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When heat is surging and the pox are difficult to bear, one should examine the locations and deduce in detail. If the "Li Fang" (auspicious position) shows spots first, there is no need for worry or panic. Initially, if red spots cover the head, apply treatment based on location; if it is indeed a "Bao Dou" (ominous sign) rather than an unfavorable pattern, after seven days the condition will dissipate into emptiness. If initial spots are purple-red, resembling thunderous clarity, heaven can be turned back; urgently seek Qing Di Tang (Clear Earth Decoction) early to spare parents from vain grief. Lower back pain before eruption is pitiable; do not disdain the cheeks, zygomatic bones, and Nianshou area. If eruptions appear first in adverse positions, Qian Niu Wan (Morning Glory Pill) may be used. If head and face eruptions are well-formed but uneven like hemp seeds all over the body, failing to grasp the method leads to death within ten days of burning. If head and face eruptions resemble hemp seeds, do not boast of the body's color; if Fengchi (GB20) and the back swell first, without a wise physician, sighing is futile. Initial eruptions like a patch of rouge indicate blood stasis and qi stagnation; modify Qiang Huo San (Notopterygium Powder) accordingly, lest effort be wasted at the last moment. Crying with hoarse voice suggests potential recovery if color is bright and moist; if purple-black macules appear, it is like a dream ending in death. Eruptions start on hands and feet, abundant on the face, scarce on the brain, dense on the back, and very dense on limbs—this requires profound observation. Gray-white-black dominance on the head and face with red-active pits on the body, empty space around the heart pit, and black streaks near the kidneys and navel indicates severity. Eruptions on Tianting (GV26), uneven chest and back, sparse limbs, and 2-3 fen empty space at the heart pit. Eruptions starting at Taiyang (EX-HN5), sparse on face, dense on limbs, no empty space on chest and spine, leading to death within nine days. Eruptions on Sikong (EX-HN14), dense around cheekbones and cheeks, large divisions on chest/abdomen/limbs, dense on back. Wide-spreading eruptions are concerning; face dense, chest sparse, back dense—this pattern has three or four variations, requiring focused medical application. Spots on Yintang (EX-HN3) appearing, wide Taiyang piles up, heart pit covered like felt with no empty space—death occurs at Ji hour on the ninth day. Spots on Shangen (Yin Tang base) and Nianshou appear first, sparse on face/chest, penetrating back, 20-30 on limbs, sore throat needs clearing. Spots on both cheeks appear, sparse face, arranged on chest/back/limbs—infants with this pattern need not worry. A single spot on Fengchi (GB20) and Santai suggests roundworm involvement; vomiting and discomfort with clear stool require urgent medication. Santai eruptions must be known early; vomiting and diarrhea are certain, sore throat makes survival hard—deduce carefully within Gan Ju Tang (Sweet Orange Decoction). Chengjiang (CV24) eruptions are not suspicious; toxicity implies sparse pox, fever lasts three days, then cooling brings peace.

Another Secret Formula:
On the sixth or seventh day, see pox covering the face densely. Examine Yin-Yang and Liang Shang acupoints; water droplets hidden inside indicate eruptions from Heart, Liver, and Lung meridians. A few rows at the heart pit show no major harm on the second day, but watch for itching on the eleventh and twelfth. During itching, guard against diarrhea; by fifteenth and sixteenth days, peace returns. On the seventh, eighth, or ninth day, see pox covering the face like felt, purple in color. Throat obstruction is taboo; eruptions from Kidney and Liver meridians are inauspicious. Markers appearing on the second day emerge from fire; thinking is vain at Wu hour on the eleventh day. On the fifth, sixth, or seventh day, see pox scattered sparsely. This is Liver meridian eruption, resembling red coral on chest/heart. Markers appearing on the third day emerge with fire; urgently use Shu Dou Liang Di Tang (Disperse Pox Cool Earth Decoction). After taking it, follow regulation; no other formulas needed later. On the sixth, seventh, or eighth day, see pox smooth and red like water droplets. This is Liver-Spleen eruption; markers on the second day allow deduction. Empty spaces in the chest with a few spots bring joy upon seeing them, but do not judge hastily; transmission methods exist later. Itching arrives on the ninth day, followed by thirst, then diarrhea, severe chills and teeth grinding. Surviving the thirteenth and fourteenth days ensures safety. On the seventh, eighth, or ninth day, Yin-Yang cheeks are hard to bear. Gray-white with pale red indicates Liver-Lung root details. On the eighth or ninth day, Tianmen shows Ping Ta (flat) Kan-Li acupoints. Purple-black Heart-Kidney eruptions emerge from water causing fire disaster; itching on eleventh-twelfth days, internal attack and external peeling lead to death. On the ninth or tenth day, black sunken scorched pox fail to fill with pus. Yin-Yang areas do not rise; Lung-Kidney meridians fail to fill. Sparse black spots on chest/back, markers seen halfway through the day—do not calculate. Teeth grinding and asthma on the twelfth day, returning to the underworld at Wu hour on the fourteenth. On the fifth or sixth day, pox skin connects like a boat; Yin-Yang spots indistinguishable, purple blisters on chest/abdomen make breathing hard. Seen halfway through the day, it is detestable; death within nine days. On the third or fourth day, red macules and purple blisters cause swelling first. Eyes Yin-Yang have no seams; spots vanish in six days. On the eighteenth or nineteenth day, whole body finishes healing with red skin. Original pox did not fill tops first; Shao Gong meets with joy. Teeth grinding and chills on the twelfth day, journey to underworld at Zi-Wu hours on the fourteenth. On the eighth or ninth day, dense pox cover the face. Carefully observe Yin-Yang acupoints; Yin-Yang Tianting slightly fills with pus. Shao Gong asks physicians who answer nothing; hesitantly knowing difficulty arises. Urgently push Tu Xin and perform Eight Trigrams; this syndrome has miraculous formulas after the secret rules. Medication application reverses like a palm; critical cases can survive with proper judgment. On the fifth or sixth day, head, face, and limbs are gray-white. Shao Gong urges repeatedly; urgently use good remedies for health. This pox harmonizes Qi and Blood; strengthening Spleen and moving Qi is appropriate. On the eighth or ninth day, Yin-Yang lips hide red pox; Liver-Lung pox are pale white; heart pit sparse, limbs even. Markers on the third day are enviable; tops rise on the tenth, store on the twelfth.

Another Secret Rule:
For pox heat syndrome, excessive drinking of soups/waters leads to diarrhea on Shen day, chills on Hai day, teeth grinding as evil signs, death period at Chen-Wu hours. Shen day often returns to Yi-Hai. Ding-Chou period, Ji-Mao or Ling. Xin-Si often verified, Jia-Shen extremely accurate, immortal numbers cannot escape. Syndrome value auspicious/inauspicious, judged from rules. If ominous appears, how many days can be predicted? Deduce carefully, add strength. Investigate essence, only then called divine. Keep immortal secrets strict, do not leak randomly.