痛，便后痛减，里急后重之痢疾，法当温下，假使畏缩不前，拖延日久，必无好音，莫如乘
此邪气初聚之时，急夺其邪，冀邪去正存，方可收拾一切未完也。
白芍（三钱） 槟榔（三钱） 生大黄（五钱酒炒半黑） 炒黄芩（三钱） 楂炭（三钱） 熟
附子（二钱） 炒山连（二钱） 神曲（四钱） 广皮炭（三钱） 小枳实（三钱） 赤 桂（钱半）
煮成三杯，先服一杯，候一二时，俟其再便，腹不痛，即勿服，腹仍痛，再服第二杯，
三杯亦如之。
初五日 痘十四天，四肢结痂，十有其五，昨日服药后，腹痛愈甚，便中粪多积少，日
夜共
七八次。今用前方减附子一钱，桂心二分，服后巳刻至未刻，便红积二次，腹中仍痛，粪色
如赭，后二杯即加赤桂心八分，约服一半杯，腹痛即便，红积仍有，粪色黄。夜半服第三杯
，寅时连便二次，粪色仍赭，微有红积，腹仍微痛。
初六日 痘十五天，膝下至足趾，痂尚未结全。巳刻便一次，燥粪黄色兼赭色，溏粪微
滞
红积，腹不痛。午刻服第一杯，至亥刻便一次，粪色黄无积，丑刻便一次，无积，粪黄。
生苡仁（五钱） 黄芩炭（钱半） 高丽参（三钱） 云苓（五钱，连皮） 南楂炭（二钱） 炒
神曲
（三钱） 炒白芍（二钱） 广皮炭（三钱） 槟榔（二钱） 山连（一钱，姜炒） 赤
桂心（钱半） 炙甘草（一钱）
初七日 痘十六天，痂已结齐，痢已痊可，不必服药。目带微肿，谷精草泡茶饮之。
初八日 青睛有云翳，速清胆络之热毒。
谷精草（四两） 桑叶（三钱） 连翘（三钱） 茶菊花（三钱） 青葙子（三钱）
初九日 痘浆未足，毒流胆络，故青睛白翳；又感时令燥气化火，故白睛起太阴睛症。
考古治法，治以六味丸作汤，改茯苓为君，再加清胆络之热毒以退翳。
云苓块（四钱） 山药（钱半） 青葙子（二钱） 泽泻（钱半） 谷精草（三钱） 萸肉（钱半）
真大生地（二钱） 茶菊花（二钱） 丹皮（二钱） 桑叶（二钱）
初十日 仍照前方服，加∶
生甘草（一钱五分） 银花（五钱） 连翘（三钱）
目内白翳稍退，烦躁常哭，因痘后血虚化燥故也，与甘麦大枣汤主之。
生甘草（钱半） 小麦（七合） 大枣（五枚）
煮粥服之。
十一日 目内白翳仍有，身上起大小疮数十粒，复生细痘，在旧痂窝内，痘浆未足，流
毒成疮故也。仍服初九日方。
十二日 目内白翳退，太阴睛疮仍在，疮未见消落，原方再作服。
十三日 目内太阴睛疮仍在，续出之疮痘未退，仍服原方，疮贴紫草膏加烂草灰。
十四日 药原方。
十五日 停药。
十六日 目内太阴睛疮稍退，仍有翳，身上疮已落痂者复生，小疮未落之处，复有倒浆
欲溃，总之流毒未清之故也，原方再服。目内翳以四退散治之。
十七至二十三日 痘已盈月，目内太阴睛疮未尽，翳仍在，仍服原方，又服钱氏蝉蜕散
，一日二服。
蝉衣为末，每服一钱，羊肝汤下，日二服。
四退散 主治目睛老翳。
人蜕 蛇蜕 蝉蜕 鸡蜕（即凤凰衣） 每药一两，加梅片一分，左眼右鼻闻，右眼左鼻
闻，每闻少许，两月后全愈。
赵姑 乙酉六月十五日 体坚痘少，原可不必服药，但痘愈少，浆更不可不足，舌苔浓
，中黄边白，且与清毒一帖，明日再与托浆一帖。
苦桔梗（一钱） 人中黄（八分） 银花（三钱） 荷叶边（一角） 牛蒡子（钱半） 全归（钱
半） 连翘（三钱）
明日服保元法，煮两小杯，分二次服。
十六日 于前方内加∶
党参（三钱） 生绵 （四钱） 炙甘草（一钱半） 白芷（五钱）
十七日 辛凉结痂，古人之正法也。实脾利水，亦有湿者所宜施也。兹当暑月，舌苔浓
而白，湿也；身热未尽退，热也。二法可合用。
连翘（三钱） 云苓块（三钱，连皮） 银花（三钱） 生苡仁（三钱） 芦根（三钱）
腹痛，排便后疼痛减轻，这是伴有里急后重症状的痢疾，治法应当采用温下法。假如因为畏惧而退缩不前，拖延日久，必定不会有好的结果。不如趁着邪气刚刚聚集的时候，迅速祛除邪气，期望邪去而正气留存，这样才能收拾好一切未完成的局面。
白芍（三钱） 槟榔（三钱） 生大黄（五钱，用酒炒至半黑） 炒黄芩（三钱） 山楂炭（三钱） 熟附子（二钱） 炒黄连（二钱） 神曲（四钱） 广陈皮炭（三钱） 小枳实（三钱） 赤桂（一钱半）
煎煮成三杯药液，先服用一杯，等待一到两个小时，等到再次排便，如果腹部不痛了，就不要再服；如果腹部仍然痛，再服用第二杯，第三杯也照此办理。
初五日：出痘第十四天，四肢结痂，已有五分之一的面积结痂。昨天服药后，腹痛更加严重，大便中粪便多而积滞少，日夜共排便七八次。今天使用前方，减去附子一钱，桂心二分。服药后从巳时到未时，排出红色积滞二次，腹部仍然疼痛，粪便颜色像赭石色。后两杯药则加入赤桂心八分，大约服用了一半杯，腹痛随即缓解，但仍有红色积滞，粪便颜色变黄。半夜服用第三杯，寅时连续排便两次，粪便颜色仍为赭色，微有红色积滞，腹部仍轻微疼痛。
初六日：出痘第十五天，膝盖以下至足趾，痂皮尚未完全结全。巳时排便一次，干燥的粪便黄色兼带赭色，稀便中有轻微滞留的红色积滞，腹部不痛。午时服用第一杯药，到亥时排便一次，粪便黄色无积滞，丑时排便一次，无积滞，粪便黄色。
生薏苡仁（五钱） 黄芩炭（一钱半） 高丽参（三钱） 云茯苓（五钱，连皮） 南山楂炭（二钱） 炒神曲（三钱） 炒白芍（二钱） 广陈皮炭（三钱） 槟榔（二钱） 黄连（一钱，姜炒） 赤桂心（一钱半） 炙甘草（一钱）
初七日：出痘第十六天，痂皮已完全结齐，痢疾已经痊愈，不必再服药。眼睛带有轻微肿胀，用谷精草泡茶饮用即可。
谷精草（四两） 桑叶（三钱） 连翘（三钱） 茶菊花（三钱） 青葙子（三钱）
初九日：痘浆尚未充足，毒邪流注于胆络，所以黑睛出现白翳；又感受时令燥气化火，所以白睛出现太阴睛症。考证古代治法，以六味丸改为汤剂，将茯苓作为君药，再加清除胆络热毒的药物以退翳。
云茯苓块（四钱） 山药（一钱半） 青葙子（二钱） 泽泻（一钱半） 谷精草（三钱） 山茱萸肉（一钱半） 真大生地（二钱） 茶菊花（二钱） 牡丹皮（二钱） 桑叶（二钱）
初十日：仍然按照前方服用，加入：
眼内白翳稍微消退，烦躁常哭，这是因为痘后血虚化燥所致，给予甘麦大枣汤主治。
煮粥服用。
十一日：眼内白翳仍然存在，身上长出大小疮数十粒，重新生出细痘，在旧痂窝内，因痘浆不足，流毒成疮所致。仍然服用初九日的方子。
十二日：眼内白翳消退，太阴睛疮仍在，疮疡未见消落，原方继续服用。
十三日：眼内太阴睛疮仍在，新长出的疮痘未退，仍然服用原方，疮口贴紫草膏并加烂草灰。
十四日：药物同原方。
十五日：停药。
十六日：眼内太阴睛疮稍微消退，仍有翳膜，身上疮疡已落痂的地方又复发，小疮未落之处，又有倒浆欲溃之象，总之是流毒未清的缘故，原方再服。眼内翳膜用四退散治疗。
十七日至二十三日：出痘已满一个月，眼内太阴睛疮未尽，翳膜仍在，仍然服用原方，又服用钱氏蝉蜕散，一日两次服用。
蝉衣研为末，每次服用一钱，用羊肝汤送服，一日两次。
人蜕 蛇蜕 蝉蜕 鸡蜕（即凤凰衣） 每味药一两，加冰片一分，左眼对右鼻闻，右眼对左鼻闻，每次闻少许，两个月后痊愈。
赵姑 乙酉年六月十五日 体质坚实，痘疹较少，原本可以不必服药，但是痘愈少，痘浆更不可不足。舌苔浓，中间黄边缘白，且给予一帖清毒药，明日再给予一帖托浆药。
苦桔梗（一钱） 人中黄（八分） 金银花（三钱） 荷叶边（一角） 牛蒡子（一钱半） 全当归（一钱半） 连翘（三钱）
明日服用保元法，煮成两小杯，分两次服用。
十六日：在前方中加入：
党参（三钱） 生绵黄芪（四钱） 炙甘草（一钱半） 白芷（五钱）
十七日：辛凉解表结痂，是古人的正法。实脾利水，也是湿证患者适宜施用的方法。此时正值暑月，舌苔浓而白，这是湿邪；身体发热尚未完全退尽，这是热邪。两种方法可以合用。
Abdominal pain that alleviates after defecation, accompanied by tenesmus (a feeling of incomplete evacuation), characterizes dysentery. The treatment principle should be warm purgation (Wen Xia). If one hesitates and delays, the condition will inevitably worsen without a favorable outcome. It is better to seize the moment when pathogenic factors are just gathering and urgently eliminate them, hoping that once pathogens are gone, healthy qi remains, thereby allowing for the resolution of all unresolved issues.
Bai Shao (Radix Paeoniae Alba, 3 qian) Bin Lang (Areca Seed, 3 qian) Sheng Da Huang (Raw Radix et Rhizoma Rhei, 5 qian, stir-fried with wine until half-black) Chao Huang Qin (Scutellariae Radix, stir-fried, 3 qian) Zha Tan (Charred Hawthorn Fruit, 3 qian) Shu Fu Zi (Prepared Aconiti Lateralis Radix, 2 qian) Chao Lian Xin (Coptidis Rhizoma, stir-fried, 2 qian) Shen Qu (Medicated Leaven, 4 qian) Guang Pi Tan (Charred Citri Reticulatae Pericarpium, 3 qian) Xiao Zhi Shi (Immature Bitter Orange Fruit, 3 qian) Chi Gui (Cinnamomi Ramulus, 1.5 qian)
Decoct into three cups. Take one cup first. Wait one to two hours. If upon subsequent defecation there is no abdominal pain, do not take more; if abdominal pain persists, take the second cup. The third cup is administered similarly.
Fifth day: Fourteen days since eruption of variola (smallpox). Scabs have formed on the four limbs, covering about 50%. After taking medicine yesterday, abdominal pain intensified. Stools contained more feces and less accumulation (mucus/blood), with seven to eight bowel movements per day and night. Today, using the previous formula but reducing Fu Zi by 1 qian and Gui Xin by 2 fen. Between Si hour (9-11 AM) and Wei hour (1-3 PM), two episodes of red accumulation were passed. Abdominal pain persisted. Feces were ochre-colored. For the next two cups, add Chi Gui Xin by 8 fen. Approximately half a cup was taken. Abdominal pain ceased immediately after defecation, but red accumulation remained. Feces turned yellow. At midnight, the third cup was taken. In Yin hour (3-5 AM), two consecutive bowel movements occurred. Feces remained ochre-colored with slight red accumulation. Abdominal pain was still mild.
Sixth day: Fifteen days since eruption. Scabs below the knees to the toes are not yet fully formed. One bowel movement at Si hour: dry feces yellow mixed with ochre; loose stool with slight sticky red accumulation; no abdominal pain. First cup taken at Wu hour (11 AM-1 PM). One bowel movement at Hai hour (9-11 PM): yellow feces, no accumulation. One bowel movement at Chou hour (1-3 AM): no accumulation, yellow feces.
Sheng Yi Ren (Coicis Semen, 5 qian) Huang Qin Tan (Charred Scutellariae Radix, 1.5 qian) Gao Li Shen (Korean Ginseng Radix, 3 qian) Yun Ling (Poria, 5 qian, with skin) Nan Zha Tan (Charred Southern Hawthorn Fruit, 2 qian) Chao Shen Qu (Stir-fried Medicated Leaven, 3 qian) Chao Bai Shao (Stir-fried Radix Paeoniae Alba, 2 qian) Guang Pi Tan (Charred Citri Reticulatae Pericarpium, 3 qian) Bin Lang (Areca Seed, 2 qian) Shan Lian (Coptidis Rhizoma, 1 qian, stir-fried with ginger) Chi Gui Xin (Cinnamomi Cortex, 1.5 qian) Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma, 1 qian)
Seventh day: Sixteen days since eruption. Scabs are completely formed. Dysentery has recovered. No further medication needed. Eyes show slight swelling. Drink Gu Jing Cao (Euphrasiae Herba) tea.
Eighth day: Cloudy membrane (Yun Yi) appears on the cornea (Qing Jing). Quickly clear heat-toxin from the Gallbladder collaterals.
Gu Jing Cao (Euphrasiae Herba, 4 liang) Sang Ye (Mori Folium, 3 qian) Lian Qiao (Forsythiae Fructum, 3 qian) Cha Ju Hua (Chrysanthemi Indici Flos, 3 qian) Qing Xiang Zi (Veronicae Semen, 3 qian)
Ninth day: Variolous pus is insufficient. Toxins flow into the Gallbladder collaterals, causing white opacity on the cornea. Additionally, seasonal dryness transforms into fire, causing Taiyin Jing syndrome (symptoms affecting the eye's white part) on the sclera. Consulting ancient methods, treat with Liu Wei Wan modified as a decoction, making Fu Ling the sovereign herb, plus herbs to clear heat-toxin from the Gallbladder collaterals to reduce opacity.
Yun Ling Kuai (Poria, 4 qian) Shan Yao (Dioscoreae Rhizoma, 1.5 qian) Qing Xiang Zi (Veronicae Semen, 2 qian) Ze Xie (Alismatis Rhizoma, 1.5 qian) Gu Jing Cao (Euphrasiae Herba, 3 qian) Yu Rou (Corni Fructus, 1.5 qian) Zhen Da Sheng Di (Rehmanniae Radix Recens, 2 qian) Cha Ju Hua (Chrysanthemi Indici Flos, 2 qian) Dan Pi (Moutan Cortex, 2 qian) Sang Ye (Mori Folium, 2 qian)
Tenth day: Continue with the previous formula, adding:
Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 1.5 qian) Yin Hua (Lonicerae Japonicae Flos, 5 qian) Lian Qiao (Forsythiae Fructum, 3 qian)
The white opacity in the eyes recedes slightly. Irritability and frequent crying occur due to blood deficiency transforming into dryness after smallpox. Prescribe Gan Mai Da Zao Tang (Licorice, Wheat, and Jujube Decoction).
Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 1.5 qian) Xiao Mai (Tritici Fructus, 7 he) Da Zao (Jujubae Fructus, 5 pieces)
Cook as porridge and consume.
Eleventh day: White opacity in the eyes persists. Dozens of large and small sores appear on the body. Fine pustules re-emerge within old scab pits. Due to insufficient pus, toxins flow and form sores. Continue taking the Ninth Day Formula.
Twelfth day: White opacity in the eyes recedes. Taiyin Jing sores remain. Sores have not subsided. Continue taking the original formula.
Thirteenth day: Taiyin Jing sores in the eyes persist. Newly erupted sores/pustules have not resolved. Continue taking the original formula. Apply Zi Cao Gao (Arnebiae Unguent) to sores and add rotten grass ash.
Fourteenth day: Medication same as original formula.
Fifteenth day: Stop medication.
Sixteenth day: Taiyin Jing sores in the eyes recede slightly, but opacity remains. Sores on the body that had scabbed over recur. Small sores that had not fallen off show signs of inverted pus and impending rupture. This is fundamentally due to uneliminated flowing toxins. Continue taking the original formula. Treat ocular opacity with Si Tui San (Four Shedding Powder).
Seventeenth to Twenty-third days: More than a month since eruption. Taiyin Jing sores in the eyes are not fully healed; opacity remains. Continue taking the original formula. Also administer Qian Shi Chan Tui San (Master Qian's Cicada Slough Powder), twice daily.
Chan Yi (Periostracum Cicadae) powdered. Take 1 qian each time, washed down with Sheep Liver Soup. Twice daily.
Si Tui San (Four Shedding Powder) Main indication: Old opacity of the eyeball.
Ren Tui (Human Placenta) She Tui (Ophichthus Skin) Chan Tui (Cicada Slough) Ji Tui (Chicken Gizzard Lining, also known as Feng Huang Yi). Each herb 1 liang, plus Bing Pian (Borneolum Syntheticum) 1 fen. Inhale through left nostril towards right eye, and right nostril towards left eye. Inhale a small amount each time. Complete recovery after two months.
Zhao Gu (Aunt Zhao) June 15, Yihyou Year. Constitution is solid, few pox. Originally, medication might not have been necessary. However, fewer pox mean pus must be sufficient. Tongue coating is thick, yellow in center, white at edges. Administer one dose of Qing Du (Clear Toxin) today. Tomorrow, administer one dose of Tuo Jiang (Support Pus).
Ku Jie Geng (Platycodonis Radix, 1 qian) Ren Zhong Huang (Indicum Humanis Excrementum Purificatum, 8 fen) Yin Hua (Lonicerae Japonicae Flos, 3 qian) He Ye Bian (Nelumbinis Folium Margin, 1 corner) Niu Bang Zi (Arctii Fructus, 1.5 qian) Quan Gui (Angelicae Sinensis Radix, Whole, 1.5 qian) Lian Qiao (Forsythiae Fructum, 3 qian)
Tomorrow, administer Bao Yuan method. Decoct into two small cups, divide into two doses.
Sixteenth day: Add to previous formula:
Dang Shen (Codonopsis Radix, 3 qian) Sheng Mian Huang Qi (Raw Astragali Radix, 4 qian) Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma, 1.5 qian) Bai Zhi (Angelicae Dahuricae Radix, 5 qian)
Seventeenth day: Acrid-cool resolution leading to scabbing is the orthodox method of the ancients. Strengthening Spleen and promoting urination is suitable for dampness cases. Currently in summer month. Tongue coating is thick and white, indicating dampness. Body heat has not fully subsided, indicating heat. Both methods can be combined.
Lian Qiao (Forsythiae Fructum, 3 qian) Yun Ling Kuai (Poria, 3 qian, with skin) Yin Hua (Lonicerae Japonicae Flos, 3 qian) Sheng Yi Ren (Coicis Semen, 3 qian) Lu Gen (Phragmitis Rhizoma, 3 qian)