痘里发丹因热极，宜施凉血散毒剂，涂抹内服量寒凉，外用化斑汤洗浴。
【注】此证由内热甚极而成，内宜服生地、牛蒡、芍药、甘草、木通、荆穗等药，其毒
自消。肿痛者，加柴胡，羌活；头顶盛者，毒凑上焦也，宜用炒黄连、柴胡、甘草、车前
子、栀子等药。外用化斑解毒汤洗浴，量服寒凉药，及猪胆、京墨、冰片涂抹。丹之形
色，与赤游丹毒参考。
化斑解毒汤（见肋部内发丹毒）
痘烂浸淫无完肤，水淬茶叶带湿铺，上隔草纸令儿卧，一夜脓干烂即除。
【注】此证系出痘破烂，身无完肤，脓水浸淫，沾粘衣服。宜用茶叶拣去梗，入滚水
一炸，即捞起；再拣去梗，湿铺床上，上隔草纸，令儿卧之，一夜脓干甚效。
痘风疮生先作痒，次延成片水浸淫，痘后遇风甚成癞，麦饯散搽效可申。
【注】此证由痘后遇风所致。先发细疮作痒，次延成片，脂水渐长浸淫，宜渗湿救苦
散搽之，兼避风、戒口；甚者，搔痒毒水浸淫，肌无完肤，即成痘癞，急用十全大补汤
大补气血，兼散风苦参丸以清热解毒，二方合而服之。外涂麦饯散甚效。
渗湿救苦散
密陀僧 滑石（各二两） 白芷（五钱）
上研细末，于用白蜜调搽，湿则干撒。
【方歌】渗湿救苦散白芷，密陀僧研入滑石，痘风疮起痒成片，白蜜调搽可去之。
麦饯散
小麦（炒焦，存性，一合） 硫黄（四钱） 白砒（一钱）
共研细，又加烟胶末八钱，枯矾末、川椒末各三钱，共和匀。先以葱汤洗净患处，香
油调涂，油纸盖扎，三日一换。
【方歌】麦饯痘风成癞恙，小麦炒加砒硫黄，次入烟胶枯矾末，川椒香油调上良。
十全大补汤（见溃疡门）
散风苦参丸（见发无定处癣）
痘里发丹是由于热毒极盛所致，适宜使用凉血散毒的方剂。内服和外用均应根据寒凉程度适量用药，外用可用化斑汤洗浴。
【注】此证由体内热毒极度炽盛而成，内服宜选用生地、牛蒡子、芍药、甘草、木通、荆芥穗等药物，其毒自然消散。若伴有肿痛者，加用柴胡、羌活；若头顶症状严重，说明毒邪聚集于上焦，宜选用炒黄连、柴胡、甘草、车前子、栀子等药物。外用化斑解毒汤洗浴，适量服用寒凉药物，并用猪胆汁、京墨、冰片涂抹患处。丹毒的形色表现，可参考赤游丹毒。
化斑解毒汤（见肋部内发丹毒）
痘烂浸淫是指痘疮溃烂蔓延，全身没有完好的皮肤，脓水浸渍流淌，粘连衣物。治疗宜用茶叶拣去茶梗，放入滚水中烫一下即捞出；再次拣去茶梗，趁湿铺在床上，上面隔一层草纸，让患儿睡在上面，一夜之后脓液干燥，溃烂即可消除。
【注】此证系出痘后破烂，身体无完好皮肤，脓水浸渍流淌，沾染粘住衣服。宜选用茶叶，拣去茶梗，放入滚水中焯一下，随即捞起；再拣去茶梗，湿润地铺在床上，上面隔一张草纸，让患儿卧在上面，一夜后脓液干燥，效果显著。
痘风疮发作时先感到瘙痒，随后蔓延成片，有脂水浸渍流淌，痘后若遇风邪极易形成类似癞疾的症状，使用麦饯散外搽疗效显著。
【注】此证由痘后感受风邪所致。起初出现细小疮疹并伴有瘙痒，随后蔓延成片，脂水逐渐增多并浸渍流淌，宜使用渗湿救苦散外搽，同时注意避风和忌口；病情严重者，搔抓导致痒感剧烈，毒水浸渍流淌，肌肤无完好之处，即形成痘癞，急需使用十全大补汤大补气血，兼用散风苦参丸以清热解毒，两方配合服用。外涂麦饯散效果极佳。
渗湿救苦散
密陀僧、滑石（各二两）、白芷（五钱）
以上药材研成细末，使用时用白蜜调匀外搽，若患处潮湿则直接干撒药粉。
【方歌】渗湿救苦散含白芷，密陀僧研入滑石，痘风疮起痒成片，白蜜调搽可去之。
麦饯散
小麦（炒焦至存性，一合）、硫黄（四钱）、白砒（一钱）
共同研成细末，再加入烟胶末八钱、枯矾末、川椒末各三钱，混合均匀。先用葱汤洗净患处，用香油调匀涂抹，覆盖油纸包扎固定，每三日更换一次。
【方歌】麦饯治痘风成癞恙，小麦炒加砒硫黄，次入烟胶枯矾末，川椒香油调上良。
十全大补汤（见溃疡门）
散风苦参丸（见发无定处癣）
Dengli Fadan (Erysipelas within Pockmarks) arises from extreme heat toxicity; it is appropriate to administer blood-cooling and toxin-dispersing agents. Internal and external applications should be dosed according to their cooling properties, with external use involving bathing in Huaban Decoction.
[Note] This condition results from extreme internal heat toxicity. Internally, one should take Shengdi (Rehmanniae Radix), Niubangzi (Arctii Fructus), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Mutong (Akebiae Caulis), and Jing Sui (Schizonepetae Spica); the toxicity will naturally dissipate. If accompanied by swelling and pain, add Chaihu (Bupleuri Radix) and Qianghuo (Notopterygii Rhizoma et Radix); if symptoms are severe on the crown of the head, it indicates toxin accumulation in the Upper Jiao (Upper Burner), and one should use Chao Huanglian (Stir-fried Coptidis Rhizoma), Chaihu, Gancao, Cheqianzi (Plantaginis Semen), and Zhizi (Gardeniae Fructus). Externally, bathe in Huaban Jiedu Decoction, take cooling medicines in moderation, and apply pig bile, Beijing ink, and Bingpian (Borneolum Syntheticum) to the affected area. The appearance and color of this erysipelas can be referred to Chiyou Dandu (Red Roaming Erysipelas).
Huaban Jiedu Tang (See Nei Fa Dandu in Rib Area)
Doulan Jinyin refers to pockmarks that ulcerate and spread, leaving no intact skin on the body, with pus and fluid oozing and sticking to clothes. Treatment involves selecting tea leaves, removing stems, blanching them in boiling water, and immediately removing them; remove stems again, lay them wet on the bed, place a layer of straw paper on top, and let the child lie on it overnight. The pus will dry up, and the ulcers will heal effectively.
[Note] This condition arises from ruptured pockmarks where the body has no intact skin, and pus and fluid ooze and stick to clothes. One should select tea leaves, remove the stems, blanch them in boiling water, and immediately retrieve them; remove stems again, lay them damp on the bed, cover with a sheet of straw paper, and have the child lie on it. After one night, the pus dries, which is very effective.
Doufengchuang (Pockmark Wind Ulcer) begins with itching, then spreads into patches with oozing fluid. If exposed to wind after pockmarks, it may develop into leprosy-like conditions; applying Maijian San yields excellent results.
[Note] This condition is caused by exposure to wind after pockmarks. Initially, small sores appear with itching, which then spread into patches as lipid fluid increases and oozes. Apply Shen Shi Jiu Ku San externally, while avoiding wind and observing dietary restrictions. In severe cases, scratching leads to intense itching, toxic fluid oozing, and no intact skin, resulting in Dou Lai (Pockmark Leprosy). Urgently administer Shiquan Dabu Tang to greatly tonify Qi and Blood, combined with San Feng Kushen Wan to clear heat and detoxify; take both formulas together. Applying Maijian San externally is very effective.
Shen Shi Jiu Ku San
Miduoseng (Lithargyri), Huashi (Talcum) (each 2 liang), Baizhi (Angelicae Dahuricae Radix) (5 qian)
Grind all into fine powder. When using, mix with white honey for external application; if the area is moist, sprinkle the dry powder directly.
[Prescription Verse] Shen Shi Jiu Ku San contains Baizhi, Miduoseng ground with Huashi; when Doufengchuang rises with patchy itching, mixing with white honey for application removes it.
Maijian San
Xiaomai (Stir-fried until charred but retaining nature, 1 he), Liuhuang (Sulfur) (4 qian), Bai Pi (White Arsenic) (1 qian)
Grind together into fine powder, then add Yanjiao Mo (Smoke Glue Powder) (8 qian), Kufan Mo (Alumen Powder), and Chuanjiao Mo (Zanthoxyli Pericarpium Powder) (each 3 qian), and mix uniformly. First, wash the affected area with scallion soup, mix with sesame oil for topical application, cover with oil paper and bandage securely, changing every three days.
[Prescription Verse] Maijian treats the ailment of Doufeng turning into leprosy; Xiaomai stir-fried with Pi and Liuhuang, followed by Yanjiao and Kufan powders, mixed with Chuanjiao and sesame oil is excellent.
Shiquan Dabu Tang (See Kuiyang Men)
San Feng Kushen Wan (See Fa Wu Ding Chu Xuan)