（凡五首，共三方）
痂皮应落偏迟落，但恐斯时还作恶。补脾实表有奇功，未可逡巡轻弃药。
收靥之后，痂壳自残，若粘着皮肉不脱，乃表虚也。尤当禁忌，不可因循，恐生他变，宜调元固本汤治之。
收靥之时不落痂，昏昏喜睡莫咨嗟。只因脾胃多虚弱，调治专从戊己佳。
此证乃脾胃虚而好睡也。胃属戊土，脾属己土，宜健脾开胃，调元清神汤醒之。
落痂之后察疮瘢（音盘），平整红鲜日渐安。若是凸凹兼黑黯，好将敷药补形完。
其疮落痂之后，瘢痕平整红活者吉；若
瘢肉凸起，或凹陷紫黑，吉凶未可知也，用灭痕散敷之。
疮痂自落何劳急， 掐须防邪气袭。他年终作血风疡，此际浸淫空涕泣。痂落根据期不必忧，缘何头足更迟
留？阴阳孤独如鳏寡，安得同时取次收！
凡阳生者，以阴成之；阴生者，以阳成之。经曰∶孤阳不生，孤阴不成。其疮收靥，自人中平分上下。发
际以上，阳之阳也，谓之孤阳；足膝以下，阴之阴也，谓之孤阴。所以疮之收靥，至此二处，每每迟留，不能
便干，不可服药，听其自然则吉。
调元固本汤 治痘痂粘肉不脱。
官拣参 炙黄 当归身 净蝉蜕 炙甘草
生姜、大枣引，水煎服。
调元清神汤 治痘痂粘肉不脱，而昏沉好睡。
官拣参 炙黄 大当归 杭麦冬 广陈皮 炒枣仁 炒川连 炙甘草
大枣为引，水煎服。
灭痕散 治痂落，瘢肉凸凹紫黑。
密陀僧研为细末，以乳汁调搽疮疤，如无乳汁，蜜调亦可。若此药搽上，凸凹者自平，紫黑者自退，应效
者吉，不应效者凶。
(Comprising five verses, involving three formulas)
The scabs should fall off but are delayed; one must fear that the condition may worsen at this time. Tonifying the Spleen and securing the exterior has miraculous efficacy; do not hesitate or lightly abandon medication.
After the pox resolves (shou ye), the scab crusts naturally become residual. If they adhere to the skin and flesh without detaching, it indicates Deficiency of the Exterior. One must strictly avoid delay and cannot remain passive, fearing other complications may arise. It is appropriate to treat with Tiaoyuan Guben Tang (Regulating Origin and Solidifying Root Decoction).
When the pox resolves, if the scabs do not fall off, and the child is lethargic and prone to sleep, do not sigh. This is solely due to weakness in the Spleen and Stomach. Regulation and treatment should focus specifically on strengthening the Earth elements (Spleen and Stomach) for optimal results.
This syndrome is caused by Spleen and Stomach deficiency leading to excessive sleepiness. The Stomach belongs to Wu Earth, and the Spleen belongs to Ji Earth. It is suitable to strengthen the Spleen and open the stomach appetite; use Tiaoyuan Qingshen Tang (Regulating Origin and Clearing Spirit Decoction) to awaken the spirit.
After the scabs fall off, observe the scar tissue (pan). If it is smooth, red, and fresh, the patient will gradually recover. If it is uneven and dark/blackish, apply topical medications to restore the form.
After the ulcer's scab falls off, if the scar is smooth and vibrant red, it is auspicious; if the scar tissue protrudes or is depressed and purple-black, the prognosis is uncertain. Apply Miehen San (Scar-Removing Powder) externally.
Why rush if the scabs fall off naturally? Pinching or picking risks invasion by pathogenic factors. In later years, this may develop into Xuefeng Yang (Blood Wind Ulcer); currently, if it oozes and weeps, tears can be shed in vain. There is no need to worry about the timing of scab shedding. Why do the head and feet linger longer? Yin and Yang exist in solitude like widowers and widows; how can they all dry up simultaneously!
Whatever is generated by Yang requires Yin to complete it; whatever is generated by Yin requires Yang to complete it. The Classics state: "Solitary Yang does not generate; solitary Yin does not form." The resolution of sores divides the face above and below the Renzhong point (GV26). Above the hairline is Yang within Yang, called Solitary Yang; below the knees and feet is Yin within Yin, called Solitary Yin. Therefore, when sores resolve, these two areas often linger and fail to dry quickly. Medication should not be administered here; allowing nature to take its course is auspicious.
Tiaoyuan Guben Tang (Regulating Origin and Solidifying Root Decoction): Treats pox scabs adhering to flesh without detaching.
Ginseng Radix et Rhizoma (Guanshen), prepared Astragali Radix (Zhi Huangqi), Angelicae Sinensis Radix (Danggui Shen), peripatetum Cicadae (Jing Chantui), prepared Glycyrrhizae Radix et Rhizoma (Zhi Gancao). Use Zingiberis Rhizoma Recens (Shengjiang) and Jujubae Fructus (Dazao) as guides, decoct in water and take orally.
Tiaoyuan Qingshen Tang (Regulating Origin and Clearing Spirit Decoction): Treats pox scabs adhering to flesh without detaching, accompanied by lethargy and sleepiness.
Ginseng Radix et Rhizoma (Guanshen), prepared Astragali Radix (Zhi Huangqi), large Angelicae Sinensis Radix (Da Danggui), Ophiopogonis Radix (Hang Maidong), Citri Reticulatae Pericarpium (Guang Chenpi), fried Ziziphi Spinosae Semen (Zao Ren), fried Coptidis Rhizoma (Chuan Lian), prepared Glycyrrhizae Radix et Rhizoma (Zhi Gancao). Use Jujubae Fructus (Dazao) as a guide, decoct in water and take orally.
Miehen San (Scar-Removing Powder): Treats scarring with uneven texture and purple-black discoloration after scab shedding.
Litharge (Miduoseng) ground into fine powder. Mix with human breast milk to apply to scars; if breast milk is unavailable, honey may be used. If applied, convexities will flatten, and purple-black discoloration will fade. Response indicates an auspicious outcome; lack of response indicates an ominous outcome.