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Ziyun Guanding (Purple Cloud Pouring Over the Crown): The pustules on the rest of the body are normal, but the crown of the head is purple, dry, sunken, and fails to erupt. This is Ziyun Guanding. It is an intractable condition.

Tongyun Raoding (Red Cloud Surrounding the Crown): The pustules on the rest of the body are normal, but there is a patch of redness on the crown of the head. This indicates heat-toxin accumulating in the Bladder channel. It requires clearing heat and promoting diuresis.

Duzhi Zhilan: The Qihui point is located below the sole of the foot, named Yongquan (KI 1). If pustules appear here, it signifies that the eruption is complete and presents with the most auspicious appearance. Another view states: if redness or suppuration appears first at this location, it is a very ominous sign; one should urgently use Baoyuan Tang (Preserve the Origin Decoction) to protect the Yuan Qi (Original Qi).

Wusha Futop (Black Veil Covering the Crown): The patient inevitably suffers from hoarseness and obstruction in the throat, panting, and coarse breathing. This indicates depletion of blood and Qi, and loss of Yuan Yang (Primal Yang). It is an intractable condition.

Lihua Mantop (Pear Blossoms Spreading Over the Crown): This is caused by deficiency-cold of Qi and Blood, which fails to stimulate luster. Urgently using Baoyuan Tang (Preserve the Origin Decoction) added with Tianxiong (Aconiti Lateralis Radix Praeparata, a type of prepared Aconite root) may still be curable.

Yunyan Tianting (Clouds Obscuring the Forehead): Also known as "Fufu" (Covered Cauldron) or "Mengtou" (Veiled Head). The pustules on the rest of the body are distinct and lustrous, except for a patch of blood blisters on the forehead resembling clouds. This indicates severe guest-heat in the Heart. One should urgently administer Rhinoceros Horn (Xijiao, now substituted with Water Buffalo Horn Shuiniu Jiao in practice) preparations.

Ziping Fu'e (Purple Duckweed Paving the Forehead): The symptoms include extreme heat, sore throat, mental confusion, and mania. Treatment should urgently focus on clearing heat, promoting diuresis, and detoxifying.

Wusha Luo'e (Black Veil Falling on the Forehead): A patch of black qi covers the forehead firmly. This indicates the extinction of both Yuan Yang and Qi and Blood. It is an intractable condition.

Hui Pu Yintang (Ash Dusting the Glabella): This condition indicates insufficient Blood in the Heart. If accompanied by abdominal distension and dry throat, treatment should primarily tonify Qi and Blood while simultaneously supporting the interior to expel toxins. Use Baoyuan Tang (Preserve the Origin Decoction) added with Chuanxiong (Ligustici Chuanxiong Rhizoma), Guizhi (Cinnamomi Ramulus), and Honghua (Carthami Flos) as the main formula. If the eruption extends to the nose, it is also called "Zhongliudizhu" (Pillar in the Midstream) or "Du Zhi Yingxiang" (Toxin Stagnating at Yingxiang), indicating involvement of the Lung.

Hongsha Fumian (Red Silk Brushing the Face): Treatment should primarily cool the blood and detoxify. If the pustules are numerous and merge into red patches, it is an intractable condition.

Yanghua Pumian (Poplar Catkins Facing the Face): Treatment should use Neituo San (Internal Support Powder) added with Tianxiong (Aconiti Lateralis Radix Praeparata).

Chizhu Zaochun (Red Pearls Surrounding the Lips): This indicates extreme heat in the Spleen channel. Urgent fire-clearing and detoxification are required.

Wufan Zhan Chun (Black Rice Staining the Lips): The patient inevitably exhibits hoarseness, coma, immobility of the eyeballs, and cold limbs. Death typically occurs on the third or seventh day after onset.

Xiajin Chuexiong (Rosy Brocade Piercing the Chest): This is due to excessive fire-toxin and is an intractable condition.

Ziyun Buxiong (Purple Clouds Spreading on the Chest): This indicates blood stasis and Qi stagnation, with toxin attacking the chest. Symptoms inevitably include teeth grinding and tremors, scorched and cracked lips, and death may occur within moments.

Heiqi Paixiong (Black Chess Pieces Arranged on the Chest): This indicates extreme hyperactivity of Heart Fire, with the color of the organ manifesting externally. Death is determined by the third day due to the rapid nature of Fire.

Liuxu Feixiong (Willow Catkins Flying on the Chest): This indicates exhaustion of Qi and Blood. Use Baoyuan Tang (Preserve the Origin Decoction) added with Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Guizhi (Cinnamomi Ramulus), and Fuzi (Aconiti Lateralis Radix Praeparata) as the main formula.

Taohua Yingbei (Peach Blossoms Reflecting on the Back): The pustules on the rest of the body are red, vibrant, bright, blooming, and full, but the back shows deep red, dense eruptions. Treatment should focus on clearing fire, cooling the Heart, and detoxifying.

Ziping Fu Bei (Purple Duckweed Floating on the Back): The pustules on the back are dense and form continuous red-purple patches. This is an intractable condition.

Duyong Sancang (Toxin Congesting the Three Granaries): Also known as "Manxiong". Pustules appear in patches on the chest. This area is where the Mu points of the five Zang organs gather, where Qi converges, and where the Pericardium channel pours. There is no hope for survival.

Huadian Xie Dui (Flower Ornaments Slanting in Piles): Pustules are particularly abundant on the temples. If they turn purple-red, clearing heat and resolving toxin is especially indicated.

Heisha Luobei (Black Sand Falling on the Back): This condition is particularly intractable.

Xia Yan Bi Cong (Owl Flame Obscuring Hearing): Also known as "Suoyin" (Locked Voice). Pustules are particularly abundant in the ears. The ear is the orifice of the Kidney; it is contraindicated for eruptions to appear first or crust over first in the ears. If the ears become hot and black, guard against transformation into "Black Returning to the Kidney," which is ominous.

Xuepu Yu Bei (Snow Paving the Fish Back): This indicates that the Blood of the five Zang organs has been completely exhausted. It is an intractable condition.

Chilin Chuanfu (Red Scales Piercing the Abdomen): This indicates extreme heat in the Stomach, resulting in hard constipation and scanty, painful urination. Treatment should employ harmonizing methods.

Sanyin Coudu (Three Yin Channels Gathering Toxin): The big toe area is Taichong (LR 3), belonging to the Jueyin Liver channel; the sole is Yongquan (KI 1), belonging to the Shaoyin Kidney channel; the lateral thigh is Shangqiu (SP 5), belonging to the Taiyin Spleen channel. If toxin gathers here, it is ominous.

Baili Duofu (White Pear Falling into the Abdomen): This indicates exhaustion of both Qi and Blood. Within half a month, convulsions will arise leading to death.

Putao Luodi (Grapes Hitting the Ground): Red-purple patches resembling grapes appear between the buttocks. This is an intractable condition.

Lansu Ju Tun (Rotten Millet Dwelling in the Buttocks): The pustules on the rest of the body are normal, except for a patch on the buttocks resembling rotten millet husks with a foul odor. Urgent tonification and support, along with warming and supplementing the Lower Yuan, may offer a chance of survival.

Liuhua San Ye (Pomegranate Flowers Scattering in the Wild): All pustules are normal, except for red limbs and bursting/cracking of lips and mouth. This indicates extreme heat in the Heart, Spleen, and Lung channels. Treatment should primarily cool the blood, clear fire, and detoxify.

Heqian Tou Shui (Lotus Coins Penetrating Water): Also known as "Tuosai". Pustules are particularly dense on the cheeks. If they turn scorched purple and the spirit becomes dim, it is ominous.

Yanghua Duo Zhi (Poplar Catkins Falling from Branches): Pustules are exclusively gray-white on the four limbs. This is due to Qi stagnation and blood coagulation. Use Bazhen Tang (Eight Treasures Decoction) added with Fuzi (Aconiti Lateralis Radix Praeparata) as the main formula.

Xiao Ju Liang Yi (Owls Gathering on Both Cheeks): Also known as "Yanzhi Fuman" (Rouge Brushing the Face) or "Juke Lian" (Orange Peel Face). Pustules are predominantly purple-red on both cheeks. This is due to extreme heat in the Liver and Lung. Urgent clearing of heat and detoxification is required.