痘疮从颧骨上起者。曰当颧痘。朗朗不妨。稠密者危。 在口两角出者。曰监门痘。后必成
水泡及泻。 下颐先出。曰脱须痘。浆虽充灌。终属危候。 痘出红活光泽。粗细一匀者。曰石
痘。吉。 手足四肢皆有。惟身少者。曰四腕痘。凶吉相半。若身面皆无者不治。 通身皆有。
足心无者。曰无根痘。须看周身多少。少者吉。多者凶。 上身少。下体多者。曰逆痘。凶。
上身多。下体少者。曰顺痘。吉。 上下有而中间少。或两胁多而腹上无。腿上不起者。曰两节
痘。危。此证当从虚治。 胸前独多。曰瞒心痘。多凶。加渴泻者不治。 两腰每边一个紫大者。
或皆紫黑如蚤咬者。及未出先见腰痛者。曰折腰痘。五日死。 初报点五七粒成丛。数十处皆然
者。曰梅花痘。起肿必达成一片平塌。若有赠痘光泽如珠者。吉。赠痘亦平塌枯滞者。凶。 报
点周时即痂。复又报点。如是数番。名九焦痘。可治。若当额地角颧骨心胸背手耳后。有一二个
黑陷者。亦曰九焦。不治。 痘粗肥而娇红色艳。不能结实。名晃痘。不可因其好看而妄断为吉
。急宜调补脾气。否则为溏泻痒塌之患。 痘出而顶有皱纹者。曰椒皮痘。或纹如茱萸者。皆不
治。 痘出红润而中心少有黑点者。曰茱萸痘。为血热。可治。 中黑陷而四围灰白者。曰陷顶
痘。九日死。 初出状如蚊蚤所啮。三日后反不见者。曰反关痘。五日死。 痘起黑陷。或紫黑
中有血疔者。曰紫疔痘。七日死。 痘疮中有紫黑疔。生于 上。太阳当心者。曰黑疔痘。三日
死。 痘黑而光泽者。曰贼痘。有背部与当颧监门。及拘腮锁口。俱用银针挑破。以珍珠散涂之。
初起疮色淡紫成片。曰紫云痘。十日死。 痘未出时先惊搐。曰先惊痘。不必治惊。痘出自愈。
若出而复没。虽少而不起发者。难治。若已出而发惊者。曰逆惊痘。不治。 痘起稠密无缝。紫黑
成片而发搐者。曰惊搐痘。不出六日死。痘出虽有缝。粒密而色昏者。曰数臾痘。不治。 痘出
不圆不起。顶红根白者。曰顶红痘。不治。 痘空处有云头红色者。名夹斑痘。治之而斑退痘起
者吉。否则凶。 痘空处细密有头粒者。曰夹疹痘。痘稀而疹先退者轻。痘密而疹不退者重。
痘出大便秘结。而痘疮朗朗红活者。曰关门痘。不妨。 痘疮不成脓。而内泻痢者。曰伏阴痘。
治宜温里。痘疮红润。而引饮渴不止。及狂言 妄者。曰向阳痘。治当凉解。 痘疮正出。而胸
膈高肿。内不宽者。曰结胸痘。下之生。迟则死。 周身皆收靥脱痂。巅顶一粒紫大不收者。曰
鹤顶痘。二十日外。必发惊而死。亦有周身痂脱。正额一粒溃而不敛。至月余作痒。破出臭脓。
声哑闷乱而死者。有周身痂脱。头上一粒不敛。至四七日忽痒甚出蛆。声哑闷乱而死。皆鹤顶之
类也。 有收靥脱痂之后。忽身发火热。旧靥愈处。重出一番。痘竦囊聚。肿痛愈加者。曰 杌
痘。此毒蓄营卫。急宜凉血解毒。当慎风寒。节饮食。否则。必毒邪攻迫。腹胀溃烂。阴阳不分
而死。 痘皮薄破烂者。曰湿痘。大剂补脾燥湿。间有生者。切禁黄 。以其反助表湿也。 痘一
出如豆壳水泡。兼腹泻不止。曰水患痘。不治。 痘起胀而与肉齐平。虽有黄浆。根血紫滞者。
曰板黄痘。亦名延日痘。虽痂尽脱。而日渐枯涸。延至月余多死。 痘四围平塌阔薄。中间一点
色白而点者。曰 窠痘。必死。 痘出数粒面丛。平塌不起者。曰 痘。治之起发分颗者吉。
否则凶。初起发时。疮头便带白浆者。曰疫痘。不治。 痘点见于下颐。或耳下眉心。若白头如
。渐干枯倒陷者。曰白闷痘。三四日死。若报点如丹。渐干焦紫黑者。曰紫闷痘。五六日死。
若喘胀衄血便血者。曰紧闷痘。二三日死。 痘周身皆
白。内空壳一联者。曰蛇壳痘。难治。若变臭者可治。 痘疮至浆来而溃烂。臭不可闻者。曰臭
痘。无妨。臭而裂者。为外剥。不治。 痘稠密不能起发灌浆。六七日间。忽泻脓血者。曰泻浆
痘。此证多有生者。虽危不妨。 痘初起时光泽。至四五日反不起而伏陷。将发虚寒者。曰伏陷
痘。急当扶里为主。 痘虽起发灌浆。浆未足而忽然干靥者。曰倒 痘。多危。 痘出既红。忽
然变白。更加寒颤切牙者。曰寒颤痘。急当助表养血。亦须防过十二十四朝。方可无事。 若先
出红泽。适遇妇人经事所触。而变灰白色者。曰血厌痘。急觅月月红花或茎叶。煎汤调紫草茸末
一钱匙。入酒酿服之。缓则难救。
痘疮从颧骨部位发出的，称为当颧痘。如果稀疏明亮则无妨；如果稠密则病情危重。
在口角两侧发出的，称为监门痘，后期必然形成水泡并伴有腹泻。
在下巴先发出的，称为脱须痘，虽然浆液充盈，但最终仍属危候。
痘疮发出后颜色红活、有光泽，且大小均匀的，称为石痘，预后良好（吉）。
手足四肢都有痘疮，但身体上较少的，称为四腕痘，吉凶参半；如果身体和面部都没有的，则无法治疗。
全身都有痘疮，但足心没有的，称为无根痘，需要观察周身痘疮的多少，少的为吉，多的为凶。
上身少、下体多的，称为逆痘，预后凶险。
上身多、下体少的，称为顺痘，预后良好。
上下有痘而中间稀少，或者两胁多而腹部没有，腿部不发的，称为两节痘，病情危重。此证应当从虚证论治。
仅在胸前特别多的，称为瞒心痘，大多预后凶险；如果伴有口渴、腹泻的，则无法治疗。
腰部每边各有一个紫大痘疮，或者都呈紫黑色像被跳蚤咬的一样，以及在痘疮未出之前先出现腰痛的，称为折腰痘，五日后死亡。
初现痘点时五七粒聚集成丛，数十处都是这样的，称为梅花痘，起肿后必然连成一片且平塌，如果有赠痘（指在主痘周围或之后发出的辅助性痘疮）光泽如珠子的，预后良好；如果赠痘也平塌枯滞的，预后凶险。
痘点出现一个时辰后就结痂，随后又发出新痘，如此反复多次，名为九焦痘，可以治疗。如果在额头、地角、颧骨、心胸、背部、手部、耳后等部位，有一两个黑陷的，也称为九焦，无法治疗。
痘疮粗大肥厚而娇嫩、红色鲜艳，不能结实的，名为晃痘，不可因为看起来好看就妄断为吉兆，急需调理补益脾气，否则会导致溏泻、瘙痒塌陷的祸患。
痘疮发出后顶部有皱纹的，称为椒皮痘；或者纹路像茱萸一样的，都无法治疗。
痘疮发出后红润但中心少有黑点的，称为茱萸痘，这是血热的表现，可以治疗。
中间黑陷而四周灰白的，称为陷顶痘，九日后死亡。
初发时状如蚊虫叮咬，三天后反而看不见的，称为反关痘，五日后死亡。
痘疮起发后黑陷，或者紫黑色中有血疔的，称为紫疔痘，七日后死亡。
痘疮中有紫黑色的疔，生于[此处原文缺字，推测为特定穴位或部位]，太阳穴正对心脏位置的，称为黑疔痘，三日后死亡。
痘疮发黑但有光泽的，称为贼痘，如果有背部、当颧、监门以及拘腮锁口等情况，都用银针挑破，用珍珠散涂抹。
初起时疮色淡紫成片状的，称为紫云痘，十日后死亡。
痘疮未发出前先出现惊厥抽搐的，称为先惊痘，不必治疗惊厥，痘疮发出后自然会痊愈。如果发出后又隐没，虽然数量少但不能起发的，难以治疗。如果已经发出而后出现惊厥的，称为逆惊痘，无法治疗。
痘疮起发稠密无缝，紫黑成片并伴有抽搐的，称为惊搐痘，不出六日死亡。痘疮发出虽然有缝隙，颗粒密集但色泽昏暗的，称为数臾痘，无法治疗。
痘疮发出后不圆不起，顶部红根部白的，称为顶红痘，无法治疗。
痘疮空隙处有云头状红色的，名为夹斑痘，治疗后如果斑退痘起的预后良好，否则凶险。
痘疮空隙处细密有头粒的，称为夹疹痘，痘稀而疹先消退的病情轻，痘密而疹不退的病情重。
痘疮发出伴有大便秘结，而痘疮本身稀疏明亮的，称为关门痘，无妨。
痘疮不成脓，而内部伴有痢疾腹泻的，称为伏阴痘，治疗宜温补里气。
痘疮红润，但引水饮用且口渴不止，以及胡言乱语的，称为向阳痘，治疗应当清凉解表。
痘疮正在发出，但胸膈高肿，内部感觉不宽畅的，称为结胸痘，攻下可生，迟缓则死。
全身都已收靥脱痂，只有头顶一粒紫大不收的，称为鹤顶痘，二十日外，必然因发惊而死。也有全身痂脱，正额一粒溃烂而不收敛，至一个多月时发痒，破溃流出臭脓，声音嘶哑、神志昏乱而死的。有全身痂脱，头上一粒不收敛，至第四七个七日忽觉甚痒生出蛆虫，声音嘶哑、神志昏乱而死的，都属于鹤顶痘之类。
有在收靥脱痂之后，忽然身体发热，旧痂愈合处，重新发出一番，痘疮耸立囊聚，肿痛加剧的，称为杌痘。此毒蓄积在营卫之间，急需凉血解毒，应当慎避风寒，节制饮食，否则，必然导致毒邪攻迫，腹胀溃烂，阴阳离决而死。
痘皮薄破烂的，称为湿痘，用大剂量药物补脾燥湿，间或有生还者，切忌使用黄芩（原文“黄”后缺字，结合语境及禁忌表湿推断为黄芩或类似苦寒药，此处依WHO标准译法保留原意或补全常见药名，鉴于原文缺失，译为“Huang [missing character, likely Huangqin/Coptis]”），因为它反而会助长表湿。
痘一出就像豆壳水泡，兼有腹泻不止的，称为水患痘，无法治疗。
痘起发胀而与肉齐平，虽然有黄色浆液，但根部血液紫暗滞涩的，称为板黄痘，也叫延日痘，即使痂尽脱落，也会日渐干枯涸竭，拖延至一个多月大多死亡。
痘疮四周平塌阔薄，中间一点色白且有凹陷的，称为窠痘，必死。
痘疮发出几粒聚集成丛，平塌不起的，称为 [原文缺字，推测为某种痘名] 痘，治疗后能起发分颗的预后良好，否则凶险。初起发时，疮头便带有白浆的，称为疫痘，无法治疗。
痘点出现在下巴，或者耳下、眉心，如果白头像 [原文缺字，推测为粟米或米粒] ，逐渐干枯倒陷的，称为白闷痘，三四日死亡。如果痘点像丹砂一样，逐渐干燥焦紫黑的，称为紫闷痘，五六日死亡。如果出现气喘胀满、鼻出血、便血的，称为紧闷痘，二三日死亡。
痘疮周身皆白，内部空壳相连的，称为蛇壳痘，难以治疗，如果变臭的可以治疗。
痘疮到浆期而溃烂，臭不可闻的，称为臭痘，无妨。臭而且裂开的，为外剥，无法治疗。
痘疮稠密不能起发灌浆，在六七天之间，忽然泻出脓血的，称为泻浆痘，此证多有生还者，虽然危险但无妨。
痘疮初起时有光泽，到了四五天反而不起而伏陷，将发虚寒的，称为伏陷痘，急需以扶正固里为主。
痘疮虽然起发灌浆，但浆液未足而忽然干靥的，称为倒 [原文缺字，推测为“陷”或“卷”] 痘，大多危重。
痘疮发出既已红活，忽然变白，更加寒战咬牙的，称为寒颤痘，急需帮助表气养血，也必须防备过十二四个时辰，方可无事。
如果先发出红泽，恰好遇到妇人月经所触，而变成灰白色的，称为血厌痘，急忙寻找月季花（月月红）或其茎叶，煎汤调服紫草茸末一钱匙，加入酒酿服用，迟缓则难以救治。
Acneiform eruptions originating from the zygomatic bone are called Dangquan痘 (Dangquan痘). If sparse and bright, it is harmless; if dense, it is critical.
Those emerging at the two corners of the mouth are called Jianmen痘 (Jianmen痘), which will inevitably form blisters and diarrhea later.
Those appearing first on the lower chin are called Touxu痘 (Touxu痘); although the pus fills them, they ultimately belong to a critical prognosis.
Eruptions that are red, vibrant, lustrous, and uniform in size are called Shidou痘 (Shidou痘), indicating a favorable outcome (Auspicious).
When eruptions are present on all four limbs but fewer on the trunk, it is called Siwan痘 (Siwan痘), with mixed auspicious and inauspicious outcomes. If there are none on the body or face, it is untreatable.
When eruptions cover the whole body but are absent on the soles of the feet, it is called Wugen痘 (Wugen痘). One must observe the quantity: few is auspicious, many is inauspicious.
Fewer eruptions on the upper body and more on the lower body are called Nidou痘 (Nidou痘), indicating an inauspicious outcome.
More eruptions on the upper body and fewer on the lower body are called Shundou痘 (Shundou痘), indicating a favorable outcome.
Eruptions present at the top and bottom but scarce in the middle, or abundant on both flanks but absent on the abdomen, and not rising on the legs, are called Liangjie痘 (Liangjie痘), which is critical. This condition should be treated as deficiency.
Excessive eruptions solely on the chest are called Manxin痘 (Manxin痘), mostly inauspicious. If accompanied by thirst and diarrhea, it is untreatable.
One large purple eruption on each side of the waist, or all being purple-black like flea bites, along with lower back pain preceding the eruption, are called Zheyao痘 (Zheyao痘), leading to death in five days.
Initial spots appearing in clusters of five to seven, occurring in dozens of places, are called Meihua痘 (Meihua痘). Swelling must eventually merge into a flat patch. If auxiliary eruptions (Zeng痘) are lustrous like pearls, it is auspicious; if auxiliary eruptions are also flat and withered, it is inauspicious.
Spots scabbing within one shi (two hours) and then re-emerging repeatedly several times is named Jijiao痘 (Jijiao痘), which is treatable. However, if there is one or two black, sunken spots on the forehead, jaw angle, zygoma, chest, heart, back, hands, or behind the ears, it is also called Jijiao痘, which is untreatable.
Eruptions that are coarse, plump, delicate, brightly red, yet fail to consolidate are called Huang痘 (Huang痘). Do not rashly judge them as auspicious due to their attractive appearance. Urgently regulate and tonify Spleen Qi; otherwise, complications such as loose stools, itching, and collapse will occur.
Eruptions with wrinkles on the apex are called Jiaopi痘 (Jiaopi痘). Those with patterns resembling Cornus officinalis fruit are untreatable.
Eruptions that are red and moist but have a few black dots in the center are called Zhuyu痘 (Zhuyu痘), caused by Blood Heat, and are treatable.
Those sunken in the center and gray-white around the periphery are called Xanding痘 (Xanding痘), leading to death in nine days.
Initially resembling mosquito or flea bites, disappearing after three days, are called Fanguan痘 (Fanguan痘), leading to death in five days.
Eruptions that rise, become black and sunken, or have blood thorns within purple-black areas are called Ziding痘 (Ziding痘), leading to death in seven days.
Purple-black thorns within eruptions located at [text missing], directly facing the heart at the Taiyang point, are called Heiding痘 (Heiding痘), leading to death in three days.
Black eruptions with luster are called Zei痘 (Zei痘). For cases involving the back, zygoma, Jianmen, jaw locking, and mouth locking, pierce with silver needles and apply Zhenzhu San (Pearl Powder).
Pale purple patches appearing at onset are called Ziyun痘 (Ziyun痘), leading to death in ten days.
Convulsions and fright before eruptions appear are called Xianjing痘 (Xianjing痘). There is no need to treat the fright; eruptions will resolve spontaneously. If eruptions disappear after appearing, even if few and failing to rise, they are difficult to treat. If fright occurs after eruptions have appeared, it is called Ningjing痘 (Ningjing痘), which is untreatable.
Dense eruptions without gaps, turning purple-black in patches with convulsions, are called Jingchu痘 (Jingchu痘), leading to death within six days. Eruptions with gaps but dense grains and dull color are called Shuyu痘 (Shuyu痘), which is untreatable.
Eruptions that are not round or raised, with red apices and white bases, are called Dinghong痘 (Dinghong痘), which is untreatable.
Cloud-head shaped redness in the spaces between eruptions is named Jiaban痘 (Jiban痘). If treatment causes the macules to recede and eruptions to rise, it is auspicious; otherwise, inauspicious.
Fine, dense grains with heads in the spaces between eruptions are called Jiazhen痘 (Jiazhen痘). If eruptions are sparse and rashes recede first, the condition is mild; if eruptions are dense and rashes do not recede, the condition is severe.
Constipation accompanying eruptions, while the eruptions themselves are sparse and bright, is called Guanmen痘 (Guanmen痘), which is harmless.
Eruptions failing to suppurate, accompanied by internal dysentery and diarrhea, are called Fuyin痘 (Fuyin痘). Treatment should warm the interior.
Red and moist eruptions accompanied by excessive drinking, unquenchable thirst, and delirious speech are called Xiangyang痘 (Xiangyang痘). Treatment should cool and resolve.
Eruptions currently appearing with high swelling in the chest and diaphragm, feeling internally constricted, are called Jiexiong痘 (Jiexiong痘). Purging leads to survival; delay leads to death.
After the whole body has scabbed and shed crusts, if one large purple spot on the crown fails to heal, it is called Heding痘 (Heding痘). Beyond twenty days, death from fright is inevitable. Similarly, if the whole body sheds crusts but one spot on the forehead ulcerates and does not heal, causing itching after a month, breaking open to discharge foul pus, hoarseness, confusion, and death, this is also a type of Heding痘. Another variation involves one spot on the head failing to heal until the forty-seventh day, suddenly becoming very itchy, producing maggots, followed by hoarseness, confusion, and death; these are all categories of Heding痘.
After scabbing and shedding, sudden fever, reappearance of eruptions at old healing sites, eruptions standing up and gathering in sacs, with increased swelling and pain, is called Wu痘 (Wu痘). This toxin accumulates in Ying and Wei. Urgently cool the Blood and resolve toxicity. Avoid wind and cold, and regulate diet. Otherwise, toxic pathogens will attack, causing abdominal distension, ulceration, separation of Yin and Yang, and death.
Thin, broken eruption skin is called Shidou痘 (Shidou痘). Use large doses of herbs to tonify Spleen and dry Dampness; some may survive. Strictly avoid Huang [missing character, likely Huangqin/Coptis] as it aids exterior Dampness.
Eruptions appearing like bean-shell bladders, accompanied by incessant diarrhea, are called Shuihuan痘 (Shuihuan痘), which is untreatable.
Eruptions that swell and lie flat against the flesh, having yellow pus but purple-stagnant roots, are called Banyang痘 (Banyang痘), also known as Yandou痘 (Yandou痘). Even after crusts fall off, they gradually wither and dry out; prolonging to over a month often results in death.
Eruptions with flat, broad, thin perimeters and a single white, pitted center are called Ke痘 (Ke痘), leading to certain death.
Several eruptions emerging in clusters, flat and not rising, are called [text missing]痘. If treatment causes them to rise and separate into distinct grains, it is auspicious; otherwise, inauspicious. Eruptions with white pus at the head at onset are called Yi痘 (Yi痘), which is untreatable.
Spots appearing on the lower chin, below the ears, or between the eyebrows, with white heads like [text missing, likely millet/grain], gradually drying and collapsing, are called Baimen痘 (Baimen痘), leading to death in three to four days. Spots resembling cinnabar, gradually drying to dark purple-black, are called Zimen痘 (Zimen痘), leading to death in five to six days. Cases with wheezing, distension, epistaxis, and hematochezia are called Jinmen痘 (Jimen痘), leading to death in two to three days.
Whole-body eruptions that are white and hollow-like shells connected together are called Sheke痘 (Sheke痘), difficult to treat. If they turn foul-smelling, they are treatable.
Eruptions that ulcerate during the pus-filling stage with unbearable odor are called Choudou痘 (Choudou痘), which is harmless. If they are foul and cracked, it is called Waibo (External Peeling), which is untreatable.
Dense eruptions failing to rise and fill with pus, suddenly discharging pus and blood between the sixth and seventh days, are called Xiejiang痘 (Xiejiang痘). Many patients survive; although critical, it is not necessarily fatal.
Eruptions initially lustrous but failing to rise and sinking inward by the fourth or fifth day, indicating impending deficiency-cold, are called Fuxian痘 (Fuxian痘). Urgently focus on supporting the Interior.
Eruptions that rise and fill with pus but suddenly scab over before the pus is sufficient are called Dao [text missing, likely Daoxian/Inverted Sunken]痘, mostly critical.
Eruptions that were red but suddenly turn white, accompanied by chills and teeth grinding, are called Hanchan痘 (Hanchan痘). Urgently assist the Exterior and nourish Blood. Also guard against passing twelve to twenty-four hours; only then can safety be assured.
If eruptions initially appear red and lustrous but turn gray-white upon contact with menstrual blood from women, it is called Xueyan痘 (Xueyan痘). Immediately seek Yueyuehong Hua (Rosa chinensis flowers) or stems and leaves, decoct them, mix with one teaspoon of Zicao Rong Mo (Radix Arnebiae powder), and take with fermented rice wine. Delay makes rescue difficult.