一发热头面一片，红如胭脂者，六日死。一初热时用火照心窝间，或遍身皮肉。
如有成块红者，不治。一发热时，身不大热，惟肚胀眼合，狂燥大渴，唇舌燥裂者，
此毒根于里也，凶。一发热头温，足冷昏闷如痴而渴饮者，凶。一发热时，妇人经行不
止者，凶。一身热如火，眼红口唇紫黑破裂，舌燥有芒刺者，不治。一发热时，以手
揩面，类如红色，随手转白，随白转红是谓血活纵重乃生。如揩之不白，举之不红，是
谓血枯，虽轻亦死。一初热腹中大痛，或腰痛如被杖者，不治。一初热时，七孔二便，
鲜血不止者，不论始终皆死。一发热时，遂见紫黑斑者，不治。一发热初，胸高面突
者，不治。一初热时，舌头微黑，或声哑噎神昏者，不治。一初热腹痛，脓血泄泻者，
不治。一发热时，妇人胎堕而血不止者，即胎不堕而大热不退者，并凶。一未痘前而沿
黑色映见者，凶。一初热时，吐泻有蛔虫者，不治。一发热一日，即出红点，密如蚕
种，焦紫干燥手摸不碍指者，死。一欲出不出者，难过五日七朝。
发表时师少定方，古人专主葛根汤，能通权变知增损，何必多方立纪纲。
解表升麻汤最良，红斑虽见饮何妨，时师胶柱无通变，痘一呈形便不尝。痘疹未形
先发热，吉凶轻重如何别？热微毒少吉堪言，热甚毒多凶可决，热时腹痛阵难禁，脏
腑之中毒瓦斯侵，发散疏通如痛减，切防陷伏变非轻。
发热腰痛最可讶，膀胱传肾变凶邪，急宜发散阴中水，莫待流殃却叹嗟。
发热谵妄如见鬼，神识不清毒在里，疏邪达表是神方，凉药镇心痘不起。
身上蒸人手足厥，曾多吐利脾虚怯，补中发表要兼行，表里和平毒透泄。
发热浑身微汗来，阴阳和畅庆欢谐，热从汗减毒从出，汗雨身炎又是灾。
壮热恶寒形似疟，邪正交争荣卫弱，莫将寒战妄猜疑，误把大温身试药。发热之初
便切牙，心肝热壅势堪嗟，早分形证施方法，莫向东风怨落花。
凡发热时，头面部一片通红，像胭脂一样颜色的，六天内死亡。初起发热时，用火照看心窝部位，或遍身皮肉，如果有成块的红色，无法治愈。发热时，身体不是特别热，只是肚子胀、眼睛闭合、狂躁大渴、嘴唇和舌头干燥开裂的，这是毒根在体内，凶险。发热时，头部温热，脚部冰冷，神志昏闷如痴傻且想喝水的，凶险。发热时，妇女月经不止的，凶险。身体热得像火一样，眼睛发红，口唇紫黑破裂，舌头干燥有芒刺的，无法治愈。发热时，用手擦拭面部，颜色像红色，随手擦过变白，随即又转红，这叫血行通畅，即使病情重也能生还。如果擦拭后不变白，抬起手后不转红，这叫血枯，即使病情轻也会死亡。初起发热时，腹部剧烈疼痛，或者腰痛得像被棍棒打过一样的，无法治愈。初起发热时，七窍和二便鲜血不止的，不论病程始终都会死亡。发热时，立刻出现紫黑色斑点的，无法治愈。发热初期，胸部高耸、面部浮肿突出的，无法治愈。初起发热时，舌头微微发黑，或者声音嘶哑、咽喉阻塞、神志昏迷的，无法治愈。初起发热腹痛，排泄脓血便的，无法治愈。发热时，妇女流产而血不止的，即胎儿未流产但高热不退的，都属凶险。未出痘前，痘疹底色沿见黑色的，凶险。初起发热时，呕吐腹泻中有蛔虫的，无法治愈。发热一天，就出现红点，密集如蚕种，焦紫干燥，手摸上去不碍指的，死亡。欲出而未出的，难过五日或七日之期。
发表（解表）时，老师常用少定方，古人专门主张用葛根汤，若能通权达变知道增减，何必设立多方作为准则。解表升麻汤最好，虽然见到红斑，服用它又有什么妨碍？时医拘泥固执不知变通，痘疹一呈形态就不敢尝试。痘疹未成形前先发热，吉凶轻重如何辨别？热势轻微毒邪少可说是吉兆，热势严重毒邪多可决断为凶，发热时腹痛阵痛难忍，是脏腑中毒瓦斯侵袭，发散疏通如果疼痛减轻，切防邪气陷伏变化非轻。
发热腰痛最让人惊讶，是膀胱传肾变为凶邪，急宜发散阴中水湿，不要等到流下灾殃却叹息。
发热谵妄如见鬼怪，神识不清毒在体内，疏邪达表是神方，凉药镇心痘疹不起。
身上蒸热手足厥冷，多有吐利脾虚怯弱，补中发表要兼行，表里和平毒透泄。
发热浑身微汗来，阴阳和畅庆欢谐，热从汗减毒从出，汗雨身炎又是灾。
壮热恶寒形似疟，邪正交争荣卫弱，莫将寒战妄猜疑，误把大温身试药。发热之初便切牙，心肝热壅势堪嗟，早分形证施方法，莫向东风怨落花。
When fever occurs, if the head and face are uniformly red like rouge, death will occur within six days. During the initial stage of fever, if a fire is used to illuminate the area between the heart and the navel, or the skin and flesh all over the body, and there are patchy red areas, it is incurable. When fevering, if the body is not very hot, but the abdomen is distended, eyes are closed, there is mania, extreme thirst, and dry, cracked lips and tongue, this indicates that the root of the toxin is in the interior, which is ominous. When fevering, if the head is warm but the feet are cold, accompanied by stupor, dullness, and thirst for drinking, it is ominous. When fevering, if a woman's menstruation does not stop, it is ominous. If the body is as hot as fire, eyes are red, lips and mouth are purple-black and cracked, and the tongue is dry with prickles, it is incurable. When fevering, if rubbing the face causes the color to turn white upon rubbing and then red again immediately after stopping, this is called "blood circulation," and even if the condition is severe, survival is possible. If rubbing does not make it white, and lifting the hand does not make it red, this is called "blood exhaustion," and even if the condition is mild, death will occur. During the initial fever, if there is severe abdominal pain or lower back pain as if beaten by a stick, it is incurable. During the initial fever, if fresh blood flows continuously from the seven orifices and the two excretions, regardless of the stage, death will occur. When fevering, if purple-black spots appear immediately, it is incurable. In the early stage of fever, if the chest is elevated and the face is swollen/protruding, it is incurable. During the initial fever, if the tip of the tongue is slightly black, or there is hoarseness, choking sensation, and coma, it is incurable. During the initial fever, if there is abdominal pain accompanied by purulent bloody diarrhea, it is incurable. When fevering, if a woman miscarries and bleeding does not stop, or if the fetus has not miscarried but high fever persists, both are ominous. Before the eruption of smallpox/variolae, if the base color along the lesions appears black, it is ominous. During the initial fever, if vomiting and diarrhea contain roundworms (Ascaris), it is incurable. On the first day of fever, if red spots appear densely like silkworm eggs, are dark purple and dry, and do not feel raised when touched, death will occur. If the eruption is desired but does not emerge, passing five days or seven weeks will be difficult.
For releasing the exterior, physicians often use a stabilized formula; ancients specifically advocated Ge Gen Tang (Pueraria Decoction). If one can adapt flexibly and know how to add or subtract, why establish multiple formulas as rigid guidelines? Jie Biao Sheng Ma Tang (Exterior-Releasing Cimicifuga Decoction) is excellent; even if red macules are seen, what harm is there in taking it? Contemporary physicians are inflexible and lack adaptability, refusing to try it once variolae take shape. Before variolae/rash form, fever occurs; how to distinguish auspicious/inauspicious and severity? Mild heat with little toxin suggests auspiciousness; severe heat with much toxin suggests inauspiciousness. Abdominal pain during fever, intermittent and unbearable, indicates toxin/warm pathogen invading the Zang-Fu organs. If dispersing and unblocking reduces pain, beware of collapse/internalization which may change severely.
Fever with lower back pain is most surprising, indicating transmission from Bladder to Kidney becoming malignant evil. Urgently disperse and drain water-dampness in Yin; do not wait until disaster strikes to sigh.
Fever with delirium as if seeing ghosts, unclear consciousness, toxin in the interior. Dispersing evil and reaching the exterior is a divine prescription; cooling medicines calming the Heart prevent variolae from erupting.
Body feels steaming hot with cold extremities, often accompanied by vomiting/diarrhea due to Spleen deficiency and weakness. Tonifying the Middle and releasing the exterior should be done together; when exterior and interior are harmonious, toxin is penetrated and discharged.
Fever with slight sweating all over the body indicates harmony of Yin and Yang, a joyful state. Heat decreases through sweat, toxin exits; however, profuse sweating with burning body is another disaster.
High fever with aversion to wind/cold resembling malaria, struggle between pathogenic and righteous Qi, deficiency of Ying and Wei. Do not wrongly suspect chills; mistakenly using large warming substances on the body as medicine. At the beginning of fever, teeth grinding occurs, indicating heat obstruction in Heart and Liver, a lamentable situation. Early differentiation of syndrome and application of methods are crucial; do not blame falling flowers towards the east wind.