痘出之际热烘烘。纷纷麻点遍身红。脾肺游火夹痘出。托出麻疹痘成功。
初现痘点数十粒。遍身红点细密密。此是大痘夹疹子。由于脾肺风热出。
麻疹有于出痘之时相夹而出者。当出痘之际。发热蒸蒸。才现痘苗数十颗。遍身通红。碎碎
密密。形如出麻。似非出痘。其实大痘夹麻而出。是痘为正出。而麻不过脾肺两家之风热游火。随
痘而出现也。不甚关利害。遇此等症。不必惊慌。以元参升麻汤除升麻、甘草。加黄芩、连翘一
二剂与服。宣托麻疹尽出而消散。正痘自然根据期起灌。而庆成功。此等夹麻之痘。而痘出必多疏
稀。
元参升麻汤 治痘夹麻、夹斑、夹丹等症。
元参（一钱） 升麻（五钱） 防风 荆芥 牛蒡子（炒研各七分） 生甘草（去皮三分） 水煎温服。
痘回水时将结痂。身复发热惊医家。倏尔遍身上下红。现出盖痘解毒麻。
痘至回水结痂之际。复又发热。遍身上下通红。细看痘粒。脓浆充足。此乃盖痘解毒之麻出
也。其名云何。盖痘者。痘之上盖一层麻也。解毒者。此麻一出。可以解痘毒也。宜以大连翘饮去
赤芍、柴胡、甘草。加熟石膏、天花粉、淡竹叶、地骨皮各一钱。以清解其余热。此等症候。盖因痘
起灌之时。痘已稠密。医家极力催浆。过用补剂。以致热滞脾肺而作也。
大连翘饮 治湿毒。利小便。
连翘（去子一钱） 牛蒡子 防风 荆芥 黄芩 赤芍（各七分） 栀仁（酒炒） 滑石（研各
五分） 车前子（炒） 谷瞿麦 木通 当归 柴胡（去芦各八分） 蝉蜕（去头足洗去土十二只）
生甘草（去皮三分） 热甚大便闭。加酒炒大黄一钱。生姜一片引。
前方去栀仁。加紫草。名连翘行风汤。治痘麻热毒壅闭。小便不通。
At the time when the smallpox pustules erupt, the body feels intensely hot. Red measles spots cover the entire body. This is caused by wandering fire in the Spleen and Lung meridians accompanying the eruption of smallpox; once the measles are pushed out, the treatment of smallpox can succeed.
Initially, only dozens of smallpox spots appear, with fine and dense red dots all over the body. This is a case of largepox accompanied by measles, resulting from wind-heat in the Spleen and Lung exteriorizing.
Measles sometimes erupt simultaneously with smallpox. During the phase of smallpox eruption, the patient experiences steaming fever. Just as dozens of smallpox seeds appear, the whole body turns red, with fragmented and dense spots resembling measles, making it seem not like smallpox at first glance. In reality, this is largepox erupting with accompanying measles. The smallpox is erupting normally, while the measles are merely wind-heat wandering fire from the Spleen and Lung, appearing alongside the smallpox. This condition is not critical or life-threatening. Upon encountering such cases, there is no need for panic. Use Yuanshen Shengma Tang (Decoction of Scrophularia and Cimicifugae) by removing Shengma (Cimicifugae Rhizoma) and Gancao (Glycyrrhizae Radix et Rhizoma), adding Huangqin (Scutellariae Radix) and Lianqiao (Forsythiae Fructus), and administering for one to two doses. This will promote the eruption and resolution of the measles. The primary smallpox will naturally proceed to distension and suppuration according to schedule, achieving therapeutic success. In such cases of smallpox with accompanying measles, the smallpox spots tend to be sparse.
Yuanshen Shengma Tang: Treats conditions where smallpox is accompanied by measles, macules, or carbuncles.
Ingredients: Xuanshen (Scrophulariae Radix, 1 qian), Shengma (Cimicifugae Rhizoma, 5 qian), Fangfeng (Saposhnikoviae Radix), Jingjie (Perillae Folium), Niubangzi (Arctii Fructus, fried and ground, 0.7 qian each), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, peeled, 0.3 qian). Decoct in water and take warm.
When the smallpox lesions regress and scabs form, the body develops fever again, surprising the physician. Suddenly, the entire body becomes red, revealing measles that cover the smallpox to resolve toxicity.
At the stage when smallpox lesions regress and scab, fever recurs, and the whole body turns red. Careful examination shows that the pustules are full of pus. This is measles erupting to cover the smallpox and resolve its toxicity. Why is it named so? "Covering smallpox" refers to a layer of measles covering the smallpox lesions; "resolving toxicity" means that the eruption of these measles can resolve the smallpox toxin. It is appropriate to use Dalianqiao Yin (Infusion of Large Forsythia) by removing Chishao (Paeoniae Radix Rubra), Chaihu (Bupleuri Radix), and Gancao (Glycyrrhizae Radix et Rhizoma), and adding Shu Shigao (Prepared Gypsum Fibrosum), Tianhuafen (Trichosanthis Radix), Dan Zhuye (Lophatheri Herba), and Digupi (Phellodendri Cortex) each at 1 qian, to clear residual heat. These symptoms likely arise because during the distension and suppuration phase of smallpox, the lesions were already dense, and the physician excessively used tonic agents to hasten pus formation, causing heat stagnation in the Spleen and Lung.
Dalianqiao Yin: Treats damp-toxin and promotes urination.
Ingredients: Lianqiao (Forsythiae Fructus, de-seeded, 1 qian), Niubangzi (Arctii Fructus), Fangfeng (Saposhnikoviae Radix), Jingjie (Perillae Folium), Huangqin (Scutellariae Radix), Chishao (Paeoniae Radix Rubra, 0.7 qian each), Zhiren (Gardeniae Semen, wine-fried), Huashi (Talcum, ground, 0.5 qian each), Cheqianzi (Plantaginis Semen, fried), Qumai (Dianthi Herba), Mutong (Akebiae Caulis), Danggui (Angelicae Sinensis Radix), Chaihu (Bupleuri Radix, de-rhizome, 0.8 qian each), Chantui (Cicadae Periostracum, head and feet removed, cleaned of soil, 12 pieces), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, peeled, 0.3 qian). If heat is severe and constipation occurs, add Jiuhuang Da (Wine-processed Rheum Palmatum) 1 qian, with Ginger slice (Zingiberis Rhizoma Recens) as a guiding herb.
Removing Zhiren (Gardeniae Semen) from the previous formula and adding Zicao (Arnebiae Radix et Rhizoma) creates the name Lianqiao Xingfeng Tang (Wind-Dispersing Infusion of Forsythia). It treats smallpox and measles complicated by heat-toxin obstruction and urinary retention.