胎疹才热即出而即没，此风寒所致，宜凉血疏风消痰之药。若难没者，亦由风寒壅
盛，或经水浸行太早，速宜疏解。此虽胎疹，亦须避忌。
产后虽大补气血为主，一遇疹子，不可骤用。如发热之后，热甚者不嫌发散，宜升麻葛根汤，内用炒
白芍加苏叶、桔梗，以发其汗，汗出疹亦出矣，凡升发之药不可用寒凉，使毒易出，而无后患也。
古谓麻即疹也。疹如麻成朵，痘如豆成
粒，皆象其形而名之也。夫胎毒一也，痘出于五脏，脏属阴，阴主血，故痘有形而有浆，
其症寒热备有也。疹出于六腑，腑属阳，阳主气，故疹有形而无浆，其症多热而无寒也。
为症既异，而治法亦殊。痘宜内实，可用补剂；疹忌内实，只宜解散。惟初热发表，略
相似耳。既出之后，痘则补气以生血，疹宜补阴以制阳。何也？盖疹热甚则阴分受其熬
煎，而血多虚耗，故治以清火滋阴为主，而不可少动其气。若燥悍之剂，首尾当深忌之。
世知痘症之重，而不知疹之杀人尤甚，方书多忽而不备，可太息也。
一、疹发热之初，多似伤寒，惟疹则咳嗽喷嚏，鼻流清涕，眼胞肿，泪汪汪，面浮
肿，两腮赤，恶心干呕为异耳。但见此候，即是麻症，宜谨避风寒，戒荤腥浓味，用药以
表散之，使皮肤开畅，腠理通豁，而毒疹易出也。
一、疹之发虽曰胎毒，未有不由天行疠气而发。故用药发散，必先明其岁气。如时
令温暖，以辛凉之药发之，防风解毒汤，暄热以辛寒之药发之，黄连解毒汤。大寒以辛
温热之药发之，桂枝解毒汤。时寒时暖，以辛平之药发之，升麻解毒汤。此因时用药，不
可误作伤寒，妄施汗下，反伐天和也。又须看人虚实，如大便秘结，烦热盛而发不出者，
以酒炒大黄微利之，不止，以参药之类补之。经曰∶毋虚虚，毋实实，损不足，补有余，夭人性命也。
防风解毒汤
防风 荆芥 薄荷 石膏 知母 桔梗 力子 甘草 连翘 木通 枳壳（均分）
淡竹叶、灯草，水煎服。
黄连解毒汤
黄连 黄芩 黄柏 栀子 力子 甘草 防风 知母 荆芥 石膏 桔梗 元参 木通
姜三片，水煎服。
桂枝解毒汤
桂枝 麻黄 赤芍 防风 荆芥 羌活 甘草 大力 人参 川芎 姜
水煎服。
升麻解毒汤
升麻 干葛 羌活 人参 柴胡 甘草 桔梗 力子 防风 荆芥 赤芍 连翘 淡竹叶
水煎。
前药发散，而疹随见，则毒尽解矣。若发不出，再加味麻黄之药发之。
加味麻黄散
升麻 麻黄 人中黄 大力 蝉蜕（等分）
水煎服。
外以芫荽、酒糟，蒸热擦之，自头上至足为齐。若头面愈多者为佳，倘迟延日久而
不能出，则腹胀气喘，昏眩闷乱，烦躁而死。
一、看疹之法，多于耳后项上腰腿先见，其顶尖而不长，其形小而匀净者吉。若色见
红者，兼火化也，轻症可治。化斑汤主之。如白者，此血不足也，养荣汤主之。如色紫赤，
干燥暗晦，乃火盛毒炽也，宜六一散、四物汤，加柴胡、黄芩、干葛、红花、力子、连
翘之类，滋阴凉血，而热自除，所谓养阴退阳之义也。此亦五死一生之症，外有大青龙
汤，入烧人屎亦妙。如便秘者，加酒大黄利之，或元参解毒汤，皆可选用。若黑色者，热
毒太甚为十死一生之症，不可不明察，而混施治也。
化斑汤
人参 知母 石膏 大力 连翘 升麻 甘草 地骨皮 淡竹叶 糯米
水煎服。
养荣汤
人参 当归 红花 赤芍 甘草
水煎服。
六一散
滑石（六两） 甘草（一两）
为细末，量小儿大小，每服一钱半或二钱。本方加辰砂三钱，名辰砂益元散。
四物汤
当归 熟地 白芍 川芎
大青龙汤
玄参 大青 桔梗 人中黄 知母 升麻 石膏 栀子 木通
水煎服。
元参解毒汤
元参 黄芩 山栀 桔梗 甘草 生地 干葛 荆芥（均分）
水煎服。
一、疹表后，红影出于肌肤成片，切戒风寒生冷。如一犯之，则皮肤闭塞，毒瓦斯壅
滞，遂变为浑身青紫，而毒反内攻，烦躁肚痛，气喘闷乱。诸症作矣。欲出不出，危亡立至，其可忽诸？
一、疹已出而反没者，乃风寒所逼而然也。若不早治，毒成内攻，以致痒塌而死，急
用消毒饮，合升麻汤服之，则疹复出而安矣。
升麻汤
升麻 干葛 白芷 甘草 姜 葱
水煎热服。
消毒饮
荆芥 力子 甘草 姜
水煎服。
一、发热之时。遍身出汗，此毒从汗解，玄府开，疹易出也。有出衄者，此毒从衄解
也，俱不可遽止之。若汗多血多皆不止，此火甚逼迫太过，致汗妄流，血妄行也。急宜
当归六黄汤以止汗，茅化汤以止血，迟则汗出多而元气虚，血出多而精神散，难以治矣。
当归六黄汤
当归 黄 黄连 黄柏 生地黄 熟地黄（均分）
水煎。外加浮小麦止汗。
茅化汤
茅化 归头 丹皮 生地 甘草
加玄参、百草霜，水煎服。
一、发热时或呕吐，或自利或滞下。此火邪内逼，毒瓦斯上行则吐，下行则利，毒太
甚则里急后重，而为滞下也。吐者，竹茹石膏汤。自利者，升麻泽泻汤。下者，黄芩芍
药汤，加黄连、生地、木通、当归、人参、枳壳，或少加大黄微下之。
竹茹石膏汤
陈皮 半夏 石膏 白茯苓 甘草 竹茹
水煎服。
升麻泽泻汤
猪苓 泽泻 赤苓 石膏 黄连 甘草 升麻（均分）
水煎服。
黄芩芍药汤
条芩 白芍 升麻 甘草
水煎服。
一、发热之时，未有不渴者，但当以绿豆灯心汤，入炒米饮之，人参白虎汤佐之，以
生津解渴而已。若恣饮冷水，恐生水蓄之症，故水入于肺，为喘为嗽，宜用葶苈，以泄肺
中之水。水入于脾，为肿为胀，为自利，宜用白茯苓、生地，木香，以泄脾水。水入于
胃，为呕为哕为自利，宜用猪苓、泽泻、赤苓、木通，以泄心下之水。水入于肝，为胁
痛，用芫花以泄肝水。水入于肾与膀胱，为小便不利，为阴囊肿，用车前、木通，以泄
肾及膀胱之水。俱当因其症而治之。
人参白虎汤
人参 石膏 知母 甘草 糯米
煎服。
一、疹出之时，咽喉肿痛，不能饮食者，此毒火拂郁，上熏咽喉也。宜用甘桔汤，加
元参、大力、连翘主之。更以十全散，若玉锁匙吹之，切不可妄用针刺出血也。
甘桔汤
甘草 桔梗
十全散
黄芩 黄连（各一钱五分） 苦参（一钱） 元胡（三分） 硼砂（二分） 乳香（二分） 儿茶
雄黄（各五分）
为细末，每用少许，芦筒吹之。
玉锁匙
硼砂（一钱） 朴硝（五分） 僵蚕（一条） 片脑（五厘）
为末吹之。
一、疹出之时咳嗽口干心烦者，此毒在心肺，发未尽也。用泻白散，若黄连杏仁汤。
麻疹作泻，加浓朴、甘草。
泻白散
桑皮 地骨皮 甘草 竹叶 灯草
水煎服。
黄连杏仁汤
黄连 陈皮 杏仁 麻黄 枳壳 干葛 姜
水煎服。
一、疹出之时，自利不止，或泻稀水频数者，最为恶候，但要看其疹，若遍身稠密
太盛，或紫色，或红色，甚者则无妨。盖毒在大肠，非泻则毒不解，惟用平胃散加干葛、
连翘以解之。疹一发透，根据期收去，自然泻止。若疹已收，而泻犹不止，疹必未尽，再
用前药，加连翘、川连、大力、木通、泽泻以分利之。若用诃子、肉蔻等，则变肚痛胀满喘急，危矣。
平胃散
苍术 浓朴 陈皮 甘草
一、疹子之出，常以六时收为度。如子为阳午后收，午后为阴子后收，乃阳生阴成，
阴生阳成，造化自然之妙也。故渐出而渐收者，其势轻。若一出之后热不退，延绵三四
日而不收者，此毒火太甚，外发不尽，内为有余之邪所致，须投化斑汤。
化斑汤
人参 知母 石膏 大力 连翘 升麻 地骨皮 甘草 淡竹叶 糯米
水煎服。
三味消毒饮
荆芥 大力 甘草 生姜
水煎服。再加元参、石膏、桔梗为治。
一、疹子出后，自然退热。若遍身既出，
而犹拂拂烦热，频作呕吐者，此毒尚未尽，留连于肺胃之间，宜化斑汤（见前） 。大便秘少，加大黄利之。
一、疹已收去，反浑身发热，昼夜不退，此毒未尽解，邪火抑于肌肉之间，久则毛发
干焦，皮肤枯槁，肌肉羸瘦，为骨蒸劳瘵之症。急宜芦荟肥儿丸，加当归、连翘等治之，
迟则变为睡则露睛，口鼻气冷，手足厥逆，螈 慢脾风，不治之症矣。
芦荟肥儿丸
芦荟 龙胆草 木香 地骨皮 使君子 麦芽 槟榔 黄连 白芜荑 胡黄连
为细末，猪胆汁为丸，如黍米大，每服五六十丸，饮汤下。
一、疹收之后，身虽不羸瘦，但时发壮热，烦躁不宁，搐掣惊悸，神昏志乱者，此
阴血衰耗，致余毒入肝而传于心也，宜养血安神，四物汤加麦冬、枣仁、石菖蒲、龙胆
草、茯苓、黄连、辰砂、甘草、竹叶、灯心主之。或以前药为末，蒸饼，猪心血为丸，服之亦可。
四物汤
地黄 当归 川芎 白芍
一、疹毒入胃，久而不散，致成牙根黑烂血出，为走马疳，传与二颊浮肿，久而穿
颊破腮，缺唇崩鼻，为崩砂狐惑等危症。外用文蛤散，或雄黄散搽之，内服芦苔丸，以
清胃火。或有愈者，然不能多见也。
文蛤散
文蛤（一钱五分） 雄黄（一钱五分） 子枯矾（五厘） 蚕蜕（下烧灰为末）
米泔漱口，搽药。
雄黄散
雄黄（一钱） 黄柏（一钱） 麝香（五分）
和匀，以艾煎汤，洗净后，搽药末。
芦荟丸
人中白 芦荟 使君子肉 龙胆草 黄连 五灵脂（均分）
共为细末，浸蒸饼为丸，白滚汤下。
一、疹出之时，曾作泻痢，未经清解，至疹退之后，变为休息痢，不问赤白，里急后
重，昼夜无度频并者，此余火毒在肠也。须分虚实治之。实者三黄丸利之，虚者香连丸
和之，后用黄芩汤合益元散，以养血行气为治。河间云∶养血则便脓自愈，调气则后重自除，诚哉是言也。
三黄丸
黄芩（蒸） 黄连（炒） 大黄（蒸热）
为末糊丸，桐子大，每服三十丸，白汤下，量儿大小虚实加减。
香连丸
黄连（一两） 吴萸（五两）
同水拌匀炖滚水内，半日取出，炒干拣去吴萸，只用黄连为末，再加木香一两，不
见火，为末和匀，黄连末醋糊丸，米汤下一二钱。
黄芩汤
黄芩 黄连 当归 川芎 木香 青皮 枳壳 槟榔 甘草
水煎好。入益元散调服。
益元散
滑石（六两） 甘草（一两） 辰砂（三钱）
为末，量儿大小，或一钱五分，或二钱。
一、疹退之后，微微咳嗽者，此余毒未尽也。用清肺饮，加力子、甘草治之。若嗽
甚，气喘连声不止，名为顿嗽，甚至饮食汤水俱呛出，或咳出血者，此热毒乘肺而然也。
宜麦冬清肺饮，加连翘主之。如见胸高如圭，肩耸而喘，血从口鼻而出。或摆手摇头，面
色或白或青或红，以及枯暗者，皆不可治之症也。然亦有肺气虚。为毒所抑而发喘，并
无咳嗽出血呛食等证者，亦用麦冬清肺饮，倍加人参治之。切不可拘于肺热之一端，而纯
用清肺解毒之药也。
麦冬清肺饮
川贝 天冬 桔梗 力子 栝蒌 知母 麦冬 杏仁 兜铃 甘草
加糯米，水煎服。
一、疹退之后，声哑不出，或咳或喘，或身热不退，以致日久不愈者，此热毒未尽，肺
金受克也。宜清金降火汤，加竹沥、生姜汁主之。
清金降火汤
黄芩 贝母 栝蒌 麦冬 力子 黑山栀 知母 杏仁 元参 麻黄 石膏 竹叶
水煎服。
一、疹退之后，饮食如常。动心如故，猝然心腹绞痛，遍身汗出如水者，此元气虚弱，
失于补养，外虽无病，内已虚损。又为恶气所中，谓之中恶，此朝发夕死之证。急用养
荣双和汤救之，如有积食，加神曲、麦芽，如有热，去肉桂。
养荣双和汤
人参 当归 熟地黄 黄 肉桂 白芍 麦冬 甘草
水煎服。
一、疹退之后，热毒未尽，或发痈毒，四肢骨节疼痛者，宜用羌活散，黄酒冲服一二
钱，量大小强弱与之。使其微汗微利而愈。
羌活散
羌活 穿山甲 大黄 全蝎 皂角刺 乳香 一叶金 白芷梢 甘草
一、疹退之后，余热未尽，或热甚而失血者，犀角、地黄合黄连解毒汤治之，或四
物汤加茵陈、木通、犀角之类，以利小便，使热气下行而愈也。
犀角地黄汤
犀角 白芍 黑山栀 生地黄 丹皮 黄芩 红花 当归 甘草 藕节
水煎服。
黄连解毒汤
黄连 黄芩 黄柏 力子 连翘 黑山栀 防风 木通 荆芥 元参 甘草 竹叶
四物汤 见上。
一、疹收之后，余热未退，日夜烦躁，谵语昏狂者，宜用益元散，煎灯心汤下，或五
苓散去白术、肉桂，加辰砂、黄芩、黄连治
之。若初发疹时，即有烦躁谵语之证者，升麻葛根汤，加葱白、黄芩，夏令再加石膏。如
或风盛者，并加消风散，兼调益元散服。
益元散
滑石 辰砂 甘草
五苓散
胎疹（胎儿期患的麻疹）刚发热就出疹随即隐没，这是由风寒邪气所致，适宜使用凉血、疏风、消痰的药物。如果皮疹难以透发，也是由于风寒邪气壅盛，或者月经初潮过早，应当迅速采用疏风解表的方法。这虽然是胎疹，但也必须注意避忌。
产后治疗虽然以大补气血为主，但一旦遇到麻疹，不可骤然进补。如在发热之后，热势严重的，不忌讳发散法，宜用升麻葛根汤，方中加入炒白芍、苏叶、桔梗，以发汗，汗出后疹子也就透发了。凡是升提发散的药，不可配合寒凉药，以使毒邪容易透出，而没有后患。
古人说“麻”就是“疹”。疹子像麻子一样成朵，痘疮像豆子一样成粒，都是根据它们的形状来命名的。胎毒是一样的，痘疮出于五脏，脏属阴，阴主血，所以痘疮有形且有浆液，症状表现为寒热都有。疹子出于六腑，腑属阳，阳主气，所以疹子有形而无浆液，症状多为热而无寒。既然症状不同，治疗方法也不同。痘疮适宜内实，可以用补剂；疹子忌讳内实，只宜解散。只有初期发热时发表略为相似罢了。疹子发出之后，痘疮则补气以生血，疹子则宜补阴以制约阳热。为什么呢？因为疹子热势严重时，阴分会受到煎熬，导致血液多虚耗，所以治疗以清火滋阴为主，而不可轻易扰动其气。如果是燥烈悍猛的药剂，从头到尾都应当深加禁忌。世人只知道痘症严重，却不知道疹子杀人更为厉害，医书大多忽视而不详备，真是令人叹息啊。
一、疹子发热之初，多类似伤寒，只是疹子会有咳嗽、喷嚏、流清涕、眼睑肿胀、流泪、面部浮肿、两腮发红、恶心干呕等异于伤寒的症状。只要见到这些征候，就是麻疹，应当谨慎避免风寒，戒除荤腥浓味，用药以发散表邪，使皮肤开畅，腠理通利，从而使毒疹容易透出。
一、疹子的发作虽然说是胎毒，但没有不是由天行疠气（流行性疫气）引发的。所以用药发散，必须先明确当年的岁气（气候特点）。如时令温暖，用辛凉药物发散，用防风解毒汤；天气暄热，用辛寒药物发散，用黄连解毒汤；大寒之时，用辛温热药物发散，用桂枝解毒汤；时寒时暖，用辛平药物发散，用升麻解毒汤。这是因时制宜用药，不可误作伤寒，妄施汗下之法，反而损伤天和之气。又须看人体虚实情况，如大便秘结，烦热盛而疹发不出者，用酒炒大黄轻微通便，若不止，用人参类药物补益。经上说：不要使虚者更虚，实者更实，损害不足的正气，补益有余的邪气，这是害人性命的。
防风解毒汤
防风、荆芥、薄荷、石膏、知母、桔梗、牛蒡子、甘草、连翘、木通、枳壳（各等分）
淡竹叶、灯心草，水煎服。
黄连解毒汤
黄连、黄芩、黄柏、栀子、牛蒡子、甘草、防风、知母、荆芥、石膏、桔梗、玄参、木通
生姜三片，水煎服。
桂枝解毒汤
桂枝、麻黄、赤芍、防风、荆芥、羌活、甘草、牛蒡子、人参、川芎、生姜
水煎服。
升麻解毒汤
升麻、干葛、羌活、人参、柴胡、甘草、桔梗、牛蒡子、防风、荆芥、赤芍、连翘、淡竹叶
水煎。
前药发散后，疹子随之出现，则毒邪尽解。如果发不出来，再加味麻黄散发散。
外用芫荽、酒糟，蒸热擦拭，从头上至脚为止。如果头面部位疹子越多越好，倘若拖延日久不能透出，则会出现腹胀气喘、昏眩闷乱、烦躁而死。
一、观察疹子的方法，多在耳后、项上、腰腿先出现，疹顶尖而不长，形状小而匀净者为吉。如果颜色见红，兼有火化，轻症可治，主用化斑汤。如果颜色发白，这是血不足，主用养荣汤。如果颜色紫赤，干燥暗晦，是火盛毒炽，宜用六一散、四物汤，加柴胡、黄芩、干葛、红花、牛蒡子、连翘之类，滋阴凉血，热自消除，这就是所谓“养阴退阳”的道理。这也是五死一生的重症，外有大青龙汤，加入烧过的人屎也很妙。如果便秘，加酒大黄通便，或元参解毒汤，都可以选用。如果颜色发黑，热毒太甚，是十死一生的重症，不可不明察秋毫而混施治疗。
化斑汤
人参、知母、石膏、牛蒡子、连翘、升麻、甘草、地骨皮、淡竹叶、糯米
水煎服。
六一散
滑石（六两）、甘草（一两）
研为细末，根据小儿大小，每次服用一钱半或二钱。本方加辰砂三钱，名为辰砂益元散。
大青龙汤
玄参、大青、桔梗、人中黄、知母、升麻、石膏、栀子、木通
水煎服。
元参解毒汤
玄参、黄芩、山栀、桔梗、甘草、生地、干葛、荆芥（均分）
水煎服。
一、疹子透发后，红影出于肌肤成片，切忌风寒生冷。一旦触犯，则皮肤闭塞，毒瓦斯壅滞，遂变为浑身青紫，而毒反内攻，出现烦躁肚痛、气喘闷乱等症状。诸症并作，欲出不出，危亡立至，岂可忽视？
一、疹子已出而又隐没的，是被风寒逼迫所致。如果不早治疗，毒邪内攻，以致瘙痒塌陷而死，急用消毒饮，合升麻汤服用，则疹子复出而安。
一、发热之时，遍身出汗，这是毒邪随汗而解，玄府（汗孔）开，疹子易出。有出鼻血的，这是毒邪随衄血而解，都不可以立即止住。如果汗多血多皆不止，这是火邪逼迫太过，导致汗妄流，血妄行。急宜用当归六黄汤以止汗，茅花汤以止血，迟则汗出多而元气虚，血出多而精神散，难以治疗了。
当归六黄汤
当归、黄芪、黄连、黄柏、生地黄、熟地黄（均分）
水煎。外加浮小麦止汗。
一、发热时或呕吐，或自利（腹泻）或滞下（痢疾）。这是火邪内逼，毒瓦斯上行则吐，下行则利，毒太甚则里急后重，而为滞下。呕吐者，用竹茹石膏汤。自利者，用升麻泽泻汤。滞下者，用黄芩芍药汤，加黄连、生地、木通、当归、人参、枳壳，或少加大黄轻微通便。
升麻泽泻汤
猪苓、泽泻、赤茯苓、石膏、黄连、甘草、升麻（均分）
水煎服。
一、发热之时，没有不口渴的，但应当用绿豆灯心汤，加入炒米饮用，佐以人参白虎汤，以生津解渴而已。如果恣意饮用冷水，恐怕产生水蓄之症，故水入于肺，为喘为嗽，宜用葶苈子，以泄肺中之水。水入于脾，为肿为胀，为自利，宜用白茯苓、生地、木香，以泄脾水。水入于胃，为呕为哕为自利，宜用猪苓、泽泻、赤茯苓、木通，以泄心下之水。水入于肝，为胁痛，用芫花以泄肝水。水入于肾与膀胱，为小便不利，为阴囊肿，用车前子、木通，以泄肾及膀胱之水。都应当根据其症状而治疗。
一、疹出之时，咽喉肿痛，不能饮食者，这是毒火拂郁，上熏咽喉。宜用甘桔汤，加玄参、牛蒡子、连翘主治。更以十全散，或用玉锁匙吹喉，切不可妄用针刺出血。
十全散
黄芩、黄连（各一钱五分）、苦参（一钱）、元胡（三分）、硼砂（二分）、乳香（二分）、儿茶、雄黄（各五分）
研为细末，每用少许，用芦筒吹之。
玉锁匙
硼砂（一钱）、朴硝（五分）、僵蚕（一条）、片脑（五厘）
研末吹之。
一、疹出之时咳嗽口干心烦者，这是毒在心肺，发未尽也。用泻白散，或黄连杏仁汤。麻疹作泻，加浓朴、甘草。
一、疹出之时，自利不止，或泻稀水频数者，最为恶候，但要看其疹，若遍身稠密太盛，或紫色，或红色，甚者则无妨。盖毒在大肠，非泻则毒不解，惟用平胃散加干葛、连翘以解之。疹一发透，根据期收去，自然泻止。若疹已收，而泻犹不止，疹必未尽，再用前药，加连翘、川连、牛蒡子、木通、泽泻以分利之。若用诃子、肉蔻等，则变肚痛胀满喘急，危矣。
一、疹子的出，常以六个时辰收没为度。如子时为阳，午后收，午后为阴，子后收，乃阳生阴成，阴生阳成，造化自然之妙也。故渐出而渐收者，其势轻。若一出之后热不退，延绵三四日而不收者，此毒火太甚，外发不尽，内为有余之邪所致，须投化斑汤。
化斑汤
人参、知母、石膏、牛蒡子、连翘、升麻、地骨皮、甘草、淡竹叶、糯米
水煎服。
三味消毒饮
荆芥、牛蒡子、甘草、生姜
水煎服。再加玄参、石膏、桔梗为治。
一、疹子出后，自然退热。若遍身既出，而犹拂拂烦热，频作呕吐者，此毒尚未尽，留连于肺胃之间，宜化斑汤（见前）。大便秘少，加大黄利之。
一、疹已收去，反浑身发热，昼夜不退，此毒未尽解，邪火抑于肌肉之间，久则毛发干焦，皮肤枯槁，肌肉羸瘦，为骨蒸劳瘵之症。急宜芦荟肥儿丸，加当归、连翘等治之，迟则变为睡则露睛，口鼻气冷，手足厥逆，螈疭慢脾风，不治之症矣。
芦荟肥儿丸
芦荟、龙胆草、木香、地骨皮、使君子、麦芽、槟榔、黄连、白芜荑、胡黄连
研为细末，猪胆汁为丸，如黍米大，每服五六十丸，饮汤下。
一、疹收之后，身虽不羸瘦，但时发壮热，烦躁不宁，搐掣惊悸，神昏志乱者，此阴血衰耗，致余毒入肝而传于心也，宜养血安神，四物汤加麦冬、枣仁、石菖蒲、龙胆草、茯苓、黄连、辰砂、甘草、竹叶、灯心主治。或以前药为末，蒸饼，猪心血为丸，服之亦可。
一、疹毒入胃，久而不散，致成牙根黑烂血出，为走马疳，传与二颊浮肿，久而穿颊破腮，缺唇崩鼻，为崩砂狐惑等危症。外用文蛤散，或雄黄散搽之，内服芦苔丸，以清胃火。或有愈者，然不能多见也。
文蛤散
文蛤（一钱五分）、雄黄（一钱五分）、枯矾（五厘）、蚕蜕（下烧灰为末）
米泔漱口，搽药。
雄黄散
雄黄（一钱）、黄柏（一钱）、麝香（五分）
和匀，以艾煎汤，洗净后，搽药末。
芦荟丸
人中白、芦荟、使君子肉、龙胆草、黄连、五灵脂（均分）
共为细末，浸蒸饼为丸，白滚汤下。
一、疹出之时，曾作泻痢，未经清解，至疹退之后，变为休息痢，不问赤白，里急后重，昼夜无度频并者，此余火毒在肠也。须分虚实治之。实者三黄丸利之，虚者香连丸和之，后用黄芩汤合益元散，以养血行气为治。河间云：养血则便脓自愈，调气则后重自除，诚哉是言也。
三黄丸
黄芩（蒸）、黄连（炒）、大黄（蒸热）
研为末糊丸，桐子大，每服三十丸，白汤下，量儿大小虚实加减。
香连丸
黄连（一两）、吴茱萸（五两）
同水拌匀炖滚水内，半日取出，炒干拣去吴茱萸，只用黄连为末，再加木香一两，不见火，为末和匀，黄连末醋糊丸，米汤下一二钱。
黄芩汤
黄芩、黄连、当归、川芎、木香、青皮、枳壳、槟榔、甘草
水煎好。入益元散调服。
益元散
滑石（六两）、甘草（一两）、辰砂（三钱）
研为末，量儿大小，或一钱五分，或二钱。
一、疹退之后，微微咳嗽者，此余毒未尽也。用清肺饮，加牛蒡子、甘草治之。若嗽甚，气喘连声不止，名为顿嗽，甚至饮食汤水俱呛出，或咳出血者，此热毒乘肺而然也。宜麦冬清肺饮，加连翘主治。如见胸高如圭，肩耸而喘，血从口鼻而出。或摆手摇头，面色或白或青或红，以及枯暗者，皆不可治之症也。然亦有肺气虚，为毒所抑而发喘，并无咳嗽出血呛食等证者，亦用麦冬清肺饮，倍加人参治之。切不可拘于肺热之一端，而纯用清肺解毒之药也。
麦冬清肺饮
川贝、天冬、桔梗、牛蒡子、栝蒌、知母、麦冬、杏仁、兜铃、甘草
加糯米，水煎服。
一、疹退之后，声哑不出，或咳或喘，或身热不退，以致日久不愈者，此热毒未尽，肺金受克也。宜清金降火汤，加竹沥、生姜汁主治。
清金降火汤
黄芩、贝母、栝蒌、麦冬、牛蒡子、黑山栀、知母、杏仁、玄参、麻黄、石膏、竹叶
水煎服。
一、疹退之后，饮食如常。动心如故，猝然心腹绞痛，遍身汗出如水者，此元气虚弱，失于补养，外虽无病，内已虚损。又为恶气所中，谓之中恶，此朝发夕死之证。急用养荣双和汤救之，如有积食，加神曲、麦芽，如有热，去肉桂。
养荣双和汤
人参、当归、熟地黄、黄芪、肉桂、白芍、麦冬、甘草
水煎服。
一、疹退之后，热毒未尽，或发痈毒，四肢骨节疼痛者，宜用羌活散，黄酒冲服一二钱，量大小强弱与之。使其微汗微利而愈。
羌活散
羌活、穿山甲、大黄、全蝎、皂角刺、乳香、一叶金、白芷梢、甘草
一、疹退之后，余热未尽，或热甚而失血者，犀角、地黄合黄连解毒汤治之，或四物汤加茵陈、木通、犀角之类，以利小便，使热气下行而愈也。
犀角地黄汤
犀角、白芍、黑山栀、生地黄、丹皮、黄芩、红花、当归、甘草、藕节
水煎服。
黄连解毒汤
黄连、黄芩、黄柏、牛蒡子、连翘、黑山栀、防风、木通、荆芥、玄参、甘草、竹叶
四物汤 见上。
一、疹收之后，余热未退，日夜烦躁，谵语昏狂者，宜用益元散，煎灯心汤下，或五苓散去白术、肉桂，加辰砂、黄芩、黄连治之。若初发疹时，即有烦躁谵语之证者，升麻葛根汤，加葱白、黄芩，夏令再加石膏。如或风盛者，并加消风散，兼调益元散服。
Fetal measles (measles contracted in the fetal period) that appears and disappears immediately upon the onset of fever is caused by Wind-Cold pathogenic factors. It is appropriate to use herbs that cool the Blood, disperse Wind, and resolve phlegm. If the rash fails to erupt fully, it is also due to the abundance of Wind-Cold pathogens or premature menstruation; rapid dispersal and resolution are required. Although this is fetal measles, precautions must still be observed.
Postpartum treatment primarily focuses on greatly tonifying Qi and Blood. However, if measles occur, tonification should not be administered abruptly. If high fever follows, dispersing methods are not contraindicated. Shengma Gegen Tang (Cimicifugae et Puerariae Decoction) should be used, with Chao Baishao (Stir-fried White Peony Root), Ziye (Perilla Leaf), and Jiegeng (Platycodon Root) added internally to induce sweating; once sweat is produced, the rash will emerge. For all ascending and dispersing herbs, cold-natured herbs should not be combined, so that toxins can exit easily without causing subsequent complications.
Ancient texts state that "Ma" (smallpox/measles) refers to "Zhen" (measles). Measles resemble hemp seeds in clusters, while smallpox resembles beans in grains; both are named according to their shapes. The fetal toxin is the same, but smallpox originates from the Zang organs. The Zang belong to Yin, and Yin governs Blood; therefore, smallpox has form and pus, and symptoms include both chills and fever. Measles originate from the Fu organs. The Fu belong to Yang, and Yang governs Qi; therefore, measles have form but no pus, and symptoms are mostly heat without chills. Since the symptoms differ, the treatment methods also differ. Smallpox benefits from internal consolidation and can use tonic formulas; measles contraindicate internal consolidation and only require dispersal and resolution. Only the initial stage of fever involves similar exterior-releasing methods. After eruption, smallpox requires tonifying Qi to generate Blood, whereas measles require tonifying Yin to restrain Yang. Why? Because when measles heat is severe, the Yin aspect suffers from scorching, leading to significant depletion of Blood. Therefore, treatment focuses on clearing fire and nourishing Yin, without disturbing Qi. Harsh and drying agents should be strictly avoided from beginning to end. The world knows smallpox is serious, but does not realize that measles are even more lethal. Medical books often neglect this, which is lamentable.
1. At the initial stage of measles fever, symptoms often resemble Taiyang disease (exposure to cold). However, measles are distinguished by coughing, sneezing, clear nasal discharge, swollen eyelids, tearing, facial edema, red cheeks, nausea, and dry retching. Upon observing these signs, it is measles. One must carefully avoid Wind and Cold, abstain from rich meat and strong flavors, and use medication to release the exterior. This opens the skin and unblocks the Couli (interstices), allowing the toxic rash to emerge easily.
1. Although the eruption of measles is attributed to fetal toxin, it invariably arises from epidemic pestilential Qi. Therefore, when using dispersing medications, one must first understand the seasonal Qi. If the season is warm, use acrid-cool herbs for dispersal, such as Fangfeng Jiedu Tang (Saposhnikoviae and Detoxification Decoction). If the weather is hot, use acrid-cold herbs, such as Huanglian Jiedu Tang (Coptis and Detoxification Decoction). In extreme cold, use acrid-warm herbs, such as Guizhi Jiedu Tang (Cinnamon Twig and Detoxification Decoction). When cold and warmth alternate, use acrid-neutral herbs, such as Shengma Jiedu Tang (Cimicifugae and Detoxification Decoction). This is adapting medication to the times; do not mistake it for Taiyang disease and mistakenly apply sweating or purging methods, which would damage the Harmony of Heaven. Also, assess the patient's deficiency or excess. If there is constipation, intense irritability and heat, and the rash fails to erupt, use wine-processed Dahuang (Rhubarb) to mildly purge. If ineffective, use Ginseng-type tonics. The Classics state: Do not make the deficient more deficient, nor the excess more excess. Depleting what is insufficient and supplementing what is excessive leads to death.
Fangfeng Jiedu Tang (Saposhnikoviae and Detoxification Decoction):
Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Herba), Bohe (Menthae Haplocalycis Herba), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Jiegeng (Platycodonis Radix), Liuzi (Arctii Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Lianqiao (Forsythiae Fructus), Mutong (Akebiae Caulis), Zhike (Aurantii Fructus Immaturus) [equal parts].
Dan Zhuyez (Lophatheri Herba) and Dengcao (Junci Medulla), decocted in water and taken orally.
Huanglian Jiedu Tang (Coptis and Detoxification Decoction):
Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Zhizi (Gardeniae Fructus), Liuzi (Arctii Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Zhimu (Anemarrhenae Rhizoma), Jingjie (Schizonepetae Herba), Shigao (Gypsum Fibrosum), Jiegeng (Platycodonis Radix), Yuan Shen (Scrophulariae Radix).
Three slices of Shengjiang (Zingiberis Rhizoma Recens), decocted in water and taken orally.
Guizhi Jiedu Tang (Cinnamon Twig and Detoxification Decoction):
Guizhi (Cinnamomi Ramulus), Mahuang (Ephedrae Herba), Chishao (Paeoniae Radix Rubra), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Herba), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Niu Bang Zi (Arctii Fructus), Renshen (Panacis Ginseng Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengjiang (Zingiberis Rhizoma Recens).
Decocted in water and taken orally.
Shengma Jiedu Tang (Cimicifugae and Detoxification Decoction):
Shengma (Cimicifugae Rhizoma), Gange (Puerariae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Renshen (Panacis Ginseng Radix), Chaihu (Bupleuri Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Liuzi (Arctii Fructus), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Herba), Chishao (Paeoniae Radix Rubra), Lianqiao (Forsythiae Fructus), Dan Zhuye (Lophatheri Herba).
Decocted in water.
After the above herbs disperse the exterior, the rash appears, and the toxin is completely resolved. If it does not erupt, add Ma Huang San (Ephedra Powder) variants to disperse.
Jiawei Mahuang San (Modified Ephedra Powder):
Shengma (Cimicifugae Rhizoma), Mahuang (Ephedrae Herba), Renzhonghuang (Human Faeces Carbonisatum), Niu Bang Zi (Arctii Fructus), Chantui (Cicadae Periostracum) [equal parts].
Decocted in water and taken orally.
Externally, use Yansu (Coriandri Fructus) and Jiuzao (Wine Lees), steamed hot, to rub the body from head to toe. It is auspicious if the head and face have more rash. If delayed for days and unable to erupt, abdominal distension, asthma, dizziness, confusion, and烦躁 (restlessness) will lead to death.
1. Observing the rash, it often first appears behind the ears, on the neck, waist, and legs. If the rash tips are pointed but not long, and the shape is small and uniform, it is auspicious. If the color is red, it indicates Fire transformation; mild cases are treatable, primarily using Huaban Tang (Macula Resolving Decoction). If white, it indicates Blood deficiency, primarily using Yangrong Tang (Nourishing Glory Decoction). If purple-red, dry, dark, and dull, it indicates abundant Fire and intense toxin. Use Liuyi San (Six-to-One Powder) and Siwu Tang (Four Substances Decoction), adding Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Gange (Puerariae Radix), Honghua (Carthami Flos), Liuzi (Arctii Fructus), and Lianqiao (Forsythiae Fructus) to nourish Yin, cool Blood, and eliminate heat. This embodies the principle of "nourishing Yin to retreat Yang." This is a critical condition with five deaths for every one survival. Externally, Da Qinglong Tang (Great Blue Dragon Decoction) with burnt human faeces is excellent. If constipated, add wine-processed Dahuang (Rhubarb) to purge, or Yuanshen Jiedu Tang (Scrophulariae and Detoxification Decoction) may be selected. If black, the heat toxin is extremely severe, a condition with ten deaths for every one survival; careful observation is required to avoid indiscriminate treatment.
Huaban Tang (Macula Resolving Decoction):
Renshen (Panacis Ginseng Radix), Zhimu (Anemarrhenae Rhizoma), Shigao (Gypsum Fibrosum), Niu Bang Zi (Arctii Fructus), Lianqiao (Forsythiae Fructus), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Digupi (Lycii Cortex), Dan Zhuye (Lophatheri Herba), Nuomi (Oryzae Sativae Semen glutinosum preparatum).
Decocted in water and taken orally.
Yangrong Tang (Nourishing Glory Decoction):
Renshen (Panacis Ginseng Radix), Danggui (Angelicae Sinensis Radix), Honghua (Carthami Flos), Chishao (Paeoniae Radix Rubra), Gancao (Glycyrrhizae Radix et Rhizoma).
Decocted in water and taken orally.
Liuyi San (Six-to-One Powder):
Huashi (Talcum) [6 liang], Gancao (Glycyrrhizae Radix et Rhizoma) [1 liang].
Grind into fine powder. Dosage depends on the child's size: 1.5 qian or 2 qian per dose. Adding 3 qian of Chen Sha (Cinnabaris) creates Chen Sha Yi Yuan San (Chen Sha Benefiting Origin Powder).
Siwu Tang (Four Substances Decoction):
Danggui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma).
Da Qinglong Tang (Great Blue Dragon Decoction):
Yuanshen (Scrophulariae Radix), Daqing (Isatidis Folium), Jiegeng (Platycodonis Radix), Renzhonghuang (Human Faeces Carbonisatum), Zhimu (Anemarrhenae Rhizoma), Shengma (Cimicifugae Rhizoma), Shigao (Gypsum Fibrosum), Zhizi (Gardeniae Fructus), Mutong (Akebiae Caulis).
Decocted in water and taken orally.
Yuanshen Jiedu Tang (Scrophulariae and Detoxification Decoction):
Yuanshen (Scrophulariae Radix), Huangqin (Scutellariae Radix), Shanzhi (Gardeniae Fructus), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Shengdi (Rehmanniae Radix), Gange (Puerariae Radix), Jingjie (Schizonepetae Herba) [equal parts].
Decocted in water and taken orally.
1. After the rash erupts, red shadows appear on the skin in patches. Strictly avoid Wind, Cold, and raw/cold foods. Violation causes skin closure and toxin stagnation, turning the body blue-purple, with toxins attacking inward, causing irritability, abdominal pain, asthma, and confusion. All symptoms arise. Failure to erupt fully leads to immediate peril; how can this be ignored?
1. If the rash emerges and then disappears, it is forced back by Wind and Cold. If not treated early, toxins attack inward, causing itching and collapse leading to death. Urgently use Xiaodu Yin (Detoxification Drink) combined with Shengma Tang (Cimicifugae Decoction); the rash will re-emerge and the patient will stabilize.
Shengma Tang (Cimicifugae Decoction):
Shengma (Cimicifugae Rhizoma), Gange (Puerariae Radix), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Congbai (Allii Fistulosi Bulbus).
Decocted in water, heated, and taken orally.
Xiaodu Yin (Detoxification Drink):
Jingjie (Schizonepetae Herba), Niu Bang Zi (Arctii Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens).
Decocted in water and taken orally.
1. During fever, profuse sweating throughout the body indicates toxin resolution via sweat, opening of Xuanfu (pores), and easy eruption of the rash. Epistaxis (nosebleed) also indicates toxin resolution via bleeding. Neither should be stopped abruptly. If sweating and bleeding are excessive and uncontrollable, it is due to excessive Fire forcing fluids and blood to flow wildly. Urgently use Danggui Liu Huang Tang (Angelica Six-Yellow Decoction) to stop sweating, and Maohua Tang (Thrush Flower Decoction) to stop bleeding. Delay leads to Qi deficiency from excessive sweat and Spirit scattering from excessive blood loss, making treatment difficult.
Danggui Liu Huang Tang (Angelica Six-Yellow Decoction):
Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Shengdi Huang (Rehmanniae Radix), Shudi Huang (Rehmanniae Radix Preparata) [equal parts].
Decocted in water. Add Fuxiaomai (Tritici Levis Fructus) externally to stop sweating.
Maohua Tang (Thrush Flower Decoction):
Maohua (Thunbergiae Flos), Guitou (Angelicae Sinensis Radix Caput), Danpi (Moutan Cortex), Shengdi (Rehmanniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma).
Add Yuanshen (Scrophulariae Radix) and Baicaoshuang (Carbonized Herb Powder), decocted in water and taken orally.
1. During fever, vomiting, spontaneous diarrhea, or dysentery may occur. This is Fire pathogen forcing inward; upward movement causes vomiting, downward movement causes diarrhea. Severe toxin causes tenesmus, resulting in dysentery. For vomiting, use Zhuru Shigao Tang (Bambusae Succesaneus and Gypsum Decoction). For diarrhea, use Shengma Zexie Tang (Cimicifugae and Alisma Decoction). For dysentery, use Huangqin Shaoyao Tang (Scutellaria and Peony Decoction), adding Huanglian (Coptidis Rhizoma), Shengdi (Rehmanniae Radix), Mutong (Akebiae Caulis), Danggui (Angelicae Sinensis Radix), Renshen (Panacis Ginseng Radix), Zhike (Aurantii Fructus Immaturus), or a small amount of Dahuang (Rhubarb) for mild purging.
Zhuru Shigao Tang (Bambusae Succesaneus and Gypsum Decoction):
Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma Preparatum), Shigao (Gypsum Fibrosum), Baifuling (Poria cum Ligno), Gancao (Glycyrrhizae Radix et Rhizoma), Zhuru (Bambusae Succesaneus).
Decocted in water and taken orally.
Shengma Zexie Tang (Cimicifugae and Alisma Decoction):
Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Chiling (Poria cum Rubro), Shigao (Gypsum Fibrosum), Huanglian (Coptidis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Shengma (Cimicifugae Rhizoma) [equal parts].
Decocted in water and taken orally.
Huangqin Shaoyao Tang (Scutellaria and Peony Decoction):
Tiaohuangqin (Scutellariae Radix), Baishao (Paeoniae Radix Alba), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
Decocted in water and taken orally.
1. During fever, thirst is universal. Use Lv Dou Deng Xin Tang (Mung Bean and Juncus Decoction) with fried rice to drink, assisted by Renshen Baihu Tang (Ginseng White Tiger Decoction) to generate fluids and relieve thirst. Indiscriminate drinking of cold water risks fluid retention. Water entering the Lung causes asthma and cough; use Tinglizi (Descurainiae Semen) to drain Lung water. Water entering the Spleen causes edema, distension, and diarrhea; use Baifuling (Poria cum Ligno), Shengdi (Rehmanniae Radix), and Muxiang (Aucklandiae Radix) to drain Spleen water. Water entering the Stomach causes vomiting, hiccups, and diarrhea; use Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Chiling (Poria cum Rubro), and Mutong (Akebiae Caulis) to drain water below the heart. Water entering the Liver causes hypochondriac pain; use Yuanhua (Kadsurae Caulis) to drain Liver water. Water entering the Kidney and Bladder causes urinary difficulty and scrotal swelling; use Cheqianzi (Plantaginis Semen) and Mutong (Akebiae Caulis) to drain Kidney and Bladder water. Treatment must follow the symptoms.
Renshen Baihu Tang (Ginseng White Tiger Decoction):
Renshen (Panacis Ginseng Radix), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Nuomi (Oryzae Sativae Semen glutinosum preparatum).
Decocted and taken orally.
1. During eruption, sore throat and inability to eat indicate toxic Fire stagnating and harassing the throat. Use Ganjie Tang (Licorice and Platycodon Decoction), adding Yuanshen (Scrophulariae Radix), Niu Bang Zi (Arctii Fructus), and Lianqiao (Forsythiae Fructus). Additionally, use Shiquan San (Ten Complete Powder) or blow Yusuoshi (Jade Lock Key) powder into the throat. Never blindly prick to bleed.
Ganjie Tang (Licorice and Platycodon Decoction):
Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix).
Shiquan San (Ten Complete Powder):
Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) [each 1.5 qian], Kushen (Sophorae Flavescentis Radix) [1 qian], Yuanhu (Corydalis Rhizoma) [0.3 qian], Pengsha (Borisovi Borax) [0.2 qian], Xuxiang (Frankincense) [0.2 qian], Ercha (Terminaliae Chebulae Fructus Extract), Xionghuang (Realgar) [each 0.5 qian].
Grind into fine powder. Use a small amount, blown into the throat via a reed tube.
Yusuoshi (Jade Lock Key):
Pengsha (Borisovi Borax) [1 qian], Piaoxiao (Natrii Sulfas), Jiangcan (Bombyx Batryticatus) [1 strip], Pian Nao (Borneolum Syntheticum) [0.05 qian].
Grind into powder and blow into the throat.
1. Cough, dry mouth, and irritability during eruption indicate toxin in the Heart and Lung, incomplete eruption. Use Xiebai San (Draining White Powder) or Huanglian Xingren Tang (Coptis and Apricot Kernel Decoction). If measles cause diarrhea, add Houpo (Magnoliae Officinalis Cortex) and Gancao (Glycyrrhizae Radix et Rhizoma).
Xiebai San (Draining White Powder):
Sangpi (Mori Cortex), Digupi (Lycii Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Zhuye (Bambusae Folium), Dengcao (Junci Medulla).
Decocted in water and taken orally.
Huanglian Xingren Tang (Coptis and Apricot Kernel Decoction):
Huanglian (Coptidis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Xingren (Pruni Semen), Mahuang (Ephedrae Herba), Zhike (Aurantii Fructus Immaturus), Gange (Puerariae Radix), Shengjiang (Zingiberis Rhizoma Recens).
Decocted in water and taken orally.
1. Uncontrolled diarrhea or frequent watery stools during eruption is a grave sign. Observe the rash: if dense, purple, or red, it is not harmful. Toxin is in the Large Intestine; without diarrhea, toxin cannot resolve. Use Pingwei San (Peaceful Stomach Powder) adding Gange (Puerariae Radix) and Lianqiao (Forsythiae Fructus) to resolve it. Once the rash erupts fully and recedes according to schedule, diarrhea stops naturally. If the rash has receded but diarrhea persists, the toxin is not fully cleared. Repeat previous herbs, adding Lianqiao (Forsythiae Fructus), Chuanlian (Coptidis Rhizoma), Niu Bang Zi (Arctii Fructus), Mutong (Akebiae Caulis), and Zexie (Alismatis Rhizoma) to separate and drain. Using Hezi (Chebulae Fructus) and Roukou (Myristicae Semen) causes abdominal pain, distension, and asthma, which is critical.
Pingwei San (Peaceful Stomach Powder):
Cangzhu (Atractylodis Rhizoma), Houpo (Magnoliae Officinalis Cortex), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma).
1. Measles typically resolve within six shichen (12 hours). Eruption at Zi hour (Yang) and resolution after Wu hour (Yin), or vice versa, reflects the natural wonder of Yang generating Yin and Yin generating Yang. Gradual emergence and resolution indicate mild severity. If fever persists for three to four days after eruption without resolution, it is due to excessive Fire toxin, incomplete external release, and internal excess pathogen. Administer Huaban Tang (Macula Resolving Decoction).
Huaban Tang (Macula Resolving Decoction):
Renshen (Panacis Ginseng Radix), Zhimu (Anemarrhenae Rhizoma), Shigao (Gypsum Fibrosum), Niu Bang Zi (Arctii Fructus), Lianqiao (Forsythiae Fructus), Shengma (Cimicifugae Rhizoma), Digupi (Lycii Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Dan Zhuye (Lophatheri Herba), Nuomi (Oryzae Sativae Semen glutinosum preparatum).
Decocted in water and taken orally.
Sanwei Xiaodu Yin (Three-Ingredient Detoxification Drink):
Jingjie (Schizonepetae Herba), Niu Bang Zi (Arctii Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens).
Decocted in water and taken orally. Add Yuanshen (Scrophulariae Radix), Shigao (Gypsum Fibrosum), and Jiegeng (Platycodonis Radix) for treatment.
1. Measles naturally subside with fever reduction. If the body is covered but lingering irritability and frequent vomiting persist, the toxin remains in the Lung and Stomach. Use Huaban Tang (Macula Resolving Decoction). If constipated, add Dahuang (Rhubarb) to purge.
1. If fever returns and persists day and night after resolution, the toxin is not fully resolved, and evil Fire suppresses the muscles. Long-term effects include dry hair, withered skin, emaciation, and bone-steaming consumption. Urgently use Lushui Feier Wan (Aloe Child-Nourishing Pills), adding Danggui (Angelicae Sinensis Radix) and Lianqiao (Forsythiae Fructus). Delay leads to sleeping with eyes open, cold breath from nose/mouth, cold extremities, convulsions, and Slow Spleen Wind, which are untreatable.
Lushui Feier Wan (Aloe Child-Nourishing Pills):
Lushui (Aloes), Longdancao (Gentianae Radix), Muxiang (Aucklandiae Radix), Digupi (Lycii Cortex), Shijunzi (Quisqualis Fructus), Maiya (Hordei Fructus germinatus), Binglang (Arecae Semen), Huanglian (Coptidis Rhizoma), Bai Wuyi (Chaulmoograe Semen), Huhuanglian (Coptidis Rhizoma alternative).
Grind into powder, form pills with Pig Bile the size of millet seeds. Take 50-60 pills with water.
1. After resolution, if the body is not emaciated but periodic high fever, irritability, tremors, palpitations, and mental confusion occur, Yin and Blood are depleted, allowing residual toxin to enter the Liver and transmit to the Heart. Tonify Blood and calm the Spirit using Siwu Tang (Four Substances Decoction) adding Maidong (Ophiopogonis Radix), Zaoren (Ziziphi Spinosae Semen), Shichangpu (Acori Tatarinowii Rhizoma), Longdancao (Gentianae Radix), Fuling (Poria), Huanglian (Coptidis Rhizoma), Chen Sha (Cinnabaris), Gancao (Glycyrrhizae Radix et Rhizoma), Zhuye (Bambusae Folium), and Dengcao (Junci Medulla). Alternatively, grind previous herbs into powder, mix with steamed dough and Pig Heart Blood to form pills.
Siwu Tang (Four Substances Decoction):
Dihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba).
1. Toxin entering the Stomach and failing to dissipate causes black rotting gums and bleeding, known as Zouma Gan (Running Horse Gangrene). It spreads to cheek swelling, eventually perforating cheeks/cheeks, collapsing lips/nose, becoming Bengsha Huhu (Crumbled Sand Fox Enigma) critical conditions. Externally apply Wen Ge San (Clam Shell Powder) or Xionghuang San (Realgar Powder). Internally take Lutai Wan (Aloe Pill) to clear Stomach Fire. Cures are rare.
Wen Ge San (Clam Shell Powder):
Wenge (Concha Arcae), Xionghuang (Realgar) [each 1.5 qian], Kufan (Alumen) [0.05 qian], Cantui (Bombyx Batryticatus exuviae) [burnt to ash].
Rinse mouth with Rice Wash Water, apply medicine.
Xionghuang San (Realgar Powder):
Xionghuang (Realgar) [1 qian], Huangbai (Phellodendri Cortex) [1 qian], Muxiang (Moschus) [0.5 qian].
Mix evenly. Wash with Mugwort decoction, then apply powder.
Lutai Wan (Aloe Pill):
Renzhongbai (Human Urine Sediment), Lushui (Aloes), Shijunzirou (Quisqualis Fructus Flesh), Longdancao (Gentianae Radix), Huanglian (Coptidis Rhizoma), Wulingzhi (Trogopterori Faeces) [equal parts].
Grind into powder, soak in steamed dough to form pills. Take with boiling water.
1. If diarrhea/dysentery occurred during eruption and was not cleared, it becomes Xixi Li (Intermittent Dysentery) after resolution. Regardless of red/white stool, with constant tenesmus, residual Fire toxin remains in the Intestines. Treat based on deficiency/excess. Excess: Sanhuang Wan (Three-Yellow Pill) to purge. Deficiency: Xianglian Wan (Amomum and Coptis Pill) to harmonize. Follow with Huangqin Tang (Scutellaria Decoction) combined with Yi Yuan San (Benefiting Origin Powder) to nourish Blood and move Qi. Hejian said: Nourishing Blood heals pus in stool; regulating Qi removes tenesmus. Truly spoken!
Sanhuang Wan (Three-Yellow Pill):
Huangqin (Scutellariae Radix, steamed), Huanglian (Coptidis Rhizoma, stir-fried), Dahuang (Rhubarb, steamed hot).
Grind into powder, bind with paste to form pills the size of paulownia seeds. Take 30 pills with warm water, adjusting for child's size and constitution.
Xianglian Wan (Amomum and Coptis Pill):
Huanglian (Coptidis Rhizoma) [1 liang], Wuyu (Evodiae Fructus) [5 liang].
Mix with water, simmer in boiling water for half a day, remove, stir-fry dry, discard Evodia. Use only Coptis powder. Add 1 liang of Muxiang (Aucklandiae Radix), processed without direct fire. Mix powders. Bind Coptis powder with Vinegar Paste to form pills. Take 1-2 qian with Rice Soup.
Huangqin Tang (Scutellaria Decoction):
Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Muxiang (Aucklandiae Radix), Qingpi (Citri Reticulatae Pericarpium Viride), Zhike (Aurantii Fructus Immaturus), Binglang (Arecae Semen), Gancao (Glycyrrhizae Radix et Rhizoma).
Decoct well. Mix with Yi Yuan San (Benefiting Origin Powder) and take.
Yi Yuan San (Benefiting Origin Powder):
Huashi (Talcum) [6 liang], Gancao (Glycyrrhizae Radix et Rhizoma) [1 liang], Chen Sha (Cinnabaris) [3 qian].
Grind into powder. Dosage: 1.5 qian or 2 qian depending on child's size.
1. After resolution, slight cough indicates residual toxin. Use Qingfei Yin (Lung-Clearing Drink) adding Niu Bang Zi (Arctii Fructus) and Gancao (Glycyrrhizae Radix et Rhizoma). If severe cough, continuous asthma named Dun Sou (Paroxysmal Cough), even choking on food/water or hemoptysis, it is Heat Toxin attacking the Lung. Use Maidong Qingfei Yin (Ophiopogon Lung-Clearing Drink) adding Lianqiao (Forsythiae Fructus). Signs like chest protrusion, shoulder shrugging, bleeding from mouth/nose, waving hands, shaking head, or pale/blue/red/dull complexion are untreatable. However, if Lung Qi deficiency causes asthma suppressed by toxin, without cough/bleeding/choking, use Maidong Qingfei Yin (Ophiopogon Lung-Clearing Drink) doubling Renshen (Panacis Ginseng Radix). Do not rigidly adhere to Lung Heat and use only clearing/detoxifying herbs.
Maidong Qingfei Yin (Ophiopogon Lung-Clearing Drink):
Chuanbei (Fritillariae Cirrhosae Bulbus), Tiandong (Asparagi Radix), Jiegeng (Platycodonis Radix), Niu Bang Zi (Arctii Fructus), Gualou (Trichosanthis Fructus), Zhimu (Anemarrhenae Rhizoma), Maidong (Ophiopogonis Radix), Xingren (Pruni Semen), Douding (Stemonae Radix), Gancao (Glycyrrhizae Radix et Rhizoma).
Add Nuomi (Oryzae Sativae Semen glutinosum preparatum), decoct in water and take.
1. Hoarseness, cough, asthma, or persistent fever after resolution indicates unresolved Heat Toxin suppressing Metal (Lung). Use Qingjin Jianghuo Tang (Metal-Clearing Fire-Descending Decoction) adding Zhuli (Bambusae Succesaneus Juice) and Shengjiangzhi (Zingiberis Rhizoma Juice).
Qingjin Jianghuo Tang (Metal-Clearing Fire-Descending Decoction):
Huangqin (Scutellariae Radix), Beimu (Fritillariae Bulbus), Gualou (Trichosanthis Fructus), Maidong (Ophiopogonis Radix), Niu Bang Zi (Arctii Fructus), Heishanzhi (Gardeniae Fructus), Zhimu (Anemarrhenae Rhizoma), Xingren (Pruni Semen), Yuanshen (Scrophulariae Radix), Mahuang (Ephedrae Herba), Shigao (Gypsum Fibrosum), Zhuye (Bambusae Folium).
Decocted in water and taken orally.
1. Normal appetite after resolution, but sudden heart/abdominal colic and profuse sweating indicate weak Yuan Qi, lack of nourishment, internal deficiency despite no external illness, plus Evil Qi invasion (Zhong E). This is fatal from morning to evening. Urgently use Yangrong Shuanghe Tang (Nourishing Glory Double-Harmony Decoction). If food stagnation, add Shenqu (Massa Medicata Fermentata) and Maiya (Hordei Fructus germinatus). If heat, remove Rougui (Cinnamomi Cortex).
Yangrong Shuanghe Tang (Nourishing Glory Double-Harmony Decoction):
Renshen (Panacis Ginseng Radix), Danggui (Angelicae Sinensis Radix), Shudi Huang (Rehmanniae Radix Preparata), Huangqi (Astragali Radix), Rougui (Cinnamomi Cortex), Baishao (Paeoniae Radix Alba), Maidong (Ophiopogonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma).
Decocted in water and taken orally.
1. After resolution, if Heat Toxin remains, causing carbuncles or limb/joint pain, use Qianghuo San (Notopterygium Powder). Take 1-2 qian with Yellow Wine, adjusted for size/strength. Induce slight sweat/purge to cure.
Qianghuo San (Notopterygium Powder):
Qianghuo (Notopterygii Rhizoma et Radix), Chuanshanjia (Manis Squama), Dahuang (Rhubarb), Quanxie (Scorpio), Zaojiaoci (Gleditsiae Spina), Xuxiang (Frankincense), Yiyijin (Herba Siegesbeckiae), Baizhi Shao (Angelicae Dahuricae Radix Tip), Gancao (Glycyrrhizae Radix et Rhizoma).
1. After resolution, if residual heat causes hemorrhage, combine Xijiao (Rhinocerotis Cornu) and Dihuang (Rehmanniae Radix) with Huanglian Jiedu Tang (Coptis and Detoxification Decoction), or Siwu Tang (Four Substances Decoction) adding Ychen (Artemisiae Scopariae Herba), Mutong (Akebiae Caulis), and Xijiao (Rhinocerotis Cornu) to promote urination and descend Heat.
Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction):
Xijiao (Rhinocerotis Cornu), Baishao (Paeoniae Radix Alba), Heishanzhi (Gardeniae Fructus), Shengdi (Rehmanniae Radix), Danpi (Moutan Cortex), Huangqin (Scutellariae Radix), Honghua (Carthami Flos), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Ou jie (Nelumbinis Nelumbo Nuciferae Rhizoma Node).
Decocted in water and taken orally.
Huanglian Jiedu Tang (Coptis and Detoxification Decoction):
Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Niu Bang Zi (Arctii Fructus), Lianqiao (Forsythiae Fructus), Heishanzhi (Gardeniae Fructus), Fangfeng (Saposhnikoviae Radix), Mutong (Akebiae Caulis), Jingjie (Schizonepetae Herba), Yuanshen (Scrophulariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Zhuye (Bambusae Folium).
Siwu Tang (Four Substances Decoction) - see above.
1. After resolution, if residual heat causes day/night irritability, delirium, and madness, use Yi Yuan San (Benefiting Origin Powder) with Dengxin Tang (Juncus Decoction), or Wuling San (Five-Ling Powder) removing Baizhu (Atractylodis Macrocephalae Rhizoma) and Rougui (Cinnamomi Cortex), adding Chen Sha (Cinnabaris), Huangqin (Scutellariae Radix), and Huanglian (Coptidis Rhizoma). If irritability/delirium occurred at initial eruption, use Shengma Gegen Tang (Cimicifugae et Puerariae Decoction) adding Congbai (Allii Fistulosi Bulbus) and Huangqin (Scutellariae Radix); add Shigao (Gypsum Fibrosum) in summer. If Wind is dominant, add Xiaofeng San (Wind-Dispersing Powder) and Yi Yuan San (Benefiting Origin Powder).
Yi Yuan San (Benefiting Origin Powder):
Huashi (Talcum), Chen Sha (Cinnabaris), Gancao (Glycyrrhizae Radix et Rhizoma).
Wuling San (Five-Ling Powder):