〔万〕凡痘疮轻者其本疏，其毒微，其证顺，自然易靥，无余毒也。重者其本密，其毒盛，其证险，自难
出难靥，有余毒也。逆者或伏，或倒陷，或倒靥，幸脾胃素强，调治又早，不至大困，亦作余毒。钱氏云∶
其病有三，一者疥，二者痈，三者
目赤。以证求之，尚不止此，亦有出已尽，发已透，靥已齐者，复作余毒，此由温补之过，饮食之失而得之。故
治痘后余毒，或补，或发散，或解利，要在分表里，论虚实，不可一概妄投汤剂也。
〔海〕 疮余毒，或肝虚入眼目。或肺虚为癣疥。或为痈疖，发在骨节，肾之虚也。发在肌肉、脾之虚也。
或在筋，或在头，或在面，或牙齿疳蚀，或咽喉肿痛，各随经而见，皆毒不散，蕴积而成。或病患始不早治，或
医者失治，遗于经络，其所由来，盖有自矣。宜服解毒等剂。
〔世〕痘毒攻脾则泄泻身浮，攻肝则眼生翳膜，攻心则烦躁啼哭，攻肾则耳疼脓聚，攻肺则咳嗽痰涎。
〔洁〕若已发后，有余毒未散，复有身热疮肿之类，当茶粉下解毒丸。
〔丹〕治小儿痘疮，余毒未散，食谷太早，补住毒瓦斯。
鼠粘子（六钱） 甘草（五分） 犀角 白术（各三钱） 荆芥 防风 枳壳（各一钱）
水煎，温服。
活血解毒汤 治余毒。
防风 荆芥 生地黄 赤芍药 当归 连翘 牛蒡子 黄连 紫草 甘草 苍术 薄荷 川芎 木通
各等分，水煎服。
【痈疖】此由毒瓦斯留藏经络，故于肌肉虚处，或关节动摇处，红肿而成痈。又或既平之后，失于解利，
余毒大盛，外不得泄于皮肤，内不得入于脏腑，聚而不去，遂为之痈。如毒瓦斯浅者，止生结核、肿毒、疮疖
而已，甚者至头项胸胁手足肢节，尽 肿作痛，但发一二处，或根浅者可治。若流注起伏，根深蔓引者，小
则溃筋脱骨，必为残废之疾，甚则绵延日久而死。〔丹〕痘痈多是实毒血热成痈，分上下用药，一日不可
缓，成脓必用清热凉血为主，赤芍药、甘草节、连翘、桔梗之类，上引用升麻、葛根，下引用槟榔、牛膝，
更助以贝母、忍冬草、白芷、栝蒌，大便燥用大黄，寒热用芩、柏，此法累效。〔薛〕前证初起未成脓者，
用活命饮、隔蒜灸、治而消之。欲成脓者，用活命饮解而溃之。气血虚者，八珍汤（虚羸）实而溃之。虚
而不能敛者，托里散补而敛之。大凡发热肿痛，大便不结，用仙方活命饮及隔蒜灸法。大
便秘结，用仙方活命饮加大黄。大便已通，肿痛未退，再用活命饮一服，用托里散
补其元气。若发热倦怠，大便调和，用补中益气汤（虚热）未应，亦用隔蒜灸。若溃而发热口干，肢体倦怠，用东
垣圣愈汤。脓水淋漓，不时发热，用四君、参、 。若因乳母肝经血虚发热，用加味小柴胡汤（发热）。肝脾郁
怒发热，用加味归脾汤（惊悸）。膏粱浓味积热，用加味清胃散（齿）。如专与凉血，用败毒等药，复伤元气，
必致成者不能溃，溃者不能敛矣。〔万〕凡治痘痈，先看在何经络，分气血多少，用引经药，如太阳经羌活、
防风，阳明经升麻、白芷，少阳经柴胡，少阴经独活，太阴经防风，厥阴柴胡。若初红肿硬痛者，以针刺之，
口吮去恶血，以拔毒膏敷贴。气实能食，大便坚者，用排毒散疏利之。气虚食少者，用十宣散或流气饮。毒浅
而小者，只内服小柴胡加生地黄汤，外用拔毒膏贴之。此治肿疡之法也。若已成脓而未溃者，以铍针决去其脓，勿
使内溃。已溃者用十全大补汤（汗）主之。此治溃疡之法也。
仙方活命饮 治痘疔痘毒，及一切疮毒，未成即消，已成即溃，此消毒、败脓、止痛、之圣药。
金银花 陈皮（各三钱） 皂角刺（炒） 穿山甲（用蛤粉炒） 乳香 没药 白芷 防风 当归
（各一钱） 贝母 天花粉 甘草节（各七分）
上，每服五钱，酒煎。婴儿母同服。为末，酒调服亦可。若势甚而邪在表者加麻黄散之，而毒在内者加大
黄下之，当临证制宜，此解回生起死之剂，但元气脱者不治。
人参败毒散 治余毒痈肿。
人参 赤茯苓 羌活 独活 前胡 薄荷 柴胡 枳壳 川芎 桔梗（各等分） 甘
草（减半） 牛蒡子 防风 荆芥 连翘 金银花（即荆防败毒散）
头上，加白芷升麻。上身，倍加桔梗。手，加薄桂。腰，加杜仲。腿足，加牛膝、木瓜。
桦皮散 治痘疮及乳痈，并一切肿毒。
桦皮木锉煎温服。此药，味苦平无毒。若治乳痈，取桦皮烧存性，为末，酒调服之，立消。
十三味败毒散 治痈毒。
当归 白芷 穿山甲（土炒） 金银花 防风 乳香（制） 甘草 陈皮 赤芍药 皂角刺 贝
母没药（制） 天花粉 芍药
各等分，酒水各半，煎服。
排毒散（见收靥）
《保命集》木香散 治小儿 后生痈，如神。
地骨皮（一两） 木瓜（半两） 穿山甲（炙黄，三钱半） 麝香（一字）
上，为末。米饮下二钱。
流气饮
川芎 当归稍 白芍药 防风 人参 紫苏叶 木香 甘草节 黄 桂心
桔梗 鸡心槟榔 白芷 浓朴 乌药 枳壳（各四分）
上，锉细。水一盏，煎七分服。气血虚而自利者加熟附子，大便实加大黄。
小柴胡加生地黄汤
柴胡 人参 黄芩（各三两） 甘草（炙） 生地黄 半夏（各二两，汤泡七次）
上为粗末。每服三钱，水一盏，生姜三片，枣一枚，煎至半盏，去滓温服。
六味活血散 治痈疽疮痛初起，红肿不散。
当归 川芎 赤芍药 生地黄 红花 苏木（各等分）
上，水煎，量服之。
五福化毒丹 治痘毒、实热肿痛。
生地黄 熟地黄 天门冬（去心） 麦门冬（去心） 玄参（各二两） 甘草 甜硝（各三两） 青
黛（一两五钱）
上为末。蜜丸芡实大。每服一丸，白汤化下。
犀角消毒丸 治痘疹余毒，一切疮毒。
生地黄 荆芥 当归 犀角（屑） 防风 牛蒡子（杵、炒） 赤芍药 连翘 桔梗（各七钱）
薄荷 黄芩 甘草
上为末。蜜丸芡实大。每服一丸，白汤化下。
按∶化毒丹，降火凉血，解毒寒中之剂。消毒丸，清热解毒破血之剂。盖小儿脏腑脆嫩，元气易伤，
况痘后气血皆虚，岂能胜当此剂，若胃气一伤，则未成者不能消散，已成者不能腐溃，已溃者不能生肌，
殊不知痘疮乃脏腑所发，
遍身之血，皆化为脓，况此方愈而患此，乃脾胃虚怯，肌肉消弱，荣卫短涩所致，治者审之。
十宣散（见形）
托里散 治痘毒元气虚弱，不能溃散，未成用之自消，已成用之自溃。
人参 黄 （炒。各二钱） 当归（酒洗） 白术 陈皮 熟地黄 茯苓 芍药（炒。各一钱五
分） 甘草（炙，五分）
上三五钱，水煎服。
托里消毒散 治痘毒瓦斯血虚弱，不起发、腐溃、收敛，或发寒热，肌肉不生。
人参 黄 当归（酒洗） 川芎 芍药（炒） 白术 陈皮 茯苓（各一钱） 金银花 连
翘白芷（各七分） 甘草（五分）
上，每服三五钱，水煎。
〔东垣〕圣愈汤 治脓溃心烦无寐，体倦少食。
熟地黄（自制者佳） 生地黄（各二分） 人参 川芎（各三分） 当归 黄 （各五分）
上，水煎服。
《济生》归脾汤 治脾血虚损，健忘惊悸，或心气虚不能摄血归源，以致妄行，或吐血下血，或
因乳母心脾二经有热，疮不结痂，或疮痕赤色。加柴胡、山栀，即加味归脾汤。
人参 白茯苓 黄 白术 龙眼肉 当归 远志 酸枣仁（炒各二钱） 木香（一钱）
甘草（五分） 当归身（一钱）
上，姜枣水煎。母、子、同服。
〔丹溪〕痘痈敷药用贝母、南星、僵蚕、天花粉、寒水石、白芷、草乌、大黄、猪牙皂角，醋调敷患处，效。
拔毒膏（一名必胜膏）
马齿苋（杵汁） 猪膏脂 石蜜
上，以三味共熬为膏，涂肿处。
神效隔蒜灸法 治痘痈大痛或麻木，痛者灸至不痛，不痛者灸至痛，其毒随火散。
用大蒜头切三分浓，安上，用小艾炷于蒜上灸之，每五壮，易蒜再灸，痛不止，
尤宜多灸。小儿，须将蒜切片，着肉一面略剜小空，灼艾燃蒜，先置大人臂上，试其冷热得宜，然后着疮上，
又别灼，如前法试之，以待相易，勿令歇。
替针丸 治痘痈脓已成，不溃。
陈坏米（一钱） 砂（五钱） 雄雀粪（四十九粒，真雄雀粪、直者是也）
上为末。米粥丸，如麦粒大。每用一粒，粘疮头上，以膏药贴之，半晌，其脓自出。若疮头透而脓不出，
或出而愈痛，或发热，血气虚也，用托里散。或作呕吐痰，食少体倦，脾气虚也，用六君子汤。
神效太乙膏 治一切疮疽溃烂。
玄参 白芷 当归 肉桂 赤芍药 大黄 生地黄（各一两）
上 咀。用麻油四十两，入铜锅内煎至药黑，滤去滓，徐入净黄丹一斤，再煎，滴水成珠，捏软硬得中，
即成膏矣。
神效当归膏 治痘毒浸淫，或汤火等证，及疮腐不能生肌收敛者。
当归 黄蜡 生地黄（各一两） 麻油（六两）
先将当归、地黄入油煎，去滓，入蜡熔化，候温，搅匀，即成膏矣。
豆豉饼 治疮疡肿痛，或硬而不溃，及溃而不敛，并一切顽疮毒疖。用江西豆豉为末，唾津和成饼，大
如铜钱，浓如三四钱，置患处，以艾铺饼上灸之。未成即消，已成者祛逐余毒，间有不效者，乃气血虚败
之证，参疔疮论灸法用之。
如圣饼 治一切疮疡硬肿，不能消散，或毒不能解散。
乳香 没药 木香 血竭 当归（等分） 麝香（少许）
上，各另为末。酒糊和为饼。炙热，频熨患处。恶疮，加蟾酥等分。
神功散 治疮疡初起肿痛者，用之可消。加血竭更效。
黄柏（炒为末，二钱） 草乌（生为末，二钱）
上，用漱口水调敷，常以漱水润之。
三豆散 痘后，痈毒初起红肿。
黑豆 赤豆 绿豆
用醋浸，研浆，时时以鹅翎刷上，随手可消。
铁箍散 治痘后痈毒。
凤凰退烧灰，醋调围四畔，留头出毒瓦斯，甚佳。
【疮疥】痘后遍身疮癣如疥如癞，脓血浸淫，皮肤溃烂，日夕不愈，此毒瓦斯弥漫，散于皮肤，宜升麻葛根
汤（初热）、防风解毒汤（大法）、苦参丸（痘癞）主之，若因 掏成疮者，只以百花膏（收靥）涂之。
连翘散 治小儿疮疹疖痘疹余毒作楚，或生于头面，耳疼颊赤生疮。
连翘 黄芩 瞿麦 木通 滑石 柴胡 荆芥 牛蒡子 防风 羌活 赤芍药 甘草（各等分）
每服三钱，水一盏，煎半盏。又，入生薄荷尤好。
金花散（见溃烂）
【疳蚀】痘后疳蚀疮者，毒壅肌肉，内透筋骨，外连皮肤，时痛出血，日久不痊，亦恶候也。内服十全大补
汤（汗）外以绵茧散贴之（收靥）。更与收靥门疳蚀条参看。
三黄散 治疳热生疮，脓水浸淫，脓流处，便湿烂。
松香 五倍子 黄连 黄丹 海螵蛸（各一钱） 轻粉 雄黄（各半钱）
上为末。用莹肌散煎洗，渗之。干者，香油敷。
【瘾疹】瘾者，皮肤间隐隐成疙瘩，瘙痒爬搔更多，内服解毒防风汤（大法），外以
筚衣汤洗之。疹者，皮间点点，状如蚊蚤所咬之迹，或如小芥子，即麻子也，升麻葛根汤（初热）加防风、荆芥
穗主之，热甚渴者，与人参白虎汤相合服之。
筚衣汤
炊饭筚衣煮水，洗瘾起疙瘩者神效。如无，以炊筚煮汤亦好。
蚬子水 治痘后发瘾。
蚬子不拘多少，活者，以水养五七日，旋取其水，洗之。
【丹瘤】赤火丹瘤，此恶候也，流移红肿，其痛手不可近，从头上起者，过心即死，从足下起者，过肾即死，
宜内服小柴胡加生地黄汤、玄参化毒汤，外用蜞针法吮去恶血，自消。若但红不肿不痛者 也，人参白虎汤加
玄参、大青、生地黄主之。
玄参化毒汤
玄参 当归尾 赤芍药 石膏 连翘 生地黄 地骨皮 红花（酒洗） 防风 荆芥穗 淡竹叶 木通
上，水煎服。
犀角消毒散 治 疹、丹毒，发热痛痒，及疮疹等证。
牛蒡子 甘草 荆芥 防风（各五分） 犀角（镑，二分） 金银花（三分）
上，水煎熟，入犀角，倾出服。
加味解毒散 治 疹痒痛，寒热甚者烦躁谵语，并痘毒发热咽干。
犀角（镑，五钱） 连翘（炒，二钱） 牛蒡子（炒，三钱） 薄荷（一钱） 甘草（五分）
上为末。每服一二钱，滚汤调下。
小柴胡加生地黄汤（见前痈疖）
蜞针法
取水蛭大者五六条，放肿处，吮去恶血，可以消丹瘤，决痈肿。
【眼目】〔万〕痘疮毒瓦斯之为目翳也，盖自脏而达外，治之之法，但活血解毒而已，活血不至于
热，解毒不至于冷，五脏平和，则翳当自去。不可轻用点药，反致损睛，宜蝉蜕散（痘眼目）四物汤加
柴胡主之。若目闭泪出，不敢见明者，此羞明证也，惟于黑暗处则能开，才见明则阳光烁之，泪自 出，
瘾涩难开，宜洗肝明目散（痘眼目），便秘者泻青丸（肝）。或能开目，只视物昏者，此血不足也，四物汤加
密蒙花。目中赤
[Wan] Generally, for mild cases of smallpox (Xiaochuang), the root is shallow, the pathogenic toxin is slight, and the syndrome is favorable, leading to natural scabbing and healing without residual toxins. For severe cases, the root is deep, the toxin is rampant, and the syndrome is dangerous, making it difficult to erupt and scab, resulting in residual toxins. In adverse cases, the toxin may be latent, inverted, or scab abnormally. Fortunately, if the Spleen and Stomach are inherently strong and treatment is timely, the condition will not become critically desperate, yet residual toxins may still arise. Qian Yi stated: There are three manifestations of this disease: one is scabies, the second is carbuncles, and the third is red eyes. Based on symptoms, there are more than these; even after eruption is complete, fully developed, and uniformly scabbed, residual toxins may reappear due to excessive warm-tonifying treatments or dietary indiscretion. Therefore, treating post-smallpox residual toxins requires distinguishing between exterior and interior, and assessing deficiency and excess, using tonification, dispersal, or resolution methods as appropriate, rather than blindly administering decoctions indiscriminately.
[Hai Zang] Residual toxins from sores may affect the Liver deficiency invading the eyes, or Lung deficiency manifesting as tinea and scabies. Carbuncles and furuncles occurring at bone joints indicate Kidney deficiency; those occurring in muscles indicate Spleen deficiency. Manifestations in tendons, head, face, teeth (with carious erosion), or throat swelling and pain all follow their respective meridians, arising from accumulated and unresolved toxins. This often results from delayed initial treatment or medical error, leaving toxins lingering in the meridians. Decoctions for detoxification are suitable.
[Shi Xian] If smallpox toxin attacks the Spleen, it causes diarrhea and edema; if it attacks the Liver, it causes corneal opacity; if it attacks the Heart, it causes irritability and crying; if it attacks the Kidneys, it causes earache and pus accumulation; if it attacks the Lungs, it causes cough and phlegm.
[Jie Gu] If, after eruption, residual toxins remain unresolved and body heat and sores recur, administer Jiedu Wan (Detoxification Pill) with tea.
[Dan Xi] To treat pediatric smallpox where residual toxins remain unresolved due to early consumption of grains, trapping the toxic qi:
Niu Bang Zi (Burdock Fruit, 6 qian), Gan Cao (Licorice Root, 5 fen), Xi Jiao (Rhinoceros Horn), Bai Zhu (Atractylodes Macrocephala Rhizome, 3 qian each), Jing Jie (Schizonepeta), Fang Feng (Saposhnikovia), Zhi Ke (Bitter Orange, 1 qian each).
Decoct in water and take warm.
Huoxue Jiedu Tang (Blood-Invigorating and Detoxifying Decoction) treats residual toxins.
Fang Feng, Jing Jie, Sheng Di Huang (Rehmannia Root), Chi Shao Yao (Red Peony Root), Dang Gui (Angelica Sinensis), Lian Qiao (Forsythia), Niu Bang Zi, Huang Lian (Coptis), Zi Cao (Arnebia), Gan Cao, Cang Zhu (Atractylodes Lancea), Bo He (Mint), Chuan Xiong (Ligusticum), Mu Tong (Akebia).
Equal parts, decoct in water and take.
[Carbuncles and Furuncles] These arise because toxic qi remains lodged in the meridians, causing redness and swelling into carbuncles at areas of muscle deficiency or joint mobility. Alternatively, after subsidence, failure to resolve residual toxins leads to their proliferation. Unable to vent through the skin or enter the viscera, they accumulate and form carbuncles. Mild cases present only as nodules, swellings, or furuncles. Severe cases involve widespread swelling and pain in the head, neck, chest, flanks, hands, feet, and joints. If limited to one or two sites with shallow roots, it is treatable. However, if migrating and fluctuating with deep roots and spreading extensions, minor cases may ulcerate tendons and expose bones, leading to permanent disability; major cases may persist until death. [Dan Xi] Smallpox carbuncles are mostly caused by excess toxins and blood heat. Medication should be selected based on upper or lower body location; delay is unacceptable. When suppuration occurs, clear heat and cool blood primarily using Chi Shao Yao, Gan Cao Jie (Licorice Knots), Lian Qiao, Jie Geng (Platycodon), etc. Use Sheng Ma (Cimicifuga) and Ge Gen (Pueraria) as guides for the upper body; use Bing Lang (Areca Seed) and Niu Xi (Achyranthes) for the lower body. Assist with Bei Mu (Fritillaria), Ren Dong Cao (Honeysuckle Stem), Bai Zhi (Angelica Dahurica), and Gua Lou (Trichosanthes Fruit). Use Da Huang (Rhubarb) for dry stool; use Huang Qin (Scutellaria) and Huang Bai (Phellodendron) for alternating chills and fever. This method has proven effective repeatedly. [Xue Ji] For initial stages without suppuration, use Xianfang Huoming Yin (Immortal Life Elixir) and Garlic-Separated Moxibustion to dissipate them. To induce suppuration, use Xianfang Huoming Yin to rupture them. For Qi and Blood deficiency, use Bazhen Tang (Eight Treasure Decoction) for debility; for excess conditions rupturing, use Tuoli San (Support Interior Powder) to tonify and promote closure. Generally, for fever, swelling, and pain with unconstipated stools, use Xianfang Huoming Yin and garlic-separated moxibustion. For constipation, add Da Huang to Xianfang Huoming Yin. Once bowels move but pain persists, administer another dose of Xianfang Huoming Yin followed by Tuoli San to tonify Yuan Qi. For fever and fatigue with normal bowels, use Buzhong Yiqi Tang (Middle-Boosting and Qi-Enriching Decoction); if ineffective, use garlic-separated moxibustion. For post-ulcer fever, dry mouth, and limb fatigue, use Dongyuan Shengyu Tang (Dongyuan's Holy Salvation Decoction). For dripping pus and intermittent fever, use Sijunzi Tang (Four Gentlemen Decoction) plus Renshen (Ginseng) and Huang Qi (Astragalus). If the nursing mother has Liver channel blood deficiency causing fever, use Jiawei Xiaochaihu Tang (Modified Minor Bupleurum Decoction). For Liver-Spleen depression and anger causing fever, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction). For heat accumulation from rich foods, use Jiawei Qingwei San (Modified Clear Stomach Powder). Using only cooling-blood herbs like Baidu agents damages Yuan Qi, preventing ulceration or closure. [Wan Quan] When treating smallpox carbuncles, first identify the meridian involved and adjust guiding herbs accordingly: Qiang Huo (Notopterygium) and Fang Feng for Taiyang; Sheng Ma and Bai Zhi for Yangming; Chai Hu (Bupleurum) for Shaoyang; Du Huo (Angelica Pubescens) for Shaoyin; Fang Feng for Taiyin; Chai Hu for Jueyin. For initial red, swollen, hard, and painful lesions, prick with a needle, suck out bad blood with the mouth, and apply Badu Gao (Toxin-Pulling Ointment). For robust patients with solid stools, use Paidu San (Toxin-Expelling Powder) to regulate. For Qi-deficient patients with poor appetite, use Shixuan San (Ten-Accumulation Powder) or Liuqi Yin (Flowing-Qi Decoction). For mild, small toxins, internally administer Xiaochaihu Tang plus Sheng Di Huang, externally applying Badu Gao. This treats pre-ulcerative stage. For suppurated but unruptured lesions, use a Pi Zhen (scalpel) to drain pus to prevent internal spread. For ruptured lesions, use Shiquan Dabu Tang (Complete Great Tonifying Decoction). This treats the ulcerative stage.
Xianfang Huoming Yin (Immortal Life Elixir Preserved in the Field) treats smallpox carbuncles, toxins, and all sores; it dissipates unformed ones and ruptures formed ones. It is a holy medicine for disinfection, pus elimination, and pain relief.
Jin Yin Hua (Honeysuckle Flower), Chen Pi (Tangerine Peel, 3 qian each), Zao Jiao Ci (Gleditsia Spine, stir-fried), Chuan Shan Jia (Pangolin Scale, stir-fried with clam powder), Ru Xiang (Frankincense), Mo Yao (Myrrh), Bai Zhi, Fang Feng, Dang Gui (1 qian each), Bei Mu (Fritillaria), Tian Hua Fen (Trichosanthes Root), Gan Cao Jie (Licorice Knots, 0.7 qian each).
Take 5 qian per dose, decoct in wine. Infants and mothers take together. Can also be powdered and taken with wine. If severe with exterior pathogens, add Ma Huang (Ephedra) to disperse; if toxin is interior, add Da Huang to purge. Adapt to clinical presentation; this is a life-saving agent, but contraindicated in Yuan Qi collapse.
Renshen Baidu San (Ginseng Detoxification Powder) treats residual toxin carbuncles.
Renshen, Chi Fu Ling (Red Poria), Qiang Huo, Du Huo, Qian Hu (Peucedanum), Bo He, Chai Hu, Zhi Ke, Chuan Xiong, Jie Geng (equal parts), Gan Cao (half dose), Niu Bang Zi, Fang Feng, Jing Jie, Lian Qiao, Jin Yin Hua (this is Jingfang Baidu San).
For head: add Bai Zhi, Sheng Ma. For upper body: double Jie Geng. For hands: add Hou Gui (Thin Cinnamon). For waist: add Du Zhong (Eucommia). For legs/feet: add Niu Xi, Mu Gua (Chaenomeles).
Hua Pi San (Birch Bark Powder) treats smallpox, mastitis, and all swellings.
Grind Birch Bark, decoct in water, and take warm. Bitter and neutral, non-toxic. For mastitis, burn birch bark to char, powder, and take with wine for immediate resolution.
Shisan Wei Baidu San (Thirteen-Ingredient Detoxification Powder) treats carbuncle toxins.
Dang Gui, Bai Zhi, Chuan Shan Jia (earth-fried), Jin Yin Hua, Fang Feng, Ru Xiang (processed), Gan Cao, Chen Pi, Chi Shao Yao, Zao Jiao Ci, Bei Mu, Mo Yao (processed), Tian Hua Fen, Shao Yao.
Equal parts, decoct in half water and half wine.
Paidu San (see Scabbing section).
Baoming Ji Muxiang San (Musk Fragrance Powder from Collection of Preserving Life) treats post-smallpox carbuncles in children with divine efficacy.
Di Gu Pi (Lycium Bark, 1 liang), Mu Gua (Chaenomeles, 0.5 liang), Chuan Shan Jia (roasted yellow, 3.5 qian), She Xiang (Musk, 1 zi).
Powder, take 2 qian with rice drink.
Liuqi Yin (Flowing-Qi Decoction)
Chuan Xiong, Dang Gui Shao (tip of Angelica), Bai Shao Yao, Fang Feng, Renshen, Zi Su Ye (Perilla Leaf), Mu Xiang (Aucklandia), Gan Cao Jie, Huang Qi (Astragalus), Gui Xin (Cinnamon Heart), Jie Geng, Jixin Bing Lang (Chicken-heart Areca Seed), Bai Zhi, Hou Po (Magnolia Bark), Wu Yao (Lindera), Zhi Ke (4 fen each).
Coarsely chop. Decoct 1 cup water to 0.7 cup. Add Shu Fu Zi (Prepared Aconite) for Qi/Blood deficiency with spontaneous diarrhea; add Da Huang for solid stool.
Xiaochaihu Tang plus Sheng Di Huang (Minor Bupleurum Decoction plus Rehmannia)
Chai Hu, Renshen, Huang Qin (Scutellaria, 3 liang each), Gan Cao (roasted), Sheng Di Huang, Ban Xia (Pinellia, 2 liang each, soaked in boiling water seven times).
Coarse powder. Take 3 qian, decoct with 1 cup water, 3 slices ginger, 1 jujube, reduce to 0.5 cup, strain, take warm.
Liumei Huoxue San (Six-Ingredient Blood-Invigorating Powder) treats initial carbuncles/ulcers with persistent redness and swelling.
Dang Gui, Chuan Xiong, Chi Shao Yao, Sheng Di Huang, Hong Hua (Safflower), Su Mu (Sappan Wood, equal parts).
Decoct in water, take as needed.
Wufu Huadu Dan (Five-Fortunes Detoxification Pellet) treats smallpox toxin, excess heat, swelling, and pain.
Sheng Di Huang, Shu Di Huang, Tian Men Dong (Asparagus Tuber, heart removed), Mai Men Dong (Ophiopogon Tuber, heart removed), Xuan Shen (Scrophularia, 2 liang each), Gan Cao, Tian Xiao (Saltpeter, 3 liang each), Qing Dai (Indigo Naturalis, 1.5 liang).
Powder, honey-pellet size of Eccarya seed. Take one pellet dissolved in warm water.
Xi Jiao Xiaodu Wan (Rhinoceros Horn Detoxification Pill) treats post-smallpox residual toxins and all sores.
Sheng Di Huang, Jing Jie, Dang Gui, Xi Jiao (powder), Fang Feng, Niu Bang Zi (crushed, fried), Chi Shao Yao, Lian Qiao, Jie Geng (7 qian each), Bo He, Huang Qin, Gan Cao.
Powder, honey-pellet size of Eccarya seed. Take one pellet dissolved in warm water.
Note: Huadu Dan lowers fire, cools blood, and clears cold-toxins. Xiaodu Wan clears heat, detoxifies, and breaks blood stasis. Children’s organs are delicate, and Yuan Qi is easily damaged. Post-smallpox Qi and Blood are deficient; such potent formulas may harm Stomach Qi. If Stomach Qi is damaged, unformed toxins won't dissipate, formed ones won't suppurate, and ruptured ones won't granulate. Smallpox originates from viscera, turning blood into pus. Recurrence after healing indicates Spleen-Stomach deficiency, muscle wasting, and shortness of Ying-Wei. Physicians must exercise caution.
Shixuan San (see Appearance section).
Tuoli San (Support Interior Powder) treats weak Yuan Qi from smallpox toxin unable to suppurate/disperse; prevents formation or induces rupture.
Renshen, Huang Qi (roasted, 2 qian each), Dang Gui (wine-washed), Bai Zhu, Chen Pi, Shu Di Huang, Fu Ling, Shao Yao (roasted, 1.5 qian each), Gan Cao (roasted, 0.5 qian).
Take 3-5 qian, decoct in water.
Tuoli Xiaodu San (Support Interior and Detoxify Powder) treats weak Qi/Blood from smallpox toxin failing to erupt, suppurate, or close, accompanied by chills/fever or lack of muscle growth.
Renshen, Huang Qi, Dang Gui (wine-washed), Chuan Xiong, Shao Yao (roasted), Bai Zhu, Chen Pi, Fu Ling (1 qian each), Jin Yin Hua, Lian Qiao, Bai Zhi (0.7 qian each), Gan Cao (0.5 qian).
Take 3-5 qian, decoct in water.
[Dongyuan] Shengyu Tang (Holy Salvation Decoction) treats restlessness, insomnia, fatigue, and poor appetite after pus discharge.
Shu Di Huang (homemade preferred), Sheng Di Huang (2 fen each), Renshen, Chuan Xiong (3 fen each), Dang Gui, Huang Qi (5 fen each).
Decoct in water and take.
Jisheng Guipi Tang (Restore the Spleen Decoction from Jisheng) treats Spleen blood deficiency causing forgetfulness and palpitations, or Heart Qi deficiency failing to control blood leading to hemorrhage, or nursing mother's Heart-Spleen heat causing non-healing sores or red scars. Add Chai Hu and Shan Zhi (Gardenia) for Jiawei Guipi Tang.
Renshen, Bai Fu Ling, Huang Qi, Bai Zhu, Long Yan Rou (Longan Aril), Dang Gui, Yuan Zhi (Polygala), Suan Zao Ren (Ziziphus Seed, roasted, 2 qian each), Mu Xiang (1 qian), Gan Cao (0.5 qian), Dang Gui Shen (Angelica Head, 1 qian).
Decoct with ginger and jujube. Mother and child take together.
[Danxi] For smallpox carbuncle topical application: Bei Mu, Nan Xing (Arisaema), Jiang Can (Silkworm), Tian Hua Fen, Han Shui Shi (Halloysite), Bai Zhi, Cao Wu (Aconite Root), Da Huang, Zhu Ya Zao Jiao (Torus Sophora Pod), mixed with vinegar and applied. Effective.
Badu Gao (Toxin-Pulling Ointment, aka Bisheng Gao)
Ma Chi Xian (Purslane juice), Zhu Gao Zhi (Pork Fat), Shi Mi (Rock Sugar).
Boil three ingredients into an ointment, apply to swelling.
Shenxiao Ge Suan Jiu Fa (Divine Garlic-Separated Moxibustion Method) treats severe pain or numbness in smallpox carbuncles. Moxa until pain stops or numbness becomes painful; toxin disperses with fire.
Slice garlic 3 fen thick, place on lesion, moxa with small cones on top. Every 5 moxa sessions, replace garlic. Continue if pain persists. For infants, slice garlic, hollow slightly on skin side, test temperature on adult arm before applying to sore. Keep replacing to maintain warmth.
Ti Zhen Wan (Needle-Replacement Pill) treats smallpox carbuncles with formed pus but no rupture.
Chen Huai Mi (Old rotten rice, 1 qian), Sha (Sand, 5 qian), Xiong Que Fen (Male Sparrow Droppings, 49 grains, straight ones are authentic).
Powder, pill with rice porridge to wheat-grain size. Apply one grain to sore head, cover with plaster. Pus will drain in half a day. If sore opens but pus doesn't drain, or pain/fever increases, indicating Qi/Blood deficiency, use Tuoli San. If vomiting phlegm, poor appetite, fatigue indicates Spleen Qi deficiency, use Liujunzi Tang (Six Gentlemen Decoction).
Shenxiao Taiyi Gao (Divine Supreme Ointment) treats all ulcerated carbuncles/ulcers.
Xuan Shen, Bai Zhi, Dang Gui, Rou Gui (Cinnamon Bark), Chi Shao Yao, Da Huang, Sheng Di Huang (1 liang each).
Chop. Fry in 40 liang sesame oil in copper pot until black, strain, slowly add 1 jin refined Yellow Dan (Lead Monoxide), boil until drops form pearls, adjust consistency to make ointment.
Shenxiao Dang Gui Gao (Divine Angelica Ointment) treats spreading smallpox toxin, burns/scalds, and ulcers failing to granulate/close.
Dang Gui, Huang La (Yellow Beeswax), Sheng Di Huang (1 liang each), Ma You (Sesame Oil, 6 liang).
Fry Dang Gui and Sheng Di Huang in oil, strain, melt in wax, cool, mix well.
Dou Chi Bing (Fermented Soybean Cake) treats swollen/painful sores, hard non-suppurating lesions, open non-healing wounds, and stubborn toxic furuncles.
Powder Jiangxi Dou Chi (Fermented Soybean), mix with saliva into cake size of coin, thickness of 3-4 qian. Place on lesion, moxa on top. Dissipates unformed; expels residual toxins in formed. If ineffective, indicates severe Qi/Blood deficiency; refer to carbuncle moxibustion methods.
Rusheng Bing (Like-Sage Cake) treats hard/swollen sores unable to dissipate or toxins unable to resolve.
Ru Xiang, Mo Yao, Mu Xiang, Xue Jie (Dragon's Blood), Dang Gui (equal parts), She Xiang (Musk, small amount).
Powder separately, mix with wine paste into cakes. Heat and frequently compress on lesion. For malignant sores, add Chan Su (Toad Venom) in equal parts.
Shengong San (Divine Merit Powder) treats initial swelling/pain in sores; dissipates them. Adding Xue Jie is more effective.
Huang Bo (Phellodendron Bark, roasted powder, 2 qian), Cao Wu (Aconite Root, raw powder, 2 qian).
Mix with mouthwash liquid, apply, keep moist with mouthwash.
Sandou San (Three Beans Powder) treats initial redness/swelling of carbuncle toxins post-smallpox.
Hei Dou (Black Soybean), Chi Dou (Red Bean), Lü Dou (Mung Bean).
Soak in vinegar, grind to paste, brush on with goose feather frequently. Resolves quickly.
Tiegu San (Iron-Hoop Powder) treats post-smallpox carbuncle toxins.
Fenghuang Tuire Hui (Phoenix Fever-Cooling Ash), mix with vinegar, apply around perimeter, leave center open to vent toxin. Very good.
[Sores and Scabies] Post-smallpox body-wide tinea/scabies-like eruptions, oozing pus/blood, skin ulceration, unhealed day and night, indicates pervasive toxin scattered in skin. Use Shengma Gegen Tang (Cimicifuga and Kudzu Decoction for Initial Heat), Fangfeng Jiedu Tang (Saposhnikovia Detoxification Decoction for General Principle), or Kushen Wan (Sophora Pill for Smallpox Leprosy). If caused by scratching, apply Baihua Gao (Flower Ointment for Scabbing).
Lianqiao San (Forsythia Powder) treats pediatric rash/furuncle/residual toxins causing pain, or head/face eruptions with earache, red cheeks, and sores.
Lian Qiao, Huang Qin, Qu Mai (Dianthus), Mu Tong, Hua Shi (Talc), Chai Hu, Jing Jie, Niu Bang Zi, Fang Feng, Qiang Huo, Chi Shao Yao, Gan Cao (equal parts).
Take 3 qian, decoct 1 cup water to 0.5 cup. Adding fresh Bo He is better.
Jinhua San (Golden Flower Powder, see Ulceration section).
[Gan Erosion] Post-smallpox Gan erosion sores indicate toxin blocking muscles, penetrating bones internally, connecting to skin externally, with intermittent pain/bleeding and chronic non-healing—a malignant sign. Internally use Shiquan Dabu Tang; externally apply Mianjian San (Silkworm Cocoon Powder). Refer to Gan Erosion section in Scabbing chapter.
Sanhuang San (Three Yellows Powder) treats Gan heat sores with oozing pus causing wet rot.
Song Xiang (Rosin), Wu Bei Zi (Gallnut), Huang Lian, Huang Dan (Lead Oxide), Hai Piao Xiao (Cuttlefish Bone, 1 qian each), Qing Fen (Calomel), Xiong Huang (Realgar, 0.5 qian each).
Powder. Wash with Yingji San, then apply. For dry lesions, apply sesame oil.
[Urticaria] "Yin" refers to hidden bumps under skin, itching worsened by scratching. Internally use Jiedu Fangfeng Tang; externally wash with Biyi Tang. "Zhen" refers to dot-like eruptions resembling mosquito/flea bites or mustard seeds (smallpox spots). Use Shengma Gegen Tang plus Fang Feng and Jing Jie Sui (Schizonepeta Spike). For severe heat/thirst, combine with Renshen Baibu Tang (Ginseng White Tiger Decoction).
Biyi Tang
Decoct rice washing cloth water. Divine effect for urticarial bumps. If unavailable, decoting rice cloth is also good.
Xianzi Shui (Clam Water) treats post-smallpox urticaria.
Live clams, keep in water for 5-7 days, collect water, wash affected area.
[Danliu] Red Fire Danliu is a malignant sign, migrating redness/swelling, intolerable pain. Starting from head, crossing Heart is fatal; starting from feet, crossing Kidneys is fatal. Internally use Xiaochaihu Tang plus Sheng Di Huang, Xuanshen Huadu Tang. Externally use Qi Zhen Fa (Leech Therapy) to suck out bad blood for resolution. If red but not swollen/painful, it is [mild], use Renshen Baibu Tang plus Xuan Shen, Da Qing (Isatis Leaf), Sheng Di Huang.
Xuanshen Huadu Tang
Xuan Shen, Dang Gui Wei (Angelica Tail), Chi Shao Yao, Shi Gao (Gypsum), Lian Qiao, Sheng Di Huang, Di Gu Pi, Hong Hua (wine-washed), Fang Feng, Jing Jie Sui, Dan Zhu Ye (Lophatherum), Mu Tong.
Decoct in water and take.
Xi Jiao Xiaodu San (Rhinoceros Horn Detoxification Powder) treats measles, erysipelas, fever/pain/itch, and rashes.
Niu Bang Zi, Gan Cao, Jing Jie, Fang Feng (5 fen each), Xi Jiao (shaved, 2 fen), Jin Yin Hua (3 fen).
Decoct in water, add Xi Jiao near end, pour out and take.
Jiawei Jiedu San (Modified Detoxification Powder) treats measles itch/pain, severe chills/fever with irritability/delirium, and smallpox toxin fever with dry throat.
Xi Jiao (shaved, 5 qian), Lian Qiao (fried, 2 qian), Niu Bang Zi (fried, 3 qian), Bo He (1 qian), Gan Cao (0.5 qian).
Powder. Take 1-2 qian mixed with boiling water.
Xiaochaihu Tang plus Sheng Di Huang (see Carbuncles section above).
Qi Zhen Fa (Leech Therapy)
Place 5-6 large leeches on swelling to suck out bad blood, resolving Danliu and draining carbuncles.
[Eyes][Wan Quan] Smallpox toxin causing eye opacity travels from viscera to exterior. Treatment involves invigorating blood and detoxifying without excessive heat or cold. Balanced Five Viscera will naturally clear opacity. Avoid harsh eye drops to prevent damage. Use Chantui San (Cicada Slough Powder) or Siwu Tang (Four Substances Decoction) plus Chai Hu. If eyes closed with tears, afraid of light (photophobia), opening only in darkness, tearing upon light exposure, causing stiffness, use Xigan Mingmu San (Liver-Washing Bright-Eye Powder). For constipation, use Xieqing Wan (Draining Green Pill). If eyes open but vision blurry, indicating Blood deficiency, use Siwu Tang plus Mimeng Hua (Descurainia Flower). Redness in eyes...