仲阳云∶疮疹候，面燥腮赤，目胞亦赤，呵欠顿闷，乍凉乍热，咳嗽嚏喷，手足梢冷，夜卧惊悸，多睡烦躁，发热
脸赤，唇红身痛，头疼痰涎，伤寒证候类有之，并疮疹证，此天行时气之病也。始发之时，因伤风伤寒而得者，有因时
气染易而得者，有因伤食呕吐而得者，有因跌蹼惊怒蓄血而得者。或又为窜眼禁牙，惊搐如风之证，或为口舌咽喉，腹
肚疼痛之状，或为烦躁发热，脸赤狂闷，昏睡谵语之形，或自汗，或下利，或发热，或不发热，症候多端，卒未易辨。
方论所载，以耳冷、 冷、足冷验之，盖谓疮疹属阳，肾脏无证，耳与 、足、俱属于肾，故肾之所部独冷。就疑似之
间，或中或否，不若视其耳后有红脉赤缕者为真，于此可以稽验矣。其脉洪大而弦数，诊脉之际，身略战动，是其证也。
调护之法，首尾俱不可汗下，但温凉之剂，兼而济之，解毒和中安表而已。凡热不可骤遏，但轻解之，若无热则疮又不
能发也。虚者益之，实者损之，冷者温之，热者平之，是为权度。借喻而言，亦如 人笼蒸之法，但欲为松耳。如苟妄
汗，则荣卫既开，转增疮烂；如苟妄下，则正气内脱，变而归肾，身体振寒，耳 反热，眼合肚胀，其疮黑坏，十无一
生。（舌黑者尤难疗）何者？疮随五脏见证，未发则五脏之证悉具，已发则归于一脏，受毒多者见之。故肝脏水 。（泪
出如水，小而 青），肺脏脓 ，（其涕稠浊，色白而大），心脏发斑（血 色赤而小），脾脏发疹（色黄微赤，有小斑疮），
惟归肾则变黑焉（青紫干陷）。疮疹属阳，本无肾症（肾在腑之下，不受秽毒，故无症）。阳取火也，肾取水也，以火用
事，为水所制，岂不殆哉。朱氏云∶疮疹已发未发，但不可疏转，此为大戒，疮疹首尾，皆不可下，及辄用利药，毒瓦斯
入里即杀人。以此观之，疮疹症状，虽与伤寒相似，而疹痘治法，实与伤寒不同。伤寒所传，从表入里，痘疹所发，从
里出表，盖毒根于里、若下之，内气一虚，毒不能出而反入焉，由是土不能胜水，黑陷者有之；毒发于表，若汗之，则
荣卫一虚，重令开泄，转增疮烂，由是风邪乘虚，变症者有之。汗下二说，古人之所深戒也。调解之法将如何？曰∶活
血调气，安表和中，轻清消毒，温凉之剂二者得兼而已，温如黄 、当归、木香辈，凉如前胡、干葛、升麻辈，佐之以
川芎、芍药、枳壳、桔梗、羌活、木通、紫草、甘草之属，则可以调适矣。凡小儿觉身热，症似伤寒，但未经疮痘，疑
似未明，且与惺惺散、抱龙丸、升苏散；热甚则先与升麻汤，或加川芎、紫苏、茯苓；呕吐者香苏饮加半夏、茯苓、白
芍药；泄泻者，香苏饮加白术、茯苓；吐泻胃虚者、陈氏木香散；渴者，升麻汤加紫苏、茯苓；发搐及谵语热甚者，至
宝丹、抱龙丸和服。疮疹未出透者可服，如出已透肤者不可服也。或用防风天麻丸亦可。如一、二日疹出，红点如麻子，
大小不一等者轻，一齐并出，密甚者重，并服四圣散；及泄泻者、紫草木香汤，或四君子汤加木香、丁香；如冷战出不
透者，加官桂；有惊热出透者，快斑散治之，内有蝉蜕者也。三、四日疮疹出不透者，四圣散；皮肤冷者，加木香、肉
桂，更须活血散，温酒紫草汤调下，以助药力，则出快；如欲止痛，用温热水调下；如紫色黑陷内热者，大便秘者，用
龙胆膏，猪心血、辰砂、脑子研细末，木香汤调下可也，或用猪尾膏亦可，如内无大热，不可轻服也。常用胡荽酒喷帏
帐及身上为佳，不可喷面上以辟恶气耳。又烧苍术，降真香亦佳。五六日痘疮 甚，但服芍药甘草汤定痛，多服不妨，
却服甘露饮数服，或口内有脓疮，咽喉肿痛，不能乳食者，并皆治之。七八日疮 透，略烂，方可服地黄汤；大便秘者、
可服消毒饮。凡痘根窠红活，光泽明净者轻；如损陷稠密，灰白色，泻渴者重。无热者，可服四物汤，用麦门门、防风、
蝉蜕等剂。九日十日有热甚，可服犀角地黄汤、消毒饮，便利者不可服；小便不通者，大连翘汤加减服，以小便利为度，
导赤散、羌活散、皆可服；热甚者、小柴胡汤，渴甚者、白虎汤；大便秘甚数日不通者，宣风散一服便可，间服前药；
痘疮长足肥满苍腊色者轻，寒战闷乱腹胀，烦渴喘急切牙者重。十一日十二日，痘疮当靥，疮痂欲落而欲愈也；若痘疮
欲靥之间，或不能靥，或腹胀烦渴，或泄泻气促者，不可与蜜水瓜果等冷物，食之即死；当与木香散，异功散，加减服
之。凡小儿先发搐、而后发疮者也，如疮已瘥、而后发搐，或吐或泻者死；先发热而后出疮者存，疮已发而后泄不止
者亡。疮瘥而忽泻脓血痂皮者顺腹中有疮生，泻血而水谷不消者逆（脾胃虚也），或泻血而疮坏无脓者亦不可救（胃
烂
也）。要知阳明主肌肉，胃气不可一日不强也。凡出疮疹，先须护眼，或用辰砂、或用胭脂，以涂眼眶，内有红花以活
血尤妙。如痘疮入眼，宜与决明散、紫贝散；疮痂欲落不落，则用酥油或白蜜时时润之，可揭则揭去；若失润揭迟，痂
才硬则成瘢痕，仍用灭瘢药敷之。切不可与鸡鸭卵与食，食则实时目盲，瞳子如卵白色，其应如神；亦不可再食猪肉，
不可不戒也。中间钱氏有百祥丸下之，及有用人牙齿之药、切不可轻服，甚以为戒也，不若用独圣散与牛李膏为愈。或
痘疹已发，为风冷所伤，荣卫不和，或为宿食所伤，内气壅遏，以致冰硬者，调解散主之。如泻不止，用参苓白术散加
木香可也，四君子汤加木香、豆蔻亦妙。虽然疮黑本为恶症，治之有方。犹有幸而生者。至于调卫之际，乳母不能禁口，
流毒于儿；或粥食乳哺不时，使之饥虚；或衣被不周，致伤风冷；以至闺房有触，外邪有犯，则以冰硬变坏而归肾，自
我致寇，又谁咎耶！能调卫者，以温散汤剂，酿乳饮之，谨护风寒，使之气体通和；其于粥饵，则勿令饱而气实，饥而
气虚，斯为得矣。然疮曰圣疮，七日热而发，七日 而干，又七日平复如旧矣。若实实虚虚，损不足而益有余，则疮出
甚难；如调顺血气，温和脾胃，均平冷热，则疮出甚易。调解之法，无逾于此，故备论之。疹症初感，未出而发热者，
扁鹊油剂法治之，则出疹甚稀，或即消解而疮疹不发者有之，自然解散，而安泰必矣。
惺惺散 见第五十问。
抱龙丸 见第五十一问。
升麻汤 见第五十二问。
升苏散 治小儿出疹发热，疑似之间，以此解之。
升麻 葛根 赤芍药 紫苏 茯苓 川芎 甘草（各等分）
上锉散，白水煎服，如呕者，加半夏、茯苓、白芍药、生姜煎。
香苏散 治小儿出疹症，作泻。
香附子 陈皮 紫苏 川芎 甘草 白芷（各等分）
上锉散，生姜葱白煎，或白水煎，泻症加白术、茯苓，呕症加茯苓、白芍药。
木香散 治疹痘冷症。
木香（二钱） 前胡（去芦） 诃子肉 陈皮 丁香 官桂（去皮） 大腹皮 人参 半夏 甘草 赤茯苓（各三
钱）
上锉散，每三钱，水一盏，煎六分，去滓，带热空心服，量大小加减。药性温平，扶阴助阳，治腹胀泻渴。如虚加
糯米一撮，黄 三钱同煎。
至宝丹 见第二十问。
四圣散 治小儿痘子已透，皮肤未透，用药发痘。
紫草 木通 黄 甘草 枳壳（各等分）
上锉散，煎服，得痘 、却住服，且服芍药甘草汤、甘露饮。
加味四圣散 治痘出不快，及变陷冷症可服。
紫草 木通 木香 黄 川芎 甘草
上锉散，每服三钱，水煎不拘时服。大便秘涩、加枳壳少许，大便如常、加糯米百粒，糯解毒能酿而发之。
紫草木香汤 治痘疹出不快，大便泄利。
甘草（炙、少许） 紫草 木香 茯苓 白术（各等分）
上入糯米煎，盖紫草能利大便，木香、白术，所以佐之也。
四君子汤 见第十六问。
快斑汤 治疮疹不快。
紫草 蝉蜕 人参 白芍药（各二钱半） 木通（一钱） 甘草（炙、五分）
上锉散，每服三钱，煎服。
活血散 治痘疹出不快。
白芍药
上为细末，每服一钱，以温酒调服。如欲止痛，用温熟水调下。
龙脑膏 治时疾，发碗豆疮，及赤疮子未透，心烦狂躁，气喘妄语，或见鬼神，或已发而陷伏，皆宜速治，不
尔毒瓦斯入脏必死。
生龙脑（一钱）
上研细，旋滴猪血和丸，如芡实大，每服一丸。心烦狂躁者、用紫草汤下，若疮子陷伏者、用温酒化下，少时心神
便安得睡，痘疮发透，根据常将息而取安也。
猪尾膏 治疮子倒靥，心神不安。
用小猪尾尖，刺血一两，点入生脑子少许同研，用新汲水调下立效。入辰砂一钱，木香汤调下亦妙。
胡荽酒 治痘疮初发时可用，绕房喷之，以辟秽恶之气。
胡荽（一两）
上细切，以酒二大盏，煎数沸。从顶以下含酒喷之，背膂胸腹，及两脚通。勿喷面。
芍药甘草汤 见第四十四问。
甘露饮 见第七十二问。
犀角地黄汤 见第七十二问。
消毒饮 见第九十六问。
加减四物汤 治痘疮入目，或疮收后。
当归 芍药 川芎 苍术 白菊花 干葛 羌活（各等分）
上锉散，每服二钱，水一盏煎服。
大连翘汤 见第三问大连翘饮子。
导赤散 见第八问。
羌活散 见第二十问人参羌活散。
小柴胡汤 见第二十九问。
白虎汤 见第五十八问。
宣风散 治风痰壅盛，或大便紧涩，肚急诸般疳气，肚急、惊风、痰潮皆可服。热症便秘，并宜服之，此乃宣
利之药。
槟榔（一个） 陈皮（去白、半两） 粉草（二钱） 黑牵牛（四两、半生半炒）
上为末，食前蜜汤调下一服。
异功散 治小儿出疹冷症，此药能除风寒湿痹，调和阴阳，滋养血气，使痘疮易出易靥，不致痒塌。
木香 当归 人参 陈皮 浓朴 丁香 肉豆蔻（各二钱五分） 桂 茯苓 白术（各二钱） 半夏 附子（炮、
各一钱）
上锉散，每服二钱，水一盏，姜二片，枣三个，煎六分，去滓稍热服。出疹泻不止，冷者可服。
决明散 治小儿痘疹入眼。
栝蒌根（二钱） 决明子 赤芍药（各一钱五分） 甘草（一钱）
上捣罗为末，每服半钱，水调下日三服。
紫贝散
紫贝（一个、生用、即研 也）
上为末，用羊子肝批开，掺药末一钱，线缠，米泔煮熟，入小瓶内盛，乘热熏，候冷取出，星月下露一宿、来早空
心服。
韶粉散 治小儿痘疹才愈，而毒尚未散，疮痂虽落，其痰犹黯，或凹或凸肉起，当用此涂之。
韶粉（一两） 轻粉（一钱）
上为末，入猪脂油调匀，涂疮瘢上，欲落不落，当灭瘢痕。或用羊骨髓一两，入轻粉一钱，研成白膏涂疮上。如痘
疮全好，如痒甚，俱搔成疮痂不落，用上等白蜜涂之，其疮痂落，亦无赤黑瘢痕，最为神妙。
独圣散 治痘疮陷入不发，色黑而气欲绝，当服此渐苏红润。
穿山甲（汤冼净、炒令焦黄色用）
上为末，每服半钱，入麝少许，南木香汤调下。或紫草煎汤，入酒少许调下。
牛李膏 又名必胜膏。
牛李子（不以多少、一名鼠李子、牛谓子、楮李、乌罡子、随地呼其名）
上取汁，石器中熬成膏。牛李野生道边，过秋结实，黑圆成穗。或无生者，市肆中买干者为末，水熬成膏，每服皂
子大，煎杏仁汤化下。
调解散 治痘疮已发，或为风冷所折，荣卫不和。或为宿食所伤，内气壅遏，以致冰硬，并主之。
青皮 陈皮 桔梗 枳壳 半夏 川芎 木通 干葛 甘草 紫苏（各等分） 人参（减半）
上锉散，每服二钱，姜枣煎服。
参苓白术散 见第八十一问。
扁鹊油剂法 治小儿发热，恐成痘疮，以此止之。
生麻油 童便（各半盏）
上逐旋夹和，以柳枝搅令如蜜，每服二蚬壳许，服毕，令卧少时。但三四服，大小便利，身体热退，即不成疮痘之
症。若形迹已露，则不可服也。
又方 治小儿脏腑伏热，未成疹子疾候，四肢微觉有热，食物似减，头发干直，或时额上微热，宜生油汤剂法。
扁鹊及仓公用，谓之神剂。
生油（一盏）
上令如人体温，将热水一盏，旋旋入油盏内，不住手以箸打搅，候入熟水尽，令匀如蜜即止。夜卧时服，三岁至百
儿，每服二蚬壳许，五岁至七岁每服三蚬壳，十五岁每服三大蚬壳许，直至大人服五蚬壳，或三大合，每日饮后良久
与服，服毕令卧少时，如三、五服大小便利，四肢热退，则疹痘不复发，当自安也。
又方 以手蘸麻油，摩其背脊间，直至尾骨，亦验也。
紫草木通汤 治疮疹出不快。
紫草 人参 木通 茯苓 糯米（各等分） 甘草（减半）
上锉散，每二钱煎服。内虚大便利下，入南木香、去紫草。
蝉蜕膏 御风邪，辟恶气，透肌表，快疮疹。
蝉蜕 当归 防风 甘草 川芎 荆芥穗 升麻（各等分） 加芍药
上为末，炼蜜丸芡实大，每服一丸，煎荆芥汤化下。
安斑散 调理疮疹。
Lu Bosi states: The signs of chuangzhen (smallpox/rubella-like eruptions) include a dry face, red cheeks, and red eyelids; yawning with a dull expression; alternating sensations of cold and heat; coughing and sneezing; coldness in the fingertips of the hands and feet; restlessness and palpitations during sleep at night; excessive sleepiness accompanied by irritability; fever with facial redness, red lips, body pain, headache, and phlegm-saliva. These symptoms resemble those of Shanghan (Cold Damage syndrome), but they actually belong to Tianxing Shiqi (epidemic infectious diseases). At the onset, the condition may arise from Wind-Cold or Cold Damage pathogens, from epidemic Qi transmission, from food stagnation and vomiting, or from blood stasis caused by falls, fright, or anger.
Furthermore, it may present as toxin invading the eyes, locked jaw, convulsions resembling wind-stroke; or pain in the mouth, tongue, throat, abdomen, and umbilicus; or irritability, fever, facial redness, mania, stuffiness, lethargy, and delirious speech; or spontaneous sweating, diarrhea, fever, or absence of fever. The manifestations are diverse and difficult to distinguish quickly.
Ancient medical texts describe verifying the condition by checking if the ears, the area behind the ears (Yifeng region), and the feet are cold. This is because chuangzhen belongs to Yang syndromes, and the Kidney itself does not show direct pathogenic signs. Since the ears, the area behind the ears, and the feet are governed by the Kidney meridian, only these areas governed by the Kidney feel cold. In cases of doubt, this method is sometimes accurate and sometimes not. It is better to observe whether there are red meridians and red threads behind the ears; if present, it confirms true chuangzhen, allowing for verification. The pulse is typically surging (Hong), large, wiry (Xian), and rapid (Shu). During pulse diagnosis, the patient's body may tremble slightly, which is a sign of the disease.
The method of care and treatment dictates that neither diaphoresis (sweating) nor purgation (downward draining) should be used from beginning to end. Instead, one should use agents of moderate warmth and coolness, combining detoxification, harmonization of the Spleen and Stomach, and stabilization of the Exterior. Fever should not be abruptly suppressed; rather, it should be gently resolved. Without heat release, the eruption cannot emerge. For deficiency, tonify; for excess, reduce; for cold, warm; for heat, cool. This is the principle of balance. Metaphorically, it is like steaming in a bamboo basket: the key is to keep it loose and breathable. If one recklessly uses diaphoresis, Ying and Wei Qi will leak out, worsening ulceration. If one recklessly uses purgation, Zheng Qi (Upright Qi) will collapse internally, causing the pathogen to retreat to the Kidney, resulting in shivering and aversion to cold, heat in the ears and neck, closed eyes, abdominal distension, blackening and necrosis of the lesions, with a mortality rate of nearly ten out of ten. (If the tongue coating turns black, it is even harder to treat.) Why? Because chuangzhen manifests according to the Five Zang organs. Before eruption, signs of all five Zang organs may be present; after eruption, it localizes to one organ, reflecting the severity of toxin accumulation. Thus, Liver involvement presents as watery tears (tears flowing like water, small and bluish); Lung involvement presents as purulent nasal discharge (thick turbid snot, white and abundant); Heart involvement presents as macules (red blood spots, small); Spleen involvement presents as papules (yellowish-red color, small spots). Only when it returns to the Kidney does it turn black (bluish-purple, dry, and sunken). Chuangzhen belongs to Yang and originally has no Kidney syndrome (the Kidney is located below the Fu organs and does not accept turbid toxins, hence no typical symptoms). Yang corresponds to Fire, and the Kidney corresponds to Water. When Fire is active and controlled by Water, is this not dangerous?
Zhu Shi stated: Whether chuangzhen has erupted or not, one must never use unblocking or purgative drugs; this is the greatest taboo. From start to finish, chuangzhen must not be purged, nor should laxatives be used indiscriminately, as entering toxins into the interior will kill the patient. From this, we see that although chuangzhen symptoms resemble Shanghan, the treatment methods for rash/pox are fundamentally different from Shanghan. Shanghan transmits from the exterior to the interior, whereas chuangzhen erupts from the interior to the exterior. Since the toxin root lies within, purgation causes internal Qi deficiency, preventing toxin expulsion and causing it to sink inward, leading to Earth failing to control Water and resulting in black sinking lesions. If the toxin erupts on the surface, diaphoresis causes Ying and Wei Qi deficiency, further opening the pores and increasing ulceration, allowing Wind pathogens to invade due to deficiency and causing complications. Diaphoresis and purgation are deeply cautioned against by ancient masters. How should regulation be achieved? The answer is: Invigorate blood and regulate Qi, stabilize the Exterior and harmonize the Middle Jiao, use light and clear detoxifying agents that combine warmth and coolness. Warm agents include Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Muxiang (Aucklandiae Radix); cool agents include Qianhu (Peucedani Radix), Gengegen (Puerariae Lobatae Radix), Shengma (Cimicifugae Rhizoma). Assisted by Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Zhike (Aurantii Fructus), Jiegeng (Platycodonis Radix), Qianghuo (Notopterygii Rhizoma et Radix), Mutong (Akebiae Caulis), Zicao (Arnebiae Radix seu Lithospermi Radix), Gancao (Glycyrrhizae Radix et Rhizoma), etc., regulation can be achieved.
Whenever a child feels feverish with symptoms resembling Shanghan, but no pox/rash is visible and the diagnosis is uncertain, first administer Xingxing San (Wonderful Powder), Baolong Wan (Dragon-Holding Pill), or Shengsu San (Perilla-Ascending Powder). If heat is severe, first give Shengma Tang (Cimicifuga Decoction), or add Chuanxiong, Zisu (Perillae Folium), and Fuling (Poria). For vomiting, use Xiangsu Yin (Perilla Infusion) with Banxia (Pinelliae Rhizoma), Fuling, and Baishaoyao (White Peony Root). For diarrhea, use Xiangsu Yin with Baizhu (Atractylodis Macrocephalae Rhizoma) and Fuling. For vomiting/diarrhea with Stomach deficiency, use Chen’s Muxiang San (Aucklandia Powder). For thirst, use Shengma Tang with Zisu and Fuling. For convulsions and delirium with severe heat, administer Zhibao Dan (Precious Treasure Pill) and Baolong Wan together. These can be taken if the eruption has not fully emerged; if already fully erupted through the skin, they should not be taken. Fangfeng Tianma Wan (Saposhnikovia and Gastrodia Pill) may also be used. If rashes appear on days one or two as red dots like hemp seeds, varying in size, it is mild; if they appear all at once densely, it is severe. Administer Sisheng San (Four Saints Powder) in both cases. For those with diarrhea, use Zicao Muxiang Tang (Arnebia and Aucklandia Decoction) or Sijunzi Tang (Four Gentlemen Decoction) with Muxiang and Dingxiang (Caryophylli Flos). For those with chills but incomplete eruption, add Guigui (Cinnamomi Cortex). For those with fright-heat and complete eruption, treat with Kuaiban San (Rapid Macule Powder), which contains Chantui (Cicadae Periostracum). On days three or four, if eruption is incomplete, use Sisheng San. For cold skin, add Muxiang and Rougui (Cinnamomi Cortex), and additionally use Huoxue San (Invigorate Blood Powder), administered with warm wine and Zicao Tang (Arnebia Decoction) to assist efficacy, promoting faster eruption. For pain relief, take with warm water. For purple/black sinking lesions with internal heat and constipation, use Longdan Gao (Gentian Ointment): mix Zhu Xin Xue (Porcinis Cor), Chensha (Cinnabaris), and Naobi (Borneolum Syntheticum) into fine powder, and take with Muxiang Tang. Alternatively, Zhuwei Gao (Pig Tail Ointment) may be used. Do not use lightly if there is no severe internal heat. Sprinkling Huisu Jiu (Coriander Wine) around the room and on the body is beneficial, but avoid spraying the face to ward off evil Qi. Burning Cangzhu (Atractylodis Rhizoma) and Jiangzhen Xiang (Daemonorops Resina) is also good. On days five or six, if pox are very painful, only administer Shaoyao Gancao Tang (Peony and Licorice Decoction) to relieve pain; multiple doses are acceptable. Subsequently, administer Ganlu Yin (Sweet Dew Infusion). If there are pus sores in the mouth, swollen/painful throat, and inability to nurse/eat, treat accordingly. On days seven or eight, when lesions are transparent and slightly ulcerated, Dihuang Tang (Rehmannia Decoction) may be taken. For constipation, Xiaodu Yin (Detoxification Infusion) is suitable. Mild cases have red, vibrant, glossy roots; severe cases have damaged, sunken, dense, grayish-white lesions with diarrhea and thirst. For cases without fever, Siwu Tang (Four Substance Decoction) with Maidong (Ophiopogonis Radix), Fangfeng (Saposhnikoviae Radix), and Chantui may be used. On days nine or ten, if heat is severe, Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) or Xiaodu Yin may be used, provided bowels/bladder are open. For urinary obstruction, modify Dalianqiao Tang (Large Garden Balsam Pod Decoction) until urination resumes; Daochi San (Guide Out Red Powder) and Qianghuo San are also applicable. For severe heat, use Xiaochaihu Tang (Minor Bupleurum Decoction); for severe thirst, use Baihu Tang (White Tiger Decoction). For severe constipation lasting several days, Xuanfeng San (Disperse Wind Powder) once is sufficient, interspersed with previous medicines. Mild cases have plump, full, waxy-colored pox; severe cases have chills, confusion, abdominal distension, irritability, thirst, panting, and teeth-grinding. On days eleven or twelve, pox should crust over and scabs fall off, indicating recovery. If between crusting stages, unable to crust, or presenting with abdominal distension, irritability/thirst, or diarrhea/shortness of breath, do NOT give honey water, melons, or fruits (cold nature); ingestion leads to death. Instead, administer Muxiang San or Yigong San (Extraordinary Efficacy Powder) with modifications. Generally, children who develop convulsions first then pox survive if pox heal then convulsions recur with vomiting/diarrhea (fatal). Those who have fever then pox survive; those with persistent diarrhea after pox eruption perish. Smooth progression involves sudden discharge of pus/blood/scabs after healing; adverse progression involves abdominal sores, bloody diarrhea with undigested food (Spleen/Stomach deficiency), or bloody diarrhea with necrotic non-pus-filled lesions (Stomach rot). Note that Yangming governs muscles; Stomach Qi must not be weak for a day. Protect the eyes first when treating pox/rash; apply Chensha or Hongzhi (Vermilion) to eye orbits, adding Honghua (Carthami Flos) for blood invigoration. If pox enter the eyes, use Jueming San (Cassia Seed Powder) or Zi Bei San (Purple Shell Powder). For stubborn scabs, moisten with Su You (Butyrum Susinum) or White Honey; remove if possible. Delayed removal leads to scars; apply scar-removal ointments. Strictly forbid chicken/duck eggs (causes blindness, pupil turning white like egg white); forbid pork. Avoid Qian Yi’s Baixiang Wan (Hundred Auspicious Pills) for purgation or human tooth preparations; instead, use Dusheng San (Single Saint Powder) and Niuli Gao (Cow Plum Ointment). If pox are injured by Wind-Cold causing Ying/Wei disharmony, or by retained food causing internal Qi blockage and hardening, use Jie Diao San (Regulating and Harmonizing Powder). For persistent diarrhea, use Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) with Muxiang, or Sijunzi Tang with Muxiang and Doukou (Cardamomi Fructus). Although black pox are malignant, proper treatment allows survival. Care failures—nurses eating forbidden foods transmitting toxins, irregular feeding causing hunger/weakness, inadequate clothing causing Wind-Cold invasion, or emotional/environmental triggers—lead to hardening, deterioration, and Kidney involvement. This is self-inflicted harm. Proper care involves warming dispelling decoctions, nursing mothers drinking them, protecting from Wind-Cold, ensuring balanced Qi. Diet should prevent over-fullness (excess Qi) or starvation (deficient Qi). Chuang is called "Holy Rash": fever and eruption on day 7, drying on day 14, recovery on day 21. If one treats excess as excess and deficiency as deficiency, damaging what is insufficient and benefiting what is redundant, eruption becomes difficult. If Qi/Blood are regulated, Spleen/Stomach warmed, and Cold/Heat balanced, eruption is easy. This is the ultimate method of regulation. For early rash sensation with fever before eruption, Bian Que’s Oil Method reduces incidence or resolves it naturally, ensuring safety.
Xingxing San See Question 50.
Baolong Wan See Question 51.
Shengma Tang See Question 52.
Shengsu San Treats pediatric rash with fever, resolving uncertainty.
Shengma, Gegen, Chi Shaoyao, Zisu, Fuling, Chuanxiong, Gancao (Equal parts)
Crush into coarse powder, decoct in plain water. For vomiting, add Banxia, Fuling, Baishaoyao, Shengjiang.
Xiangsu Yin Treats pediatric rash with diarrhea.
Xiangfu, Chenpi, Zisu, Chuanxiong, Gancao, Baizhi (Equal parts)
Crush, decoct with Shengjiang and Congbai (Scallion white) or plain water. For diarrhea add Baizhu, Fuling; for vomiting add Fuling, Baishaoyao.
Muxiang San Treats cold-type rash/pox.
Muxiang (2 qian), Qianhu (remove radix), Hezi Rou, Chenpi, Dingxiang, Guigui (remove bark), Dafupi, Renshen, Banxia, Gancao, Chi Fuling (3 qian each)
Crush, take 3 qian per dose, decoct 1 cup water to 6 fen, strain, drink warm on empty stomach, adjust for age/size. Properties warm/neutral, supports Yin/Yang, treats abdominal distension/diarrhea/thirst. For deficiency add glutinous rice and Huangqi (3 qian).
Zhibao Dan See Question 20.
Sisheng San Treats pediatric pox that have penetrated skin but not fully erupted, using medicine to promote eruption.
Zicao, Mutong, Huangqi, Gancao, Zhike (Equal parts)
Crush, decoct. Stop when pox emerge, continue with Shaoyao Gancao Tang and Ganlu Yin.
Jiawei Sisheng San Treats slow eruption or sinking/cold types.
Zicao, Mutong, Muxiang, Huangqi, Chuanxiong, Gancao
Crush, take 3 qian per dose, decoct in water anytime. For constipation add Zhike; for normal stool add 100 glutinous rice grains (glutinous rice detoxifies and promotes eruption).
Zicao Muxiang Tang Treats slow eruption with diarrhea.
Gancao (roasted, slight amount), Zicao, Muxiang, Fuling, Baizhu (Equal parts)
Decoct with glutinous rice. Zicao promotes bowel movement; Muxiang and Baizhu support it.
Sijunzi Tang See Question 16.
Kuaiban Tang Treats slow eruption.
Zicao, Chantui, Renshen, Baishaoyao (2.5 qian each), Mutong (1 qian), Gancao (roasted, 0.5 qian)
Crush, take 3 qian per dose, decoct.
Huoxue San Treats slow eruption.
Baishaoyao
Grind to fine powder, take 1 qian per dose with warm wine. For pain, use warm water.
Longnao Gao Treats epidemic fevers, smallpox, and red eruptions not yet transparent, with irritability, mania, panting, delirium, hallucinations, or sunk/hidden eruptions. Must treat quickly, otherwise toxin enters Zang and causes death.
Sheng Longnao (1 qian)
Grind fine, mix with fresh pig blood into pills like Euryale seeds. Take one pill. For irritability/mania, take with Zicao Tang; for sunk eruptions, dissolve in warm wine. Mind calms, sleep ensues, eruption clears, recover normally.
Zhuwei Gao Treats inverted pox and restless mind.
Prick tip of small pig tail, collect 1 liang blood, mix with small amount of Sheng Naobi, grind, take with fresh well water for immediate effect. Add Chensha (1 qian), take with Muxiang Tang for excellent results.
Huisu Jiu Treats early stage pox. Spray around room to repel foul Qi.
Huisu (1 liang)
Chop finely, decoct in 2 large cups of wine for a few boils. Hold in mouth and spray from head down to back, chest, abdomen, legs. Do not spray face.
Shaoyao Gancao Tang See Question 44.
Ganlu Yin See Question 72.
Xijiao Dihuang Tang See Question 72.
Xiaodu Yin See Question 96.
Jiawei Siwu Tang Treats pox entering eyes or after healing.
Danggui, Shaoyao, Chuanxiong, Cangzhu, Baijuhua, Gange, Qianghuo (Equal parts)
Crush, take 2 qian per dose, decoct 1 cup water.
Dalianqiao Tang See Question 3 Dalianqiao Yinzi.
Daochi San See Question 8.
Qianghuo San See Question 20 Ren Shen Qianghuo San.
Xiaochaihu Tang See Question 29.
Baihu Tang See Question 58.
Xuanfeng San Treats severe Wind-Phlegm obstruction, tight/dry bowels, urgent abdomen, various malnutrition Qi, urgent abdomen, fright-wind, phlegm tide. Suitable for heat-pattern constipation. This is a dispersing/draining medicine.
Binglang (1 piece), Chenpi (remove white, 0.5 liang), Fenc Cao (2 qian), Hei Qianniu (4 liang, half raw half fried)
Grind to powder, take one dose mixed with honey water before meals.
Yigong San Treats pediatric cold-type rash. Removes Wind-Cold-Damp Bi, harmonizes Yin/Yang, nourishes Blood/Qi, facilitates easy eruption/crusting, prevents itching/sinking.
Muxiang, Danggui, Renshen, Chenpi, Houpo, Dingxiang, Roudoukou (2.5 qian each), Gui, Fuling, Baizhu (2 qian each), Banxia, Fuzi (fried, 1 qian each)
Crush, take 2 qian per dose, decoct 1 cup water with 2 slices ginger and 3 dates to 6 fen, strain, drink slightly warm. Suitable for continuous diarrhea with cold-type rash.
Jueming San Treats pediatric pox/rash entering eyes.
Gualou Gen (2 qian), Juemingzi, Chi Shaoyao (1.5 qian each), Gancao (1 qian)
Grind/sift to powder, take 0.5 qian per dose mixed with water, 3 times daily.
Zi Bei San
Zi Bei (1 piece, raw, grind immediately)
Grind to powder. Slice sheep liver, sprinkle 1 qian powder, tie with thread, cook in rice wash water. Place in small bottle, fumigate while hot. Take cold, expose under stars/moon overnight, take next morning on empty stomach.
Shao Fen San Treats post-healing pox where toxin remains, scabs fallen but marks dark, concave/convex flesh raised. Apply externally.
Shao Fen (1 liang), Qingfen (1 qian)
Grind, mix with pig lard oil, apply to scars. For stubborn scabs, use sheep marrow (1 liang) + Qingfen (1 qian) ground to white paste. If fully healed but itchy, scratching causes scabs to stick, apply premium white honey; scabs fall, leaving no red/black scars. Most miraculous.
Dusheng San Treats sunk/non-emerging pox, black color, near-death Qi. Take to gradually revive and redden.
Chuanshanjia (wash clean, fry until scorched yellow)
Grind to powder, take 0.5 qian per dose with small amount of She Xiang, mixed with Nan Muxiang Tang. Or decoct Zicao, add small amount of wine.
Niuli Gao Also known as Bisheng Gao.
Niulizi (any amount, also called Shu Lizi, Niu Wei Zi, Chu Li, Wu Gang Zi, named locally)
Extract juice, boil in stone mortar to paste. Wild plant, fruits black round clusters in autumn. If unavailable, buy dried from market, grind, boil in water to paste. Take size of soap nut, dissolve in Apricot Kernel Decoction.
Jie Diao San Treats erupted pox injured by Wind-Cold causing Ying/Wei disharmony, or retained food causing internal Qi blockage and hardening.
Qingpi, Chenpi, Jiegeng, Zhike, Banxia, Chuanxiong, Mutong, Gange, Gancao, Zisu (Equal parts), Renshen (Half amount)
Crush, take 2 qian per dose, decoct with Ginger and Dates.
Shenling Baizhu San See Question 81.
Bian Que Oil Method Treats pediatric fever fearing pox development, stops it.
Sheng Mayou, Tongbian (Half cup each)
Mix gradually, stir with willow branch until honey-like consistency. Take amount filling two clam shells, lie down briefly after. After 3-4 doses, if bowels/bladder open and fever subsides, pox will not form. If signs already visible, do not take.
Another Formula Treats hidden heat in pediatric Zang-Fu, pre-rash stage, slight limb heat, reduced appetite, dry straight hair, occasional forehead heat. Use Raw Oil Decoction Method. Used by Bian Que and Cang Gong, called Divine Agent.
Sheng You (1 cup)
Warm to body temperature. Gradually add 1 cup hot water to oil, stir constantly with chopsticks until smooth like honey. Take at night. Age 3-100: 2 clam shells; 5-7 years: 3 clam shells; 15 years: 3 large clam shells; adults: 5 clam shells or 3 large measures. Take long after meals, lie down briefly. After 3-5 doses, if bowels/bladder open and limb heat subsides, rash/pox will not recur, self-recovery assured.
Another Formula Dip hand in sesame oil, massage back/spine down to coccyx. Effective.
Zicao Mutong Tang Treats slow eruption.
Zicao, Renshen, Mutong, Fuling, Nuomi (Equal parts), Gancao (Half amount)
Crush, take 2 qian per dose. For internal deficiency with loose stools, add Nan Muxiang, remove Zicao.
Chantui Gao Repels Wind Evil, wards off foul Qi, penetrates muscle/surface, accelerates pox/rash.
Chantui, Danggui, Fangfeng, Gancao, Chuanxiong, Jingjie Sui, Shengma (Equal parts), add Shaoyao
Grind, refine honey into pills like Euryale seeds. Take one pill, dissolve in Jingjie Decoction.
Anban San Regulates pox/rash.