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Acneiform eruptions originating from the zygomatic bone are called Dangquan痘 (Dangquan痘). If sparse and bright, it is harmless; if dense, it is critical.
Those emerging at the two corners of the mouth are called Jianmen痘 (Jianmen痘), which will inevitably form blisters and diarrhea later.
Those appearing first on the lower chin are called Touxu痘 (Touxu痘); although the pus fills them, they ultimately belong to a critical prognosis.
Eruptions that are red, vibrant, lustrous, and uniform in size are called Shidou痘 (Shidou痘), indicating a favorable outcome (Auspicious).
When eruptions are present on all four limbs but fewer on the trunk, it is called Siwan痘 (Siwan痘), with mixed auspicious and inauspicious outcomes. If there are none on the body or face, it is untreatable.
When eruptions cover the whole body but are absent on the soles of the feet, it is called Wugen痘 (Wugen痘). One must observe the quantity: few is auspicious, many is inauspicious.
Fewer eruptions on the upper body and more on the lower body are called Nidou痘 (Nidou痘), indicating an inauspicious outcome.
More eruptions on the upper body and fewer on the lower body are called Shundou痘 (Shundou痘), indicating a favorable outcome.
Eruptions present at the top and bottom but scarce in the middle, or abundant on both flanks but absent on the abdomen, and not rising on the legs, are called Liangjie痘 (Liangjie痘), which is critical. This condition should be treated as deficiency.
Excessive eruptions solely on the chest are called Manxin痘 (Manxin痘), mostly inauspicious. If accompanied by thirst and diarrhea, it is untreatable.
One large purple eruption on each side of the waist, or all being purple-black like flea bites, along with lower back pain preceding the eruption, are called Zheyao痘 (Zheyao痘), leading to death in five days.
Initial spots appearing in clusters of five to seven, occurring in dozens of places, are called Meihua痘 (Meihua痘). Swelling must eventually merge into a flat patch. If auxiliary eruptions (Zeng痘) are lustrous like pearls, it is auspicious; if auxiliary eruptions are also flat and withered, it is inauspicious.
Spots scabbing within one shi (two hours) and then re-emerging repeatedly several times is named Jijiao痘 (Jijiao痘), which is treatable. However, if there is one or two black, sunken spots on the forehead, jaw angle, zygoma, chest, heart, back, hands, or behind the ears, it is also called Jijiao痘, which is untreatable.
Eruptions that are coarse, plump, delicate, brightly red, yet fail to consolidate are called Huang痘 (Huang痘). Do not rashly judge them as auspicious due to their attractive appearance. Urgently regulate and tonify Spleen Qi; otherwise, complications such as loose stools, itching, and collapse will occur.
Eruptions with wrinkles on the apex are called Jiaopi痘 (Jiaopi痘). Those with patterns resembling Cornus officinalis fruit are untreatable.
Eruptions that are red and moist but have a few black dots in the center are called Zhuyu痘 (Zhuyu痘), caused by Blood Heat, and are treatable.
Those sunken in the center and gray-white around the periphery are called Xanding痘 (Xanding痘), leading to death in nine days.
Initially resembling mosquito or flea bites, disappearing after three days, are called Fanguan痘 (Fanguan痘), leading to death in five days.
Eruptions that rise, become black and sunken, or have blood thorns within purple-black areas are called Ziding痘 (Ziding痘), leading to death in seven days.
Purple-black thorns within eruptions located at [text missing], directly facing the heart at the Taiyang point, are called Heiding痘 (Heiding痘), leading to death in three days.
Black eruptions with luster are called Zei痘 (Zei痘). For cases involving the back, zygoma, Jianmen, jaw locking, and mouth locking, pierce with silver needles and apply Zhenzhu San (Pearl Powder).
Pale purple patches appearing at onset are called Ziyun痘 (Ziyun痘), leading to death in ten days.
Convulsions and fright before eruptions appear are called Xianjing痘 (Xianjing痘). There is no need to treat the fright; eruptions will resolve spontaneously. If eruptions disappear after appearing, even if few and failing to rise, they are difficult to treat. If fright occurs after eruptions have appeared, it is called Ningjing痘 (Ningjing痘), which is untreatable.
Dense eruptions without gaps, turning purple-black in patches with convulsions, are called Jingchu痘 (Jingchu痘), leading to death within six days. Eruptions with gaps but dense grains and dull color are called Shuyu痘 (Shuyu痘), which is untreatable.
Eruptions that are not round or raised, with red apices and white bases, are called Dinghong痘 (Dinghong痘), which is untreatable.
Cloud-head shaped redness in the spaces between eruptions is named Jiaban痘 (Jiban痘). If treatment causes the macules to recede and eruptions to rise, it is auspicious; otherwise, inauspicious.
Fine, dense grains with heads in the spaces between eruptions are called Jiazhen痘 (Jiazhen痘). If eruptions are sparse and rashes recede first, the condition is mild; if eruptions are dense and rashes do not recede, the condition is severe.
Constipation accompanying eruptions, while the eruptions themselves are sparse and bright, is called Guanmen痘 (Guanmen痘), which is harmless.
Eruptions failing to suppurate, accompanied by internal dysentery and diarrhea, are called Fuyin痘 (Fuyin痘). Treatment should warm the interior.
Red and moist eruptions accompanied by excessive drinking, unquenchable thirst, and delirious speech are called Xiangyang痘 (Xiangyang痘). Treatment should cool and resolve.
Eruptions currently appearing with high swelling in the chest and diaphragm, feeling internally constricted, are called Jiexiong痘 (Jiexiong痘). Purging leads to survival; delay leads to death.
After the whole body has scabbed and shed crusts, if one large purple spot on the crown fails to heal, it is called Heding痘 (Heding痘). Beyond twenty days, death from fright is inevitable. Similarly, if the whole body sheds crusts but one spot on the forehead ulcerates and does not heal, causing itching after a month, breaking open to discharge foul pus, hoarseness, confusion, and death, this is also a type of Heding痘. Another variation involves one spot on the head failing to heal until the forty-seventh day, suddenly becoming very itchy, producing maggots, followed by hoarseness, confusion, and death; these are all categories of Heding痘.
After scabbing and shedding, sudden fever, reappearance of eruptions at old healing sites, eruptions standing up and gathering in sacs, with increased swelling and pain, is called Wu痘 (Wu痘). This toxin accumulates in Ying and Wei. Urgently cool the Blood and resolve toxicity. Avoid wind and cold, and regulate diet. Otherwise, toxic pathogens will attack, causing abdominal distension, ulceration, separation of Yin and Yang, and death.
Thin, broken eruption skin is called Shidou痘 (Shidou痘). Use large doses of herbs to tonify Spleen and dry Dampness; some may survive. Strictly avoid Huang [missing character, likely Huangqin/Coptis] as it aids exterior Dampness.
Eruptions appearing like bean-shell bladders, accompanied by incessant diarrhea, are called Shuihuan痘 (Shuihuan痘), which is untreatable.
Eruptions that swell and lie flat against the flesh, having yellow pus but purple-stagnant roots, are called Banyang痘 (Banyang痘), also known as Yandou痘 (Yandou痘). Even after crusts fall off, they gradually wither and dry out; prolonging to over a month often results in death.
Eruptions with flat, broad, thin perimeters and a single white, pitted center are called Ke痘 (Ke痘), leading to certain death.
Several eruptions emerging in clusters, flat and not rising, are called [text missing]痘. If treatment causes them to rise and separate into distinct grains, it is auspicious; otherwise, inauspicious. Eruptions with white pus at the head at onset are called Yi痘 (Yi痘), which is untreatable.
Spots appearing on the lower chin, below the ears, or between the eyebrows, with white heads like [text missing, likely millet/grain], gradually drying and collapsing, are called Baimen痘 (Baimen痘), leading to death in three to four days. Spots resembling cinnabar, gradually drying to dark purple-black, are called Zimen痘 (Zimen痘), leading to death in five to six days. Cases with wheezing, distension, epistaxis, and hematochezia are called Jinmen痘 (Jimen痘), leading to death in two to three days.
Whole-body eruptions that are white and hollow-like shells connected together are called Sheke痘 (Sheke痘), difficult to treat. If they turn foul-smelling, they are treatable.
Eruptions that ulcerate during the pus-filling stage with unbearable odor are called Choudou痘 (Choudou痘), which is harmless. If they are foul and cracked, it is called Waibo (External Peeling), which is untreatable.
Dense eruptions failing to rise and fill with pus, suddenly discharging pus and blood between the sixth and seventh days, are called Xiejiang痘 (Xiejiang痘). Many patients survive; although critical, it is not necessarily fatal.
Eruptions initially lustrous but failing to rise and sinking inward by the fourth or fifth day, indicating impending deficiency-cold, are called Fuxian痘 (Fuxian痘). Urgently focus on supporting the Interior.
Eruptions that rise and fill with pus but suddenly scab over before the pus is sufficient are called Dao [text missing, likely Daoxian/Inverted Sunken]痘, mostly critical.
Eruptions that were red but suddenly turn white, accompanied by chills and teeth grinding, are called Hanchan痘 (Hanchan痘). Urgently assist the Exterior and nourish Blood. Also guard against passing twelve to twenty-four hours; only then can safety be assured.
If eruptions initially appear red and lustrous but turn gray-white upon contact with menstrual blood from women, it is called Xueyan痘 (Xueyan痘). Immediately seek Yueyuehong Hua (Rosa chinensis flowers) or stems and leaves, decoct them, mix with one teaspoon of Zicao Rong Mo (Radix Arnebiae powder), and take with fermented rice wine. Delay makes rescue difficult.