闻人氏云∶痘疹属火症，其面色赤者为顺，甚者为热。若肝木克制脾土，致面色青者，是为逆也。急用四君、升麻、
柴胡，调补脾胃，色正才治。窃谓前症若伤食而呕吐搐搦，
脾气受伤而泻利搐搦，或厥逆，皆慢脾风之渐也，用人参理中汤加柴胡、钩藤钩治之。或有少误，多致不起。若有痘毒，
内外郁蒸发出，遇风寒相搏，凝滞于肌肉，遍身皮肤青色者，用透肌散。胃伤则生风呕吐，脾伤则生风厥逆，用五味
异功散加天麻。若疮密热盛，便秘饮冷面赤者，用犀角解毒散。贯浆之后，发热烦躁，作渴面赤者，用当归补血汤。足
热腰痛，目睛赤者，地黄丸。皆要法也。
一小儿痘疮红活起发，因饮食过多，吐泻腰痛，唇面青色，手足并冷，此脾胃虚寒而受克也，先君用六君、姜、桂
一剂，前病不退，痘色欠赤，再剂加附子二分，诸症顿退，翌日，用参 四圣散，二剂将愈；更用八珍汤内参、 各五
钱，四剂而靥。
一小儿出痘，饮冷过多，腹痛面青，手足并冷，此寒邪伤脾而虚寒也，用附子理中汤，一剂而痛止，用人参一两、
姜一钱，二剂而脓贯；又用人参煎汤代茶与饮，月余而靥。
一小儿出痘，面青腹痛，手足并冷，此脾气虚寒也，先用五味异功散加木香、肉桂；又用内托散、参 四圣散，贯
脓痂靥。
一小儿出痘，面青腹痛，手足并冷，此脾土虚寒也，先服益黄散末三钱，再用六君、木香而安。又伤食，作泻面青，
用五味异功散而痊。
一小儿出痘，面色青，手足冷，此寒水侮土，非十二味异功散不能救，不信，乃服疏通之药，殁而遍身皆青，悔无
及矣。
六君子汤
四君子汤（二方见不靥闷乱）
人参理中汤（加附子，名附子理中汤，方见痘腹痛）
五味异功散
当归补血汤（二方见寒战切牙）
内托散（即托里散，方见痘痈）
十二味异功散（方见顶陷灰白）
参 四圣散（方见腹胀气促）
六味地黄丸（方见发热属阴阳）
犀角地黄汤（方见顶陷心烦）
闻人氏说：痘疹属于火症，面色发红的是顺证，严重时是热证。如果肝木克制脾土，导致面色发青的，这是逆证。应当紧急使用四君子汤、升麻、柴胡，调补脾胃，待面色恢复正常后再进行治疗。我认为前述病症如果是因伤食而呕吐、抽搐，或因脾气受伤而腹泻、抽搐，或者出现四肢厥冷，都是慢脾风的征兆，应使用人参理中汤加入柴胡、钩藤来治疗。如果有少许延误，大多会导致死亡。如果有痘毒，在体内内外郁结蒸发发出，遇到风寒相互搏结，凝滞于肌肉，导致全身皮肤发青的，使用透肌散。胃受伤则生风呕吐，脾受伤则生风厥逆，使用五味异功散加入天麻。如果疮疡密集且热势旺盛，便秘、喜饮冷水、面色红的，使用犀角解毒散。进入贯浆期后，发热烦躁、口渴面红的，使用当归补血汤。足部发热、腰痛、眼睛赤红的，使用地黄丸。这些都是重要的治疗方法。
有一个小儿痘疮红活起发，因为饮食过多，出现吐泻、腰痛，嘴唇和面色发青，手脚冰凉，这是脾胃虚寒受到克制的表现，先父使用六君子汤加生姜、肉桂，服用一剂后，前面的病状没有消退，痘色不够红润，第二剂加入二分附子，各种症状立刻消退，第二天，使用参芪四圣散，两剂后即将痊愈；又用八珍汤内的人参、黄芪各五钱，四剂后结痂脱落。
有一个小儿出痘，因为喝冷饮过多，腹痛面色发青，手脚冰凉，这是寒邪伤害脾脏导致的虚寒证，使用附子理中汤，一剂后疼痛停止，用人参一两、生姜一钱，两剂后脓液充满（贯浆）；又用人参煎汤代替茶水饮用，一个多月后结痂脱落。
有一个小儿出痘，面色发青、腹痛，手脚冰凉，这是脾气虚寒的表现，先用五味异功散加入木香、肉桂；又用内托散、参芪四圣散，直到脓液充满、结痂脱落。
有一个小儿出痘，面色发青、腹痛，手脚冰凉，这是脾土虚寒的表现，先服用益黄散粉末三钱，再用六君子汤、木香而安定。后来又伤食，腹泻面色发青，使用五味异功散而痊愈。
有一个小儿出痘，面色发青，手脚冰凉，这是寒水侮土（肾水反侮脾土），非十二味异功散不能挽救，家属不信，反而服用疏通的药物，孩子死后全身都发青，后悔也来不及了。
六君子汤
四君子汤（这两个方剂见“不靥闷乱”章节）
人参理中汤（加入附子，名为附子理中汤，方剂见“痘腹痛”章节）
五味异功散
当归补血汤（这两个方剂见“寒战切牙”章节）
内托散（即托里散，方剂见“痘痈”章节）
十二味异功散（方剂见“顶陷灰白”章节）
参芪四圣散（方剂见“腹胀气促”章节）
六味地黄丸（方剂见“发热属阴阳”章节）
犀角地黄汤（方剂见“顶陷心烦”章节）
Mr. Wenren stated: Varicella (smallpox) belongs to fire syndromes; a red complexion indicates a favorable course, while extreme cases indicate heat. If Liver Wood overacts on Spleen Earth, causing a greenish complexion, this is an unfavorable course. One should urgently use Sijunzi Tang (Four Gentlemen Decoction), Shengma (Cimicifugae Rhizoma), and Chaihu (Bupleuri Radix) to regulate and tonify the Spleen and Stomach; treatment for other symptoms should only proceed once the complexion returns to normal. I opine that if the aforementioned symptoms involve vomiting and convulsions due to food stagnation, or diarrhea and convulsions due to Spleen Qi injury, or cold limbs, these are precursors of Manpi Feng (Slow Spleen Wind). They should be treated with Renshen Lizhong Tang (Ginseng and Atractylodes Macrocephala Decoction) added with Chaihu and Gouteng钩 (Uncariae Ramulus cum Uncis). Any slight delay often leads to death. If there is varicella toxin,郁结 (stagnant) internally and externally, evaporating outwards, and encountering wind-cold which combats it, causing stagnation in the muscles and a greenish color all over the skin, Touji San (Muscle-Penetrating Powder) should be used. Injury to the Stomach generates wind and vomiting; injury to the Spleen generates wind and cold limbs; Wuyi Yigong San (Five-Ingredient Decoction for Extraordinary Efficacy) added with Tianma (Gastrodiae Rhizoma) should be used. If the sores are dense with intense heat, constipation, preference for cold drinks, and a red face, Xijiao Jiedu San (Rhinoceros Horn Detoxifying Powder) should be used. After entering the stage of pustule formation (guanjiang), if there is fever, irritability, thirst, and a red face, Danggui Buxue Tang (Angelica Sinensis and Astragalus Decoction) should be used. For hot feet, lower back pain, and red eyes, Dihuang Wan (Rehmannia Pill) should be used. These are all essential methods.
A child presented with red and vibrant smallpox lesions that were rising. Due to excessive eating, he experienced vomiting, diarrhea, lower back pain, a cyanotic lip and face, and cold hands and feet. This indicated deficiency-cold of the Spleen and Stomach being overacted upon. My father prescribed Liujunzi Tang (Six Gentlemen Decoction) with Shengjiang (Zingiberis Rhizoma Recens) and Rougui (Cinnamomi Cortex). After one dose, the preceding symptoms did not recede, and the smallpox color lacked redness. On the second dose, Fuzi (Aconiti Lateralis Radix Praeparata) was added (2 fen), and all symptoms immediately subsided. The next day, Shenqi Sixian San (Ginseng and Astragalus Four Sages Powder) was administered for two doses, leading to near recovery. Subsequently, within Bazhen Tang (Eight Treasure Decoction), Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix) were each increased to 5 qian. After four doses, the scabs fell off.
Another child contracted smallpox and consumed excessive cold drinks, resulting in abdominal pain, a greenish face, and cold hands and feet. This was deficiency-cold caused by cold pathogen injuring the Spleen. Fuzi Lizhong Tang (Aconite and Atractylodes Macrocephala Decoction) was used; pain ceased after one dose. Using 1 liang of Renshen and 1 qian of Shengjiang, pus filled the lesions after two doses. Then, Renshen decocted in water was given as tea; after more than a month, the scabs fell off.
Another child contracted smallpox, presenting with a greenish face, abdominal pain, and cold hands and feet. This indicated deficiency-cold of Spleen Qi. Wuyi Yigong San added with Muxiang (Aucklandiae Radix) and Rougui was used first. Then, Neituo San (Internal Support Powder) and Shenqi Sixian San were used until pus filled and scabs formed and fell off.
Another child contracted smallpox, presenting with a greenish face, abdominal pain, and cold hands and feet. This indicated deficiency-cold of Spleen Earth. First, Yihuang San (Yellow-Protecting Powder) powder (3 qian) was taken. Then, Liujunzi Tang with Muxiang stabilized the condition. Later, due to food stagnation, diarrhea occurred with a greenish face; Wuyi Yigong San was used for recovery.
Another child contracted smallpox, presenting with a greenish face and cold hands and feet. This indicated Cold Water insulting Earth (Kidney Water insulting Spleen Earth). Only Shierwei Yigong San (Twelve-Ingredient Decoction for Extraordinary Efficacy) could save him. The family did not believe this and instead administered dispersing and unblocking medicines. The child died with his entire body turning green; regret came too late.
Liujunzi Tang (Six Gentlemen Decoction)
Sijunzi Tang (Four Gentlemen Decoction) (See both formulas under "Failure to Scab and Confusion")
Renshen Lizhong Tang (Ginseng and Atractylodes Macrocephala Decoction) (When added with Fuzi, it is named Fuzi Lizhong Tang; see formula under "Abdominal Pain from Smallpox")
Wuyi Yigong San (Five-Ingredient Decoction for Extraordinary Efficacy)
Danggui Buxue Tang (Angelica Sinensis and Astragalus Decoction) (See both formulas under "Chills and Teeth Grinding")
Neituo San (Internal Support Powder) (Also known as Tuoli San; see formula under "Smallpox Abscess")
Shierwei Yigong San (Twelve-Ingredient Decoction for Extraordinary Efficacy) (See formula under "Sunken Crown and Ashy White")
Shenqi Sixian San (Ginseng and Astragalus Four Sages Powder) (See formula under "Abdominal Distension and Shortness of Breath)
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) (See formula under "Fever Belonging to Yin and Yang")
Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) (See formula under "Sunken Crown and Heart Restlessness")