凡表热盛则痘必干枯，表太凉，则痘必冰伏，内热盛则秘结，内太凉则泄泻，气拥
盛则腹胀喘满。若热毒为所抑而不得升越，则腹胀狂乱，毒瓦斯弥盛，表里受重，而婴童
难任矣。是故治痘之诀，在于安表，和中匀气，透肌解毒，五者而已。安其表则无干枯
冰伏之患，和其中则无秘结泄泻之虞，便其里气常实，血气内旺，脾胃自强，以助其
成，自无痒塌倒靥者矣。匀其气则无壅盛喘满之过，透其肌使热毒伸越达表，而不致留
伏于中，解其毒使内外有所分消而无余毒流害之祸，凡此五者，则血热壅遏之症不足忧
也。然火性急疾，宜于速解，毋容少缓也。
夫肺痘之出，必肺胀而喘，上气而咳，心烦出衄，胸满气急，喷涕喉痹，其痘色
白，形细而圆，皮毛粟 ，其为泡也。白而水，若未见点，而毛色枯焦者，不治。脾痘
之出，必舌本强，腹胀呕食，胃脘疼痛，身体皆重，善呻善噫，洒洒振寒，或恶见人，
心下急痛，体难动摇，大便溏泻，及或秘结，股膝困肿，或舌本痛，其痘色带黄，形
大而软，寒热时作，其为泡也，黄而臭，若将见点，而唇先茧口多秽气者不治。心痘之
出，必嗌干且痛，惊悸时作，掌中倍热，目黄耳聋，心痛渴饮，颔肿不可顾肩，胁痛颊
肿，其痘色红而滞赤，形尖而细，体若燔炭。其为泡也，尖而紫，若将见点，而昏热
赤斑者，不治。肝痘之出，必口苦呵欠而善太息，腰痛不可俯仰，心胁痛不能转侧，顿
闷胸满，小便遗尿，又或癃闭，头痛颔痛，目锐 痛，其痘色青，形尖而圆，其为泡
也，白中带青，而多脓，两颊悬隐，难于起发，若将见点，而神倦肉肿者，不治。肾痘
之出，必饥不欲食，舌干咽肿，或咳唾有血，肠 心痛，或腰腹脊股俱痛，或善恐而
心惕惕如悬饥，其痘色黑，其为泡也，大而紫血，若将见点而夹斑烂紫肉肿口哕，腰痛
难立者不治。
凡是表热亢盛，痘疹必然干枯；体表过于寒凉，痘疹必然冰伏不出；体内热盛则大便秘结，体内过于寒凉则导致泄泻；气机壅滞盛实则出现腹胀、气喘和胸闷。如果热毒被抑制而不能升发透达，就会导致腹胀、狂乱，毒邪之气弥漫炽盛，表里同时受重邪侵袭，而婴幼儿难以承受。因此，治疗痘疹的关键，在于安固体表、调和脾胃、匀调气机、透肌解毒，这五点罢了。安固体表就没有干枯或冰伏的隐患，调和脾胃就没有便秘或泄泻的忧虑，使里气常实，血气内旺，脾胃功能自强，以助长痘疹成熟，自然就不会出现瘙痒塌陷或倒靥（痘疹回缩不愈）的情况了。匀调气机就没有气机壅盛、气喘胸闷的过失，透达肌表使热毒伸展升发透出于外，而不致使热毒留伏于体内，解除毒邪使内外有所分消而没有余毒流窜为害的灾祸，凡做到这五点，那么血热壅遏的病证就不值得担忧了。然而火性急迫，应当迅速解除，不容许丝毫迟缓。
至于肺痘发出时，必然伴有肺胀气喘，上逆咳嗽，心烦鼻出血，胸满气急，喷嚏喉痹，痘色白，形态细小而圆，皮肤如粟米状，其形成的脓疱是白色且含水的。如果尚未见痘点，但毛发枯焦的，属于不治之症。脾痘发出时，必然舌根强硬，腹胀呕吐食物，胃脘疼痛，身体沉重，喜欢呻吟和嗳气，洒洒然恶寒战栗，或者厌恶见人，心下急痛，身体难以转动，大便溏泻，或者有时便秘，大腿膝盖困倦肿胀，或者舌根疼痛，痘色带黄，形态大而软，寒热交替发作，其形成的脓疱黄色且臭秽。如果即将见到痘点，但嘴唇先起茧口且多秽气的，属于不治之症。心痘发出时，必然咽喉干燥且疼痛，惊悸时常发作，手掌心特别发热，目黄耳聋，心痛口渴想饮水，下颌肿胀不能回顾肩膀，胁痛脸颊肿胀，痘色红而滞涩呈赤色，形态尖细，身体像燃烧的炭火一样热。其形成的脓疱尖而紫，如果即将见到痘点，但出现昏热赤斑的，属于不治之症。肝痘发出时，必然口苦、打哈欠且喜欢长叹息，腰痛不能俯仰，心肋部疼痛不能转身侧卧，突然闷胀胸满，小便失禁，或者有时癃闭不通，头痛下颌痛，目锐眦疼痛，痘色青，形态尖而圆，其形成的脓疱白中带青，且多脓液，两颊隐现，难以起发，如果即将见到痘点，但精神疲倦肌肉肿胀的，属于不治之症。肾痘发出时，必然饥饿但不想进食，舌干咽喉肿痛，或者咳嗽唾血，肠中绞痛心痛，或者腰腹脊背大腿都疼痛，或者容易恐惧且心中惕惕不安如同饥饿感，痘色黑，其形成的脓疱大而含紫血，如果即将见到痘点且夹杂斑烂紫肉肿胀、口中呃逆、腰痛难以站立的，属于不治之症。
Whenever the exterior heat is excessive, the smallpox lesions will inevitably become dry and withered; if the exterior is too cold, the lesions will be frozen and unable to erupt. If internal heat is excessive, there will be constipation; if the interior is too cold, there will be diarrhea. If Qi stagnation is severe, abdominal distension, wheezing, and chest fullness will occur. If the heat-toxin is suppressed and cannot ascend and vent, it leads to abdominal distension and madness, with toxic vapors becoming rampant, affecting both the exterior and interior heavily, which infants and children cannot bear. Therefore, the key to treating smallpox lies in five aspects: securing the exterior, harmonizing the middle jiao, regulating Qi, penetrating the muscle layer to vent toxins, and resolving toxins. Securing the exterior prevents the hazards of dryness or freezing; harmonizing the middle jiao prevents the worries of constipation or diarrhea; keeping the interior Qi solid, blood and Qi vigorous internally, and the Spleen and Stomach strong helps aid maturation, naturally avoiding itching, collapse, or regression of the lesions. Regulating Qi prevents the excesses of stagnation, wheezing, and fullness; penetrating the muscle allows heat-toxins to extend and reach the exterior, preventing them from lingering inside; resolving toxins allows for distribution and elimination from both inside and outside, avoiding disasters from residual toxins spreading. By achieving these five points, the syndrome of blood-heat stagnation and obstruction need not be worried about. However, fire nature is urgent and should be resolved quickly, allowing no delay.
Regarding Lung smallpox eruption, it must be accompanied by Lung distension and wheezing, upward Qi rebellion with cough, heart vexation with epistaxis, chest fullness and rapid breathing, sneezing and throat bi, white lesion color, fine and round shape, skin like millet grains, forming blisters that are white and watery. If spots have not yet appeared but hair is withered and scorched, it is incurable. Regarding Spleen smallpox eruption, it must be accompanied by a stiff tongue root, abdominal distension and vomiting food, epigastric pain, heaviness of the body, frequent groaning and belching, aversion to cold with shivering, aversion to people, urgency and pain in the hypochondrium/epigastrium, difficulty moving the body, loose stools or sometimes constipation, heavy and swollen thighs and knees, or painful tongue root, yellowish lesion color, large and soft shape, alternating chills and fever, forming blisters that are yellow and foul-smelling. If spots are about to appear but lips first form crusts with much foul odor, it is incurable. Regarding Heart smallpox eruption, it must be accompanied by dry and painful throat, frequent palpitations and fright, excessive heat in palms, yellow eyes and deafness, heart pain with thirst and desire to drink, swelling of the chin making it difficult to turn the head towards the shoulder, hypochondriac pain and cheek swelling, red and stagnant crimson lesion color, sharp and fine shape, body heat like burning charcoal. Forming blisters that are sharp and purple; if spots are about to appear but drowsy heat and crimson macules occur, it is incurable. Regarding Liver smallpox eruption, it must be accompanied by bitter taste, yawning and frequent sighing, lower back pain preventing bending and straightening, heart and hypochondriac pain preventing turning sideways, sudden stuffiness and chest fullness, urinary incontinence or sometimes strangury, headache and chin pain, outer canthus pain, green lesion color, sharp and round shape, forming blisters that are white with green tint and contain much pus, hidden on both cheeks, difficult to rise and develop; if spots are about to appear but spirit is fatigued and muscles swollen, it is incurable. Regarding Kidney smallpox eruption, it must be accompanied by hunger without desire to eat, dry tongue and swollen throat, or coughing up blood, intestinal colic and heart pain, or pain in waist, abdomen, spine, and thighs, or frequent fear and heart palpitations feeling like hunger, black lesion color, forming blisters that are large and contain purple blood; if spots are about to appear mixed with rotting purple flesh swelling, hiccups, and inability to stand due to lower back pain, it is incurable.