水痘皆因湿热成，外证多与大痘同，形圆顶尖含清水，易胀易靥不装脓，
初起荆防败毒散，加味导赤继相从。
[注]
水痘发于脾肺二经，由湿热而成也，初起与大痘相似，
面赤唇红，眼光如水，咳嗽喷嚏，唾涕稠粘，身热二三日而始出，
其形尖圆而大，内含清水，易胀易靥，不作脓浆，
初起荆防败毒散主之，继以加味导赤散治之。
(荆防败毒散) 方见夹□
(加味导赤散) 生地 木通 生甘草 连翘 黄连 滑石 赤芩 麦令去心
引用灯心水煎服
(方歌)
加味导赤除湿热，生地木通甘草协，翘连滑石苓麦冬，引加灯心称妙诀。
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年长出痘总不宜，真阴亏损元气虚，一逢出痘毒冲炽，水不胜火岂能支，
夹热参麦清补剂，攻浆参归鹿茸宜。
[注]
男子自十六岁后，皆谓之年长，嗜欲，情开，元精走泄，
又遇痘毒之火冲炽，则真阴亏损，水虚不能制火，
故每至行浆之际，口渴心烦，鼻衄咽痛，
不能成脓，结痂者有之，治者不可妄用寒凉，
五六日前只宜参麦清补汤调治，
至七八日如脓浆不行，急宜攻浆，以参归鹿茸汤，内调鸡冠血酒治之，
但得浆行，庶可无虞。
(参麦清补汤) 当归 川芎 花粉 白芍酒炒 生地 人参 生黄耆 前胡
桔梗 牛蒡子炒研 生甘草 红花 南山查 麦冬去心 引用生姜水煎服。
(方歌)
参麦清补用归芎，花粉白芍生地同，参耆前桔牛蒡草，红花山查麦门冬。
(参归鹿茸汤)方见灌浆证治
(鸡冠血酒)方见灰陷白陷。
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男妇年长出痘门
水痘都是由于湿热邪气蕴结而成，其外部症状大多与天花（大痘）相似。其特点是痘形圆而顶端尖，内部含有清澈的浆液，容易起发也容易收靥（结痂），但不化脓。
初起时可用荆防败毒散治疗，随后继以加味导赤散调理。
[注]
水痘发病于脾经和肺经，是由湿热邪气引起的。初起时症状与天花相似，表现为面部发红、嘴唇红润，眼神如水般明亮，伴有咳嗽、打喷嚏，唾液和鼻涕稠厚粘滞。身体发热二三天后痘疹才发出。
痘疹形状尖圆且较大，内部含有清水，容易起发也容易收靥，不形成脓浆。
初起阶段以荆防败毒散为主治方剂，随后用加味导赤散进行治疗。
(荆防败毒散) 方剂见夹□处
(加味导赤散) 组成：生地、木通、生甘草、连翘、黄连、滑石、赤芩、麦冬（去心）。
引用灯心草为引，用水煎服。
(方歌)
加味导赤散可清除湿热，生地、木通、甘草协同作用；连翘、黄连、滑石、黄芩、麦冬配合，加入灯心草为引称为妙诀。
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男子成年后才出痘疹总归不宜，这是因为真阴亏损、元气虚弱。一旦遇到痘毒炽盛冲犯，肾水不能制约心火，怎能支撑得住？
若夹杂热象，宜用参麦清补汤进行清补；若需攻浆（促进脓浆成熟排出），则宜用参归鹿茸汤。
[注]
男子自十六岁以后，都称为年长。此时嗜欲开启，情欲发动，元精走泄。
又遇到痘毒之火炽盛冲犯，导致真阴亏损，水虚不能制约火邪。
所以每到行浆（化脓）的时候，会出现口渴、心烦、鼻出血、咽喉疼痛等症状。
痘疹不能化成脓浆，有的只能结痂。治疗者不可妄用寒凉药物。
在五六日前，只适宜用参麦清补汤调治。
到了七八日如果脓浆不行（不成熟或不出），急宜采用攻浆法，用参归鹿茸汤内服，并配合鸡冠血酒治疗。
只要能让浆行（脓浆顺利排出），才可以没有忧患。
(参麦清补汤) 组成：当归、川芎、花粉、白芍（酒炒）、生地、人参、生黄芪、前胡、桔梗、牛蒡子（炒研）、生甘草、红花、南山查（山楂）、麦冬（去心）。
引用生姜为引，用水煎服。
(方歌)
参麦清补汤使用当归、川芎，配合花粉、白芍、生地；人参、黄芪、前胡、桔梗、牛蒡子、甘草，加上红花、山楂、麦门冬。
(参归鹿茸汤) 方剂见灌浆证治章节
(鸡冠血酒) 方剂见灰陷白陷章节。
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男妇年长出痘门
Waterpox is caused by the accumulation of damp-heat pathogenic factors. Its external manifestations are mostly similar to those of smallpox (Da Dou). The lesions are round with pointed tips and contain clear fluid; they erupt easily and heal (jie ye) easily without forming pus.
At the initial stage, Jingfang Baidu San is used, followed by Jiawei Daochi San for subsequent treatment.
[Note]
Waterpox originates from the Spleen and Lung meridians and is caused by damp-heat. Initially, its symptoms resemble smallpox, presenting with a red face, red lips, bright watery eyes, coughing, sneezing, and thick, sticky saliva and nasal discharge. Fever persists for two or three days before the rash appears.
The lesions are pointed and round, relatively large, containing clear fluid, erupting and healing easily, without forming pus.
At the onset, Jingfang Baidu San is the primary prescription, followed by Jiawei Daochi San.
(Jingfang Baidu San) See formula in Jia Kou.
(Jiawei Daochi San) Ingredients: Sheng Di Huang (Rehmanniae Radix), Mu Tong (Akebiae Caulis), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma), Lian Qiao (Forsythiae Fructus), Huang Lian (Coptidis Rhizoma), Hua Shi (Talcum), Chi Qin (Scutellariae Radix), Mai Dong (Ophiopogonis Radix, heart removed).
Use Deng Xin Cao (Junci Medulla) as a guide, decoct in water and take orally.
(Verse)
Jiawei Daochi clears damp-heat; Sheng Di, Mu Tong, and Gan Cao work together; Lian Qiao, Huang Lian, Hua Shi, Qin, and Mai Dong combine; adding Deng Xin Cao as a guide is called a wonderful secret.
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It is generally inadvisable for men to develop pox after reaching adulthood. This is due to the depletion of True Yin and deficiency of Yuan Qi. Once the pox toxin becomes rampant and fierce, if Kidney Water cannot control Heart Fire, how can the body withstand it?
If accompanied by heat, Shenmai Qingbu Tang should be used for clearing and tonifying. If promoting pus formation (Gong Jiang) is required, Shenguilurong Tang is appropriate.
[Note]
Men are considered "adults" from the age of sixteen onwards. At this stage, desires awaken, emotions stir, and Yuan Jing (Essence) leaks away.
When encountering the rampant fire of the pox toxin, True Yin is depleted, and deficient Water fails to control Fire.
Therefore, during the stage of pus formation (Xing Jiang), symptoms such as thirst, irritability, epistaxis, and sore throat often occur.
The lesions may fail to form pus, and some cases only scab over. Physicians must not recklessly use cold-natured drugs.
In the first five to six days, only Shenmai Qingbu Tang should be used for regulation.
By the seventh or eighth day, if pus does not form or progress, urgent Gong Jiang (promoting pus) therapy is needed. Use Shenguilurong Tang internally, combined with Ji Guan Xue Jiu (Rooster Comb Blood Wine).
As long as the pus progresses smoothly, there will be no cause for concern.
(Shenmai Qingbu Tang) Ingredients: Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Hua Fen (Trichosanthis Radix), Bai Shao (Paeoniae Radix Alba, wine-fried), Sheng Di Huang (Rehmanniae Radix), Ren Shen (Ginseng Radix), Sheng Huang Qi (Astragali Radix), Qian Hu (Peucedani Radix), Jie Geng (Platycodonis Radix), Niu Bang Zi (Arctii Fructus, fried and ground), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma), Hong Hua (Carthami Flos), Nan Shan Zha (Crataegi Fructus), Mai Dong (Ophiopogonis Radix, heart removed).
Use Sheng Jiang (Zingiberis Rhizoma Recens) as a guide, decoct in water and take orally.
(Verse)
Shenmai Qingbu uses Dang Gui and Chuan Xiong, along with Hua Fen, Bai Shao, and Sheng Di; Ren Shen, Huang Qi, Qian Hu, Jie Geng, Niu Bang Zi, and Gan Cao, plus Hong Hua, Shan Zha, and Mai Men Dong.
(Shenguilurong Tang) See section on Gang Jiang Zheng Zhi.
(Ji Guan Xue Jiu) See section on Hui Xian and Bai Xian.
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Section on Pox in Adult Men and Women