凡痘一身温暖而至靥时，忽大热者，此俗名干浆，亦是常候。只怕内伤饮食，外感
风寒以致耳。然病久气虚，不可轻用汗下。如外伤者，参苏饮。内伤者，木香大安丸，
助胃化食推扬谷气而已。
夫心之臭焦，肝之臭臊，脾之臭香，肺之臭腥，肾之臭腐，然且臭皆属于心，故曰
臭从火化也。痘至靥时才臭者，此痘成熟之时，邪从自内而出也，为吉。若养浆之时即
臭者，此毒火败坏之气，积于中而见于外也，为凶。至若瘙痒而抓破溃烂，在肿灌之
时，其臭臊者，肝火盛也，死。其臭焦者，心火盛也；其臭腥者，肺火盛也，并危。其
臭腐者，肾火旺也。或腐痘之气者，皆死不治，惟臭香者，脾也，水谷之府，无所不
受，故为吉论，尤宜以能食，不食兼诸候验之。
凡痘不当靥而忽一齐紫者，是为倒靥而属危症也。若痘当靥不靥而复卒入于里者，
是亦谓之倒靥，尤属死症也。如元气素弱，又不能食，目常自利者，则用陈氏木香散，
诚死中求活之圣药。如原无泄泻而乃大便久秘，腹胀喘呼者，此因毒盛而薄蚀元气，复
入于里也。宜急下之。若不急下，则肠胃不通，荣卫不行，益加喘满躁闷而死矣。若毒
入里，忽然自利，痂皮脓血者，此出其人脾胃素强，毒瓦斯难留，故自利下，则毒瓦斯因而
乃出，为顺候也。不可止之，待利尽脓毒自愈。如利水谷者，此由脾气虚弱，不能胜
邪，是以毒瓦斯反驱水谷耳，不治之症也。
凡是痘疮患者全身温暖，到了结痂阶段时，突然发高热，这是俗称的“干浆”，也属于常见现象。只怕是因为内伤饮食、外感风寒而导致的耳部疾病（或指病情恶化波及耳部）。然而病程长久导致气虚，不可轻易使用发汗或攻下的疗法。如果是外感邪气所致，用参苏饮；如果是内伤饮食所致，用木香大安丸，目的是帮助胃气、消化食物、推扬谷气罢了。
心的气味是焦味，肝的气味是臊味，脾的气味是香味，肺的气味是腥味，肾的气味是腐臭味，但所有的臭气都归属于心，所以说臭气是从火化生的。痘疮到结痂时才出现臭味的，这是痘疮成熟之时，邪气从体内排出的表现，属于吉兆。如果在养浆阶段就出现臭味，这是毒火败坏之气，积聚在体内而表现在外的表现，属于凶兆。至于瘙痒抓破溃烂，在肿胀流脓的时候，如果气味臊臭，是肝火旺盛，主死。气味焦臭，是心火旺盛；气味腥臭，是肺火旺盛，都属于危重证候。气味腐臭，是肾火旺盛。或者是腐痘发出的气味，都是死亡且无法治疗的，只有气味香者，对应脾脏，脾是水谷之腑，无所不纳，所以属于吉利论述，尤其应当结合能否进食以及其他症状来验证。
凡是痘疮不该结痂却突然一齐变紫的，这叫作“倒靥”，属于危重证候。如果痘疮该结痂却不结痂，反而突然陷入体内，这也叫作“倒靥”，更是死症。如果元气本来虚弱，又不能进食，眼睛经常自利（腹泻），则使用陈氏木香散，这确实是死中求活的圣药。如果原本没有泄泻，而是大便长期秘结，腹胀气喘呼叫，这是因为毒气盛而侵蚀元气，又复入体内。应当紧急攻下。如果不紧急攻下，那么肠胃不通，营卫不行，会更加喘满躁闷而死。如果毒气入里，忽然自行腹泻，排出痂皮脓血，这是因为其人脾胃本来强壮，毒气难以停留，所以通过自行腹泻排出，毒气因而得以排出，属于顺证。不可止住它，等待脓毒排尽后自愈。如果拉出的是水谷，这是由于脾气虚弱，不能抵御邪气，所以毒气反而驱赶水谷排出，这是不治之症。
In cases where a smallpox patient has a warm body throughout and suddenly develops high fever at the stage of scabbing, this is commonly known as "dry pus" (Gan Jiang), which is also a common occurrence. One must only fear that it is caused by internal injury from diet or external contraction of wind-cold leading to ear complications. However, since prolonged illness leads to Qi deficiency, one should not lightly employ sweating or purging methods. If caused by external pathogenic factors, use Shen Su Yin (Ginseng and Perilla Decoction); if caused by internal dietary injury, use Mu Xiang Da An Wan (Aucklandia Great Peace Pill), merely to assist stomach Qi, transform food, and promote the circulation of grain Qi.
The odor associated with the Heart is scorched; with the Liver, it is rank/fishy (Sao); with the Spleen, it is fragrant; with the Lung, it is raw/meaty (Xing); and with the Kidney, it is putrid (Fu). Yet, all odors are attributed to the Heart, hence it is said that odors arise from Fire transformation. When smallpox emits an odor only at the scabbing stage, this indicates that at the time of maturation, the pathogenic factor is exiting from within, which is a favorable sign. If an odor appears during the stage of nourishing pus, this indicates foul air from toxic fire accumulating internally and manifesting externally, which is an ominous sign. Regarding itching, scratching until ulceration occurs, and during the stage of swelling and suppuration: if the odor is rank (Sao), it indicates excessive Liver Fire, which is fatal. If the odor is scorched (Jiao), it indicates excessive Heart Fire; if the odor is raw/meaty (Xing), it indicates excessive Lung Fire; both are critical conditions. If the odor is putrid (Fu), it indicates flourishing Kidney Fire. Or if the odor comes from rotting pustules, all are fatal and untreatable. Only when the odor is fragrant, corresponding to the Spleen—the mansion of water and grain, which receives everything—is it considered a favorable prognosis. In particular, one should verify this by observing whether the patient can eat, combined with other symptoms.
If smallpox lesions do not normally scab but suddenly turn purple all at once, this is called "inverted scabbing" (Dao Ye) and belongs to critical conditions. If the lesions should scab but do not, and instead suddenly sink inward, this is also termed "inverted scabbing," and is even more indicative of a fatal condition. If the original Yuan Qi is weak, the patient cannot eat, and suffers from spontaneous diarrhea, then Chen Shi Mu Xiang San (Chen's Aucklandia Powder) should be used; this is indeed a sacred medicine for seeking life amidst death. If there was originally no diarrhea, but rather long-term constipation, abdominal distension, and panting/calling out, this is because excessive toxin has eroded the Yuan Qi and re-entered the interior. Urgent purging is required. If purging is not urgent, the intestines and stomach will become obstructed, Ying and Wei (Nutritive and Defensive Qi) will fail to circulate, leading to increased panting, fullness, restlessness, stifling sensation, and death. If the toxin enters the interior and sudden spontaneous diarrhea occurs, expelling scabs, pus, and blood, this is because the person's Spleen and Stomach were originally strong, making it difficult for the toxic qi to remain; thus, through spontaneous diarrhea, the toxic qi is expelled, which is a favorable progression. Do not stop it; wait for the pus and toxins to be completely discharged, and self-healing will occur. If watery stool containing undigested food is passed, this is due to Spleen Qi deficiency being unable to overcome the pathogen, so the toxic qi drives the water and grain out instead; this is an untreatable condition.