乍吐而即止者，不在此例。）蛇皮凑乎一拥，痘起而蛇皮断者，是荣失其负毒之效，卫失其固表之能，
任其枭毒一齐拥出，状竟蛇皮矣。）蚕种布于六枭。（凡痘标如蚕种布者，则六经为枭炎蒸虐，
必死之征也。）一鹄横空，要诸双林无丛木，（凡先于天庭鼎峻者，须验其两阳山林之地稀少者，
是为双林无丛木而美矣。一鹄横空者，言其先于天庭之坤鼎一也。）四贤过险，端知一水有真元。（夫
喉突气窝者，肃杀门中之贤位也。乳盘胸阜者，赤帝门重之贤位也。脐封者，寅帝明中之贤位也。
阳球者，玄武门中之贤位也。是谓四贤。言痘澄浆翕脓而靥至阳球之下，则四贤过其险矣。然其所
居之地，则心肺脾肾四脏也。险能过此，自然天元得以滋合，而端知一水有真元耳。）血盆鲤鲠逐蚩尤，
细观枭赤，（凡两足大股内际，是血聚会之盆也，此处而结鲤鲠，一带红肿恶痛者，宜急逐蚩尤而灭其
枭青可也。然欲验其毒，但细观者心之际，必有枭赤之纹盘蛇于间矣。）肛门坠石肿，烧榴速治丹田。
（凡肛门如隆石而重滞，红肿如火烧石榴之状者，则知玄窖不能滋养，故宜速治丹田。）洪钟起架兮，
恐扣腹之无声，（凡痘启于脾经，而一二日咳嗽连声不已者，宜防其钟受伤，而至六七日际音哑如钟之
起架，而扣腹无声矣。）封鼎熔金兮，防炉中之失色，（凡眼鼻既封，而两颧焦紫黑陷者，则如炉中之
色失矣，谓之封鼎熔金者，盖鼻乃肺之窍，而属金也，谓之炉中者，盖颧乃心之部而属火也，故取喻之。）
有食不餐非是饱，鼓幔腹胀。（凡痘见后而饮食不进者。此非有食作饱也盖因枭毒未尽，鼓幔于中，
而腹为之胀闷耳。）无泉欲饮为因消，熬干喉舌。（凡口无津液恶渴欲饮者，血
枭淫消灼，熬干喉舌耳。）莫夸浪里渔舟撑过海，寻着源头，（凡人至十八九岁，则元阳必破，而惠痘必
难保全，故名浪里渔舟，言其险也。若痘章鼎峻充贯者，则犹撑过海矣。然此治之者，宜寻着源头，虚
实而断之。）兢慕纸幔小鼓得经敲，浓培根本。（凡周岁患痘者，则血气未全。如纸幔小鼓，岂得敲点者乎？
故宜浓培元本。）肝肺并骖，不宜脱辔先驰，（凡左太阳与两肩上一齐见点者，则肝肺两经并骖矣。二处
俱要美丽。倘两眉之痘鼎峻，太阳地位陷伏者，则为脱辔先驰，肺壮肝衰，必为所克矣。）心肾二仪，
岂可夺权煽祸，（夫方广两观，心之经也。承浆地同，肾之经也。此乃阴阳二仪之所。凡阳先阴承理之
顺也。若颧阜之痘塌陷而地闾之处枭红军锦者，则为夺权煽祸于心矣。）三日而枭毒窜逐，肚腹决不蛙鸣，
（凡痘标三日，而枭炎之毒窜逐于外表暴既尽，则肚腹自宽，决不饱胀而蛙鸣也。）七期而花烂鼎，灌
肤囊自无枭痒。（凡痘七日传至肺经，如花烂鼎峻充灌则痘之肤囊，自致饶美，无枭痒之虞矣。）涌泉漏
肿于眼角，木侮土虚而难塞。（凡痘后而两眼角淡脓流血不止者，是名涌泉，盖如泉之涌出，干则又澄，
饱则又溃，是因脾土虚而不能振托以固塞乎表，木气侮而自推于损伤也。）破底罐患于足心，脾彻阳明而
极苦，（凡痘后痈毒患于足心，而秽液流注不已者，名破底罐，此因脾土虚耗，不能使毒外出，是以注彻
阳明，乃结其毒，溃破淋漓极苦也。）风里筝声吹散了，只因耗损天元，（风里筝声吹散者，言其脱气之
痘，而声不以聚合也。此非耗损天元而何哉？）空中楼阁挂银瓶，但言囊房虚竖。（空中楼阁挂银瓶者，
言其空抬囊尧，而虚竖其房也。）佛顶珠，第二样痘，（佛顶珠者，乃脾轴中第二样痘也。）倒悬镜，不识
一栏。（倒悬镜者。乃九不识之中第一栏也。）提篮拾海棠，深明肝经之不美，（凡痘见海棠样者，娇红
可爱，然肝经枭邪之色痘之所不美也。）携手觅金柑，独显脾胃之居功。（金柑者，外黄内实，故取喻
之痘而若此，可见脾胃传化之功多矣。）九日振皮毛，要得二望转轴，（痘至九日则传于脾，皮毛振托，
而痂靥全美，然欲其转轴于元会之机，则要得二望两月之期也。）两传脱靥痂，直到改火复元。（凡至十四日
两传之际，而脱尽痂靥，虽无可虑，然欲其完复真元，必至三月之后燧火更改之期也。）
（突然呕吐随即停止的情况，不在此例讨论范围内。）痘疹密集如蛇皮般簇拥，但痘起后蛇皮状的表皮断裂脱落，这是营血失去了承载毒素的能力，卫气失去了固护体表的机能，任由凶险的毒邪一齐涌出体外，形态竟然如同蛇皮一般。（痘疹分布如蚕种般散布全身。凡是痘疹标记像蚕种一样布满全身的，说明六经遭受火毒熏蒸虐害，这是必定死亡的征兆。）一只鸿雁横空飞过，关键在于双林之地没有丛生的树木。（凡是先在额头天庭部位高耸突出的，必须观察其两颊山林区域稀少稀疏的，这就是“双林无丛木”而显得美好的景象。“一鹄横空”，是指先在天庭坤位突出一个的意思。）四位贤人越过险境，确实知道真元之水得以保全。（喉结和气窝处，是肃杀门中的贤位；乳盘和胸骨隆起处，是赤帝门重视的贤位；肚脐封固处，是寅帝明中的贤位；睾丸处，是玄武门中的贤位。这称为四位贤人。意思是说，当痘疹澄浆、收脓结痂并退至睾丸下方时，四位贤人就度过了危险。然而他们所居住的部位，对应心肺脾肾四脏。若能度过此险，自然真元得以滋合，确实可知真水有真元存在。）血盆中有鲤鱼卡住喉咙驱赶蚩尤，仔细观察枭红色的纹路。（凡是大腿内侧根部，是血液汇聚的血盆之处，此处若结成鲤鱼卡喉般的硬结，伴有红肿恶痛，应当立即驱赶蚩尤以消灭枭青色毒邪。然而要验证其毒性，只需仔细观察心口之间，必有枭红色的纹路如盘蛇般存在于其间。）肛门坠石般肿胀，需迅速烧石榴治疗丹田。（凡是肛门像隆起的石头一样沉重滞涩，红肿如火烧石榴形状的，就知道玄窖不能滋养，所以应当迅速治疗丹田。）洪钟架起，恐怕敲击腹部无声响，（凡是痘疹发于脾经，且一二天咳嗽声连个不停，应当防止钟受伤，到了六七天时声音嘶哑如同钟架起后敲击腹部却无声响那样。）封鼎熔金，防止炉中颜色失去光彩，（凡是眼鼻既已封闭，而两颧焦紫黑陷落的，就如同炉中颜色失去光彩，称为封鼎熔金，大概因为鼻子是肺之窍，属金，称为炉中，大概因为颧部是心之部，属火，所以取此比喻。）有食物却不进食并非饱腹，鼓胀如幔导致腹胀。（凡是出痘后饮食不进，这并不是因为有食物而感到饱，而是因为枭毒未尽，在体内鼓胀如幔，导致腹部胀闷。）没有泉水却想饮水是因为消渴，熬干了喉舌。（凡是口中没有津液，厌恶口渴想喝水的，是血中枭毒淫逸消灼，熬干了喉舌所致。）不要夸耀浪里渔舟撑过大海，寻找到源头，（人到了十八九岁，元阳必然破损，患痘疹很难保全性命，所以称为浪里渔舟，形容其危险。如果痘疹章鼎峻充贯满，则犹如撑船过海了。然而治疗者，应当寻找到源头，根据虚实来判断。）羡慕纸幔小鼓得到经常敲击，浓厚培养根本。（凡是周岁患痘疹的，气血尚未完全。如同纸幔小鼓，怎么能经受敲击呢？所以应当浓厚培养元气根本。）肝肺并驾齐驱，不宜脱去缰绳先奔驰，（凡是左侧太阳穴与两肩上一齐出现痘点的，就是肝肺两经并驾齐驱了。两处都要美丽。倘若两眉间的痘疹高耸，而太阳穴位置陷伏的，就是脱去缰绳先奔驰，肺气壮盛肝气衰弱，必然被所克伐。）心肾二仪，岂可夺权煽动祸乱，（方广两观，是心的经脉；承浆地同，是肾的经脉。这是阴阳二仪所在之处。凡是阳气先行阴气承接，是理之顺也。如果颧阜处的痘疹塌陷，而地阁之处枭红军锦般的，就是为心夺权煽动祸乱。）三天后枭毒窜逐，肚子决不会蛙鸣，（凡是痘疹标志三天，而火毒之邪窜逐于外表暴尽之后，肚子自然宽松，绝不会饱胀而发出蛙鸣声。）七日期满花烂鼎，灌肤囊自然没有枭痒。（凡是痘疹七日传至肺经，如花烂鼎峻充灌，那么痘的肤囊，自然致饶美，没有枭痒的忧虑了。）涌泉漏肿于眼角，木侮土虚而难堵塞。（凡是出痘后两眼眼角淡脓流血不止的，名叫涌泉，就像泉水涌出，干了又澄清，饱了又溃破，这是因为脾土虚弱而不能振托以固塞体表，木气欺侮而自行推于损伤。）破底罐患病于足心，脾彻阳明而极痛苦，（凡是出痘后痈毒患病于足心，而秽液流注不停的，名叫破底罐，这是因为脾土虚耗，不能使毒邪外出，因此注彻阳明，乃结其毒，溃破淋漓极痛苦。）风里的筝声吹散了，只因耗损天元，（风里筝声吹散，说的是脱气的痘疹，声音不能聚合。这难道不是耗损天元吗？）空中的楼阁挂着银瓶，只说囊房虚竖。（空中楼阁挂银瓶，说的是空抬囊尧，而虚竖其房。）佛顶珠，第二样的痘疹，（佛顶珠，是脾轴中第二样的痘疹。）倒悬镜，不识第一栏。（倒悬镜，是不识之中第一栏。）提篮拾海棠，深明肝经的不美好，（凡是痘疹见海棠样子的，娇红可爱，然而肝经枭邪之色痘疹所不美的。）携手觅金柑，独显脾胃的居功。（金柑，外黄内实，所以取此比喻痘疹若如此，可见脾胃传化之功多矣。）九日振皮毛，要得二望转轴，（痘疹到九天则传于脾，皮毛振托，而痂靥全美，然而想要其转轴于元会之机，则要得到二月之期。）两传脱靥痂，直到改火复元。（凡是到十四日两传之际，而脱尽痂靥，虽然无可忧虑，然而想要其完复真元，必至三月之后燧火更改之期也。）
(If vomiting occurs suddenly and stops immediately, it is not included in this category.) The rash clusters densely like snake skin; if the snake-skin-like epidermis breaks after the pustules rise, it indicates that Ying (Nutritive Qi) has lost its ability to bear toxins, and Wei (Defensive Qi) has lost its function of securing the exterior. It allows the fierce toxins to surge out all at once, taking on a shape resembling snake skin. (The rash is distributed like silkworm seeds across the body. Whenever the rash marks are spread like silkworm seeds throughout the body, it signifies that the Six Channels are subjected to scorching inflammation, which is a sign of certain death.) A swan flies across the sky; the key lies in Shuanglin having no dense trees. (Whenever the lesions first protrude prominently at the Tian Ting (Forehead), one must verify that the areas corresponding to the mountains and forests on both cheeks are sparse. This is described as "Shuanglin having no dense trees," which is considered auspicious. "A swan flying across the sky" refers to the single prominent lesion appearing first in the Kun position of the Tian Ting.) Four sages cross dangerous terrain; indeed, it is known that the true Yuan (Primal Qi) water is preserved. (The throat prominence and Qi Wo (Hollow below the Adam's apple) are the positions of the Sages in the Gate of肃杀 (Killing/Withering); the breast disk and chest mound are the esteemed positions of the Sages in the Gate of Chi Di (Red Emperor); the umbilical seal is the position of the Sage in Ming Zhong of Yin Di; the testicles are the position of the Sage in the Gate of Xuan Wu (Black Tortoise). These are called the Four Sages. It means that when the pus clarifies, suppuration gathers, and scabs form down to below the testicles, the four sages have passed their danger. However, the locations they inhabit correspond to the Heart, Lung, Spleen, and Kidney organs. If these dangers can be overcome, the True Yuan will naturally nourish and combine, confirming that the True Water possesses genuine Yuan Qi.) Blood basin with a carp stuck in the throat drives away Chi You; carefully observe the Xiao-red patterns. (The inner root of both thighs is the basin where blood gathers. If hard knots form here, accompanied by redness, swelling, and severe pain, one should urgently drive away Chi You to eliminate the Xiao-green toxic pathogen. To verify the toxicity, simply observe the area between the heart and mouth; there must be Xiao-red patterns coiling like snakes within.) The anus swells like a falling stone; quickly burn pomegranate to treat the Dan Tian. (If the anus appears swollen like a raised stone, heavy and stagnant, with redness and swelling resembling a fire-burnt pomegranate, it indicates that the Xuan Jiao (Mysterious Cave/Kidney region) cannot nourish, so one must quickly treat the Dan Tian.) The bronze bell is erected; fear that knocking on the abdomen produces no sound. (When the rash originates from the Spleen Meridian and is accompanied by continuous coughing for one or two days, one must guard against injury to the "bell." By the sixth or seventh day, hoarseness may occur, akin to a bell being erected but producing no sound when its belly is knocked.) Sealing the tripod and melting gold; prevent the loss of color in the furnace. (When the eyes and nose are sealed, and the cheekbones become scorched, purple, black, and sunken, it resembles the loss of color in a furnace. This is termed "Sealing the Tripod and Melting Gold." The nose is the orifice of the Lung and belongs to Metal, hence referred to as the furnace; the cheekbones are the region of the Heart and belong to Fire, thus using this metaphor.) Having food but not eating is not satiety; drumming the curtain causes abdominal distension. (After the rash appears, if there is no desire to eat, it is not because of fullness from food. Rather, the Xiao toxin remains incomplete, drumming within like a curtain, causing abdominal bloating and oppression.) No spring yet desiring to drink is due to consumption; boiling dry the throat and tongue. (If there is no saliva in the mouth, aversion to thirst, and a desire to drink, it is because the blood Xiao toxin is rampant and consuming, boiling dry the throat and tongue.) Do not boast that the fishing boat in the waves has crossed the sea; find the source. (When a person reaches eighteen or nineteen years old, the Yuan Yang is inevitably damaged, making it difficult to survive smallpox; hence it is called "the fishing boat in the waves," indicating danger. If the rash is abundant and fills the Tian Ting, it is like crossing the sea. However, the practitioner should seek the source and judge based on deficiency and excess.) Envying the paper-curtained small drum getting struck often; thickly cultivate the root. (For a one-year-old child suffering from the rash, the Qi and Blood are not yet complete. Like a small drum with a paper cover, how can it withstand striking? Therefore, one must thickly cultivate the primal root.) Liver and Lung gallop together; do not let go of the reins to run first. (If spots appear simultaneously on the left Tai Yang area and both shoulders, the Liver and Lung meridians are galloping together. Both areas should be beautiful. If the lesions between the eyebrows are prominent while the Tai Yang position is sunken, it is like letting go of the reins to run ahead; Lung Qi becomes strong and Liver Qi weak, leading to excessive control/restriction.) Heart and Kidney dual pillars; how can power be usurped to incite disaster? (The wide temples are the channels of the Heart; Cheng Jiang is the location of the Kidney channel. These are the abodes of the Yin-Yang dual pillars. Normally, Yang precedes and Yin follows, which is orderly. If the lesions on the cheek mounds are sunken while the jaw area shows Xiao-red military brocade patterns, it signifies usurping power and inciting disaster in the Heart.) After three days, the Xiao toxin scatters; the abdomen will certainly not croak like a frog. (After three days of rash manifestation, if the inflammatory toxin has exhausted itself on the exterior, the abdomen will naturally relax and certainly not feel bloated or make sounds like a croaking frog.) On the seventh day, flowers rot in the tripod; the skin sacs naturally lack Xiao itch. (On the seventh day, when the disease transmits to the Lung Meridian, if the rash is abundant like rotting flowers in the tripod, the skin sacs will naturally be plump and beautiful, without the worry of Xiao itch.) Yongquan leakage and swelling at the eye corners; Wood insults Earth deficiency, making it hard to block. (If pale pus and bleeding continue unceasingly from the corners of both eyes after the rash, it is named Yongquan. Like a spring that flows, clears when dry, and bursts when full, this is because Spleen Earth is deficient and cannot support and secure the exterior. Wood Qi insults and pushes towards damage.) Broken-bottom jar affliction on the sole of the foot; Spleen penetrates Yangming, causing extreme bitterness. (If abscesses occur on the soles of the feet after the rash, with foul fluid flowing continuously, it is named "Broken-bottom Jar." This is due to Spleen Earth depletion, failing to expel toxins outward. Thus, the toxin penetrates Yangming, accumulates, ulcerates, and causes extreme suffering.) The sound of kites in the wind blows away; solely due to consuming the Tian Yuan. ("Kites blowing away in the wind" refers to Qi-leaking rashes where the sound does not aggregate. Is this not consuming the Tian Yuan?) Hanging silver bottles in pavilions in the sky; only speaking of empty sacs standing vertically. ("Hanging silver bottles in sky pavilions" refers to falsely elevating the sacs and standing them up vacuously.) Buddha's Top Pearl, the second type of rash. ("Buddha's Top Pearl" is the second type of rash in the Spleen axis.) Inverted Mirror, unrecognized in the first column. ("Inverted Mirror" is the first item in the "Nine Unrecognizables.") Carrying a basket to pick crabapples; deeply understanding the ugliness of the Liver Meridian. (Rashes resembling crabapples are tender and red, lovely to look at, yet this Xiao-evil coloration is undesirable for the Liver Meridian.) Holding hands to seek golden oranges; exclusively highlighting the merit of the Spleen and Stomach. ("Golden oranges" are yellow outside and solid inside, used as a metaphor for such rashes, showing the extensive transformative function of the Spleen and Stomach.) On the ninth day, shaking the skin and hair; needing the second full moon to turn the axle. (By the ninth day, the disease transmits to the Spleen, shaking the skin and hair, resulting in perfect scabs. However, to turn the axle at the mechanism of the primal meeting, one needs the period of two full moons.) Two transmissions shed scabs; until changing fire restores Yuan. (At fourteen days, during the second transmission, if all scabs fall off, there is little to worry about. However, to fully restore the True Yuan, one must wait until the period of changing fire after three months.)