申斗垣曰∶夫痘回痂落,宜该清洁。或误食发物,或勤抱风前,致令复生细疮,似
疥非疥,最难得愈。内宜用川蜂蜜一二两同水煎滚,时时呷之,外用怀孕母猪的粪
晒干烧灰,不拘多少,加轻粉、滑石各五分,研细酒调匀,鹅翎扫搓即愈。(《启玄》)
聂九吾曰∶凡用寒凉药品,除阳证伤寒,热积痢证,及诸实热等证外,其余若
用之降炎上之火,用之清血分之火,俱有寒因热用之义,须根据酒炒酒制之法,最为
紧要。同一寒药也,根据法用之则取效,不根据法用之则为害。若痘疮中前后所用解毒
诸寒药,皆因毒火燥血而用,入血分以凉血活血者,是以芩、连、栀、柏、花粉、大
黄等味,必用酒拌湿炒燥;牛蒡子必炒香研碎,当归、生地、白芍、红花、紫草、牡
丹皮、地骨皮之类,必以酒临时洗用,此要法也。而时医苟简粗率,每每不根据法炒
制而生用寒凉,不惟无益,而反以致害者多矣。此其失非小,而人不知也。不惟病
家莫知之,而医家亦竟不悟也。倘悟其失,岂可省此微劳,而贻此大害哉!予故表而
出之,以训将来也。制之大概,有热者,甘草、黄 、白芍俱生用;虚寒者,甘草炙熟,黄 蜜炙,白芍酒炒。
(四方之方语不同,其实皆疹也,调治之法俱同,避忌之说无异。)
京师内外名曰温疹。河南名曰 疮。山西、陕西名曰糠疮。山东名曰疹子。江南、
浙江名痧疹。湖、广、江西名曰麻疹,又名艄子。福建、广东、广西、云南、贵州、四川俱名曰疹子。
Shen Douyuan stated: After the smallpox scabs fall off, cleanliness should be maintained. If one mistakenly consumes "stimulating foods" (foods believed to exacerbate skin conditions) or frequently exposes oneself to wind in open areas, it may cause fine sores to reappear. These sores resemble scabies but are not scabies, and they are most difficult to cure. Internally, it is advisable to use 1–2 liang of Sichuan honey, boiled with water until rolling, and sipped occasionally. Externally, dry feces from a pregnant sow should be sun-dried and burned to ash. The amount is unrestricted. Add 5 fen each of Calomelas (Qingfen) and Talcum (Huashi), grind into a fine powder, mix evenly with wine, and apply by sweeping and rubbing with a goose feather. This will lead to recovery. (From *Qixuan*)
Nie Jiuwu stated: Whenever cold-natured medicines are used, except for Yang-pattern Cold Damage (Yang Zheng Shanghan), heat-accumulated dysentery, and other excess-heat patterns, if they are employed to subdue flaming-upward fire or to clear fire in the blood aspect, they all embody the principle of "using cold for heat" (Han Yin Re Yong). It is essential to follow the methods of wine-frying and wine-processing. Even among cold medicines, those processed according to these rules yield efficacy, while those not processed according to rules cause harm. For instance, the various detoxifying cold medicines used before and after treating smallpox are employed because toxic fire dries and damages the blood; their purpose is to enter the blood aspect to cool and invigorate blood circulation. Therefore, Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Gardeniae Fructus (Zhizi), Phellodendri Cortex (Huangbai), Trichosanthis Radix (Huafen), and Rhei Radix et Rhizoma (Dahuang) must be moistened with wine and stir-fried until dry. Arctii Fructus (Niubangzi) must be fried until fragrant and ground. Angelicae Sinensis Radix (Danggui), Rehmanniae Radix Preparata (Shengdi), Paeoniae Radix Alba (Baishao), Carthami Flos (Honghua), Lithospermi Herba (Zicao), Moutan Cortex (Mudanpi), and Lycii Cortex (Digupi) must be washed with wine immediately before use. This is a crucial method. However, contemporary physicians often act negligently and carelessly, using cold medicines raw without following processing rules. This not only fails to benefit but often causes harm. Such errors are significant, yet people remain unaware. Not only do patients not know, but physicians themselves also fail to realize this. If they were aware of this error, how could they save such minor labor at the cost of causing great harm? Therefore, I have explicitly outlined these points to instruct future generations. The general principles of processing are as follows: For heat patterns, Glycyrrhizae Radix et Rhizoma (Gancao), Astragali Radix (Huangqi), and Paeoniae Radix Alba (Baishao) are all used raw; for deficiency-cold patterns, Glycyrrhizae Radix et Rhizoma (Gancao) is roasted (Zhi), Astragali Radix (Huangqi) is honey-roasted, and Paeoniae Radix Alba (Baishao) is wine-fried.
(Although terminology varies across regions, the condition is essentially the same rash disease. The methods of regulation and treatment are identical, and the taboos are no different.) In the capital and its surroundings, it is called Warm Rash (Wenzhen). In Henan, it is called Sha Chuang. In Shanxi and Shaanxi, it is called Kang Chuang. In Shandong, it is called Zhenzi. In Jiangnan and Zhejiang, it is called Shazhen. In Huguang and Jiangxi, it is called Mazhen, also known as Shaozi. In Fujian, Guangdong, Guangxi, Yunnan, Guizhou, and Sichuan, it is uniformly called Zhenzi.