Library

Headache: Treatable.
Closed eyes (Ophthalmoplegia): If untreated at the onset, it may be harmless until the 8th or 9th day, but becomes ominous on the 13th or 14th day.
Cough: Harmless.
Shortness of breath (Qi urgency): Harmless at onset; ominous on the 8th or 9th day.
Shaking head: Although ominous at onset, it is treatable; if untreated after 8 or 9 days, it is incurable.
Hoarseness: Difficult to treat at onset; treatable by the 7th or 8th day; ominous after scabs fall off; if accompanied by panting and urgency, it is incurable. Or hoarseness caused by crying.
Complexion color: Those with lustrous complexion are treatable; those with dull complexion are untreatable.
Sore throat: Treatable at onset; ominous after scabs fall off.
Delirium (Speaking nonsense): Severe at onset; ominous after scabs fall off.
Pain in chest and heart: Incurable.
Abdominal pain: Harmless at onset; ominous after scabs fall off.
Lower back pain: Ominous at onset and during the eruption phase; harmless after the 14th day.
Inability to lift the neck (Neck stiffness): Collapse of Tianzhu (indicates loss of neck support). Even if scabs dry and fall off, it will inevitably be ominous after 20 days.
Coldness of ten fingers: Treatable if due to Spleen deficiency; incurable if due to excessive pathogenic toxins.
Tremors of hands and feet: Incurable.
Pain in hands and feet: Ominous at onset; harmless by the 8th or 9th day.
Coldness of feet extending above the knees: Incurable.
Bleeding from eyes and ears: Incurable.
Epistaxis (Nosebleed): Harmless.
Hematemesis (Vomiting blood): Bright red blood is treatable; purple-black blood is untreatable.
Hematuria (Blood in urine): Incurable.
Blood in stool: Treatable.
Vomiting yellow fluid: Harmless if abdomen is not painful; ominous if abdominal pain is present.
Vomiting clear fluid: Harmless.
Vomiting thick phlegm: Harmless.
Vomiting foul-smelling phlegm: Incurable.
Throat spasms/dislocation: Ominous during the initial heat stage; not obstructive during the pustule-filling stage.
Chills: Incurable at onset; also incurable after 7 or 8 days.
Teeth grinding: Incurable at onset; ominous during the growth phase; treatable after 7 or 8 days.
Diarrhea with clear/white discharge: Indicates Cold syndrome; treatable.
Diarrhea with black water: Indicates organ failure; incurable.
Vomiting roundworms: Vomiting one or two worms at onset is harmless; if many, it is ominous; vomiting them on the 14th or 15th day leads to death; passing many in stool is also ominous.
Dry thirst: Ominous after scabbing.
Anorexia (Lack of appetite): Ominous after scabbing; indicates lingering pathogens are excessive.

Zhu Jichuan said: The key for a physician lies in accurate pattern differentiation. Upon entering a case, one must first know the family's wealth status, whether the season is hot or cold, the child's innate constitution, the quality of their form and color, whether the pulse is weak or strong, whether the skin is tough or tender, whether the pox eruptions are sparse or dense, whether the distribution is favorable or unfavorable, whether Qi and Blood are deficient or excess, whether the exterior and interior are cold or hot, whether the voice is clear or turbid, whether the mouth and tongue are dry or moist, whether sleep and rest are peaceful, whether movements and actions are calm or restless, how much food and drink they consume, and whether urination and defecation are firm and smooth. There are also cases where auspicious signs hide within ominous ones, and vice versa, which must not fail to be distinguished. After carefully examining these factors, treatment can be administered appropriately according to the circumstances.