风寒客肺杏苏先，痰热凉膈白虎煎，泄泻声微参术剂，倒靥作喘归茸痊。
[注]
五藏之气皆统于肺，若为邪干，则肺气窒塞，气道不利，故发为喘也，
实者声粗有力而长，虚者声微无力而短，
痘初发热，以至既出之后或喷嚏频频，或鼻流清水，
此风寒客肺而喘也，杏苏饮主之，
有食热痰积，上冲作喘者，此火炎肺金也，宜凉膈白虎汤治之，
泄泻后元气下陷，此脾气不足而喘也，人参白术散主之，
有痘浆灌至半足，忽倒靥而喘者，此中气大亏也，参归鹿茸汤主之。
(杏苏饮) 苏叶 枳壳麸炒 桔梗 葛根 前胡 陈皮 甘草生
半夏姜炒 杏仁炒去皮尖茯苓 引用生姜水煎服。
(方歌)
杏苏饮治肺伤风，苏叶枳桔葛根从，前胡陈皮生甘草，半夏杏仁白茯苓。
(凉膈白虎汤)
薄荷 连翘去心 石膏生 知母生 黄芩 甘草生
栀子 大黄 朴硝 引用粳米水煎服。
(方歌)
凉膈白虎治火喘，薄荷连翘共石膏，知母黄芩生甘草，栀子大黄配朴硝。
(人参白术散) 藿香 白术土炒 葛根 木香煨 甘草炙 白茯苓 人参
引用生姜水煎服。
(方歌)
脾虚白术散如神，藿香白术共葛根，木香甘草茯苓配，人参加入扶元真。
(参归鹿茸汤) 方见灌浆证治。
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痘中杂证
风寒之邪侵袭肺脏导致的喘证，应先用杏苏饮治疗；痰热内蕴引起的喘证，宜用凉膈白虎汤煎服。若因泄泻导致声音微弱、气息不足的喘证，用人参白术散治疗；痘疮出现倒靥（痘疹塌陷）并伴有喘证的，用参归鹿茸汤治愈。
[注释]
五脏之气都由肺脏统摄，如果受到外邪干扰，肺气就会窒塞，气道不通畅，因此发生喘证。
实证表现为呼吸声粗重有力且长，虚证表现为呼吸声微弱无力且短。
痘疮初期发热，以及出疹之后，如果出现频繁打喷嚏或鼻流清涕，
这是风寒客居肺脏导致的喘证，主治方剂为杏苏饮。
如果有食积、热邪和痰浊积聚，向上冲逆引发喘证的，这是火邪刑克肺金的表现，适宜用凉膈白虎汤治疗。
泄泻之后元气下陷，这是脾气不足导致的喘证，主治方剂为人参白术散。
有的痘疮浆液灌满至脚部一半时，突然发生倒靥并伴随喘证，这是中气严重亏损的表现，主治方剂为参归鹿茸汤。
(杏苏饮) 组成：紫苏叶、枳壳（麸炒）、桔梗、葛根、前胡、陈皮、生甘草、半夏（姜炒）、杏仁（炒，去皮尖）、茯苓。用法：加入生姜为引，水煎服。
(方歌)
杏苏饮治疗肺伤风，苏叶、枳壳、桔梗、葛根相随，前胡、陈皮配生甘草，半夏、杏仁、白茯苓同用。
(凉膈白虎汤) 组成：薄荷、连翘（去心）、生石膏、生知母、黄芩、生甘草、栀子、大黄、朴硝。用法：加入粳米为引，水煎服。
(方歌)
凉膈白虎治疗火邪致喘，薄荷、连翘共配石膏，知母、黄芩配生甘草，栀子、大黄配合朴硝。
(人参白术散) 组成：藿香、白术（土炒）、葛根、木香（煨）、炙甘草、白茯苓、人参。用法：加入生姜为引，水煎服。
(方歌)
脾虚用白术散效如神，藿香、白术共配葛根，木香、甘草、茯苓相配，加入人参扶助元气真元。
(参归鹿茸汤) 方剂见“灌浆证治”章节。
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痘疮中的杂证
For asthma caused by wind-cold invading the Lung, Xing Su Yin (Apricot and Perilla Decoction) should be used first; for asthma caused by phlegm-heat accumulation, Liang Ge Bai Hu Tang (Cool the Diaphragm and White Tiger Decoction) is indicated. For asthma with a weak voice following diarrhea, Ren Shen Bai Zhu San (Ginseng and Atractylodes Macrocephala Powder) is prescribed; for asthma accompanied by inverted pustules in smallpox, Shen Gui Lu Rong Tang (Ginseng, Angelica, and Deer Antler Decoction) cures it.
[Note]
The Qi of the Five Zang Organs is governed by the Lung. If disturbed by pathogenic factors, Lung Qi becomes obstructed, and the airway is not smooth, thus leading to asthma.
In excess patterns, the breathing sound is coarse, forceful, and long; in deficiency patterns, the breathing sound is weak, powerless, and short.
At the initial fever stage of smallpox, or after the eruption has occurred, if frequent sneezing or clear nasal discharge occurs,
this is asthma due to wind-cold lodging in the Lung, treated primarily with Xing Su Yin.
If food stagnation, heat, and phlegm accumulate and rush upward causing asthma, this indicates Fire insulting Metal (the Lung); Liang Ge Bai Hu Tang is suitable for treatment.
After diarrhea, when Yuan Qi sinks downward, this is asthma due to Spleen Qi deficiency, treated primarily with Ren Shen Bai Zhu San.
In cases where smallpox pus fills up to half the feet, followed suddenly by inverted pustules and asthma, this indicates severe depletion of Middle Qi; Shen Gui Lu Rong Tang is the primary prescription.
(Xing Su Yin) Ingredients: Perillae Folium (Suye), Aurantii Fructus (Zhike, stir-baked with bran), Platycodonis Radix (Jiegeng), Puerariae Radix (Gegen), Peucedani Radix (Qianhu), Citri Reticulatae Pericarpium (Chenpi), Glycyrrhizae Radix et Rhizoma (Gancao, raw), Pinelliae Rhizoma (Banxia, stir-fried with ginger), Armeniacae Semen Amarum (Xingren, stir-fried, skin and tip removed), Poria (Fuling). Usage: Add fresh Ginger as a guide, decoct in water and take orally.
(Fang Ge - Formula Song)
Xing Su Yin treats Lung injury by wind, with Suye, Zhike, Jiegeng, and Gegen following; Qianhu, Chenpi, and raw Gancao, combined with Banxia, Xingren, and white Fuling.
(Liang Ge Bai Hu Tang) Ingredients: Menthae Haplocalycis Herba (Bohe), Forsythiae Fructum (Lianqiao, heart removed), Gypsum Fibrosum (Shigao, raw), Anemarrhenae Rhizoma (Zhimu, raw), Scutellariae Radix (Huangqin), Glycyrrhizae Radix et Rhizoma (Gancao, raw), Gardeniae Fructum (Zhizi), Rheomi Radix et Rhizoma (Dahuang), Natrii Sulfas (Puxiao). Usage: Add Oryzae Semen (Jingmi) as a guide, decoct in water and take orally.
(Fang Ge - Formula Song)
Liang Ge Bai Hu treats fire-induced asthma, with Bohe and Lianqiao sharing Shigao; Zhimu and Huangqin with raw Gancao, Zhizi and Dahuang paired with Puxiao.
(Ren Shen Bai Zhu San) Ingredients: Agastachis Herba (Huoxiang), Atractylodis Macrocephalae Rhizoma (Baizhu, stir-fried with soil), Puerariae Radix (Gegen), Aucklandiae Radix (Muxiang, baked), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Poria (Baifuling), Ginseng Radix et Rhizoma (Renshen). Usage: Add fresh Ginger as a guide, decoct in water and take orally.
(Fang Ge - Formula Song)
For Spleen deficiency, Baizhu San works like magic, with Huoxiang and Baizhu sharing Gegen; Muxiang, Gancao, and Fuling are matched, adding Renshen to support true Yuan Qi.
(Shen Gui Lu Rong Tang) See the section on "Treatment of Pus-Filling Syndrome" for the formula.
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Miscellaneous syndromes in smallpox