陈文宿先生云∶痘疹首尾不宜与水吃。若误与之，疮靥之后，其痂迟落，或生痈，针之而成疳蚀，以致难愈。盖脾
胃外主肌肉，饮水过多，湿损脾胃，搏于肌肤，则津液衰少，气血不能周流，凝结不散，故疮痂迟落而身生痈肿也。
张洁古先生云∶痈肿发于身前，手阳明经也，发于四肢，足阳明经也。丹溪先生云∶痘痈多是余毒血热所致，当分上下
用药，而以凉血为主，大便燥实加大黄，如不应，当分经络所属，血气虚实，其脓成否。窃谓前症初起未成脓者，用活
命饮、隔蒜灸治而消之。欲成脓者，用活命饮解而溃之。气血虚者，八珍汤实而溃之。虚而不能敛者，托里散补而敛
之。大凡发热肿痛，大便不结，用仙方活命饮及隔蒜灸法。大便秘结，用仙方活命饮加大黄。大便已通，肿痛未退，再
用活命饮一服，用托里散补其元气。若发热倦怠，大便调和，用补中益气汤；未应，亦用隔蒜灸。若溃而发热口干，肢
体倦怠，用东垣圣愈汤。脓水淋漓，不时发热，用四君、参、 。若因乳母肝经血虚发热，用加味小柴胡汤。肝脾郁怒
发热，用加味归脾汤。膏粱浓味积热，用加味清胃散。如专与凉血，用败毒等药，复伤元气，必致成者不能溃，溃者不
能敛矣。
一小儿腿内侧患之，痛甚作渴，大便不通，小腹作胀。此表里俱有毒未尽，用活命饮加硝黄一服，诸症顿退，却去
硝黄再剂而痊。
一小儿左胁近腹患之甚痛，恶寒发热，肢体亦痛，此余毒兼外邪也，用活命饮加麻黄一服，外邪悉退，疮毒亦减，
仍用前剂去麻黄及圣愈汤而痊。
一小儿赤肿作痛，内服外敷皆寒凉之药，用活命饮一服，痛顿止而肿未消，此凉药血凝而然也，用六味活血散及
隔蒜灸而痊。
一小儿痘出甚密，先四肢患肿，余谓脾经热毒，用活命饮之类而愈。后患口疳流涎，牙龈蚀伤，用大芜荑、活命饮
各二剂，却用蟾蜍丸搽人中白散而愈。
一小儿臂患肿痛色赤，此欲作脓也，用托里消毒散二剂而脓成，又二剂而脓溃，用托里散将愈，而发热恶寒，用十
全大补汤而愈。
一小儿两腿臂膝俱肿，不能举动而痛，用黄豆末热水调敷，服活命饮而消。
一小儿痘毒溃而肿不消，烦躁作渴，小便如淋，手数寻空，此肝脾虚热也，用八珍汤、加减八味丸料各二剂而安，
又用大补汤而愈。
一小儿痘毒腿膝肿，此脾肾虚而毒流注也，用如圣饼及活命饮四剂，肿痛顿减，再用益气汤、地黄丸而痊。
一小儿腿膝肿溃，脓水不止，晡热体倦，先君谓元气复伤，阴虚所致。用补阴八珍汤、地黄丸而愈。
一小儿痘毒，敷寒凉药内溃不愈，清脓甚多，此元气虚也，朝用益气汤，夕用八珍汤各五十余剂，佐以豆豉饼而
愈。
一小儿腮患毒，用活命饮肿痛已退，肢体甚倦，此邪气去而元气虚也，用圣愈汤元气少复，用托里散而痊。
一小儿左耳下连项赤肿作痛，此少阳胆经火症，用栀子清肝汤治其母，用活命饮治其子而痊。后复作，误服败毒
散，溃而不敛，疮口色白，余用托里散而痊。
一小儿出痘七日，寒热作渴，两胁及臂外患痘疔，此属胆经也，挑出黑血，以小柴胡汤加生地黄一剂，热渴顿止，
又用活命饮而痊。
一小儿患此，面肿肉色如故，脉浮而大，按之微细，余谓此元气虚而邪从之也，当补元气为善。不信，乃服犀角
丸、化毒丸而殁。
神效隔蒜灸法 治痘痈大痛或麻木，痛者灸至不痛，不痛者灸至痛，其毒随火散。用大蒜头切三分浓，安上，
用小艾炷于蒜上灸之，每五壮易蒜再灸，痛不止尤宜多灸。小儿须将蒜切片着肉，一面略剜小空灼艾燃蒜，先置大人臂
上试其冷热得宜，然后着疮上。又别灼如前法试之，以待相易勿令歇。
仙方活命饮 治痘疔痘毒，及一切疮毒，未成即消，已成即溃。此消毒败脓止痛之圣药。
金银花 陈皮（各三钱） 皂角刺（炒） 穿山甲（用蛤粉炒） 乳香 没药 白芷 防风 当归（各一钱）
贝母 天花粉 甘草节（各七分）
上每服五钱，酒煎。婴儿、母同服。为末酒调服亦可。若势甚而邪在表者，加麻黄散之。而毒在内者，加大黄下
之。当临症制宜，此解毒回生起死之剂，但元气脱者不治。
六味活血散 治痈疽疮痛初起，红肿不散。
当归 川芎 赤芍药 生地黄 红花 苏木（各等分）
上水煎，量服之。
托里散 治痘毒，元气虚弱，不能溃散，未成用之自消，已成用之自溃。
人参 黄 （炒。各二钱） 当归（酒洗） 白术 陈皮 熟地黄 茯苓 芍药（炒。各一钱五分） 甘草（炙，
五分）
上三五钱，水煎服。
托里消毒散 治痘毒瓦斯血虚弱不起发，腐溃收敛，或发寒热，肌肉不生。
人参 黄 当归（酒洗） 川芎 芍药（炒） 白术 陈皮 茯苓（各一钱） 金银花 连翘 白芷（各七分） 甘
草（五分）
上每服三五钱，水煎。
东垣圣愈汤 治脓溃心烦无寐，体倦少食。
熟地黄（自制者佳） 生地黄（各二分） 人参 川芎（各二分） 当归 黄 （各五分）
上水煎服。
济生归脾汤 治脾血虚损，健忘惊悸，或心气虚不能摄血归源，以致妄行，或吐血下血，或因乳母心脾二经有
热，疮不结痂，或疮痕赤色。加柴胡、山栀即加味归脾汤。
人参 白茯苓 黄 白术 龙眼肉 当归 远志 酸枣仁（炒。各二钱） 木香（一钱） 甘草（五分） 当归
身（一钱）
上姜枣水煎，母子同服。
东垣清胃散 治胃经有热，齿牙作痛，或饮冷作渴，口舌生疮；或唇口肿痛， 连头面；或重舌马牙，吐舌流
涎。若因服克伐之剂，脾胃虚热，口舌生疮；或弄舌流涎，或呕吐困睡，大便不实者，用五味异功散。
升麻（五分） 生地黄（四分） 黄连 牡丹皮（各三分） 当归梢（四分）
上水煎服，婴儿母亦服。
替针丸 治痘痈脓已成不溃。
陈坏米（一钱） 砂（五钱） 雄雀粪（四十九粒，真雄雀粪直者是也）
上为末，米粥丸如麦粒大，每用一粒，粘疮头上以膏药贴之半晌，其脓自出。若疮头透而脓不出，或出而愈痛，或
发热，血气虚也，用托里散。或作呕吐痰，食少体倦，脾气虚也，用六君子汤。
神效太乙膏 治一切疮疽溃烂。
玄参 白芷 当归 肉桂 赤芍药 大黄 生地黄（各一两）
上 咀，用麻油四十两，入铜锅内煎至药黑，滤去渣，徐入净黄丹一斤再煎，滴水成珠，捻软硬得中，即成膏矣。
神效当归膏 治痘毒津淫，或汤火等症，及疮腐不能生肌收敛者。
当归 黄蜡 生地黄（各一两） 麻油（六两）
先将当归、地黄入油煎去渣，入蜡溶化，候温搅匀，即成膏矣。
豆豉饼 治疮疡肿痛，或硬而不溃，及溃而不敛。并一切顽毒毒疖，用江西豆豉为末，唾津和成饼，大如铜钱
浓，如三四钱置患处，以艾铺饼上灸之。未成者即消，已成者祛逐余毒。间有不效者，乃气血虚败之症。参疔疮论灸法
用之。
神功散 治疮疡初起肿痛者，用之可消，加血竭更效。
黄柏（炒为末，二钱） 草乌（生为末，二钱）
上用漱口水调敷，常以漱水润之。
飞龙夺命丹 治痘疔、痘毒、痘痈；或麻木呕吐，重者昏愦切牙。
真蟾酥（干者酒化） 轻粉（各一钱） 枯白矾 寒水石 铜绿 乳
香没药 麝香（各二钱） 朱砂（六钱） 蜗牛（四十二个另研，如无亦可）
上各为末，入蟾酥、蜗牛，或加酒少许，糊丸绿豆大。每服一丸，温酒或葱汤送下。重者外用隔蒜灸法，甚者多
灸，或着肉灸。
五福化毒丹 治痘毒实热肿痛。
生地黄 熟地黄 天门冬（去心） 麦门冬（去心） 玄参（各二两） 甘草 甜硝（各三两） 青黛（一两五钱）
上为末，蜜丸芡实大。每服一丸，白汤化下。
犀角消毒丸 治痘疹余毒，及一切疮毒。
生地黄 荆芥 当归 犀角（屑） 防风 牛蒡子（杵炒） 赤芍药 连翘 桔梗（各七钱） 薄荷 黄芩 甘草
（各五钱）
上为末，蜜丸芡实大。每服一丸，白汤化下。
按∶化毒丹降火凉血解毒寒中之剂。消毒丸，清热解毒破血之剂。盖小儿脏腑脆嫩，元气易伤，况痘后气血皆虚，
岂能胜当此剂。若胃气一伤，则未成者不能消散，已成者不能腐溃，已溃者不能生肌。殊不知痘疮乃脏腑所发，遍身之
血皆化为脓。况此方愈而患此，乃脾胃虚怯，肌肉消弱，荣卫短涩所致。治者审之！
蟾蜍丸
蟾蜍（一枚，夏月沟渠中腹大不跳不鸣身多癞 者）
上取粪蛆一杓置桶中，以尿浸之，桶上要干，不令虫走出，却将蟾蜍扑死投蛆中，食一昼夜，以布袋盛置，浸急流
水中一宿取出，瓦上焙为末，入麝一字，粳米饭丸麻子大，每服二十丸，米饮下。
八珍汤（方见顶陷灰白）
小柴胡汤（方见 症，加生地黄、山栀，即加味小柴胡汤）
栀子清肝散（即柴胡栀子散，方见作痒搔破）
十全大补汤（方见腹胀气喘）
当归补血汤
补中益气汤（二方见寒战切牙）
六味地黄丸（加五味子、肉桂，名加减八味丸）
四君子汤（方见痘不靥闷乱）
加味逍遥散（方见欲靥不靥）
加味归脾汤（方见痘疳）
加味清胃散（方见痘不结痂）
大芦荟丸（方见风邪搏于肌肤）
人中白散
如圣饼
补阴八珍汤（三方见夹疹痘）
陈文宿先生说：痘疹从头到尾都不宜给水喝。如果错误地给予水饮，在疮痂结痂之后，痂皮脱落迟缓，或者发生痈肿，用针刺破后形成疳蚀（疮面溃烂腐蚀），导致难以愈合。这是因为脾胃在体表主司肌肉，饮水过多会损伤脾胃的湿气，湿邪与肌肤搏结，导致津液衰少，气血不能周身循环流动，凝结不散，所以疮痂脱落迟缓且身体生出痈肿。
张洁古先生说：痈肿发于身体前侧，属于手阳明经；发于四肢，属于足阳明经。丹溪先生说：痘毒引发的痈肿多是余毒和血热所致，应当根据病位上下用药，以凉血为主要治法，如果大便燥实，加大黄；如果无效，应当根据经络归属、气血虚实以及脓液是否形成来辨证施治。我认为上述症状初起尚未成脓时，使用仙方活命饮和隔蒜灸治疗使其消散。即将成脓时，使用仙方活命饮解毒促其溃破。气血虚弱者，使用八珍汤补益气血促其溃破。虚损而不能收敛者，使用托里散补益正气促其收敛。大凡出现发热肿痛，大便不干燥结滞的，使用仙方活命饮及隔蒜灸法。大便秘结的，使用仙方活命饮加大黄。大便已经通畅，但肿痛未消退的，再用一服仙方活命饮，随后使用托里散补益元气。如果出现发热倦怠，大便调和的，使用补中益气汤；如果无效，也使用隔蒜灸。如果疮口溃破后发热口干，肢体倦怠的，使用东垣圣愈汤。如果脓水淋漓，不时发热，使用四君子汤加人参、黄芪。如果是由于乳母肝经血虚发热引起的，使用加味小柴胡汤。如果是肝脾郁怒发热引起的，使用加味归脾汤。如果是膏粱厚味积热引起的，使用加味清胃散。如果专门使用凉血药物，如败毒散等药，反而会损伤元气，必然导致该溃破的不能溃破，已溃破的不能收敛。
一个小儿腿部内侧患病，疼痛剧烈并口渴，大便不通，小腹胀满。这是表里都有余毒未尽，使用仙方活命饮加芒硝、大黄一剂服用，各种症状顿时消退，去掉芒硝、大黄再服两剂而痊愈。
一个小儿左胁靠近腹部患病，疼痛剧烈，恶寒发热，肢体也疼痛，这是余毒兼感外邪，使用仙方活命饮加麻黄一剂服用，外邪全部退去，疮毒也减轻，仍然使用前剂去掉麻黄及圣愈汤而痊愈。
一个小儿患处红肿疼痛，内服外敷都用了寒凉药物，使用仙方活命饮一剂服用，疼痛顿时停止但肿胀未消，这是寒凉药物导致血液凝滞所致，使用六味活血散及隔蒜灸而痊愈。
一个小儿痘出得非常密集，先在四肢患肿，我认为这是脾经热毒，使用仙方活命饮之类治愈。后来患口疳流涎，牙龈被腐蚀损伤，使用大芜荑、仙方活命饮各两剂，然后用蟾蜍丸搽人中白散而痊愈。
一个小儿手臂患病，肿痛色红，这是将要成脓的表现，使用托里消毒散两剂而成脓，又两剂而脓溃，使用托里散准备收口，却出现发热恶寒，使用十全大补汤而痊愈。
一个小儿双腿臂膝俱肿，不能活动且疼痛，使用黄豆末热水调敷，服用仙方活命饮而消散。
一个小儿痘毒溃破后肿胀不消，烦躁口渴，小便像淋证一样，手在空中抓挠寻找东西，这是肝脾虚热，使用八珍汤、加减八味丸料各两剂而安定，又使用大补汤而痊愈。
一个小儿痘毒腿膝肿胀，这是脾肾虚而毒气流注所致，使用如圣饼及仙方活命饮四剂，肿痛顿时减轻，再用益气汤、地黄丸而痊愈。
一个小儿腿膝肿胀溃破，脓水不止，傍晚发热身体疲倦，先父认为是元气再次受损，阴虚所致。使用补阴八珍汤、地黄丸而痊愈。
一个小儿痘毒，敷用寒凉药物内溃不愈，清稀脓液很多，这是元气虚弱，早晨服用益气汤，晚上服用八珍汤各五十多剂，佐以豆豉饼而痊愈。
一个小儿腮部患毒，使用仙方活命饮后肿痛已退，肢体非常疲倦，这是邪气去除而元气虚弱，使用圣愈汤元气稍恢复，使用托里散而痊愈。
一个小儿左耳下连颈部红肿疼痛，这是少阳胆经火症，使用栀子清肝汤治疗其母亲，使用仙方活命饮治疗其孩子而痊愈。后来复发，误服败毒散，溃破而不能收敛，疮口颜色发白，我使用托里散而痊愈。
一个小儿出痘七天，寒热交替口渴，两胁及手臂外侧患痘疔，这属于胆经，挑出黑血，用小柴胡汤加生地黄一剂，热渴顿时停止，又使用仙方活命饮而痊愈。
一个小儿患此病，面部肿胀但肉色如常，脉象浮大而按之微细，我认为这是元气虚弱而邪气随之而来，应当补益元气为善。家属不信，乃服用犀角丸、化毒丸而死。
神效隔蒜灸法：治疗痘痈剧烈疼痛或麻木，痛的灸到不痛，不痛的灸到痛，毒随火气散发。用大蒜头切三分厚，放在患处，用小艾炷在蒜上灸，每五壮换一次蒜再灸，疼痛不止尤其应该多灸。小儿必须将蒜切片贴肉，一面略挖小空灼烧艾绒点燃蒜片，先放在大人手臂上试冷热适宜，然后贴在疮上。另外再照此法试一下，以便更换时不要中断。
仙方活命饮：治疗痘疔痘毒，以及一切疮毒，未成脓即消散，已成脓即溃破。这是消毒败脓止痛的神药。
金银花、陈皮（各三钱）、皂角刺（炒）、穿山甲（用蛤粉炒）、乳香、没药、白芷、防风、当归（各一钱）、贝母、天花粉、甘草节（各七分）。
以上每服五钱，酒煎。婴儿、母亲同服。研成末酒调服也可以。如果势态严重而邪在表，加麻黄发散。毒在内者，加大黄攻下。应当临症制宜，这是解毒回生起死之剂，但元气脱失的不治。
六味活血散：治疗痈疽疮痛初起，红肿不散。
当归、川芎、赤芍药、生地黄、红花、苏木（各等分）。
以上水煎，适量服用。
托里散：治疗痘毒，元气虚弱，不能溃散，未成脓用之自消，已成脓用之自溃。
人参、黄芪（炒，各二钱）、当归（酒洗）、白术、陈皮、熟地黄、茯苓、芍药（炒，各一钱五分）、甘草（炙，五分）。
以上三五钱，水煎服。
托里消毒散：治疗痘毒瓦斯血虚弱不起发，腐溃收敛，或发寒热，肌肉不生。
人参、黄芪、当归（酒洗）、川芎、芍药（炒）、白术、陈皮、茯苓（各一钱）、金银花、连翘、白芷（各七分）、甘草（五分）。
以上每服三五钱，水煎。
东垣圣愈汤：治疗脓溃心烦无寐，体倦少食。
熟地黄（自制者佳）、生地黄（各二分）、人参、川芎（各二分）、当归、黄芪（各五分）。
以上水煎服。
济生归脾汤：治疗脾血虚损，健忘惊悸，或心气虚不能摄血归源，以致妄行，或吐血下血，或因乳母心脾二经有热，疮不结痂，或疮痕赤色。加柴胡、山栀即加味归脾汤。
人参、白茯苓、黄芪、白术、龙眼肉、当归、远志、酸枣仁（炒，各二钱）、木香（一钱）、甘草（五分）、当归身（一钱）。
以上姜枣水煎，母子同服。
东垣清胃散：治疗胃经有热，齿牙作痛，或饮冷作渴，口舌生疮；或唇口肿痛，连及头面；或重舌马牙，吐舌流涎。若因服用克伐之剂，脾胃虚热，口舌生疮；或弄舌流涎，或呕吐困睡，大便不实者，用五味异功散。
升麻（五分）、生地黄（四分）、黄连、牡丹皮（各三分）、当归梢（四分）。
以上水煎服，婴儿母亲亦服。
替针丸：治疗痘痈脓已成不溃。
陈坏米（一钱）、砂（五钱）、雄雀粪（四十九粒，真雄雀粪直者是也）。
以上研末，米粥丸如麦粒大，每用一粒，粘在疮头上用膏药贴半晌，脓自然流出。如果疮头透而脓不出，或出而更痛，或发热，是血气虚，用托里散。或作呕吐痰，食少体倦，是脾气虚，用六君子汤。
神效太乙膏：治疗一切疮疽溃烂。
玄参、白芷、当归、肉桂、赤芍药、大黄、生地黄（各一两）。
以上切碎，用麻油四十两，入铜锅内煎至药黑，滤去渣，慢慢入净黄丹一斤再煎，滴水成珠，捻软硬得中，即成膏矣。
神效当归膏：治疗痘毒津淫，或汤火等症，及疮腐不能生肌收敛者。
当归、黄蜡、生地黄（各一两）、麻油（六两）。
先将当归、地黄入油煎去渣，入蜡溶化，候温搅匀，即成膏矣。
豆豉饼：治疗疮疡肿痛，或硬而不溃，及溃而不敛。并一切顽毒毒疖，用江西豆豉为末，唾津和成饼，大如铜钱厚，如三四钱置患处，以艾铺饼上灸之。未成者即消，已成者祛逐余毒。间有不效者，乃气血虚败之症。参考疔疮论灸法用之。
神功散：治疗疮疡初起肿痛者，用之可消，加血竭更效。
黄柏（炒为末，二钱）、草乌（生为末，二钱）。
以上用漱口水调敷，常以漱水润之。
飞龙夺命丹：治疗痘疔、痘毒、痘痈；或麻木呕吐，重者昏愦切牙。
真蟾酥（干者酒化）、轻粉（各一钱）、枯白矾、寒水石、铜绿、乳香、没药、麝香（各二钱）、朱砂（六钱）、蜗牛（四十二个另研，如无亦可）。
以上各为末，入蟾酥、蜗牛，或加酒少许，糊丸绿豆大。每服一丸，温酒或葱汤送下。重者外用隔蒜灸法，甚者多灸，或着肉灸。
五福化毒丹：治疗痘毒实热肿痛。
生地黄、熟地黄、天门冬（去心）、麦门冬（去心）、玄参（各二两）、甘草、甜硝（各三两）、青黛（一两五钱）。
以上为末，蜜丸芡实大。每服一丸，白汤化下。
犀角消毒丸：治疗痘疹余毒，及一切疮毒。
生地黄、荆芥、当归、犀角（屑）、防风、牛蒡子（杵炒）、赤芍药、连翘、桔梗（各七钱）、薄荷、黄芩、甘草（各五钱）。
以上为末，蜜丸芡实大。每服一丸，白汤化下。
按语：化毒丹是降火凉血解毒寒中之剂。消毒丸是清热解毒破血之剂。大概小儿脏腑脆嫩，元气易伤，何况痘后气血皆虚，怎能承受这些药剂。如果胃气一伤，则未成者不能消散，已成者不能腐溃，已溃者不能生肌。殊不知痘疮乃脏腑所发，遍身之血皆化为脓。况且此方愈而患此，乃脾胃虚怯，肌肉消弱，荣卫短涩所致。医者审察！
蟾蜍丸
蟾蜍（一枚，夏月沟渠中腹大不跳不鸣身多癞者）
以上取粪蛆一杓置桶中，以尿浸之，桶上要干，不令虫走出，却将蟾蜍扑死投蛆中，食一昼夜，以布袋盛置，浸急流水中一宿取出，瓦上焙为末，入麝一字，粳米饭丸麻子大，每服二十丸，米饮下。
八珍汤（方见顶陷灰白）
小柴胡汤（方见某症，加生地黄、山栀，即加味小柴胡汤）
栀子清肝散（即柴胡栀子散，方见作痒搔破）
十全大补汤（方见腹胀气喘）
当归补血汤
补中益气汤（二方见寒战切牙）
六味地黄丸（加五味子、肉桂，名加减八味丸）
四君子汤（方见痘不靥闷乱）
加味逍遥散（方见欲靥不靥）
加味归脾汤（方见痘疳）
加味清胃散（方见痘不结痂）
大芦荟丸（方见风邪搏于肌肤）
人中白散
如圣饼
补阴八珍汤（三方见夹疹痘）
Mr. Chen Wensu said: During the entire course of smallpox and measles (Douzhen), it is not advisable to give water to drink. If mistakenly given water, after the scabs form, the scabs may fall off slowly or abscesses (Yong) may develop. If punctured with a needle, they can become ulcerated and eroded (Gan Shi), leading to difficult healing. This is because the Spleen and Stomach govern the muscles externally. Drinking too much water damages the Spleen and Stomach with dampness. Dampness combats the skin and muscles, causing a decline in body fluids. Qi and Blood cannot circulate throughout the body, condensing and failing to disperse. Thus, the scabs fall off slowly, and abscesses and swellings appear on the body.
Mr. Zhang Jiegu said: Abscesses occurring on the front of the body belong to the Hand-Yangming Meridian; those occurring on the limbs belong to the Foot-Yangming Meridian. Mr. Danxi said: Abscesses caused by smallpox are mostly due to residual toxins and blood heat. Medication should be administered based on the upper or lower location, with cooling blood as the primary method. If the stool is dry and solid, add Rhubarb (Dahuang). If there is no response, differentiation should be made according to the meridian involved, the deficiency or excess of Qi and Blood, and whether pus has formed. I believe that for these symptoms at the initial stage without pus formation, use Xianfang Huoming Yin (Immortal Life Elixir Decoction) and Garlic-Partitioned Moxibustion to dissipate them. For those about to form pus, use Xianfang Huoming Yin to resolve and promote suppuration. For those with Qi and Blood deficiency, use Bazhen Tang (Eight Treasure Decoction) to tonify and promote suppuration. For those deficient and unable to heal, use Tuoli San (Support the Interior Powder) to tonify and promote contraction. Generally, for fever, swelling, and pain with non-constipated stools, use Xianfang Huoming Yin and Garlic-Partitioned Moxibustion. For constipation, use Xianfang Huoming Yin plus Rhubarb. Once the stool is unblocked but swelling and pain persist, administer another dose of Xianfang Huoming Yin, followed by Tuoli San to tonify Yuan Qi (Original Qi). For fever and fatigue with normal stools, use Buzhong Yiqi Tang (Center-Supplementing Qi-Boosting Decoction); if ineffective, also use Garlic-Partitioned Moxibustion. For post-ulceration fever, dry mouth, and limb fatigue, use Dongyuan Shengyu Tang (Dongyuan's Holy Salvation Decoction). For dripping pus and intermittent fever, use Sijunzi Tang (Four Gentlemen Decoction) plus Ginseng and Astragalus. If caused by the nursing mother's Liver Meridian Blood deficiency and fever, use Jiawei Xiaochaihu Tang (Modified Minor Blue Green Dragon Decoction). If caused by Liver and Spleen depression and anger leading to fever, use Jiawei Guipi Tang (Modified Heart-Spleen Tonifying Decoction). If caused by accumulation of heat from rich foods, use Jiawei Qingwei San (Modified Stomach-Clearing Powder). If only cooling blood agents like Baidu drugs are used, it will further damage Yuan Qi, inevitably resulting in cases that should suppurate failing to do so, and those already suppurated failing to heal.
A child suffered from this on the inner side of the leg, with severe pain, thirst, and constipation, accompanied by abdominal distension. This indicated residual toxins remaining in both the exterior and interior. One dose of Xianfang Huoming Yin plus Mangxiao (Mirabilite) and Dahuang was administered, causing all symptoms to subside immediately. Mangxiao and Dahuang were then removed, and two more doses were given, leading to recovery.
A child suffered from severe pain near the left hypochondrium close to the abdomen, with aversion to cold, fever, and limb pain. This was residual toxin combined with external pathogens. One dose of Xianfang Huoming Yin plus Ephedrae Herba (Mahuang) was administered, completely resolving the external pathogens and reducing the toxin. The previous formula minus Mahuang and Shengyu Tang were then used for recovery.
A child had red, swollen, and painful lesions. Both internal and external treatments used cold-natured medicines. One dose of Xianfang Huoming Yin stopped the pain immediately, but the swelling remained. This was due to blood coagulation caused by cold medicines. Liuwei Huoxue San (Six-Ingredient Blood-Invigorating Powder) and Garlic-Partitioned Moxibustion were used for recovery.
A child had very dense smallpox eruptions, initially developing swelling in the four limbs. I diagnosed this as Heat-Toxin of the Spleen Meridian and cured it with Xianfang Huoming Yin-like formulas. Later, the child developed oral ulcers (Kou Gan) with salivation and gum erosion. Two doses each of Da Wuyi (Large Chelidonium) and Xianfang Huoming Yin were used, followed by Chanwu Wan (Toad Pill) applied with Renzhongbai San (Human Tooth Ash Powder) for recovery.
A child had a red, swollen, and painful arm lesion, indicating impending pus formation. Two doses of Tuoli Xiaodu San (Interior-Supporting Toxin-Resolving Powder) led to pus formation, and two more doses led to rupture. Tuoli San was used for healing, but fever and aversion to cold appeared. Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) was used for recovery.
A child had swelling in both legs, arms, and knees, unable to move and in pain. Soybean powder mixed with hot water was applied externally, and Xianfang Huoming Yin was taken internally, leading to resolution.
A child had ulcerated smallpox toxin with persistent swelling, irritability, thirst, urination resembling strangury, and picking at empty air. This was Liver and Spleen deficiency heat. Two doses each of Bazhen Tang and Jiawei Bawei Wan (Modified Eight-Ingredient Pill) stabilized the condition, followed by Dabu Tang for recovery.
A child had swelling in the legs and knees due to smallpox toxin, caused by Spleen and Kidney deficiency with toxin flow. Two doses of Rusheng Bing (Like-Sage Cake) and Xianfang Huoming Yin significantly reduced swelling and pain. Qiyi Tang (Qi-Boosting Decoction) and Dihuang Wan (Rehmannia Pill) were then used for recovery.
A child had ulcerated leg and knee swelling with continuous pus discharge, afternoon fever, and fatigue. My father attributed this to re-injury of Yuan Qi due to Yin deficiency. Buyin Bazhen Tang (Yin-Nourishing Eight Treasure Decoction) and Dihuang Wan were used for recovery.
A child had smallpox toxin that ulcerated internally due to cold-natured topical applications, with excessive thin pus. This indicated Yuan Qi deficiency. Qiyi Tang was taken in the morning and Bazhen Tang in the evening, over fifty doses each, assisted by Douchi Bing (Fermented Soybean Cake), leading to recovery.
A child had facial toxin. After Xianfang Huoming Yin reduced swelling and pain, extreme limb fatigue indicated that pathogens were gone but Yuan Qi was deficient. Shengyu Tang slightly restored Yuan Qi, and Tuoli San led to recovery.
A child had red, swollen, and painful lesions extending from below the left ear to the neck, diagnosed as Fire Syndrome of the Shaoyang Gallbladder Meridian. Zhizi Qinggan Tang (Gardenia Clearing Liver Decoction) was used for the mother, and Xianfang Huoming Yin for the child, leading to recovery. Upon recurrence, Baidu San (Toxin-Resolving Powder) was mistakenly taken, causing ulceration without healing and white wound edges. Tuoli San was used for recovery.
Seven days after smallpox eruption, a child had alternating chills and fever with thirst, and smallpox carbuncles (Ding) on the hypochondrium and outer arm, belonging to the Gallbladder Meridian. Black blood was pricked out, and one dose of Xiaochaihu Tang plus Shengdi Huang (Rehmannia Root) stopped fever and thirst. Xianfang Huoming Yin was then used for recovery.
A child had facial swelling with normal flesh color, floating and large pulse, fine upon pressure. I diagnosed this as Yuan Qi deficiency with pathogens following. Tonifying Yuan Qi was recommended. The family disagreed, administering Xijiao Wan (Rhinoceros Horn Pill) and Huadu Wan (Toxin-Resolving Pill), resulting in death.
Shenxiao Geshuanjiufa (Divine Effectiveness Garlic-Partitioned Moxibustion Method): Treats severe pain or numbness in smallpox abscesses. Moxa until pain ceases for painful cases, or until pain arises for numb cases, dispersing toxin via fire. Use garlic slices 3 fen thick placed on the lesion. Apply small moxa cones on the garlic. Change garlic every five moxa cones. More moxa is especially suitable if pain persists. For children, slice garlic thinly against the skin, hollow out slightly, burn moxa to ignite garlic. Test temperature on an adult's arm first, then apply to the lesion. Repeat testing to ensure continuity during replacement.
Xianfang Huoming Yin (Immortal Life Elixir Decoction): Treats smallpox carbuncles, toxins, and all sores. Dissipates before suppuration, promotes suppuration after formation. It is a divine medicine for detoxification,败脓 (pus-resolving), and pain relief.
Jinyinhua (Honeysuckle Flower), Chenpi (Tangerine Peel) (3 qian each), Zaogao Ci (Gleditsia Spine) (stir-fried), Chuanshanjia (Pangolin Scale) (stir-fried with Clam Powder), Ruxiang (Frankincense), Moyao (Myrrh), Baizhi (Angelica Dahurica), Fangfeng (Saposhnikovia Root), Danggui (Angelica Sinensis) (1 qian each), Beimu (Fritillaria Bulb), Tianhuafen (Trichosanthes Root), Gancao Jie (Licorice Node) (0.7 qian each).
Take 5 qian per dose, decoct in wine. Infants and mothers take together. Powder form with wine is also acceptable. If severe with exterior pathogens, add Mahuang to disperse. If toxin is internal, add Dahuang to purge. Adapt to clinical presentation. This is a life-saving detoxifier, but contraindicated in Yuan Qi collapse.
Liushi Huoxue San (Six-Ingredient Blood-Invigorating Powder): Treats initial stage of abscesses and sores with redness and swelling that does not dissipate.
Danggui, Chuanxiong, Chishao (Red Peony Root), Shengdi Huang, Honghua (Safflower), Sumu (Calamus Wood) (equal parts).
Decoct in water, take appropriate amount.
Tuoli San (Support the Interior Powder): Treats smallpox toxin with weak Yuan Qi unable to resolve or suppurate. Causes spontaneous resolution if unformed, spontaneous suppuration if formed.
Renshen (Ginseng), Huangqi (Astragalus) (stir-fried, 2 qian each), Danggui (wine-washed), Baizhu (Atractylodes Macrocephala), Chenpi, Shudi Huang (Prepared Rehmannia), Fuling (Poria), Shaoyao (Peony) (stir-fried, 1.5 qian each), Gancao (Licorice) (roasted, 0.5 qian).
Take 3-5 qian, decoct in water.
Tuoli Xiaodu San (Interior-Supporting Toxin-Resolving Powder): Treats smallpox toxin with weak Qi and Blood failing to rise, promoting suppuration and contraction, or treating chills/fever and lack of muscle growth.
Renshen, Huangqi, Danggui (wine-washed), Chuanxiong, Shaoyao (stir-fried), Baizhu, Chenpi, Fuling (1 qian each), Jinyinhua, Lianqiao (Forsythia), Baizhi (0.7 qian each), Gancao (0.5 qian).
Take 3-5 qian per dose, decoct in water.
Dongyuan Shengyu Tang (Dongyuan's Holy Salvation Decoction): Treats restlessness, insomnia, fatigue, and poor appetite after suppuration.
Shudi Huang (preferably homemade), Shengdi Huang (2 fen each), Renshen, Chuanxiong (2 fen each), Danggui, Huangqi (5 fen each).
Decoct in water.
Jisheng Guipi Tang (Jisheng Heart-Spleen Tonifying Decoction): Treats Spleen Blood deficiency with forgetfulness and palpitations, or Heart Qi deficiency failing to control blood, leading to bleeding, hematemesis, or melena. Also treats nursing mothers' Heart-Spleen heat causing non-healing sores or red scars. Add Chaihu and Zhizi to make Jiawei Guipi Tang.
Renshen, Baifuling (White Poria), Huangqi, Baizhu, Longyanrou (Longan Aril), Danggui, Yuanzhi (Polygala Root), Suanzaoren (Ziziphus Seed) (stir-fried, 2 qian each), Muxiang (Costus Root) (1 qian), Gancao (0.5 qian), Dangguishen (Angelica Body) (1 qian).
Decoct with Ginger and Jujube, taken by mother and infant.
Dongyuan Qingwei San (Dongyuan Stomach-Clearing Powder): Treats Stomach Meridian Heat with toothache, thirst from drinking cold, mouth/tongue ulcers, lip/mouth swelling spreading to head/face, double tongue, horse teeth, tongue protrusion, or salivation. If caused by harsh purgatives leading to Spleen-Stomach deficiency heat, mouth ulcers, tongue playing, vomiting, drowsiness, or loose stools, use Wuwei Yigong San.
Shengma (Cimicifuga) (0.5 qian), Shengdi Huang (0.4 qian), Huanglian (Coptis), Mudanpi (Tree Peony Bark) (0.3 qian each), Dangguishao (Angelica Tip) (0.4 qian).
Decoct in water. Infants and mothers take together.
Tizhen Wan (Needle-Replacement Pill): Treats smallpox abscesses where pus has formed but not ruptured.
Chen huaimi (Old rotten rice) (1 qian), Sha (Sand) (5 qian), Xiongquefen (Male Sparrow Droppings) (49 grains, straight ones are authentic).
Grind to powder, make pills with rice gruel sized like wheat grains. Apply one pill to the pustule head, cover with plaster for half a day, allowing pus to drain naturally. If the head opens but pus doesn't drain, or pain increases, or fever occurs, it indicates Qi/Blood deficiency; use Tuoli San. If vomiting phlegm, poor appetite, and fatigue occur, it indicates Spleen Qi deficiency; use Liujunzi Tang.
Shenxiao Taiyi Gao (Divine Effectiveness Taiyi Plaster): Treats all ulcerated sores and abscesses.
Xuanshen (Scrophularia), Baizhi, Danggui, Rougui (Cinnamon Bark), Chishao, Dahuang, Shengdi Huang (1 liang each).
Cut into pieces, fry in 40 liang Sesame Oil in a copper pot until black. Filter residue, slowly add 1 jin refined Lead Monoxide (Huangdan), fry until drops form pearls when cooled in water. Knead to proper consistency to form plaster.
Shenxiao Danggui Gao (Divine Effectiveness Angelica Plaster): Treats oozing smallpox toxin, burns/scalds, and sores unable to generate flesh and contract.
Danggui, Huangla (Yellow Beeswax), Shengdi Huang (1 liang each), Mazyou (Sesame Oil) (6 liang).
Fry Danggui and Shengdi Huang in oil, filter residue, melt in wax. Cool and mix evenly to form plaster.
Douchi Bing (Fermented Soybean Cake): Treats sore swelling/pain, hardness without suppuration, or ulceration without healing. Also treats stubborn toxins and boils. Grind Jiangxi Douchi (Fermented Soybeans) to powder, mix with saliva to form cakes the size of copper coins, thickness of 3-4 qian. Place on lesion, cover with moxa, and moxibustion. Unformed lesions dissipate; formed lesions expel residual toxin. Ineffective cases indicate severe Qi/Blood deficiency. Refer to Carbuncle Theory Moxibustion methods.
Shengong San (Divine Merit Powder): Treats initial swelling/pain of sores, effective for dissipation. Adding Xuejie (Dragon's Blood) is more effective.
Huangbai (Phellodendron) (stir-fried powder, 2 qian), Caowu (Aconite Root) (raw powder, 2 qian).
Mix with mouthwash liquid for application, keep moist with mouthwash regularly.
Feilong Duoming Dan (Flying Dragon Snatching Life Pill): Treats smallpox carbuncles, toxins, abscesses; numbness/vomiting; severe cases with coma and teeth grinding.
Zhen Chansu (Toad Venom) (dry, dissolved in wine), Qingfen (Calomel) (1 qian each), Kubaijian (Calcined Alum), Hanshuishi (Native Gypsum), Tonglü (Malachite), Ruxiang, Moyao, Shexiang (Musk) (2 qian each), Zhusha (Cinnabar) (6 qian), Woniu (Snail) (42, ground separately, optional).
Grind each to powder, mix with Chansu and Woniu, add little wine, bind with paste into pills sized like mung beans. Take one pill with warm wine or Scallion Soup. Severe cases use external Garlic-Partitioned Moxibustion, more moxa or direct skin moxa.
Wufu Huadu Dan (Five Blessings Toxin-Resolving Pill): Treats smallpox toxin with excess heat, swelling, and pain.
Shengdi Huang, Shudi Huang, Tianmendong (Asparagus Tuber) (heart removed), Maidong (Ophiopogon Tuber) (heart removed), Xuanshen (2 liang each), Gancao, Tianxiao (Saltpeter) (3 liang each), Qingdai (Indigo Naturalis) (1.5 liang).
Grind to powder, honey-bind into pills sized like Eccarya seeds. Take one pill dissolved in warm water.
Xijiao Xiaodu Wan (Rhinoceros Horn Toxin-Resolving Pill): Treats residual toxins from smallpox/measles and all sores.
Shengdi Huang, Jingjie (Schizonepeta), Danggui, Xijiao (Rhinoceros Horn) (shavings), Fangfeng, Niubangzi (Arctium Seed) (crushed/stir-fried), Chishao, Lianqiao, Jiegeng (Platycodon) (7 qian each), Bohe (Mint), Huangqin (Scutellaria), Gancao (5 qian each).
Grind to powder, honey-bind into pills sized like Eccarya seeds. Take one pill dissolved in warm water.
Commentary: Huadu Dan is a cooling, blood-cooling, detoxifying, and cold-natured agent. Xiaodu Wan is a clearing-heat, detoxifying, and blood-breaking agent. Children's organs are delicate, and Yuan Qi is easily injured. Post-smallpox, Qi and Blood are both deficient; how can they withstand such agents? If Stomach Qi is damaged, unformed toxins won't dissipate, formed toxins won't suppurate, and ulcerated wounds won't generate flesh. Smallpox originates from Zang-Fu organs, turning whole-body blood into pus. Recurrence after healing indicates Spleen-Stomach weakness, muscle wasting, and shortness of Ying and Wei. Physicians must examine carefully!
Chanwu Wan (Toad Pill)
Chanwu (Toad) (one, from summer ditches, large belly, non-jumping, non-calling, warty body).
Place one scoop of maggot in a bucket, soak in urine. Keep bucket dry to prevent escape. Kill toad, throw into maggots. Let feed for one day and night. Place in cloth bag, soak in fast-flowing water overnight. Remove, roast on tile to powder. Add Shexiang (Musk) one zi, bind with glutinous rice flour into pills sized like sesame seeds. Take twenty pills with rice drink.
Bazhen Tang (See Top Depression Gray White)
Xiaochaihu Tang (See Certain Symptom, add Shengdi Huang and Zhizi to make Jiawei Xiaochaihu Tang)
Zhizi Qinggan San (Same as Chaihu Zhizi San, See Itching Scratched Open)
Shiquan Dabu Tang (See Abdominal Distension Asthma)
Danggui Buxue Tang
Buzhong Yiqi Tang (Two formulas see Chills Teeth Grinding)
Liushi Dihuang Wan (Add Wuweizi and Rougui, named Jiawei Bawei Wan)
Sijunzi Tang (See Smallpox Not Crusting Confusion)
Jiawei Xiaoyao San (See Desire to Crust Not Crusting)
Jiawei Guipi Tang (See Smallpox Ulcers)
Jiawei Qingwei San (See Smallpox Not Forming Scabs)
Da Lvhui Wan (See Wind Pathogen Combining Skin)
Renzhongbai San
Rusheng Bing
Buyin Bazhen Tang (Three formulas see Mixed Rash Smallpox)