夫小儿痘症一现。发热三五日。旋旋而出三五十窠粒。无他症。能饮食。便利匀。神气清朗。根据
序而出。出而贯浆。浆而满。满而回。乃自然造化之理也。吉也。不然。发热壅甚。面肿目闭。咽痛
肚痛。呛喉嘎牙。四肢厥冷。谵语。泄利水谷。渴吐胀满。不食寒战。目无光者。此皆凶症也。
小儿肤体。受之父母。气血壮弱。禀在胎元。痘之毒热。自里而达于表。表者气分也。气之虚者。
灰白平陷。治宜补气。气之实者。热之壅甚。出不快。此表实。治宜发表。在里者血分也。红肿 紫。
二便秘涩。用药少疏利。于中和止之为上工也。
妇女之形有经脉胎产。岂与婴孩治例相同也。其症多端。略陈一二。如妇女出痘贯浆之时。或遇
临月之正产。或因痘热之极而令胎亡。或小产。或遇行经之期。经血适来。或血液妄行。吐衄崩漏。
致令血虚。必令痘疮变坏。以保元汤加四物。如胎动必加安胎等剂治之。则无虞矣。岂与婴孩同例治
之也耶。
痘之婴孩。岂知禁忌。如父母未经心而误触犯者有之。致令痘疮黑靥。靥则轻变重。变危毙而无
救。世多有之。深可哀矜。今录之以备不虞也。狐臭沟渠及腐浊秽气。孝妇新婚产月经崩漏血腥膻臊
气。醉酒硫黄火药焦毛气。初病汗湿疫疠瘟KT 气。麝香骨刺头发误火烧烟戗气。葱韭薤蒜烹煎油气。
熬漆胚等臭气。误触痘孩。恐毒入里。令痘 。而死生未可知矣。即用乳香苍术红枣降真芫荽烧之。
或芫荽酒喷之帏幕及喷身以解之。或母饮芫荽酒。令子乳之。即安。乳母亦可慎口及房欲。亦不可与
子鸡鸭。且吃令儿盲目。冷
物食令子水硬。以温药解之。热物多以凉药解之。亦不可凉。乃痘疮赖于温养也。如痘初起及回时。
古云首尾俱不可汗下是也。
小儿出痘疹，一旦显现。发热三五日之后，陆续发出三五十个痘粒，没有其他病症，饮食正常，大小便均匀，精神清爽明亮，按照顺序依次发出，发出后灌浆，浆满后回缩，这是自然造化的规律，属于吉兆。如果不是这样，发热非常严重，面部肿胀眼睛闭合，咽喉疼痛腹部疼痛，呛咳喉哑咬牙，四肢冰冷，说胡话，腹泻排出未消化的食物和水，口渴呕吐腹胀，不吃东西寒战，眼睛没有光泽的，这些都是凶险的症候。
小儿的身体，承受于父母，气血的强弱，禀受于胎元。痘疹的毒热，从体内到达体表。体表属于气分。气虚的，痘色灰白平坦下陷，治疗应当补气。气实的，热邪壅滞严重，痘出不快，这属于表实，治疗应当发表（发散表邪）。在体内的属于血分，红肿紫暗，大小便秘涩，用药稍微疏忽导致通利过度，以平和中正为最好，这才是高明的医生。
妇女的生理特点有月经、怀孕、生产，难道与婴儿的治疗条例相同吗？她们的病症多种多样，略举一二。如妇女出痘灌浆的时候，或者遇到临月正产，或者因为痘热极盛而导致胎死腹中，或小产，或者遇到行经期间，经血恰好到来，或者血液妄行，吐血鼻出血或崩漏，导致血虚，必然使痘疮变坏。用保元汤加入四物汤，如果胎动必须加入安胎等药剂治疗，就没有危险了。这难道是与婴儿同样的治疗条例吗？
出痘的婴儿，哪里知道禁忌。如果父母不小心而误触犯的就有这种情况，导致痘疮变成黑色结痂，结痂则轻症变重症，变得危重死亡而无法救治，世上多有这种情况，深深令人哀怜同情。现在记录下来以备不测。狐臭沟渠以及腐浊秽气，孝妇新婚产妇月经崩漏血腥膻臊气，醉酒硫黄火药烧焦毛发气味，初病汗湿疫疠瘟气，麝香骨刺头发误火烧烟呛人气，葱韭薤蒜烹煎油气，熬漆胚等臭气，误触痘孩，恐怕毒气入里，令痘疹恶化，而死生未可知了。就用乳香苍术红枣降真芫荽烧之，或者用芫荽酒喷洒帷幔及喷洒身体来化解它。或者母亲喝芫荽酒，让儿子吃奶，就平安了。乳母也要谨慎口腹及房事欲望，也不可给儿子吃鸡鸭，且吃这些东西会让儿盲目，冷物食让子水硬，用温药化解它，热物多以凉药化解它，也不可以太凉，乃是因为痘疮依赖于温养啊。如痘初起及回缩时，古话说首尾都不可发汗攻下是正确的。
When a child presents with smallpox (Xia'er Douzheng), after three to five days of fever, thirty to fifty pustules emerge gradually. With no other symptoms, normal appetite and digestion, regular bowel movements, and clear spirit, the eruption follows a sequential order: emerging, filling with pus, maturing, and then receding. This is the principle of natural creation and indicates a favorable prognosis. Conversely, if the fever is severe, accompanied by facial swelling and closed eyes, sore throat and abdominal pain, choking, hoarseness, teeth grinding, cold limbs, delirium, diarrhea with undigested food and water, thirst, vomiting, distension, anorexia, chills, and dull eyes, these are all ominous signs.
The child's body is inherited from parents, and the strength of Qi and Blood depends on the prenatal endowment. The toxic heat of smallpox moves from the interior to the exterior. The exterior corresponds to the Qi level. If Qi is deficient, the lesions appear grayish-white, flat, and sunken; treatment should tonify Qi. If Qi is excess, heat is severely congested, and eruption is slow, indicating Exterior Excess; treatment should release the Exterior. The interior corresponds to the Blood level. Redness, swelling, and purplish discoloration with constipation of both stool and urine require careful medication; avoiding excessive purgation and maintaining balance is the mark of a skilled physician.
Women have physiological characteristics such as menstruation, pregnancy, and childbirth; their treatment protocols cannot be identical to those for infants. Their conditions are diverse, but I will briefly mention a few. When a woman with smallpox is filling with pus, she may encounter labor at term, or extreme smallpox heat may cause fetal death or miscarriage. She may also experience menstruation during the eruption, leading to abnormal uterine bleeding (Benglou) or hematemesis/epistaxis, resulting in Blood deficiency, which causes the smallpox lesions to deteriorate. Use Baoyuan Tang combined with Siwu Tang. If there is fetal restlessness, add fetal-calming agents. This ensures safety. How can this be treated the same as for infants?
Infants suffering from smallpox do not understand contraindications. Parents may inadvertently violate them, causing the lesions to turn black and form eschars. This transforms mild cases into severe ones, leading to critical danger and death without remedy. Such cases are common and deeply pitiable. I record these here for prevention. Avoid foul odors from fox stink, ditches, putrefaction, and filth; the bloody and musky odor of mourning widows, newlyweds, postpartum women, menstrual flow, and uterine bleeding; the smell of drunkenness, sulfur, gunpowder, and burnt hair; the damp sweat and epidemic pestilence qi of early illness; the pungent smoke from musk, bone spicules, hair, accidental fire burns; the cooking oil fumes of green onions, leeks, shallots, and garlic; and the stench of boiled lacquer and embryos. Accidental exposure to these may allow toxins to enter the interior, worsening the smallpox, with uncertain survival. To resolve this, burn frankincense, Atractylodes macrocephala, red dates, Dalbergia odorifera, and Coriandrum sativum, or spray Coriandrum sativum wine on curtains and the body. Alternatively, the mother drinks Coriandrum sativum wine and breastfeeds the infant, bringing peace. The nursing mother must also abstain from sexual desire and dietary indiscretions. Do not feed the infant chicken or duck, as these may cause blindness. Cold foods may cause hardness in the abdomen; resolve with warm medicines. Hot foods should be resolved with cool medicines, but avoid excessive cooling, as smallpox relies on warmth and nourishment. As the ancients said, neither sweating nor purging should be used at the beginning or end of the disease course.