徐仲光治一儿卒仆惊搐，苏而复作，此风寒壅毒也，红棉散治愈。一儿惊搐，误以惊药凉其心，痘不得出
而死。
一儿初发热搐，以升麻葛根汤加天麻、钩藤、木通、蝉蜕、枳壳，痘出而愈。
一儿见点发搐，此心血虚而客邪，以四物汤加茯苓、远志、石菖蒲、枣仁、蝉蜕而愈。
一痘初点，惊搐不止，此心脾虚而血少，失治，十朝而卒。
一痘出二三日，惊搐，此毒不透，心经有邪，导赤散加蝉蜕、黄连、红花、天麻、钩藤、石菖蒲而愈。
一痘出未尽，惊搐，且溏泄肢冷，异功散四剂而愈。
一痘浆期，惊搐不止，安神养血丸而愈。
一痘后，惊搐吐泻，肢厥，目直痰鸣，此中气不足，补中益气汤为主，兼醒脾散、附子理中汤，下至圣保
命丹而愈。
一痘后惊搐，气促痰喘，口开目直，二便闭涩，此类急惊，乃风邪有余症，宜清凉解散泻气，以天麻抱龙
泻青丸治愈。
一痘后过食白果，惊搐痰壅，目直，腹胀喘急，此气滞生痰。甘草汤、姜汤，渐与服，得吐泻而愈，不可
以风治之也。
（以下皆徐仲光所治。）
一痘未出齐，色赤，壮热烦躁，清解之而益重，此反冰其毒也。宜升解之，升麻葛根汤加桂枝、牛蒡、紫
草而愈。
一四朝顺痘，烦躁不食，毒未尽也。升麻葛根汤、补中益气汤而愈。
一顺痘，日夜啼哭不止，此不胜火炽刑金也，泻青散、导赤散加黄连而愈。
一痘少淡白，不易肥而烦躁，真气弱也，棉纸搓软，白芨膏封痘，服保元汤而愈。
一痘后夜卧不宁，此胃不和，而卫气不得入于阴也，四物汤加远志、枣仁、龙眼肉，及归脾汤而愈。
一痘后身热，午时烦躁，解毒清热而愈。
一痘六朝不起，干红烦躁，此毒壅也，过用保元汤，而反闷乱焦紫。乃以枳壳汤先解参、 之滞，犀角地
黄汤加蝉、蒡、紫草，清其壅滞之热。七朝，痘色正。后以保元汤调理而愈。
万密斋治邱氏子，痘正作脓，瘙痒烦哭，其面磊落红绽，脓浆未熟，两颊先红干，皮肉木硬。曰∶左颊属
木，肝也，肝主血，藏魂。右颊属金，肺也，肺主气，藏魄。两颊木硬，气血不荣，魂魄不靖，所以烦哭也。
请药。曰∶欲解其毒，则中气反伤，欲补其中，则邪火正盛，不可为也。是夕加烦而死。
Xu Zhongguang treated a child who suddenly fell into convulsions and spasms. After regaining consciousness, the symptoms recurred. This was caused by wind-cold obstructing and trapping toxic pathogens. It was cured with Hongmian San (Red Cotton Powder). Another child suffered from convulsions and spasms but was mistakenly treated with cooling herbs for fright to clear the heart, which prevented the smallpox eruptions from emerging, leading to death.
Another child presented with initial fever accompanied by convulsions. He was treated with Shengma Gegen Tang (Ephedra and Pueraria Decoction) modified with Tianma (Gastrodiae Rhizoma), Gouteng (Uncariae Ramulus cum Uncis), Mutong (Akebiae Caulis), Chantui (Cicadae Periostracum), and Zhike (Aurantii Fructus Immaturus). The smallpox erupted, and the child recovered.
Another child developed convulsions upon the appearance of smallpox spots. This indicated deficiency of heart blood with invasion of external pathogens. He was cured with Siwu Tang (Four Substances Decoction) modified with Fuling (Poria), Yuanzhi (Polygalae Radix), Shichangpu (Acori Tatarinowii Rhizoma), Zaoren (Ziziphi Spinosomi Semen), and Chantui (Cicadae Periostracum).
Another child had continuous convulsions and spasms immediately after the first smallpox spots appeared. This was due to deficiency of heart and spleen with blood insufficiency. Due to lack of timely treatment, the child died ten days later.
Another child developed convulsions and spasms two or three days after the smallpox eruption. This indicated that the toxic pathogen was not fully vented and there was evil qi in the heart meridian. He was cured with Daochi San (Guide Out the Red Powder) modified with Chantui (Cicadae Periostracum), Huanglian (Coptidis Rhizoma), Honghua (Carthami Flos), Tianma (Gastrodiae Rhizoma), Gouteng (Uncariae Ramulus cum Uncis), and Shichangpu (Acori Tatarinowii Rhizoma).
Another child had incomplete smallpox eruption accompanied by convulsions, diarrhea, and cold limbs. He was cured after taking Yigong San (Extraordinary Power Powder) for four doses.
Another child experienced continuous convulsions during the pustule-filling stage of smallpox. He was cured with Anshen Yangxue Wan (Calming the Spirit and Nourishing Blood Pill).
After recovering from smallpox, another child presented with convulsions, vomiting, diarrhea, cold limbs, fixed gaze, and phlegm rattle in the throat. This was attributed to deficiency of middle jiao qi. Treatment focused on Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), combined with Xingpi San (Awaken the Spleen Powder) and Fuzi Lizhong Tang (Aconite Decoction to Warm the Middle), followed by Zhisheng Baoming Dan (Supreme Life Preserving Pill), resulting in recovery.
Another child suffered from convulsions, rapid breathing with wheezing, open mouth, fixed eyes, and constipation/urinary retention after smallpox. This case was classified as Ji Jing Feng (Urgent Wind Syndrome), characterized by excess wind pathogen. The appropriate treatment was clearing heat, resolving exterior, and draining qi using Tianma Baolong Xieqing Wan (Gastrodia Baolong Draining Green Pill), which cured the condition.
Another child developed convulsions, phlegm obstruction, fixed gaze, abdominal distension, and rapid breathing after overeating white ginkgo nuts post-smallpox. This was due to qi stagnation generating phlegm. Gancao Tang (Licorice Decoction) and Jiang Tang (Ginger Decoction) were administered gradually, inducing vomiting and diarrhea to expel the pathogen, leading to recovery. It should not be treated as wind syndrome.
(The following cases were all treated by Xu Zhongguang.)
Another child had incomplete smallpox eruption with red coloration, high fever, and irritability. Treatment with clearing and resolving methods worsened the condition because it trapped the toxin internally like ice. The correct approach was ascending and releasing. He was cured with Shengma Gegen Tang (Ephedra and Pueraria Decoction) modified with Guizhi (Cinnamomi Ramulus), Niubangzi (Arctii Fructus), and Zicao (Lithospermi Radix).
Another child with smooth progression of smallpox on the fourth day presented with irritability and loss of appetite, indicating residual toxins. He was cured with Shengma Gegen Tang (Ephedra and Pueraria Decoction) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
Another child with smooth smallpox progression cried incessantly day and night. This was due to excessive fire insulting the metal element (lungs). He was cured with Xieqing San (Drain the Green Powder) and Daochi San (Guide Out the Red Powder) modified with Huanglian (Coptidis Rhizoma).
Another child had pale white smallpox spots that failed to plump up, accompanied by irritability. This indicated weak true qi. Soft cotton paper was used with Baiji Gao (Bletillia Paste) applied to seal the spots, and the child was given Baoyuan Tang (Protect the Origin Decoction), resulting in recovery.
Another child experienced restless sleep at night after smallpox. This was due to stomach disharmony preventing Wei Qi (Defensive Qi) from entering the yin aspect. He was cured with Siwu Tang (Four Substances Decoction) modified with Yuanzhi (Polygalae Radix), Zaoren (Ziziphi Spinosomi Semen), Longyanrou (Longan Aril), along with Guipi Tang (Restore the Spleen Decoction).
Another child had body heat and afternoon irritability after smallpox. He was cured with detoxification and heat-clearing methods.
Another child did not recover by the sixth day of smallpox, presenting with dry redness and irritability, indicating toxin obstruction. Overuse of Baoyuan Tang (Protect the Origin Decoction) had caused闷乱 (stagnation and confusion) and dark purple discoloration. Therefore, Zhike Tang (Aurantium Decoction) was first used to resolve the stagnation caused by Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix). Then, Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) modified with Chantui (Cicadae Periostracum), Niubangzi (Arctii Fructus), and Zicao (Lithospermi Radix) was used to clear the obstructive heat. By the seventh day, the rash color normalized. The child was subsequently regulated with Baoyuan Tang (Protect the Origin Decoction) and recovered.
Wan Mizhai treated the son of Mr. Qiu. The smallpox was in the suppuration stage, causing itching, pain, irritability, and crying. The facial lesions were prominent and red, but the pus was immature. The cheeks were initially red and dry, with woody hardness of the skin and flesh. Wan stated: The left cheek corresponds to Wood and the Liver; the Liver governs blood and houses the Hun (Ethereal Soul). The right cheek corresponds to Metal and the Lung; the Lung governs qi and houses the Po (Corporeal Soul). The woody hardness of both cheeks indicates that blood and qi are not nourishing the area, and the Hun and Po are unsettled, hence the irritability and crying. When asked for medicine, Wan said: If we attempt to resolve the toxin, the middle qi will be injured; if we tonify the middle, the pathogenic fire is currently strong, making treatment impossible. The child's condition worsened with increased irritability that night, and he died.