一、痘自起发之后，小者渐大，平者渐高，陷者渐起，外带微红，内涵清浆，以至灌脓之时，却
要个个成脓，根脚红活，其形圆满光泽，此时毒化成浆，山绿色而渐变苍蜡，以手按之，其皮坚硬
，脓浆浓浊，约束完固，无少破损，饮食二便如常，此上吉候也，不必服药。
一、痘密者，自起至浆，渐至壮大，未有不相串者，虽相连属，只要根脚分明，陷者尽起，无
处不透，则
毒从浆化，脓成而毒自解，无伏留者矣，此亦吉候。
一、痘之初出，或顶平，或中心陷下，或白色，只要其人能食，二便如常，治无乖谬，以及灌
脓之时，陷者微起，平者微尖，淡白者红活，窠中血水尽化为脓，但得如此，毒已解矣。又表无痛
痒之证，里无吐泻之证，是表里俱无病也，如此者，坐待收靥，不可妄投汤剂。
一、灌脓时，红紫黑色，外剥声哑者死。
一、灌时纯是清水，皮薄而白如水泡者，三四日必抓破而死。
一、脓不能灌而干枯焦黑，或全无血水， 陷者即死。
一、头面肿大，疮尽搔破，臭不可近而足冷者决死。
一、灌脓之时，吐利不止，或二便下血，乳食不化，痘烂无脓者决死。
一、灌脓之时，二便不通，腹胀，肉黑发斑，谵妄气喘，或寒战切牙者决死。
一、回浆之时，渐当苍黑收敛，而反光嫩不敛者，此气血两虚，浆不能干，必发痒，搔破而死。
一、脓浆未成，忽然干收，或青紫焦黑者死。
一、忽然作痒，正面抓破，皮脱肉干者死。
一、诸痘有浆而天庭不起，或额上如沸汤浇破，臭连两颊，水去而干，似靥非靥者死。
一、痘疹从起发之后，小的逐渐变大，平坦的逐渐隆起，凹陷的逐渐升起，外部带有微红色，内部蕴含清亮的浆液，直到灌脓的时候，要求每个痘疹都化成脓，根部红润鲜活，形状圆满有光泽，此时毒气化为浆液，颜色由山绿色逐渐变为苍蜡色，用手按压，皮肤坚硬，脓液浓浊，包裹完整坚固，没有丝毫破损，饮食和二便正常，这是上等的吉兆，不需要服药。
二、痘疹密集的，从起发到成浆，逐渐壮大，没有不相互连接的，虽然相连属，只要根部界限分明，凹陷的都完全升起，无处不透达，那么毒气随浆液化解，脓成而毒气自然解除，没有伏留的了，这也是吉兆。
三、痘疹刚发出时，有的顶部平坦，有的中心凹陷，有的呈白色，只要病人能进食，二便正常，治疗没有错误，以及到灌脓的时候，凹陷的微微升起，平坦的微微尖起，淡白色的变得红润鲜活，痘窠中的血水全部化为脓，只要达到这样，毒气已经解除了。又没有体表疼痛瘙痒的症状，体内没有呕吐腹泻的症状，这是表里都没有病，像这样的情况，坐着等待收靥（结痂），不可乱投汤药。
四、灌脓时，呈现红紫黑色，外部溃破且声音嘶哑的，主死。
五、灌脓时完全是清水，皮薄且白如水泡的，三四天必定被抓破而死。
六、脓不能灌入而干枯焦黑，或者完全没有血水，凹陷的即刻死亡。
七、头面部肿大，疮疡都被抓破，气味臭不可近且脚冷的，决死。
八、灌脓时，呕吐腹泻不止，或者二便下血，乳食不消化，痘烂无脓的，决死。
九、灌脓时，二便不通，腹胀，肌肉发黑并出现斑疹，胡言乱语气喘，或者寒战咬牙的，决死。
十、回浆的时候，应当逐渐变为苍黑色收敛，如果反而娇嫩不收敛的，这是气血两虚，浆液不能干燥，必定发痒，抓破而死。
十一、脓浆未成，忽然干燥收敛，或者青紫焦黑的，主死。
十二、忽然作痒，正面被抓破，皮脱肉干的，主死。
十三、所有痘疹都有浆液但天庭（额头）不起，或者额头如沸水浇破，臭味连及两颊，水分去后干燥，似结痂非结痂的，主死。
1. After the pox begins to erupt, small ones gradually enlarge, flat ones gradually rise, and depressed ones gradually elevate, with a slight redness on the exterior and clear fluid contained within. When reaching the stage of suppuration (formation of pus), it is required that each lesion suppurates completely, with a reddish and vibrant base, a round shape, and a lustrous appearance. At this time, the pathogenic toxin transforms into fluid; the color changes from mountain green to waxy gray. Upon palpation, the skin feels hard, the pus is thick and turbid, the containment is intact and secure without any breakage, and diet and bowel/bladder functions are normal. This is an auspicious sign of high grade, requiring no medication.
2. In cases of dense pox, from eruption to fluid formation, they gradually enlarge and inevitably merge with one another. Although connected, as long as the bases are distinct, all depressed areas fully elevate, and penetration occurs everywhere, the toxin resolves through the fluid, and upon pus formation, the toxin is naturally eliminated without retention. This is also an auspicious sign.
3. When the pox first appears, some may have flat tops, some central depression, or be white in color. As long as the patient can eat, and bowel/bladder functions are normal, and treatment has been appropriate, by the time of suppuration, depressed areas slightly elevate, flat areas slightly protrude, and pale areas become reddish and vibrant. If the blood and water within the follicles transform entirely into pus, the toxin is considered resolved. Furthermore, if there are no external symptoms of pain or itching, and no internal symptoms of vomiting or diarrhea, indicating no pathology in both the exterior and interior, one should simply await the crusting stage (shou ye) and must not administer decoctions recklessly.
4. During suppuration, if the lesions appear red, purple, or black, accompanied by external ulceration and hoarseness, death is certain.
5. If during suppuration the lesions contain only clear water, with thin, white skin resembling blisters, the patient will likely die after scratching them open within three to four days.
6. If pus fails to form, resulting in dryness, charring, and blackening, or if there is a complete absence of blood and water, and the lesions remain depressed, death ensues immediately.
7. If the head and face swell significantly, sores are all scratched open, emitting an unbearable foul odor, accompanied by cold feet, death is certain.
8. During suppuration, if vomiting and diarrhea persist unceasingly, or if there is blood in stool and urine, food remains undigested, and sores rot without forming pus, death is certain.
9. During suppuration, if urination and defecation are obstructed, abdominal distension occurs, flesh turns black with macules appearing, delirium and wheezing arise, or there is severe shivering and teeth grinding, death is certain.
10. During the stage of fluid regression (hui jiang), the lesions should gradually turn dark and contract. If instead they remain tender and fail to contract, this indicates deficiency of both Qi and Blood, preventing the fluid from drying. Itching will inevitably occur, leading to death from scratching.
11. If the pus and fluid have not yet formed but suddenly dry up and contract, or turn cyanotic, purple, charred, or black, death is certain.
12. If sudden itching occurs, and the front of the body is scratched open, with skin peeling and flesh drying out, death is certain.
13. If all pox have fluid but the forehead (Tian Ting) does not elevate, or if the forehead resembles skin broken by boiling water, with foul odor extending to both cheeks, and after fluid loss becomes dry, resembling scabs but not truly scabbing, death is certain.