痘出形如蚕布种，枭毒势重逆而凶，速用归宗汤救治，毒松痘起可望生。
【注】痘出稠密如蚕布种者，名曰蚕种。乃枭毒太重，凶逆之甚。速用归宗汤攻之，使
毒松痘起，方可望生。
\r蚕种图\p03-b24a23.bmp\r
归宗汤（方见发热证治）
痘形累累似燕窝，联系细密不成颗，外用燕脂点痘上，内服凉血解毒和。
【注】痘出累累，联系细密，不成颗粒，故谓之燕窝。宜外用燕脂膏贴法，内服凉血解毒汤和之。
\r燕窝图\p03-b24a24.bmp\r
燕脂膏（方见蒙 证治）
凉血解毒汤（方见结痂落痂证治）
四五相连名鼠迹，周身为重少见轻，速用归宗攻毒热，相并成泡始堪生。
【注】痘出四五粒，或六七粒，相聚粘连者，名曰鼠迹。见一二处者轻，见周身者为
重。速用归宗汤攻之，令相并成泡，其毒方解，始可望生。
\r鼠迹图\p03-b24a25.bmp\r
归宗汤（方见发热证治）
痘形平伏无颗粒，团团攒聚若叠钱，外
用燕脂调贴法，内服凉血攻毒痊。
【注】痘已见点，平伏不起，颗粒不分，团团攒聚，状若叠钱者，此血热毒盛也。外
用燕脂膏贴之，内以凉血攻毒饮治之。
\r叠钱图\p03-b24a26.bmp\r
燕脂膏（方见蒙 证治）
凉血攻毒饮（方见见点证治）
The appearance of the smallpox rash resembles seeds sown on a silkworm mulberry leaf; the Xiao Du (severe toxic pathogen) is heavy, the disease course is adverse and ominous. Quickly use Guizong Tang (Return to Origin Decoction) for rescue; if the toxin loosens and the pustules rise, survival may be hoped for.
[Note] When the smallpox rash emerges densely like seeds sown on a silkworm mulberry leaf, it is named "Can Zhong" (Silkworm Seed). This indicates that the Xiao Du (severe toxic pathogen) is excessively heavy, representing an extremely adverse and ominous condition. Quickly attack it with Guizong Tang (Return to Origin Decoction), allowing the toxin to loosen and the pustules to rise, so that survival can be hoped for.
The smallpox lesions are clustered and connected like a swallow's nest, fine and dense without forming distinct granules. Apply Yan Zhi (Vermilion Paste) externally to the lesions, and internally administer Liang Xue Jie Du Tang (Cool Blood and Detoxify Decoction) to harmonize.
[Note] When the smallpox rash emerges in clusters, connected finely and densely without forming distinct granules, it is thus called "Yan Wo" (Swallow's Nest). It is suitable to apply Yan Zhi Gao (Vermilion Ointment) externally via patching, and internally take Liang Xue Jie Du Tang (Cool Blood and Detoxify Decoction) to harmonize.
Four or five lesions connected together are named "Shu Ji" (Rat Trace); involvement of the whole body indicates a severe case, while limited occurrence is mild. Quickly use Guizong Tang (Return to Origin Decoction) to attack the toxic heat; only when they merge into blisters can life be saved.
[Note] When four or five, or six or seven smallpox lesions emerge and adhere to each other, it is named "Shu Ji" (Rat Trace). Cases appearing in one or two locations are mild, while those covering the whole body are severe. Quickly attack with Guizong Tang (Return to Origin Decoction), causing them to merge into blisters, so that the toxin is resolved and survival can be hoped for.
The smallpox morphology is flat and sunken without granules, gathered in clumps resembling stacked coins. Apply Yan Zhi mixed externally via patching, and internally take Liang Xue Gong Du Yin (Cool Blood and Attack Toxin Drink) for recovery.
[Note] When the smallpox spots have appeared but remain flat and sunken without rising, with indistinct granules gathered in clumps resembling stacked coins, this is due to blood heat and abundant toxin. Apply Yan Zhi Gao (Vermilion Ointment) externally via patching, and treat internally with Liang Xue Gong Du Yin (Cool Blood and Attack Toxin Drink).