产后如逢出痘疮，惟凭补益莫惊慌，十全大补全功效，勿用寒凉致损伤。
【注】妇人产后气血已伤，又遇出痘，则气血之供用难给，不能领载其毒。惟宜大补
气血，以十全大补汤治之，切不可妄用寒凉之剂，致伤生发之机也。
十全大补汤（方见结痂落痂证治）
麻为正疹亦胎毒，毒伏六腑感而出，初发之状有类痘，形尖渐密不浆殊。始终调护
须留意，较痘虽轻变化速。
【注】疹非一类，有瘙疹、瘾疹、温疹。盖痘疹皆非正疹也，惟麻疹则为正疹。亦胎
元之毒，伏于六腑，感天地邪阳火旺之气，自肺、脾而出，故多咳嗽喷嚏，鼻流清涕，眼
泪汪汪，两胞浮肿。身热二三日或四五日，始见点于皮肤之上，形如麻粒，色若桃花，间
有类于痘大者，此麻疹初发之状也。形尖疏稀，渐次稠密，有颗粒而无根，晕微起泛而
不生浆，此麻疹见形之后，大异于痘也。须留神调治，始终不可一毫疏忽。较之于痘虽
稍轻，而变化之速则在顷刻也。
麻疹出时非一端，其中轻重要详参，气血和平轻而易，表里交杂重则难。
【注】麻疹出时有轻重之分，临时须要详察。若气血和平，素无他病者，虽感时气，而
正能制邪；故发热和缓，微微汗出，神气清爽，二便调匀，见点则透彻散没，不疾不徐，
为轻而易治者也。若素有风寒食滞，表里交杂，一触邪阳火旺之气，内外合发，而正不
能制邪，必大热无汗，烦躁口渴，神气不清，便闭尿涩，见点不能透彻收散，或太紧速，则
为重而难治者也。
If pox (smallpox) occurs after childbirth, rely solely on tonification methods and do not panic. Shiquan Dabu Tang (Ten Complete Tonifying Decoction) is fully effective; avoid using cold-natured medicines to prevent damage.
[Note] After childbirth, a woman's Qi and Blood are already damaged. If she encounters pox, the supply of Qi and Blood is insufficient to carry and eliminate toxins. It is appropriate to greatly tonify Qi and Blood, treating with Shiquan Dabu Tang (Ten Complete Tonifying Decoction). One must absolutely not recklessly use cold-natured agents, which would injure the mechanism of growth and vitality.
Shiquan Dabu Tang (See formula in the section on Crusting and Scab Falling Syndromes)
Ma (Measles) is the "correct rash" (Zheng Zhen), also resulting from fetal toxin. The toxin lies dormant in the Six Fu Organs and emerges upon contracting pathogenic factors. Its initial appearance resembles pox, but its shape is pointed, it becomes dense gradually, and crucially, it does not suppurate (form pus), which is distinct. Careful nursing throughout is essential; although milder than pox, its changes occur rapidly.
[Note] Rashes are not a single category; there are Sao Zhen (Itchy Rash), Yin Zhen (Hives), and Wen Zhen (Warm Rash). Generally, Pox and Zhen are not "correct rashes"; only Measles is the correct rash. It is also fetal toxin lying dormant in the Six Fu Organs, triggered by heaven-earth pathogenic Yang fire-heat qi, emerging from the Lung and Spleen. Thus, it often presents with coughing, sneezing, runny clear nose, watery eyes, and swollen eyelids. After fever for two or three days, or four or five days, spots begin to appear on the skin, shaped like millet grains, colored like peach blossoms. Occasionally, some may resemble larger pox lesions; this is the initial stage of measles. The shape is pointed and sparse initially, becoming denser gradually. There are granules without roots, slight redness/flushing without rising into pustules. This post-emergence state of measles differs significantly from pox. Vigilant treatment is required; one must never be negligent at any point. Although slightly milder than pox, its rapid changes happen in an instant.
The emergence of measles varies in severity; light and heavy cases must be carefully differentiated. Cases with harmonious Qi and Blood are light and easy to treat; those with mixed Exterior and Interior patterns are heavy and difficult to treat.
[Note] The emergence of measles has distinctions in severity, requiring careful observation at the time. If Qi and Blood are harmonious and the patient has no underlying diseases, even if contracted seasonal pathogens, righteous Qi can control the pathogen. Thus, fever is mild, sweating is slight, spirit is clear, and bowel/bladder functions are regular. Spots emerge thoroughly and dissipate evenly, neither too fast nor too slow; this is a light case, easy to treat. If the patient has pre-existing Wind-Cold or food stagnation, resulting in mixed Exterior and Interior patterns, contact with pathogenic Yang fire-heat qi causes internal and external factors to combine. Righteous Qi cannot control the pathogen, leading to high fever without sweat, irritability, thirst, unclear spirit, constipation, and dysuria. Spots fail to emerge thoroughly or dissipate properly, or emerge too tightly and quickly; this is a heavy case, difficult to treat.