), Zhen Shalian (Forsythiae Fructus true variety, 1 qian), Dali Zi (Arctii Fructus, 2 qian), Lianqiao (Forsythiae Fructus, 3 qian), Guangpi (Citri Reticulatae Pericarpium, 1.5 qian), Kujiegeng (Platycodonis Radix, 3 qian), Xingren (Armeniacae Semen Amarum, 3 qian), Quan Danggui (Whole Angelicae Sinensis Radix, 3 qian), Ci Shengdi (Rehmanniae Radix preparata secondary grade, 3 qian), Zhuweigao (Pig Tail Paste, 3 large spoons each time, mixed with 5 li of Bingpian/Borneolum Syntheticum).
Sixteenth day: Adverse smallpox among severe cases for four days. Qi and Blood deficient, toxin heavy. Dark color, loose roots, flat wide thin shell. Head warm, feet cold. Hairline gathered at waist. Cannot descend, cannot ascend initially. This is why it is difficult. Tentatively apply blood-invigorating and apex-elevating methods.
Honghua (Carthami Flos, 1.5 qian), Renzhonghuang (Hominis Excrementum Depuratum, 3 qian), Xijiao (Rhinocerotis Cornu, 5 qian), Quan Danggui (Whole Angelicae Sinensis Radix, 3 qian), Ziding (Violaris Herba, 5 qian), Baizhi (Angelicae Dahuricae Radix, 3 qian), Yinhua (Lonicerae Japonicae Flos, 5 qian), Zaozhen (Galla Chinensis, 3 qian), Kujiegeng (Platycodonis Radix, 6 qian), Shanjiia (Squama Manis, 2 qian, roasted), Shazha Rou (Crataegi Fructus, 6 qian), Fen Danpi (Moutan Cortex, 5 qian), Mingdan (Life-saving Pill, 3 pills), Zhuweigao (Pig Tail Paste, 3 small spoons each time, mixed with 5 li of Bingpian/Borneolum Syntheticum).
Seventeenth day: Adverse smallpox among severe cases for five days. Slightly better than yesterday, but color stagnant and heavy, stiff and unmovable. No bowel movement for two days. All due to fierce toxin holding sway. Fear inability to pustulate. If this hurdle is passed, descending agents can no longer be used. Propose winning method:
Sheng Dahuang (Raw Rhei Radix et Rhizoma, 1 liang, half raw, half stir-fried black with wine), Qingpi (Citri Reticulatae Pericarpium viride, 6 qian), Taoren (Persicae Semen, 1 liang, half raw, half stir-fried), Jiao Shazha Rou (Charred Crataegi Fructus, 1 liang), Honghua (Carthami Flos, 1.5 qian), Kujiegeng (Platycodonis Radix, 6 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian).
Eighteenth day: Adverse smallpox among severe cases for six days. Reused winning method yesterday. Slight improvement, but head/face less than half of body. Fierce toxin holding sway, Yang hyperactivity known.
Xijiao (Rhinocerotis Cornu, 5 qian), Dahuang (Rhei Radix et Rhizoma, 5 qian, wine-stir-fried black), Honghua (Carthami Flos, 2 qian), Renzhonghuang (Hominis Excrementum Depuratum, 3 qian), Quan Danggui (Whole Angelicae Sinensis Radix, 3 qian), Yinhua (Lonicerae Japonicae Flos, 5 qian), Ziding (Violaris Herba, 5 qian), Shanjiia (Squama Manis, 2 qian, roasted), Kujiegeng (Platycodonis Radix, 5 qian), Zaozhen (Galla Chinensis, 2 qian), Nan Zha Tan (Southern Crataegi Fructus carbonized, 3 qian), Guangpi (Citri Reticulatae Pericarpium, 2 qian), Baizhi (Angelicae Dahuricae Radix, 3 qian).
Nineteenth day: Adverse smallpox among severe cases for seven days. Head/face erupted, bright color. Body color pale. Adverse turned favorable. Now showing trend of pustulation. Focus primarily on pustulation.
Yuzhu (Atractylodis Macrocephalae Rhizoma, 3 qian), Fangfeng (Saposhnikoviae Radix, 3 qian), Zheng Mian Huangqi (Whole Astragali Membranacei Radix, 1 liang, torn), Chao Guangpi (Stir-fried Citri Reticulatae Pericarpium, 2 qian), Yangshen (Panacis Quinquefolii Radix, 3 qian, stir-fried with ginger), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 3 qian), Baizhi (Angelicae Dahuricae Radix, 3 qian), Fuling Kuai (Poria, 3 qian), Dangshen (Codonopsis Radix, 5 qian), Guizhi (Cinnamomi Ramulus, 5 qian), Guishen (Angelicae Sinensis Radix root part, 2 qian, stir-fried with soil).
Twentieth day: Eight days in. Continue one dose of previous formula.
Twenty-first day: Nine days in. Body color pale gray, limbs still empty. Frequent stools, chills, itching. All deficiency signs. Urgently use Chen Wenzhong's method to prevent internal collapse.
Dangshen (Codonopsis Radix, 3 qian), Roushuang (Myristicae Semen powder, 5 qian), Hezirou (Terminaliae Chebulae Fructus, 5 qian, baked), Fuling Kuai (Poria, 5 qian), Yuzhu (Atractylodis Macrocephalae Rhizoma, 5 qian, stir-fried with soil), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 3 qian), Guangmuxiang (Aucklandiae Radix, 3 qian), Guanzi Gui (Cinnamomi Cortex official variety, 1 qian, remove coarse bark), Baizhi (Angelicae Dahuricae Radix, 3 qian), Chao Guangpi (Stir-fried Citri Reticulatae Pericarpium, 2 qian), Jiang Banxia (Ginger-processed Pinelliae Rhizoma, 3 qian), Shu Fuzi (Prepared Aconiti Lateralis Radix, 1 qian), Yangshen (Panacis Quinquefolii Radix, 3 qian, stir-fried with ginger juice), Shengjiang (Fresh Zingiberis Rhizoma, 3 slices), Dazao (Ziziphi Jujubae Fructus, 2 pieces, pitted).
For teeth grinding, add:
Gong Dingxiang (Syzygii Aromatisati Flos bud part, 3 qian). Second dose made into fine powder.
Twenty-second day: Take the powder from yesterday's second dose, 3 qian each time, every two to three shichen.
Lu Male, 2 years old, 11th day of the 1st lunar month, Jiazi year. Zhuangyuan smallpox originally needs no medicine. But currently half-ripe, diarrhea, cold lips. Fear toxin damaging eyes. Propose supporting and warming method.
Sheng Huangqi (Astragali Membranacei Radix, 3 qian), Dangshen (Codonopsis Radix, 3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Fuling (Poria, 3 qian), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 3 qian), Banxia (Pinelliae Rhizoma, 1 qian), Guangpi (Citri Reticulatae Pericarpium, 1 qian), Hezirou (Terminaliae Chebulae Fructus, 2 qian), Sheng Yiren (Coicis Semen, 2 qian).
After two doses, remove Huangqi, take two more doses.
Wang Male, 3 years old. Initial smallpox spots appear heavy. Exterior deficiency, slippery pulse. Heart heat excessive. Guard against ninth/tenth day collapse and itching. Apply acrid-cool to release muscle layer and penetrate toxin.
Kujiegeng (Platycodonis Radix, 5 qian), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 1.5 qian), Yinhua (Lonicerae Japonicae Flos, 2 qian), Niubangzi (Arctii Fructus, 3 qian), Su Bohe (Perilla Mentha, 3 qian), Xingren Ni (Armeniacae Semen Amarum paste, 2 qian), Quan Danggui (Whole Angelicae Sinensis Radix, 1 qian), Lianqiao (Forsythiae Fructus, 2 qian, with heart), Danpi (Moutan Cortex, 3 qian).
Seventh day: Severe smallpox for one day. Head/face confluent, spots flat/wide, feet cold. Not purely heavy toxin, nor purely Qi deficiency. Apply blood-invigorating, skin-relaxing, toxin-resolving. Extreme cooling or warming are both difficult to apply.
Bang Xijiao (Powdered Rhinocerotis Cornu, 5 qian), Niubangzi (Arctii Fructus, 1 qian), Qingpi (Citri Reticulatae Pericarpium viride, 2 qian), Kujiegeng (Platycodonis Radix, 3 qian), Quan Danggui (Whole Angelicae Sinensis Radix, 1.5 qian), Yinhua (Lonicerae Japonicae Flos, 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Nan Zha Tan (Southern Crataegi Fructus carbonized, 3 qian), Bohe (Menthae Haplocalycis Herba, 8 fen), Lianqiao (Forsythiae Fructus, 3 qian), Zhuweigao (Pig Tail Paste, 3 spoons added).