〔丹〕陈牙儿十九岁，出痘有红 ，吐泻而渴。
苍术（一钱） 白术（三钱） 黄 （一钱半） 陈皮（二钱） 茯苓 甘草（炙） 缩砂 当归（各一钱半）
姜三片，同煎服。
从子六七岁时患疮痘，发热微渴，自利。一小方脉视之，用木香散，每帖又增丁香十粒，予窃疑焉。观其
出迟，因问，自利而气弱，察其所下皆臭滞陈积，因肠胃热蒸而下也，恐非有寒而虚，遂急止之，已投一
帖矣。继以黄连解毒汤加白术与十帖，以解丁香之热，利止疮亦出，其后肌常有微热，而手足生痈疖，与
凉剂调补，逾月而安。
一男子十余岁出痘，热时出，根脚密，呕吐不食，腰背骨节痛，大渴喉痛，腹亦痛，全不食者半月余，脉
浮弦洪而数。与参、 、归、术、炙甘草、陈皮、半、茯、生姜煎服之。至五日色淡，又加桂些少，归、 再
用酒制。至七日痒甚，加丁香三粒，附子些少，痒止。至八日九日渴大作而腹泄泻，痒甚，至十日寒战，遂用
白术为君， 、陈、苓、炙甘、芩、归为臣。至十一日不靥，或痒或谵语，但守前药。半月后，自吐出痰多
而安。
〔陈〕十一味木香散 治疹痘腹胀渴，其效如神。（必须密察的是寒症，六脉虚细，身不甚热，或发寒，
或呕吐，肚腹痛，或身体四肢俱冷者，可用此方。出《集验》。）
木香 大腹皮 人参 官桂 赤茯苓 青皮（去白） 前胡 诃子皮 半夏 丁香 甘草（炙。各三两）
上 咀，每服二钱，水一盏，姜三片，煎，空心温服。
异功散《集验方》，疮痘头温足冷，腹胀泻渴。（方见痘出不快。）
张巽之云∶吐泻渴少食为里虚，异功散减官桂主之。此症泻渴，不可吃蜜水。痘出之间不光泽，不起发，
根窠不红，或泻渴，或腹胀，或气促，是为表里俱虚，与异功散，送下七味肉豆蔻丸治之。（异功散方见
痘出不快。）
【丹溪】陈牙儿，十九岁，出痘疹时伴有红色斑点，出现呕吐、腹泻且口渴。
处方：苍术（一钱）、白术（三钱）、黄芩（一钱半）、陈皮（二钱）、茯苓、甘草（炙）、缩砂仁、当归（各一钱半）。
生姜三片，同煎后服用。
朱震亨之子在六七岁时患疮痘，发热且轻微口渴，自行腹泻。一位姓小的医生诊脉后，使用木香散，并在每剂药中增加十粒丁香，我私下对此感到怀疑。观察到痘疹发出迟缓，于是询问得知，患者虽然腹泻但气力虚弱，观察其排泄物皆臭秽滞涩且有陈旧积滞，这是因为肠胃热邪蒸腾所致，恐怕并非寒证或虚证，于是急忙停止使用温燥药物（已投下一帖）。随后改用黄连解毒汤加白术，连服十帖，以解除丁香带来的热性，腹泻停止，痘疹也随之发出。此后肌肤常有微热，手足生痈疖，给予凉血清热兼调补的药物，一个月后痊愈。
一名男子十多岁时出痘，发热时痘疹发出，根部密集，呕吐不能进食，腰背及骨节疼痛，极度口渴且咽喉痛，腹部也痛，完全无法进食长达半月有余，脉象浮弦洪大而数。给予人参、黄芪、当归、白术、炙甘草、陈皮、半夏、茯苓、生姜煎服。到第五天，痘色变淡，又加入少许桂枝，当归和黄芪再次用酒炮制。到第七天，瘙痒严重，加入三粒丁香、少许附子，瘙痒停止。到第八、九天，口渴大作且腹部腹泻，瘙痒严重，到第十天出现寒战，于是用白术为君药，黄芪、陈皮、茯苓、炙甘草、黄芩、当归为臣药。到第十一天，痘疹未结痂，有时瘙痒有时胡言乱语，只坚守前方不变。半个月后，自然吐出大量痰液而痊愈。
【陈文中】十一味木香散，治疗疹痘腹胀口渴，效果如神。（必须仔细辨别是否为寒证，即六脉虚细，身体不甚发热，或发冷，或呕吐，肚腹疼痛，或身体四肢俱冷的情况，才可用此方。出自《集验》。）
木香、大腹皮、人参、官桂、赤茯苓、青皮（去白）、前胡、诃子皮、半夏、丁香、甘草（炙，各三两）。
以上药材切碎，每次服用二钱，用水一盏，生姜三片，煎煮，空腹温服。
异功散（出自《集验方》），治疗疮痘头部温热足部寒冷，腹胀、腹泻、口渴。（方剂见“痘出不快”章节。）
张巽之说：吐泻、口渴、少食属于里虚，用异功散减去官桂来主治。这种病症的泻渴，不可吃蜜水。痘疹发出后不光泽，不起发，根部不红，或者泻渴，或者腹胀，或者气促，这是表里俱虚，给予异功散，送服七味肉豆蔻丸治疗。（异功散方剂见“痘出不快”章节。）
[Danxi] Chen Ya'er, aged nineteen, presented with chickenpox/smallpox accompanied by red macules, vomiting, diarrhea, and thirst.
Prescription: Cangzhu (Atractylodis Rhizoma, 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 qian), Huangqin (Scutellariae Radix, 1.5 qian), Chenpi (Citri Reticulatae Pericarpium, 2 qian), Fuling (Poria), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Suosha (Amomi Fructus Rotundus), Danggui (Angelicae Sinensis Radix; each 1.5 qian).
Three slices of Shengjiang (Zingiberis Rhizoma Recens), decocted together and taken orally.
The son of Zhu Zhenheng suffered from smallpox at the age of six or seven, presenting with fever, slight thirst, and spontaneous diarrhea. A physician surnamed Xiao examined his pulse and prescribed Muxiang San (Aucklandiae Powder), adding ten grains of Dingxiang (Caryophylli Flos) to each dose. I privately harbored doubts. Observing that the eruption was delayed, I inquired and learned that although he had diarrhea, his qi was weak. Examining his excrement, it was foul, stagnant, and contained old accumulations, indicating heat steaming within the intestines and stomach, rather than a cold or deficiency pattern. Thus, I urgently stopped the previous medication (one dose having been administered). Subsequently, I used Huanglian Jiedu Tang (Coptis Decoction for Detoxification) added with Baizhu (Atractylodis Macrocephalae Rhizoma), administered for ten doses, to resolve the heat induced by Dingxiang. The diarrhea ceased, and the eruptions emerged. Afterwards, his skin often had slight heat, and carbuncles and furuncles appeared on his hands and feet. He was treated with cooling agents combined with tonifying herbs, and recovered after more than a month.
A man in his early teens contracted smallpox. During the febrile stage, the eruptions emerged densely at the base. He experienced vomiting, inability to eat, pain in the lower back, back, and joints, extreme thirst, sore throat, and abdominal pain. He could not eat anything for over half a month. His pulse was floating, wiry, surging, and rapid. I prescribed Shenren (Ginseng Radix), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Fuling (Poria), and Shengjiang (Zingiberis Rhizoma Recens), decocted and taken orally. By the fifth day, the color of the eruptions became pale. I added a small amount of Guizhi (Cinnamomi Ramulus), and reused Danggui (Angelicae Sinensis Radix) and Huangqi (Astragali Radix) prepared with wine. By the seventh day, itching was severe. I added three grains of Dingxiang (Caryophylli Flos) and a small amount of Fuzi (Aconiti Lateralis Radix Praeparata), which stopped the itching. By the eighth and ninth days, thirst became intense, accompanied by abdominal diarrhea and severe itching. On the tenth day, chills occurred. I then used Baizhu (Atractylodis Macrocephalae Rhizoma) as the sovereign herb, with Huangqi (Astragali Radix), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), and Danggui (Angelicae Sinensis Radix) as minister herbs. By the eleventh day, the scabs had not formed; there was occasional itching and delirious speech. I adhered strictly to the previous prescription. After half a month, he naturally vomited a large amount of phlegm and recovered.
[Chen Wenzhong] Shi Yi Wei Muxiang San (Eleven-Ingredient Aucklandiae Powder) treats abdominal distension and thirst associated with rashes and smallpox, with efficacy like magic. (It is essential to carefully ascertain if it is a cold pattern: six pulses are deficient and fine, the body is not very hot, or there is aversion to cold, vomiting, abdominal pain, or coldness of the entire body and four limbs. Only in such cases can this formula be used. From *Jiyan*.)
Muxiang (Vladimiriae Radix), Dafupi (Arecae Pericarpium), Renshen (Ginseng Radix), Guangui (Cinnamomi Cortex), Chifuling (Poria cum Rubro), Qingpi (Citri Reticulatae Pericarpium Viride, white part removed), Qianhu (Peucedani Radix), Hezi Pi (Terminalia Chebulae Pericarpium), Banxia (Pinelliae Rhizoma), Dingxiang (Caryophylli Flos), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma; each 3 liang).
The above ingredients are chopped. Take 2 qian per dose, add one cup of water and three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct, and take warm on an empty stomach.
Yigong San (Isolated Efficacy Powder) [from *Jiyan Fang*] treats smallpox where the head is warm and feet are cold, accompanied by abdominal distension, diarrhea, and thirst. (Formula see "Smallpox Eruption Not Rapid".)
Zhang Xunzhi stated: Vomiting, diarrhea, thirst, and reduced food intake indicate interior deficiency. Treat with Yigong San (Isolated Efficacy Powder) minus Guangui (Cinnamomi Cortex). For this condition involving diarrhea and thirst, honey water should not be consumed. If the erupted smallpox lacks luster, fails to rise, has non-red bases, or presents with diarrhea/thirst, abdominal distension, or shortness of breath, this indicates deficiency in both exterior and interior. Administer Yigong San (Isolated Efficacy Powder) with Seven-Ingredient Myristica Pill (Qi Wei Rou Dou Kou Wan) delivered via powder suspension. (Yigong San formula see "Smallpox Eruption Not Rapid".)