痘疔又谓之贼痘，或三五枚，或五七枚，间杂于诸症之间，其色紫黯作痛不宁，以致诸症蜂起，不能贯脓，甚至不
救，乃热毒势甚并结也，用仙方活命饮，如二便秘涩量加大黄，遍身拘急加麻黄。外必用线针挑破出黑血，或吮出毒血，
以泄其毒，余痘才得贯脓，否则其毒无从而解，必致不起。如未应，急用隔蒜灸。若毒瓦斯甚者，或不知痛者，不用蒜
隔，就着肉灼艾灸之。若灸后疮头红肿发 ，用针挑破出毒血，灼艾尤好。虽此法未出方书，余屡用屡验者，世多用至
宝丹之类，亦不可恃。
一小儿有疔二枚，诸痘 赤作痒而不贯，先君以针挑破隔蒜灸，至五十余炷而贯，又十余壮而痛止。用活命饮末二
钱，热血调服，出紫血，又二服，疔毒悉退，痘浆悉贯，更用犀角消毒散而愈。
一小儿患痘疔，挑出毒血，服活命饮而痘愈。但疔处或痒或痛，用活命饮、隔蒜灸而愈。用参 四圣散而靥。
一小儿痘内有疔数枚，虽挑出毒血，余毒不解，先君用仙方活命饮一剂，徐徐灌之，毒解浆贯而愈。
一小儿患痘疔，遍身 如丹毒，内紫色者三枚。用活命饮、隔蒜灸，其势渐退；又用活命饮末二钱，浆渐贯；更用
四圣散、犀角消毒散而愈。
一小儿出痘第七日寒热作渴，两胁及臂外侧胆经各患痘疔，先用针挑出黑血，乃用小柴胡汤加生地黄一剂，热渴顿
止；又用活命饮一剂而痊。
一小儿出痘稠密，痛甚色赤，翌日变黑，索水饮之，神思稍清，先用活命饮未冷酒调服三钱，痛虽稍缓，其痘如指，
色赤肿高；又用夺命丹一粒，肿痛十减六七；又用活命饮末一服温酒调，又得减三四，再服而浆贯，却用四圣散而痊。
犀角消毒散 治 疹丹毒，发热痛痒，及疮疹等症。
牛蒡子 甘草 荆芥 防风（各五分） 犀角（镑，三分） 金银花（三分）
上水煎热入犀角倾出服。
仙方活命饮
飞龙夺命丹
隔蒜灸法（三方见痘痈）
四圣散（方见腹胀气促）
小柴胡汤（方见 症）
痘疔又被称为“贼痘”，数量可能是三五枚，也可能是五七枚，夹杂在其他症状之间。其颜色紫暗且疼痛不安，导致其他症状蜂拥而起，无法化脓成浆，甚至危及生命，这是因为热毒势盛并结聚所致。治疗应使用仙方活命饮；如果大小便秘涩，酌情加大黄用量；如果全身拘急痉挛，加入麻黄。外治必须用线针挑破患处排出黑血，或用嘴吸出毒血，以泄出毒素，其余的痘疮才能化脓成浆，否则毒素无法解除，必然导致死亡。如果上述方法无效，紧急使用隔蒜灸法。如果毒气极重或患者不知疼痛者，不用大蒜间隔，直接在皮肤上施艾灸。如果艾灸后疮头红肿发热，用针挑破排出毒血，再施艾灸效果更好。虽然此法未记载于医书之中，但我屡次使用屡见疗效。世人多依赖至宝丹之类的药物，也不可过分倚仗。
有一个小孩长了两枚疔疮，所有痘疮红赤作痒且不化脓，我先父用针挑破后隔蒜灸，灸了五十多壮后开始化脓，又灸了十多壮后疼痛停止。服用仙方活命饮药末二钱，用热血调服，排出紫血，再服两剂，疔毒全部消退，痘浆全部化满，最后用犀角消毒散而痊愈。
另一个小孩患痘疔，挑出毒血，服用仙方活命饮后痘疮痊愈。但疔疮部位有时发痒有时疼痛，使用仙方活命饮和隔蒜灸而痊愈。最后用参苓四圣散使痘疮结痂。
还有一个小孩痘疮中有数枚疔疮，虽然挑出了毒血，但余毒未解，我先父用一剂仙方活命饮，慢慢灌服，毒素解除，痘浆化满而痊愈。
又一个小孩患痘疔，全身出现如丹毒般的红斑，其中紫色的有三枚。使用仙方活命饮和隔蒜灸，病情逐渐减退；又服用仙方活命饮药末二钱，痘浆逐渐化满；再用四圣散、犀角消毒散而痊愈。
一个小孩出痘第七天出现寒热交替、口渴，两胁及手臂外侧胆经循行部位各患痘疔。先用针挑出黑血，然后服用加了一味生地黄的小柴胡汤一剂，寒热口渴立刻停止；又服用一剂仙方活命饮而康复。
一个小孩出痘稠密，疼痛剧烈颜色红赤，第二天变为黑色，索要水喝，神志稍微清醒。先用仙方活命饮药末三钱，用温热的酒调服，疼痛虽然稍缓，但痘疮像手指一样大，色红肿胀高耸；又服用夺命丹一粒，肿痛减少了十分之六七；再用仙方活命饮药末一服，用温酒调服，又减少了十分之三四，再服药后痘浆化满，最后用四圣散而康复。
犀角消毒散：治疗斑疹丹毒，发热痛痒，以及疮疹等症状。
药材：牛蒡子、甘草、荆芥、防风（各五分），犀角（镑片，三分），金银花（三分）。
用法：以上药材用水煎煮，热时兑入犀角汁，倾出服用。
仙方活命饮
飞龙夺命丹
隔蒜灸法（这三个方子见“痘痈”章节）
四圣散（方子见“腹胀气促”章节）
小柴胡汤（方子见“少阳症”章节）
Ding sores (acne-like lesions with a hard root) are also called "thief acne" (severe, rapidly progressing acne). There may be three to five or five to seven lesions, interspersed among other symptoms. Their color is purple and dark, accompanied by restless pain, causing other symptoms to arise in swarms. The lesions fail to suppurate (form pus), and the condition can even become fatal. This is due to severe heat-toxin accumulation and knotting. Treatment should employ Xianfang Huoming Yin (Immortal Life Elixir Decoction). If there is constipation of both stool and urine, increase the dosage of Dahuang (Rhubarb Rhizome) as appropriate; if there is generalized stiffness and spasms, add Mahuang (Ephedra Herb). Externally, it is essential to pierce the lesion with a thread needle to drain black blood, or suck out the toxic blood to release the toxin, allowing the remaining acne to suppurate. Otherwise, the toxin cannot be resolved, leading inevitably to death. If these methods do not work, urgently apply Su-jiu Moxibustion (Moxibustion with Garlic Partition). If the toxic qi is extremely severe or the patient feels no pain, do not use garlic partition; instead, apply moxibustion directly on the flesh. If after moxibustion the sore head becomes red, swollen, and hot, pierce it with a needle to drain toxic blood, followed by moxibustion, which is particularly effective. Although this method does not appear in medical texts, I have used it repeatedly with verified efficacy. People often rely on medicines like Zhibao Dan (Precious Treasure Pill), but one must not depend solely on them.
A child had two ding sores. All his acne were red, itchy, and failed to suppurate. My father pierced them with a needle and applied su-jiu moxibustion. After more than fifty moxa cones, suppuration began. After another ten-plus cones, the pain ceased. He administered Er Qian (two qian) of Xianfang Huoming Yin powder, mixed with hot blood for oral administration, resulting in the discharge of purple blood. After two more doses, the ding toxin completely receded, and all acne filled with pus. Finally, he was cured using Xijiao Xiaodu San (Rhino Horn Detoxification Powder).
Another child suffered from acne ding. After draining toxic blood and taking Xianfang Huoming Yin, the acne healed. However, the ding site remained intermittently itchy and painful. It was cured using Xianfang Huoming Yin and su-jiu moxibustion. Finally, Shenqi Sisheng San (Ginseng and Four Sages Powder) was used to promote scabbing.
A third child had several ding sores within his acne. Although toxic blood was drained, residual toxins remained unresolved. My father prescribed one dose of Xianfang Huoming Yin, administered slowly. The toxin cleared, pus formed, and he recovered.
Another child presented with acne ding, with erysipelas-like redness over the whole body and three purple lesions. His condition gradually subsided after using Xianfang Huoming Yin and su-jiu moxibustion. Taking two qian of Xianfang Huoming Yin powder helped the pus form gradually. He was finally cured using Sisheng San and Xijiao Xiaodu San.
A child on the seventh day of acne eruption experienced alternating chills and fever with thirst. Ding sores appeared along the Gallbladder meridian in both hypochondriac regions and the lateral aspect of the arms. Black blood was first drained with a needle. Then, one dose of Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Sheng Dihuang (Rehmannia Root) was given, which instantly stopped the chills, fever, and thirst. One dose of Xianfang Huoming Yin subsequently led to recovery.
A child had dense acne, severe pain, and red coloration. The next day, the lesions turned black. He asked for water to drink, and his mental state cleared slightly. Three qian of Xianfang Huoming Yin powder were administered with warm wine. The pain eased slightly, but the acne remained finger-sized, red, swollen, and elevated. One pill of Duoming Dan (Life-Seizing Pill) reduced swelling and pain by six or seven-tenths. Another dose of Xianfang Huoming Yin powder with warm wine reduced it further by three or four-tenths. After subsequent doses, pus formed, and he was cured using Sisheng San.
Xijiao Xiaodu San: Treats macules, papules, and erysipelas, featuring fever, pain, itching, and various skin eruptions.
Ingredients: Niubangzi (Arctii Fructus), Gancao (Licorice Root), Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix) (each 0.5 fen); Xijiao (Rhinocerotis Cornu) (sliced, 0.3 fen); Jinyinhua (Lonicerae Japonicae Flos) (0.3 fen).
Preparation: Decoct the herbs in water. While hot, mix in the Xijiao decoction and take orally.
Xianfang Huoming Yin (Immortal Life Elixir Decoction)
Feilong Duoming Dan (Flying Dragon Life-Seizing Pill)
Su-jiu Moxibustion Method (See "Acne Carbuncle" chapter for formulas)
Sisheng San (Four Sages Powder) (See "Abdominal Distension and Shortness of Breath" chapter for formula)
Xiao Chaihu Tang (Minor Bupleurum Decoction) (See "Shaoyang Syndrome" chapter for formula)