痘触变紫黑，倏时喘急至，急觅丝瓜皮，（须要未生筋时取来焙干，临用只取皮蒂为末。）取
末蜜调置，甘草地黄汤，一服痘更起，若加烦 时，犀角磨汤水，此是四五朝，治
触当如此；期若至七八，空壳触必死，浆半犯触证，按验若糊指。痘触变灰白，枭
痒忍不得，附子绵黄 ，愈多功愈益；盘红根晕敛，用此可效力，如无根缕绕，死
证可言必。痘正汹汹才翕浆，适为月水正临场，不知洁净相防护，致使花烂倏变常；
月月红花花一种，不分枝叶取煎汤，煎嫩杪汤投酒服。根枝煎沸浴花郎，不消时刻
还归正，任汝经红触满床。麝香一触痒难当，点点花心带黑焦，急把升麻苍耳草，浓
煎慢浴转明娇；内应托里扶元气，生地防风蝉蜕遭，归芍参 赤豆共，红花及与桔
甘交。死尸触变目翻斜，痘必沉潜吐沫加，
速把芫荽并枣艾，为筒烧避正灵家；外取芫荽和姜醴，唇砂再入略须佳，共将煮就
时时呷，自得康宁扫去邪。客忤相侵似若惊，啼号不歇面浑青，丝瓜细结含花者，露
摘蒸来焙粉成；见证蜜调随与服，量儿大小进多轻，此时莫说丝瓜贱，一寸丝瓜一
寸金。五六朝来浆正行，忽为猫犬兽惊停，古人特设乌龙散，远志菖蒲各等分；再加
蝉蜕酒煮透，去却菖蒲远志门，蝉蜕独留研细末，砂糖调服酒含噙。
If the smallpox lesions turn purple and black due to contact, accompanied by sudden panting and urgency, one should urgently seek dried loofah peel (harvested before tendons form, dried, and only the peel and stem used as powder). Mix the powder with honey and apply locally, combined with Gancao Dihuang Decoction. After one dose, the lesions will rise again. If irritability is present, grind rhinoceros horn for decoction. This applies to the fourth or fifth day of contact-induced changes; treatment should proceed thus. If the disease reaches the seventh or eighth day and the lesions become empty shells upon contact, death is inevitable. If contact occurs when pus is half-formed, palpation reveals a mushy consistency.
If smallpox lesions turn grayish-white due to contact, with unbearable itching, use Fuzi (Aconiti Lateralis Radix Praeparata) and Mian Huangqi (Astragali Radix), where greater dosage yields better efficacy. If the lesion base is red and the areola converges, this method is effective. If there is no root-like network surrounding it, it indicates a fatal condition.
When smallpox is in its vigorous stage, just beginning to crust over, coinciding with menstruation, lack of hygiene precautions causes lesions to ulcerate and change abnormally. Honghua (Carthami Flos) is boiled into a decoction without separating branches and leaves; the tender tips' decoction is taken with wine. Boiling water from roots and branches is used for bathing the patient, restoring normalcy quickly regardless of menstrual blood staining the bed.
Contact with musk causes unbearable itching, with black scabs forming on the lesion centers. Urgently decoct Shengma (Cimicifugae Rhizoma) and Cang'er Cao (Xanthii Fructus) for slow bathing to restore the lesions' brightness. Internally, use formulas to support the interior and boost Yuan Qi (Primary Qi), combining Shengdi (Rehmanniae Radix), Fangfeng (Saposhnikoviae Radix), Chantui (Cicadae Periostracum), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Renshen (Ginseng Radix), Chidou (Phaseoli Semen Rubrum), Honghua (Carthami Flos), Jiegeng (Platycodonis Radix), and Gancao (Glycyrrhizae Radix).
Contact with corpse qi causes eye deviation, sinking of lesions, and increased foaming vomit. Quickly burn Wan sui (Coriandri Fructus), Zao (Jujubae Fructus), and Ai Ye (Artemisiae Argyi Folium) in a tube, avoiding direct alignment with sacred spaces. Externally, boil Wan sui with ginger vinegar and Sha Ren (Amomi Fructus Rotundus), drinking frequently to eliminate evil and restore health.
Invasion by Ke Wu (Hostile Qi) resembles fright, with incessant crying and cyanotic face. Harvest dew-covered, fine-knotted, flowering loofah, steam dry, and powder it. Administer mixed with honey according to age and severity. At this time, do not despise loofah; an inch of loofah is worth an inch of gold.
On the fifth or sixth day, when pus formation is active, sudden fright from cats or dogs halts progress. The ancients devised Wulong San (Black Dragon Powder), consisting of equal parts Yuanzhi (Polygalae Radix) and Changpu (Acori Tatarinowii Rhizoma). Add Chantui (Cicadae Periostracum) boiled in wine, remove Yuanzhi and Changpu, keep only Chantui powdered finely, mix with rock sugar, and take with wine held in the mouth.