痘疮者血蕴也。治宜活血为主。故紫草、红花不可少。红甚便滑则忌。山楂散血消积。胃虚
不能食则忌。甘草解毒和中。中满则忌。陈皮健脾行气。自汗则忌。大腹皮利水治胀。发散则忌。
牛蒡子疏风润色。滑窍通肌。泄泻则忌。木通疏利膀胱。溺多则忌。诃子、乌梅止泻渴敛汗。便
实则忌。参、术扶元益胃。血燥毒盛则忌。升麻、葛根升发开提。痘密汗多。毒盛里实则忌。羌
活、白芷败毒追脓。气虚则忌。归、芎活血补血。血热黑烂则忌。芍药、地黄凉血助阴。血寒不
发则忌。辰砂定神除热却烦。灰白不发则忌。糯米暖胃实脾。气滞则忌。防风散风解热。气喘则
忌。木香调气散寒。止腹痛泻青。斑黑燥渴则忌。浓朴温胃治胀。烦渴则忌。细辛发散上行通肺。
燥热则忌。柴胡发表透热。气升则忌。前胡除痰治嗽。便泄则忌。半夏消痰止嗽。燥渴则忌。麻
黄、紫苏散表逐寒。表虚则忌。姜、桂助血温中。血热妄行。干红焦紫则忌。附子回阳补元。治
虚寒厥冷。烦乱则忌。大黄荡涤实热。胃虚食少则忌。人牙起发肾邪陷伏。血热毒陷则忌。山栀
降火下行。气虚便溏则忌。犀角凉血止衄。时值行浆则忌。牡丹皮行血归经。痘前多汗则忌。肉
豆蔻健脾止泻。便实则忌。桔梗开郁发导。用下则忌。蝉蜕驱风散毒。表虚汗脱则忌。枳壳宽胸
下气。气虚下陷则忌。胡荽、乳香时焚开窍。血热毒盛。烦渴衄汗则忌。黄柏、绿豆、生甘草等
分煎膏。预先涂目眶。或胭脂涂眼眶耳前。使痘不侵目。出后则忌。一发热起。便以丝瓜近蒂三
寸。连子烧灰存性。加辰砂酒服。可使痘稀。见点则忌。每年端午日服之。服久可使不出也。
Variola (smallpox) is caused by blood stasis. Treatment should primarily focus on invigorating blood circulation. Therefore, Radix Arnebiae (Zicao) and Flos Carthami (Honghua) are indispensable. However, they are contraindicated if the rash is intensely red accompanied by loose stools. Fructus Crataegi (Shanzha) disperses blood and resolves accumulation; it is contraindicated in cases of Spleen deficiency with anorexia. Radix Glycyrrhizae (Gancao) detoxifies and harmonizes the Middle Jiao; it is contraindicated in cases of abdominal fullness. Pericarpium Citri Reticulatae (Chenpi) strengthens the Spleen and promotes Qi movement; it is contraindicated in cases of spontaneous sweating. Fructus Arecae Catechu (Dafupi) promotes urination and reduces distension; it is contraindicated when diaphoretic methods are required. Semen Armeniacae Amarum (Niubangzi) dispels wind and improves complexion, unblocking orifices and reaching the skin; it is contraindicated in cases of diarrhea. Caulis Tetrapanacis (Mutong) unblocks and drains the Bladder; it is contraindicated in cases of polyuria. Fructus Chebulae (Hezi) and Fructus Mume (Wumei) stop diarrhea, relieve thirst, and astringe sweat; they are contraindicated in cases of constipation. Radix Ginseng (Renshen) and Rhizoma Atractylodis Macrocephalae (Baizhu) support primordial Qi and benefit the Stomach; they are contraindicated in cases of dry blood with severe toxin accumulation. Rhizoma Cimicifugae (Shengma) and Radix Puerariae Lobatae (Gegen) raise and lift Yang; they are contraindicated when the eruption is dense with profuse sweating, or when toxins are severe and interior excess exists. Radix Notopterygii (Qianghuo) and Rhizoma Angelicae Dahuricae (Baizhi) defeat toxins and promote pus discharge; they are contraindicated in cases of Qi deficiency. Radix Angelicae Sinensis (Danggui) and Rhizoma Chuanxiong (Chuanxiong) invigorate blood and nourish blood; they are contraindicated in cases of blood heat leading to black and rotting lesions. Radix Paeoniae Alba (Shaoyao) and Radix Rehmanniae Preparata (Dihuang) cool blood and assist Yin; they are contraindicated in cases of cold blood preventing eruption. Rubellus (Chensha) calms the spirit, removes heat, and relieves irritability; it is contraindicated in cases of grayish-white non-erupting rashes. Oryza Sativa (Nuomi) warms the Stomach and solidifies the Spleen; it is contraindicated in cases of Qi stagnation. Radix Saposhnikoviae (Fangfeng) dispels wind and clears heat; it is contraindicated in cases of asthma. Radix Aucklandiae (Muxiang) regulates Qi and disperses cold, stopping abdominal pain and draining Liver fire; it is contraindicated in cases of dark spots, dryness, and thirst. Cortex Magnoliae Officinalis (Houpo) warms the Stomach and treats distension; it is contraindicated in cases of irritability and thirst. Radix Asari (Xixin) disperses outward, moves upward, and unblocks the Lungs; it is contraindicated in cases of dryness and heat. Radix Bupleuri (Chaihu) releases the exterior and penetrates heat; it is contraindicated in cases of ascending Qi. Radix Peucedani (Qianhu) eliminates phlegm and treats cough; it is contraindicated in cases of diarrhea. Rhizoma Pinelliae Preparata (Banxia) eliminates phlegm and stops cough; it is contraindicated in cases of dryness and thirst. Herba Ephedrae (Mahuang) and Folium Perillae (Zisu) release the exterior and drive out cold; they are contraindicated in cases of exterior deficiency. Rhizoma Zingiberis Recens (Shengjiang) and Cortex Cinnamomi (Guirou) assist blood and warm the interior; they are contraindicated in cases of reckless bleeding due to blood heat, presenting as dry red or scorched purple eruptions. Radix Aconiti Lateralis Preparata (Fuzi) restores Yang and supplements Yuan Qi, treating deficiency-cold and cold extremities; it is contraindicated in cases of restlessness. Radix Rhei Palmati (Dahuang) purges intense heat; it is contraindicated in cases of Stomach deficiency and poor appetite. Human teeth (Renya) raise eruptions and expel sunken Kidney pathogens; they are contraindicated in cases of blood heat with toxin sinking. Fructus Gardeniae (Shanzhi) descends fire; it is contraindicated in cases of Qi deficiency with loose stools. Cornu Rhinocerotis (Xijiao) cools blood and stops epistaxis; it is contraindicated during the pustule stage. Cortex Moutan (Mudanpi) moves blood and returns it to its vessels; it is contraindicated in cases of excessive sweating before eruption. Fructus Myristicae (Roudoukou) strengthens the Spleen and stops diarrhea; it is contraindicated in cases of constipation. Radix Platycodi (Jiegeng) opens depression and guides downward; it is contraindicated when purgative methods are used. Periostracum Cicadae (Chantui) drives out wind and disperses toxins; it is contraindicated in cases of exterior deficiency with sweat collapse. Fructus Aurantii (Zhike) broadens the chest and directs Qi downward; it is contraindicated in cases of Qi deficiency with sinking. Fructus Coriandri (Huisui) and Resina Frankincense (Ruxiang) can be burned to open orifices; they are contraindicated in cases of blood heat with severe toxins, manifesting as irritability, thirst, epistaxis, and sweating. Decoction of Cortex Phellodendri (Huangbai), Semen Phaseoli Volubilis (Lvdou), and Radix Glycyrrhizae (Sheng Gancao) in equal parts applied as a paste to the eye orbits beforehand, or using carmine around the eyes and ears to prevent variolous invasion of the eyes, is contraindicated after the eruption has appeared. Upon the onset of fever, taking three cun of loofah near the stem, including seeds, calcined to ash, taken with wine and Rubellus, can make the eruption sparse; this is contraindicated once the macules appear. Taking this annually on the Dragon Boat Festival can prevent smallpox over time.