《翼驹稗编》云∶海州刘永有一子，年五岁，出痘遍体，疙瘩大如瓯，凡三四十医皆不
识，有老妪年七十余，见之曰∶此包痘也。吾所见并此而二，决无它虞。六七日疙瘩悉破，内如
榴子，层层灌浆皆满，真从来未睹者。痘书充栋，亦无人道及，可见医理渊深，即痘疹一门
，已难测识矣。余按∶此可以补诸痘书之阙录云。
阜平赵功甫长于治痘，痘始萌，一望已知其结局，自云一生疗痘，无药不用，而从未有
用附子者。今按曾世荣治侯自牧子痘盛，夏用附子，费养恒治冯宪副孙痘，亦用附子，皆采入《
续名医类案》。然则治痘，非无用附子之症，特不恒有耳。
崔默庵论痘症曰∶今人治痘，率用升麻葛根汤，使毒瓦斯尽升头面，后多难治，戒升麻勿
用，多用葛根及横解之剂，少加桂枝，令其毒尽散于四肢，即险逆之症亦可为矣。见刘继庄《广
治小儿疳病集圣丸，（人参、蟾蜍、川连各三钱，归身、川芎、陈皮、五灵脂、蓬莪术
、夜
明砂、使君子、肉芦荟、砂仁、木香各二钱，公猪胆一个，和药末为丸，如龙眼大，每服一
丸。）不寒不热，亦补亦消，最为稳善。《名医类案》所载单方三，亦佳。一用山楂一两，
白酒曲一两，取多年瓦夜壶中人中白最多者，装入二物，炭火 存性，研细末，每服六分，
滚水送下。其一用鸡蛋七枚，轻去壳，勿损衣膜，以胡黄连一两，川黄连一两，童便浸，春
秋五日，夏三日，冬七日，浸透煮熟服之。其一用大蛤蟆十数个，打死置小口缸内，取粪蛆
不拘多少，粪清浸养，盛夏三日，春末秋后四五日，以食尽蛤蟆为度，用粗麻布袋扎住缸口
，倒置活水中，令吐出污秽净，置蛆于烧红新瓦上焙干食之，每服一二钱。（或用炒熟大麦
面和少蜜作饼或丸令儿食。）此皆以人身气化之物，入消导药治之，可称灵妙。
小儿无辜疳，脑后项边有核如弹丸，按之转动，软而不疼，壮热羸瘦，头露骨高，有谓
妖鸟
（一名夜行游女。）夜飞，其翼有毒，拂落于人家晒晾未收之襁褓衣上，儿着之则病。有斥其
说为妄。谓无辜，鸟名，啼时两颔扇动如瘰 之项，小儿肝热目暗，颈核累累，其状相类，
因以为名，宜用消遥散加减治之。有谓因乏乳所致，又有谓饥饱劳役，风惊暑积，八邪所
致，宜用布袋丸治之。余谓妖鸟之说，无论其是否，但见项边有核，即当挑刺以药治之，若
至大而溃脓，法不能疗，至其用药，则仍不外治疳病之法耳。
《翼驹稗编》记载：海州人刘永有一个儿子，五岁时出痘疹遍布全身，疙瘩大如碗口，前后三四十位医生都不认识。有一位七十多岁的老妇人，看了后说：“这是包痘（一种特殊的痘疹形态）。我见过的这类病例总共只有两个，断定不会有其他危险。”六七天之后，疙瘩全部破裂，内部像石榴子一样，层层灌浆都饱满，真是前所未见的情况。记载痘疹的书籍堆积如山，也没有人提到过这种情况，可见医理深奥，即使是痘疹这一门学问，也难以完全测度识别。我按语：这件事可以补充各种痘疹书籍的遗漏记录。
阜平人赵功甫擅长治疗痘疹，痘疹刚萌芽时，他一眼就能知道结局。自称一生治疗痘疹，什么药都用过，但从未用过附子（Aconiti Lateralis Radix Praeparata，乌头的侧根加工品）。现在查考曾世荣治疗侯自牧儿子的重症痘疹，夏季用了附子；费养恒治疗冯宪副孙子的痘疹，也用了附子，这些案例都被收录在《续名医类案》中。既然如此，那么治疗痘疹并非没有使用附子的病症，只是不常遇到罢了。
崔默庵论述痘症时说：现在的人治疗痘疹，通常用升麻葛根汤（Shengma Gegen Tang），使毒气全部上升到头面部，后来大多难以治疗，因此告诫不要使用升麻，而多用葛根及横向发散的药物，少加桂枝（Guizhi, Cinnamon Twig），让毒气全部消散在四肢，即使是险恶逆乱的病症也可以治愈了。见于刘继庄《广……
治疗小儿疳病（Pediatric Gan Syndrome，小儿慢性消耗性疾病）集圣丸，配方为：人参、蟾蜍、川黄连各三钱，当归身、川芎、陈皮、五灵脂、蓬莪术、夜明砂、使君子、肉芦荟、砂仁、木香各二钱，公猪胆一个，将药材研成细末混合猪胆汁制成丸子，大小如龙眼核，每次服用一丸。此药不寒不热，既补益又消导，最为稳妥良善。《名医类案》中记载的三个单方也很好。第一个是用山楂一两，白酒曲一两，选取多年瓦制夜壶中人中白（Urine Sediment/Calcium Phosphate Deposit from Chamber Pots）最多的部分，装入这两种药材，用炭火煅烧存性，研成细末，每次服用六分，用滚开水送服。第二个是用鸡蛋七个，轻轻去掉蛋壳，不要损伤内膜，用胡黄连一两、川黄连一两，童便浸泡，春秋季五天，夏季三天，冬季七天，浸透煮熟后服用。第三个是用大蛤蟆十多个，打死放在小口缸里，收集里面的粪蛆不限数量，用粪清浸泡饲养，盛夏三天，春末秋后四五日，以吃光蛤蟆为限度，用粗麻布袋扎住缸口，倒置在活水中，让它们吐出污秽洗净，将蛆放在烧红的新瓦上焙干食用，每次服用一二钱。（或者用炒熟的大麦面和少量蜂蜜做成饼或丸子让孩子吃。）这些都是利用人体气化产生的物质，配合消导药物治疗，可称为灵妙。
小儿无辜疳，脑后颈部旁边有肿块像弹丸一样，按压能转动，柔软且不疼痛，高热消瘦，头骨突出显露。有人说是一种叫妖鸟（又名夜行游女）的鸟夜间飞翔，它的翅膀有毒，拂落在人家晾晒未收的襁褓衣服上，孩子穿上就生病了。有人斥责这种说法是荒谬的。认为“无辜”是一种鸟名，啼叫时两颊扇动像瘰疬（Scrofula/Tuberculous Lymphadenitis）患者的脖子，小儿肝热导致目暗，颈部淋巴结肿大累累，形状相似，因此得名，适宜用逍遥散（Xiaoyao San）加减治疗。有人说这是因为缺乏乳汁所致，又有说是因为饥饱失调、劳役过度、风惊暑积以及八邪（Eight Exogenous Pathogenic Factors）所致，适宜用布袋丸治疗。我认为关于妖鸟的说法，无论是否真实，只要见到颈部旁边有肿块，就应当挑刺并用药物进行治疗，如果发展到很大并且溃烂流脓，就无法治疗了。至于用药，仍然不外乎治疗疳病的常规方法而已。
*Yiju Baibian* records: Liu Yong of Haizhou had a son who, at the age of five, developed smallpox covering his entire body. The pustules were as large as bowls. Thirty or forty physicians did not recognize the condition. An old woman over seventy years old, upon seeing it, said, "This is Bao Dou (a specific type of smallpox presentation). I have seen only two such cases in my life, and I am certain there will be no other danger." After six or seven days, all the pustules ruptured. Inside, they resembled pomegranate seeds, with layers filled completely with pus. This was truly an unprecedented sight. Books on smallpox are piled high like beams, yet no one has mentioned this case, demonstrating that medical principles are profound; even within the specialized field of smallpox and rashes, diagnosis is difficult to fully comprehend. My commentary: This case can supplement the omissions found in various books on smallpox.
Zhao Gongfu from Fuping was skilled in treating smallpox. When the rash first began to emerge, he could predict the outcome at a glance. He claimed that throughout his life, having treated countless smallpox cases, he had used every kind of medicine but never used Aconiti Lateralis Radix Praeparata (Fu Zi, Prepared Root of Aconitum carmichaelii). However, examining the records, Zeng Shirong treated Hou Zimu's son with severe smallpox using Fu Zi in summer; Fei Yangheng also used Fu Zi when treating Vice-Commissioner Feng's grandson's smallpox. Both cases were included in *Xu Mingyi Leian* (Continued Cases of Famous Physicians). Therefore, treating smallpox does involve indications for using Fu Zi; it is simply that such cases are rare.
Cui Mo'an discussed smallpox symptoms, stating: "Currently, people treat smallpox mostly with Shengma Gegen Decoction (Shengma Gegen Tang), causing the toxic qi to rise entirely to the head and face, which often leads to difficult-to-treat conditions later. They warn against using Cimicifugae Rhizoma (Shengma) and instead recommend using Puerariae Lobatae Radix (Gegen) along with dispersing agents, adding a small amount of Cinnamomi Ramulus (Guizhi), so that the toxicity dissipates into the four limbs. Even dangerous and adverse cases can then be managed." This is cited from Liu Jizhuang's *Guang... [text cuts off]*.
To treat pediatric Gan syndrome (Ji Sheng Wan), use Ji Sheng Wan: Ren Shen (Ginseng Radix et Rhizoma), Bufo (Bufonis Venenum), Chuan Lian Lian (Coptidis Rhizoma) each 3 qian; Dang Gui Shen (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Wu Ling Zhi (Trogopterori Faeces), Peng E Zhu (Curcumae Longae Rhizoma), Ye Ming Sha (Phoenicopteris Cornea), Shi Jun Zi (Quisqualis Fructus), Rou Lu Hui (Aloe), Sha Ren (Amomi Fructus Rotundus), Mu Xiang (Aucklandiae Radix) each 2 qian; one male pig gallbladder. Grind the herbs into fine powder and mix with the pig bile to form pills the size of a longan seed. Take one pill per dose. This formula is neither cold nor hot, both tonifying and resolving, and is considered very safe and effective. Three single prescriptions recorded in *Mingyi Leian* are also excellent. The first uses 1 liang of Hawthorn Fruit (Shan Zha) and 1 liang of White Wine Qu (Bai Jiu Qu), placed inside the most calcium-rich chamber pot (Ren Zhong Bai) available from a multi-year old clay night soil vessel. These are calcined over charcoal until the original nature remains, ground into fine powder, taken 6 fen per dose with boiling water. The second uses seven eggs, carefully peeled without damaging the inner membrane, soaked in 1 liang of Picrorhizae Rhizoma (Hu Huang Lian) and 1 liang of Coptidis Rhizoma (Chuan Huang Lian) in children's urine for five days in spring/autumn, three days in summer, and seven days in winter, until thoroughly soaked, then boiled and consumed. The third uses more than ten large toads, killed and placed in a narrow-mouthed jar. Collect the maggots produced, regardless of quantity, and raise them in fecal liquid for three days in midsummer, or four to five days in late spring/autumn, until the toads are consumed. Tie the mouth of the jar with a coarse hemp bag, invert it in running water to allow the maggots to expel impurities and clean themselves. Roast the cleaned maggots on newly fired red tiles until dry and consume. Dosage is 1-2 qian per time. (Alternatively, make cakes or pills using roasted barley flour and a little honey for the child to eat.) These methods utilize substances derived from human physiological processes combined with digestive-resolving herbs, which can be called miraculous.
Pediatric Wugu Gan (Innocent Gan Syndrome) presents with nodules behind the ears and on the neck side, resembling marbles, which move when pressed, are soft and painless. The child suffers from high fever, emaciation, and prominent skull bones. Some claim this is caused by a demon bird (also known as Night Flying Woman) flying at night; its wings carry poison that falls onto clothes drying outdoors, and if a child wears them, illness ensues. Others dismiss this as absurd, arguing that "Wugu" refers to a bird species whose throat flutters during crying, resembling the neck of patients with Scrofula (Luo Li). Since children with liver heat may have dim vision and swollen cervical lymph nodes resembling this bird's appearance, the name was derived accordingly. Such cases should be treated with modified Xiaoyao Powder (Xiaoyao San). Others attribute it to lack of breast milk, or to irregular diet, overexertion, wind-strike, summerheat accumulation, and the Eight Exogenous Pathogens (Ba Xie), recommending Budai Wan (Cloth Bag Pill) for treatment. I believe that regarding the demon bird theory, whether true or not, whenever nodules are observed on the neck side, puncturing and topical medication should be applied immediately. If the condition progresses to large, suppurating ulcers, it becomes incurable. Regarding medication, it still essentially follows the standard methods for treating Gan syndrome.