麻科一症。内经未尝谈及。近行世诸书。皆云麻禀阳毒。药宜凉解。其说是矣。但麻之将出。
热亦三日。体亦微汗。须慎风寒。戒荤腥。苗以红活为贵。若饮食有味。二便如常。自可勿药有喜。
惟小儿平日气体壮实。饮食易化。出麻时恶热喜冷。大便结而燥。小便赤而短。口鼻出气如火。得
一二凉剂。而火退矣。倘多服凉剂。变症百出。或神目昏暗。或手足螈 。或寒热乍发。或吐泻交
作。舌虽黑而有液。唇虽焦而带凉。此乃实热化为虚寒。若概用寒冷克削。势必驱之于不活而后
已。窃谓当此吃紧之时。急用峻补二三剂。继用平补二三荆。峻补宜近效汤。平补宜理中汤。二汤
重加分两。有鬼神不测之机。有造化可回之力。仲景所谓补天手段者。此其候也。愿以质诸世之知医者。
近效汤（时方）
大川附（熟附不用） 漂白术（焦术不用） 炙甘草 生姜（三片） 红枣（四枚）引。
理中汤（经方）
漂白术 老干姜 潞党参 炙甘草 不用引。
上补论一首。并附二方。盖庐陵王耕心茂才。尝出方经验。而创此论也。顷重刻麻科活人全
书工甫竣。获见之。其意旨全书中亦尝论及。阅者或致忽略。因附刻于后。以为神而明之者一助。
The disease of measles (Mazhen) was not discussed in the *Huangdi Neijing* (Yellow Emperor's Inner Canon). Modern circulating medical books all state that measles is endowed with Yang-toxin, and medication should be cool and resolving. This view is correct. However, before the measles rash erupts, there is also fever for three days, and the body has slight sweating. One must be cautious against wind-cold and avoid meat and fish. The rash spots are most valuable when they are red and vibrant. If appetite is normal and urination and defecation are regular, one can naturally recover without medication.
Only for children who are usually physically robust and digest food easily, presenting with aversion to heat and preference for cold during eruption, dry and hard stools, dark and scanty urine, and breath hot as fire from mouth and nose: after taking one or two doses of cooling agents, the fire-heat subsides. If too many cooling agents are taken, various complications may arise: some present with dull spirit and dim vision; some with convulsions of hands and feet; some with alternating chills and fever; some with simultaneous vomiting and diarrhea. Although the tongue coating is black, there is still fluid; although lips are scorched, they feel cool to touch. This is real heat transforming into deficiency-cold. If cold and draining agents are generally used, it will inevitably drive the patient to death. I believe that at this critical moment, urgent use of strong tonification for two or three doses, followed by mild tonification for two or three doses, is necessary. Strong tonification should use Jinxiao Tang (Near-Efficiency Decoction), and mild tonification should use Lizhong Tang (Regulate the Middle Decoction). These two formulas, when dosed heavily, possess miraculous efficacy beyond human comprehension and the power to reverse fate. This is what Zhang Zhongjing referred to as "the means to mend heaven." I wish to submit this to those among the world who understand medicine.
Jinxiao Tang (Contemporary Formula)
Chuan Fuzi (Sichuan Aconite Lateral Root) [cooked aconite not used], Baizhu (Atractylodes Macrocephala Rhizome) [charred not used], Zhi Gancao (Prepared Licorice Root), Shengjiang (Fresh Ginger, 3 slices), Hongzao (Chinese Jujube Fruit, 4 pieces) as guides.
Lizhong Tang (Classic Formula)
Baizhu (Atractylodes Macrocephala Rhizome), Ganjiang (Dried Ginger), Dangshen (Codonopsis Radix), Zhi Gancao (Prepared Licorice Root). No guides needed.
Above is one supplement discussion, accompanied by two formulas. This originated from Wang Gengxin of Luling, who once presented effective prescriptions and created this treatise. Recently, upon the completion of the re-engraving of *Maoke Huoren Quanshu*, I obtained a copy. Its purport was also discussed in the main book, but readers might overlook it. Therefore, it is appended here to assist those who can illuminate its meaning.