当毒瓦斯已散，元气未复，精神疲倦，故昏昏喜睡，即呼之不醒，亦自无妨。若连日不醒
，口中喃喃自言自语，形如醉人，每多妄语者，此邪热乘于心包也。宜以导赤解毒汤，或以
安神丸主之。
导赤解毒汤∶木通、车前、生地、麦冬、甘草、茯神、石菖蒲、栀子、人参、灯心汤下
安神丸∶牛黄五分，黄连五钱，当归、炒栀各二钱半，共为末，入猪心血和匀为丸，朱
砂为衣，灯心汤下。若无真牛黄，则加川贝、胆星、琥珀。
杉树节、诃子、生姜、地坊下土，若寒加胡椒煎汤，竹油调服。
又方∶葱、姜、清油，合炒热，遍身揩之，再用灯火喉下一灸，胸膛三灸，两乳下一灸。
此余毒归心也。用乳香二钱，水煎服，并用白砂糖四两，酒冲服（水冲亦可）或服护心
散
黄柏、苦参，共为末，清油调匀，熬过作膏贴之。
又方∶桐子叶（滚水泡软），用清油、雄黄涂叶上，贴三五次数。
又方∶灯花数十杂，入盐炒过，加铅粉调成饼，贴脐上。
照臌胀门病后浮肿方治之，最为简便稳妥。如不见效，照后各症治之。
痘后脓血去尽，脾土已亏，气血俱衰，邪易入而食易伤，故或感风湿，或伤饮食，或滞
余毒，皆发为浮肿。然感冒风寒者，多自面孔先肿而身热口渴，宜用升麻、柴胡、茯苓、木
通、车前、防风、大腹皮、甘草、姜、葱汁引，煎服，微汗而肿自退矣。
有感湿气而肿者，多在足下先肿，其形光亮，以手按之而即有窝，其起亦缓。且其人好
饮而小便赤涩，以水洗之而更肿者，此水肿也。治当健脾利水为主。宜用苍术、浓朴、木通
、车前、滑石、瞿麦、泽泻、猪苓、茯苓皮、大腹皮，使小便清利，其肿自消。外用苍术、
檀香烧烟熏之，以被蒙盖，令出湿水，其肿自退。
又有食积而兼滞毒者，多自腹先肿起，必腹中隐隐作痛，不思饮食，且腹有微热，大便
黄臭，小便赤涩者，滞积而肿也。治当消导解毒为主。宜用苍术、浓朴、陈皮、大腹皮、香
附、川芎、山楂、神曲、牛蒡、连翘、木通、车前、茯苓、半夏、甘草。
又有脾气不行而浮肿者，其皮如臌，按之难下，乃气肿也。治当理气为主，宜用人参五
皮散治之。人参、白术、官桂、麦冬、大腹皮、陈皮、桑皮、姜皮、茯苓皮、木香、泽泻、
车前、木通。
又有血不行而肿者，其皮肤之内隐隐若有血路，是血肿也。治当以活血为主，用四物汤
加人参、陈皮、香附、木通、茯苓治之，使血行而肿自退矣。
又有面目四肢肿者属脾，因表虚为风寒所侵而肿。宜发汗而肿自消。用加味五皮散主之
。羌活、防风、桂枝、防己、苍术、木通、五加皮、桑皮、大腹皮、茯苓皮、姜皮、猪苓、
甘草。
又有腹胀如臌，眼胞微肿者属脾，因脾胃素虚，土弱不能制水以行水，蓄而不行，故浮
肿也。又或伤食滞积，脾不能消，以致湿热内蓄而肿者，俱以浓朴汤治之。苍术、浓朴、陈
皮、大腹皮、茯苓皮、猪苓、木香，水肿者其阴囊亦肿，加泽泻、滑石、车前、木通、葶苈
，积滞者加山楂、神曲、三棱、莪术。
莱菔丸∶通治一切浮肿。莱菔子（炒）、胡椒、浓朴各五钱、白术一两，共为末作丸，
以
又虚弱而气不行者，用肉桂磨酒服，外用烧酒搽之，即愈。
When the smallpox toxin has dissipated and the primordial qi (Yuan Qi) has not yet recovered, the spirit is fatigued, leading to drowsiness and a desire to sleep. Even if unresponsive to calls, this is generally harmless. However, if the patient remains unconscious for several days, muttering to themselves like a drunken person and often speaking deliriously, this indicates pathogenic heat invading the Pericardium (Xin Bao). It is appropriate to use Daochi Jiedu Tang (Red Guide Decoction for Detoxification) or Anshen Wan (Calming Spirit Pill) as the primary treatment.
Daochi Jiedu Tang: Tongcao (Akebia Stem), Plantaginis Semen (Cheqianzi), Rehmanniae Radix Recens (Shengdihuang), Ophiopogonis Radix (Maidong), Glycyrrhizae Radix et Rhizoma (Gancao), Poria (Fushen), Acori Tatarinowii Rhizoma (Shichangpu), Gardeniae Fructus (Zhizi), taken with decoction of Ginseng Radix et Rhizoma (Renshen) and Junci Medulla (Dengxincao).
Anshen Wan: Calculus Bovis (Niuhuang) 5 fen, Coptidis Rhizoma (Huanglian) 5 qian, Angelicae Sinensis Radix (Danggui), and Gardeniae Fructus stir-fried (Chao Zhizi) each 2.5 qian. All are ground into fine powder, mixed evenly with heart blood of pig, formed into pills, coated with Cinnabar (Zhusha), and taken with Dengxincao decoction. If genuine Niuhuang is unavailable, add Fritillariae Thunbergii Bulbus (Chuanbei), Arisaematis Cum Bile (Danning), and Succinum (Hupo).
Scholar's branch nodes (Shanshu jie), Terminalia chebula Retz. fruit (Hezi), Zingiberis Rhizoma (Shengjiang), and Difangxiatu (likely a textual error for a root herb, possibly Gouqi Gen or similar), if cold syndrome is present, add Piperis Fructum (Hujiao) and decoct in soup; mix with bamboo oil for administration.
Another method: Scallion (Cong), Ginger (Jiang), and clear oil are stir-fried together until hot, then rubbed over the entire body. Followed by moxibustion at one point below the throat, three points on the chest, and one point below both breasts using a lit lamp fire.
This condition arises from residual toxins returning to the Heart. Use Xiangru (Frankincense) 2 qian, decoct in water and take orally. Also, take 4 liang of white sugar dissolved in wine (water can also be used) or take Huxin San (Heart-Protecting Powder).
Phellodendri Cortex (Huangbai) and Sophorae Flavescentis Radix (Kushen) are ground into powder, mixed with clear oil, boiled into a paste, and applied topically.
Another method: Leaves of Toona sinensis (Tongzi ye) are softened in boiling water, coated with clear oil and Realgar (Xionghuang), and applied to the affected area for 3-5 times.
Another method: Dozens of lamp wick flowers (Denghua) are stir-fried with salt, mixed with lead powder (Qianfen) to form a cake, and applied to the umbilicus.
Treat according to the formulas for post-disease edema in the Drum Distension section, which is the simplest and safest approach. If ineffective, treat according to the following specific symptoms.
After smallpox, when pus and blood are exhausted, Spleen Earth is deficient, and both Qi and Blood are depleted. Pathogens easily invade, and food is easily damaged. Thus, whether due to Wind-Damp invasion, dietary injury, or lingering toxins, edema may occur. In cases of Wind-Cold invasion, swelling typically starts on the face, accompanied by fever and thirst. Use Shengma, Chaihu, Fuling, Mutong, Cheqian, Fangfeng, Dafupi, Gancao, with Jiang and Cong juice as guides, decoct and take orally. Mild sweating will cause the swelling to subside.
In cases of swelling due to Dampness, it usually starts on the feet, appearing shiny, leaving an indentation upon pressure, and developing slowly. The patient may have a preference for drinking, with dark and scanty urine, and washing with water may worsen the swelling; this is Edema (Shui Zhong). Treatment should focus on strengthening the Spleen and promoting urination. Use Cangzhu, Houpo, Mutong, Cheqian, Huashi, Qumai, Zexie, Zhuling, Fulingpi, Dafupi, to make urine clear and profuse, causing the swelling to resolve. Externally, smoke Cangzhu and Tanxiang, cover the patient with a blanket to induce sweating out dampness, and the swelling will recede.
In cases of Food Stagnation combined with lingering toxins, swelling often starts in the abdomen, accompanied by dull abdominal pain, loss of appetite, slight abdominal heat, yellow and foul-smelling stool, and dark, scanty urine; this is swelling due to stagnation. Treatment should focus on resolving stagnation and detoxifying. Use Cangzhu, Houpo, Chenpi, Dafupi, Xiangfu, Chuanxiong, Shanzha, Shenqu, Niubang, Lianqiao, Mutong, Cheqian, Fuling, Banxia, Gancao.
In cases where Spleen Qi fails to circulate, resulting in edema, the skin resembles a drum and is difficult to press down; this is Qi Edema. Treatment should focus on regulating Qi. Use Renshen Wupi San (Ginseng Five-Peel Powder): Renshen, Baizhu, Guigui, Maidong, Dafupi, Chenpi, Sangpi, Jiangpi, Fulingpi, Muxiang, Zexie, Cheqian, Mutong.
In cases where Blood circulation is impaired, resulting in swelling, there may be a hidden sensation of blood vessels under the skin; this is Blood Edema. Treatment should focus on invigorating Blood. Use Siwu Tang added with Renshen, Chenpi, Xiangfu, Mutong, and Fuling. Once Blood circulation is restored, the swelling will subside.
Swelling of the face, eyes, and limbs belongs to the Spleen, caused by exterior deficiency allowing Wind-Cold invasion. Sweating should be induced to resolve the swelling. Use Jiawei Wupi San (Modified Five-Peel Powder): Qianghuo, Fangfeng, Guizhi, Fangji, Cangzhu, Mutong, Wujiapi, Sangpi, Dafupi, Fulingpi, Jiangpi, Zhuling, Gancao.
Abdominal distension resembling a drum with slight swelling of the eyelids belongs to the Spleen, caused by inherent weakness of the Spleen and Stomach. Weak Earth cannot control Water, leading to accumulation and failure to circulate, thus causing edema. Alternatively, food stagnation prevents Spleen digestion, leading to internal accumulation of Damp-Heat and swelling. Both conditions are treated with Houpo Tang: Cangzhu, Houpo, Chenpi, Dafupi, Fulingpi, Zhuling, Muxiang. If the scrotum is also swollen (Edema type), add Zexie, Huashi, Cheqian, Mutong, Tingli. If due to stagnation, add Shanzha, Shenqu, Sanleng, Ezhu.
Laifu Wan: Treats all types of edema. Laofuzi (stir-fried), Hujiao, Houpo each 5 qian, Baizhu 1 liang. Ground into powder and made into pills... [Text cuts off].
In cases of weakness with failed Qi circulation, grind Rougui in wine and take orally; externally rub with burning wine. Recovery will follow.