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Whenever scalds or burns occur, immediately grind salt into powder, mix it evenly with rice vinegar, and apply it to the affected area. Apply frequently without interruption. Although there may be temporary pain, it protects the internal tissues from damage, after which medicinal applications can be used. Do not use cold objects to press, cold water to wash, or cooling herbs to apply. I often see cases where people use cold water to shock the wound, preventing heat from escaping, which inevitably leads to internal attack by heat toxin that cannot be saved. Be extremely cautious!

For scalds or burns where the patient is unconscious and unresponsive, urgently administer honey mixed with decoction orally. If the condition is severe, urgently pour dozens of pots of well-cooked wine into a bathtub and immerse the child in the wine; even in the most severe cases, death can be avoided.

If a daughter is burned on her hand up to the palm, immediately soak it in more than one sheng (approx. 1 liter) of sour vinegar. After removing from the vinegar, although there is still pain, the pain stops after a short while, without forming sores, pus, or scars. This is a miraculous prescription.

For treating scalds or burns with long-term efficacy, especially when the skin has peeled off revealing fresh meat, or when it is foul and rotting beyond treatment by other medicines, take a basket of pig hair, burn it red-hot in charcoal fire from a broken pot, place the pig hair inside to smolder until it digests into a black liquid. Remove and let cool, add a few qian (approx. 3-5 grams) of Dahuang (Rhei Radix et Rhizoma), grind together into fine powder, then add one fen (approx. 0.3 grams) of Bingpian (Borneolum Syntheticum), grind evenly. Sesame oil, tea oil, and candle wax oil can all be used for application.

This is an extremely magical and effective prescription.

For injuries caused by gunpowder explosions, first wash thoroughly with good wine, then render egg yolks into oil for future use. Grind Dahuang (Rhei Radix et Rhizoma) into powder and mix with egg yolk oil for application; this will lead to recovery.

Varicella (smallpox) originates from fetal toxicity, commonly known as "Heavenly Sore." Transmission is due to external pathogenic factors, with severity surpassing internal injury. Initially affecting the Taiyang channel (Taiyang Channel Disease), Ren Water overcomes Bing Fire; subsequently returning to the Yangming channel, blood and water transform into pus and plasma. What is pleasing is red, vibrant, and moist appearance; what is feared is black depression and scorched yellow color. The situation is urgent like fire on eyebrows, changing rapidly like flipping a palm. Skin rots and smells foul, Qi and Blood are deficient. It is like saving a fire: is it better to move the firewood beforehand or wait until eyebrows are burnt? It is like rescuing someone drowning: is it better to loosen clothes beforehand or wait until they fall into the well? Tracing back to the origin of creation, harmony arises from the interaction of Yin and Yang. When desire moves recklessly, fetal toxicity flares up causing disaster. Cries suddenly erupt, hiding deep toxicity. Mingmen (Gate of Life) nourishes fire, Bao Hu (Uterus/Bladder) collects and melts. Waiting for seasonal epidemics, stirring the five Zang organs' coverings. Ying Qi (Nutritive Qi) reverses at the Cou Li (interstices), evil blood erupts in the Bladder. Two fires fan each other, the Four Elements form sores. Light toxicity manifests mildly, requiring careful nursing; heavy toxicity manifests densely, requiring urgent vigilance. Regarding the shifting of luck and cycles, it lies in overcoming and restoring, rising and falling. Seasonal anomalies are nothing but changes in cold, heat, warmth, and coolness. If Yin and Yang violate reason, becoming abnormal climate. Five Elements stagnate and disasters appear, Nine Luminaries block and changes manifest. Pestilential Qi spreads widely, regardless of city or village; evil toxins transmit contagiously,不分 commoners or kings. This does not show in pulse diagnosis, but relies on controlling hyperactivity. Dispersing pathogens beforehand yields eight or nine successes; handling matters temporarily seems ordinary.

Generally, Qi movement precedes the year, varicella belongs to Yang. Spring and summer are favorable, enjoying growth; autumn and winter are adverse, disliking storage. Violent cold fears pathogen entrapment; violent heat worries about open pores. Spring eruptions untreated, summer black depressions seen as calamity. Autumn spots are truly bad, winter rashes are not auspicious. This violates the commands of the four seasons; do not boast of prescriptions passed down for three generations.

Moreover, symptoms vary greatly, organ states differ. Liver governs tears and water blisters; Lung governs nasal discharge and pus/plasma. Heart spots are bright red; Spleen rashes are red-yellow. Only the Kidney channel has no specific signs, only turning black causes obstruction. Thus, observing external signs allows distinguishing internal Zang organs. Yawning and sudden stuffiness stem from Liver Wood; coughing and sneezing relate to Lung Metal. Cold hands and feet with drowsiness indicate Spleen Earth trapped in the center; red face and eyes with palpitations indicate Heart Fire blazing above the diaphragm. Ears belong to the Kidney, warm as usual. Heat in two places indicates extreme lower fire leading to death; cold limbs indicate central Earth failure leading to collapse.

First divide by location, then observe omens. Yangming distributes in the middle of the face, Taiyang travels on the head. Heart and Lung occupy the chest and diaphragm essentials, Liver and Gallbladder govern the sides of ribs and armpits. Hands and feet are managed by Spleen and Stomach, waist and back are unified by the Bladder. Diarrhea indicates pathogen excess below, vomiting indicates pathogen excess above. Qi rebellion with dull abdominal pain, deep toxin with severe lower back pain. Excessive Heart heat causes convulsions, Stomach pathogen excess causes mania. Dry nose and throat, Lung suffers fire toxin depleting fluids; hard stool and difficult urination, Kidney suffers fire prosperity consuming essence. Weak Qi reducing appetite cannot bear the toxin; strong Spirit eating normally maintains regularity.

To decide severity, observe fever; to predict smoothness or adversity, recognize the sores. Heavy toxin makes body like burning fire, light heat makes body cool. If alternating chills and fever, it is a favorable omen. Multiple eruptions resemble spring returning to Yang Valley; simultaneous eruption resembles fierce fire at Kun Gang. Mosquito bites and flea marks enter the register of ghosts within a set time; snake skins and silkworm shells prolong life towards the underworld. Dislike pearl-red, dislike ash-white; prefer grayish-wax, avoid purple-yellow. Always want clear and moist, fearing thin/tender sores break easily; do not want dry/withered, preventing unbearable itching. Such malignant signs require expert physicians to judge auspiciousness. Sparse cheeks are safe and clear; dense chest/diaphragm borders are hard to gauge. Tops should be pointed and round, not flat/depressed; plasma should be full, avoiding emptiness. Colors prefer mature over tender, skin prefers rough over smooth. Flames rising from roots eventually fear itching/collapse; floating redness on skin/muscle leads to premature death. Pre-swelling of head/face indicates excessive Three Yang channels; cold limbs indicate destruction of Five Zang organs. Sores piled on throat/tongue, toxin entangling neck/throat. Throat pain making breathing difficult, reduced food intake causing choking on swallowing. This is arranged by Heaven's mandate, not relying on human effort.

Restlessness and confusion indicate dispersion of Seven Spirits; delirium and dizziness indicate rampant Five Toxins. Swollen neck and trembling indicate Lung failure; clenched teeth and locked jaw indicate Kidney injury. Unquenchable thirst indicates scorched diaphragm; unceasing diarrhea indicates slippery intestines. Loss of voice indicates rotten throat, roaring breath indicates abdominal distension. Day and night scratching indicates external escape of Ying and Wei Qi; cessation of milk/food indicates damage to Stomach Qi. Sudden swelling reduction means toxin returns inward; color turning black means Ding (carbuncle) rises from sore. Choking on food indicates shortened life in infants; spraying water indicates comparison of medical skill.

Severity fluctuates, regulation is erratic. Light becoming heavy is fearful, heavy becoming light need not panic. Carefully avoid wind-cold, maintain normal diet. Restrict male/female contact, cover appropriately for warmth/coolness. Internal calmness, treatment follows correct methods. This is a sign of becoming lighter, truly a good way to preserve life. If violating taboos, or mistakenly administering pills/decoctions. Indulging in sexual activity, not following Yin/Yang. External invasion of incorrect Qi, internal injury from improper food. Healthy people get sick, how much more so patients? Therefore, smooth becomes adverse, adverse becomes dangerous; light becomes heavy, heavy leads to death.

Originating from Lung channel, connected to Spleen organ. Qi hot, flavor pungent, Dry Metal overcome; shape cold, drink cold, Hua Gai (Lung) injured first. Drinking excessively causes Water insulting Earth, resulting in diarrhea/dysentery; overeating causes Spleen failing to transform, resulting in bloating/fullness. Skin/hair damaged, muscles deficient. Late eruption not robust, late resolution forming pus sores. Light drags on days, heavy weeps sending off to Xiaomang Mountain. Foolish men do not understand, causing premature death. Not believing in doctors but praying to gods/spirits, killing animals in vain crying to heaven.

Medicine values hitting the disease, doctors do not stick rigidly to formulas. Those liking warm tonification often cite Wenshan; those using only cooling purgatives follow Zhongyang. Value treating according to person and timing. Righteous Qi first, beware opening door to invite thieves; detoxifying urgently, do not view tigers as wild wolves. Beginning and end should not use sweating/purging, rigidity of method; urgency and slowness have their own appropriateness, routine of treatment. Those bound by rules are like waiting for rabbits by a stump; those confused by formula books are like losing sheep on many paths.

Moreover, if red/purple/swollen, cooling blood is best; if gray/white/flat/depressed, tonifying Qi is finest. Slow eruption blames exterior excess, dispersing is usable; constipation blames interior excess, draining is permissible. Toxin cannot be quickly resolved, heavy toxin causes slight sweat to scatter; heat cannot be entirely removed, severe heat causes clear/long urination. Three Yin mostly cold, must use acrid-hot; Three Yang mostly hot, nothing exceeds bitter-cool. How can one dislike cold and like heat? Not knowing to value Yin and despise Yang.

Therefore, tonifying Qi uses Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma); nourishing Blood uses Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), and Dihuang (Rehmanniae Radix). Dispersing exterior pathogens, lightly use Gegen (Puerariae Lobatae Radix) heavily use Guigui (Cinnamomi Ramulus); clearing interior excess, slightly use Zhike (Aurantii Fructus) heavily use Dahuang (Rhei Radix et Rhizoma). Detoxifying uses Huangqin (Scutellariae Radix), Lianzi (Coptidis Rhizoma), Zhizi (Gardeniae Fructus); clearing spots uses Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Niubangzi (Arctii Fructus). Lianqiao (Forsythiae Fructus) is key among herbs, Gancao (Glycyrrhizae Radix et Rhizoma) is sovereign/minister in formulas. Sore throat seeks Gancao and Jiegeng (Platycodonis Radix); head swelling takes Qianghuo (Notopterygii Rhizoma et Radix) and Fangfeng (Saposhnikoviae Radix). Mutong (Akebiae Caulis) benefits small water, Human feces attacks black sores. Qi rebellion uses Qingpi (Aurantii Fructus Immaturus) and Chenpi (Aurantii Pericarpium); Stomach cold uses Dingxiang (Caryophylli Flos) and Muxiang (Aucklandiae Radix). Diarrhea nothing beats Lingzhu (Poria and Atractylodis Macrocephalae Rhizoma); vomiting nothing beats Shengjiang (Zingiberis Rhizoma Recens). Maidong (Ophiopogonis Tuber) and Gegen (Puerariae Lobatae Radix) stop thirst, Houpo (Magnoliae Officinalis Cortex) and Fupi (Citri Reticulatae Pericarpium) reduce bloating. Wangyuesha (Leporis Faeces) removes nebula accurately, Shanjiajia (Manis Squama) breaks toxin uniquely. Zhishi (Aurantii Fructus Immaturus), Maiya (Hordei Fructus Germinatus), Shanzhazhi (Crataegi Fructus) digest retained food and aid transformation; Dahuang (Rhei Radix et Rhizoma), Gegen (Puerariae Lobatae Radix), Digupi (Lycii Cortex) clear residual heat and cool. Cough uses Zhike (Aurantii Fructus), Jiegeng (Platycodonis Radix) plus Xingren (Prunus Semen); Dysentery uses Huanglian (Coptidis Rhizoma) plus Muxiang (Aucklandiae Radix). Kushen (Sophorae Flavescentis Radix) governs heat toxin, Niao Bai (Human Urine) treats malnutrition sores. Using them appropriately, the physician can be called excellent.

Various drugs have their own claims. Spring/summer Gui Zhi Tang (Cinnamon Twig Decoction) taken less, autumn/winter Huangqin (Scutellariae Radix) and Lianzi (Coptidis Rhizoma) not tasted. Sores dry/withered, Baizhu (Atractylodis Macrocephalae Rhizoma) is not its valued quality; color bright red, Huangqi (Astragali Radix) how can enter formula? Interior deficiency little food, do not administer Zhishi (Aurantii Fructus Immaturus); Exterior deficiency many toxins, do not use Shengjiang (Zingiberis Rhizoma Recens). Spontaneous sweating, using Gegen (Puerariae Lobatae Radix) severely damages exterior; frequent urination, adding Mutong (Akebiae Caulis) further damages Yang. Acid-stinky diarrhea, Hezi (Terminalia Chebulae Fructus) and Kouren (Myristicae Semen) should not be used lightly; clear-cold vomiting, Lianzi (Coptidis Rhizoma) and Zhizi (Gardeniae Fructus) how can make decoction? Whenever using Huangqin (Scutellariae Radix) and Lianzi (Coptidis Rhizoma) must rely on stir-frying; if adding Dingxiang (Caryophylli Flos) and Guizhi (Cinnamomi Ramulus) must borrow cooling properties. Should subdue without punishing the innocent, preserve peace and live ten thousand years.

Major trend calm, remaining pathogens must be discussed. Heat toxin flowing to Liver, double eyes develop nebula; Fire pathogen entering Spleen, four limbs become ulcers. Mouth generates sores, rotten gums broken tongue; abdomen generates dysentery, rotting stomach ruining intestines. Tender skin bathing too early, thereby adding heat; viscera deficient sweet/greasy too much, thereby causing internal injury. If struck by wind-cold, congealed phlegm causes cough; gray/white top depressed, irrigation/erosion returns to sores.

Alas! Only this syndrome, its suffering is extraordinary. Externally entangles skin/flesh, internally connects viscera/organs. Changing appearance, like snake shedding skin dragon changing bone; dripping pus/blood, like earthworm in ash/in soup. Xuanyuan/Qibo placed it aside not speaking, Qin/Han discarded it without method. Ancient times had no such syndrome, some say it started in Jianwu era; today has this disease, transmitted getting it from Nanyang. Those sticking to day counts do not know responsibility of light/heavy; those holding biased views vainly increase deficiency/excess prevention. Originally warm again hot, already cold again cool. Merely self-adhering and insisting,反而 causing evil and seeing disaster. Penetrating marrow true meaning, not giving to unworthy person; proclaiming lung/heart secret mysteries, firmly memorize recite and do not forget.