人参 白术 茯苓 甘草 当归 川芎 芍药 地黄
气体虚弱，痘证虽顺，此方主之。
医贵未然之防，痘证虽顺，若气体虚弱，不补恐有后失。故用人参、白术、茯苓、甘草
以补气，当归、川芎、芍药、地黄以养血。
穿山甲（炒，一两） 麝香（一钱）
紫草汤调下一钱。
五六日间黑陷者，此方主之。
黑陷，危证也。黑者，秽恶触之而变其色也。陷者，正气下陷，不能起胀也。穿山甲、
麝香，膻腥秽恶之属也，何以用之？盖痘之为物，外触秽恶，则向里而陷。内触秽恶，则向
外而凸。原其血气虚怯，故令如此。人牙散亦是此意。
紫草 雄黄 巴豆（各等分）
共为细末，油胭脂调用。
有痘疔、痘母者，用针挑破，以此药少许着之。
痘疔之色有二，紫疔、白疔也。痘疔之见有三，先疔见在面，次疔见在腹，后疔见在足
也。是方也，紫草解毒利窍，雄黄解毒利气，巴豆化毒拔疔，乃挑疔之捷剂也。所谓痘母者，
初出之时，遍身光润，稀少绽凸，其间有一二颗起发胀大，如八九日痘者，名曰痘母。急以
此药挑破着之。否则诸痘日渐隐没，以至于无，皮肤之外，仅存渣滓，身冷自汗，吐泻烦躁
而死矣。
人参 黄 甘草 白芍药 穿山甲 当归 川芎 木香 金银花 皂角刺 山楂 干
姜
七八日间，痘色枯淡，不起无浆者，此方主之。
痘至七八日，灌脓起胀之时也。若根窝色淡者，责其血弱。不起无浆者，责其气虚。故
用人参、黄 、甘草大补其气。又用当归、川芎、白芍大补其血。穿山甲、皂角刺、金银花
长于化毒。干姜、木香、山楂长于化滞。
人参、白术、茯苓、甘草、当归、川芎、芍药、地黄。
患者气血虚弱，痘证（天花）虽然病情顺遂，此方主治。
医学贵在预防于未然，痘证虽然顺遂，若患者气血虚弱，不加以补益恐怕会有后续的失误。因此用人参、白术、茯苓、甘草来补气，用当归、川芎、芍药、地黄来养血。
穿山甲（炒制，一两）、麝香（一钱）。
用紫草汤调服一钱。
发病后五六日间出现痘色黑且凹陷的，此方主治。
黑陷，是危重证候。黑色，是因为秽恶之气触碰而改变其颜色。凹陷，是因为正气下陷，不能使痘粒起发隆起。穿山甲、麝香，属于膻腥秽恶之物，为什么使用它们？大概因为痘邪这种病物，外受秽恶之气触碰，则向体内陷入；内受秽恶之气触碰，则向体外凸起。推究其根本原因是血气虚怯，所以导致这种情况。人牙散也是这个意思。
紫草、雄黄、巴豆（各等分）。
共同研为细末，用油胭脂调和调用。
有痘疔、痘母的，用针挑破，将此药少许涂抹其上。
痘疔的颜色有两种，紫疔、白疔。痘疔的出现位置有三种，先见于面部，次见于腹部，后见于足部。此方中，紫草解毒通利窍道，雄黄解毒行气，巴豆化毒拔除疔毒，是挑治痘疔的快捷方剂。所谓痘母，在初出之时，遍身光亮润泽，稀少且未绽开隆起，其中有一两颗起发胀大，如同八九日大的痘粒，名叫痘母。急忙以此药挑破并涂抹。否则诸痘日渐隐没，以至于消失，皮肤之外，仅存渣滓，身体冰冷自汗，呕吐腹泻烦躁而死。
人参、黄芪、甘草、白芍药、穿山甲、当归、川芎、木香、金银花、皂角刺、山楂、干姜。
发病后七八日间，痘色枯槁淡白，不起发无脓浆的，此方主治。
痘至七八日，是灌脓起发的时期。如果根脚窝颜色淡白，归咎于血弱。不起发无脓浆，归咎于气虚。因此用人参、黄芪、甘草大补其气。又用当归、川芎、白芍大补其血。穿山甲、皂角刺、金银花长于化解毒邪。干姜、木香、山楂长于化解积滞。
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma), Fu Ling (Poria), Gan Cao (Licorice Root), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix), Di Huang (Rehmanniae Radix).
For patients with Qi and Blood deficiency, even if the smallpox (Dou Zheng) course is favorable, this formula is indicated.
Medicine values prevention before disease occurs. Even if the smallpox course is favorable, if the patient's Qi and Blood are deficient, failure to tonify may lead to subsequent complications. Therefore, Ren Shen, Bai Zhu, Fu Ling, and Gan Cao are used to tonify Qi; Dang Gui, Chuan Xiong, Shao Yao, and Di Huang are used to nourish Blood.
Chuan Shan Jia (Pangolin Scale, stir-fried, 1 liang), She Xiang (Musk, 1 qian).
Take 1 qian, mixed with Zicao Decoction (Arnebiae seu Lithospermi Radix Decoction).
For cases presenting with black, sunken pustules between the 5th and 6th days of onset, this formula is indicated.
Black and sunken lesions indicate a critical condition. "Black" refers to the color change caused by contact with foul or turbid pathogens. "Sunken" indicates that the healthy Qi has sunk and failed to raise the pustules. Chuan Shan Jia and She Xiang belong to categories considered pungent, fishy, and foul. Why use them? It is because the pathogen of smallpox, when touched externally by foul factors, tends to sink inward; when touched internally by foul factors, it tends to protrude outward. The root cause is deficiency and timidity of Blood and Qi, leading to such manifestations. Ren Ya San (Human Tooth Powder) follows the same principle.
Zi Cao (Arnebiae seu Lithospermi Radix), Xiong Huang (Realgar), Ba Dou (Crotonis Fructus) (equal parts).
Grind into fine powder, apply mixed with oil-based rouge.
For cases of Dou Ding (Smallpox Carbuncle) or Dou Mu (Smallpox Mother), puncture with a needle and apply a small amount of this medicine.
Dou Ding presents in two colors: Zi Ding (Purple Carbuncle) and Bai Ding (White Carbuncle). Dou Ding appears in three locations: first on the face, then on the abdomen, and finally on the feet. In this formula, Zi Cao clears heat and resolves toxicity while unblocking orifices; Xiong Huang clears heat and resolves toxicity while promoting Qi movement; Ba Dou transforms toxicity and extracts the carbuncle. This is an expedient formula for treating Dou Ding. "Dou Mu" refers to the initial eruption where the body is smooth and lustrous, with few eruptions that have not yet raised. Among them, one or two lesions develop and swell as large as those on the 8th or 9th day, named Dou Mu. Immediately puncture and apply this medicine. Otherwise, the other pustules will gradually fade and disappear, leaving only dregs on the skin surface, accompanied by cold limbs, spontaneous sweating, vomiting, diarrhea, restlessness, and death.
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Gan Cao (Licorice Root), Bai Shao Yao (White Peony Root), Chuan Shan Jia (Pangolin Scale), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Mu Xiang (Aucklandiae Radix), Jin Yin Hua (Lonicerae Japonicae Flos), Zao Jiao Ci (Gleditsiae Spina), Shan Zha (Crataegi Fructus), Gan Jiang (Zingiberis Rhizoma).
For cases between the 7th and 8th days of onset presenting with withered, pale pustules that fail to raise and lack pus, this formula is indicated.
By the 7th or 8th day, smallpox should be filling with pus and raising. If the base of the lesion is pale, it is attributed to weak Blood. If the lesions fail to raise and lack pus, it is attributed to deficient Qi. Therefore, Ren Shen, Huang Qi, and Gan Cao are used to greatly tonify Qi. Additionally, Dang Gui, Chuan Xiong, and Bai Shao Yao are used to greatly tonify Blood. Chuan Shan Jia, Zao Jiao Ci, and Jin Yin Hua are effective at resolving toxicity. Gan Jiang, Mu Xiang, and Shan Zha are effective at resolving stagnation.