自报痘三朝之后，不疾不徐，先出者先起，后出者后起，大小分明不相连串，尖圆坚实，红活
肥满，面目渐肿，根据期灌浆，饮食二便如常，而无他证者，此表里无病，大吉之兆，不必服药。
一、痘虽起发，而色见灰白，肿如锡饼者，看其人脏气何如，如能食便调，无他证者吉；若不能
食，或吐
利，或瘙痒者凶。
一、痘起一分，则毒出一分，至五六日不尽起发，又色不红活者，大无生理。
一、起胀三日已足，痘皆满顶红紫者凶，面目肿甚者亦凶。
一、痘当起胀之时，遍身虽起而头面全然不起，或痘不胀而肉胀，头面皮肉红肿如瓠瓜之状，
而痘反不起者决死。
一、起胀之时，遍身痘顶有眼如针孔，紫黑色者决死。
一、痘色干燥不润，惨黑不明，或灰白渐至倒陷，或发紫泡者皆死。
一、起胀时，凡腰腹大痛，或腹胀不能饮食，或气促神昏，或闷乱不宁，或泄泻烦渴，或唇白
痰鸣，或狂言妄语，啼哭呻吟，如见鬼神者皆死。
一、起胀时，吐利不止，乳食不化，或二便下血者死。
一、手足间见而复隐，起而后 ，或通身随胀随没，躁而发喘者死。
一、痘已起胀，内有六七粒细而成块，于中有一大痘扁阔歪斜者凶。
一、痘起紫色，刺出黑血如屋漏水者死。
一、痘于起发时，疮头便戴白浆者，不分何处，并非佳兆，不特唇口然也。
在痘疹发出后的第三日之后，出痘的进程不疾不徐，先出的痘先隆起，后出的痘后隆起，大小分明且不相连成串，痘形尖圆坚实，色泽红活，身体肥满，面目逐渐肿胀，按照预期时间灌浆，饮食和二便正常，而没有其他兼证，这是表里无病、大吉的征兆，不需要服药。
一、痘疹虽然已经起发，但颜色呈现灰白，肿胀像锡饼一样扁平，需要观察患者的脏腑之气如何，如果能进食、大便调畅、没有其他兼证，则为吉兆；如果不能进食，或者呕吐腹泻，或者瘙痒，则为凶兆。
一、痘疹每起发一分，则毒邪就透出一分，如果到了五六天还不能完全起发，而且颜色不红活，则大多没有生机。
一、起胀期三天已经足够，如果痘疹都顶满且呈红紫色，为凶兆；面目肿胀严重的也是凶兆。
一、痘疹应当起胀的时候，遍身虽然都有痘疹，但头面部全然不起发，或者痘疹不胀而肌肉肿胀，头面皮肉红肿得像瓠瓜（葫芦）的样子，而痘疹反而不起发的，必定死亡。
一、在起胀的时候，遍身痘疹顶部有眼如针孔状，颜色紫黑色的，必定死亡。
一、痘色干燥不润泽，惨黑不明亮，或者灰白色逐渐发展到倒陷（痘疹塌陷），或者出现紫泡的，都会死亡。
一、在起胀时，凡是腰部腹部剧烈疼痛，或者腹胀不能进食，或者气促神志昏迷，或者烦闷扰乱不得安宁，或者腹泻烦渴，或者嘴唇发白痰鸣，或者胡言乱语，啼哭呻吟，好像见到鬼神一样的，都会死亡。
一、在起胀时，呕吐腹泻不止，乳食不消化，或者大小便下血的，会死亡。
一、手足间痘疹出现后又隐没，起发后又消退，或者通身痘疹随着肿胀又随即消失，烦躁而发作喘息的，会死亡。
一、痘疹已经起胀，内部有六七粒细小而成块，其中有一颗大痘扁平宽阔歪斜的，为凶兆。
一、痘疹起发呈紫色，刺破后流出黑血像屋漏水一样的，会死亡。
After the third day of reporting the eruption of smallpox, if the progression is neither too fast nor too slow, those that appear first rise first, and those that appear later rise later; they are distinct in size, not connected in chains, with pointed and round shapes, firm and solid, red and vibrant in color, the body plump, the face and eyes gradually swelling, filling with pus according to schedule, normal diet and bowel/bladder movements, and without other complications, this indicates no disease in the exterior or interior, a sign of great auspiciousness, and no medicine is needed.
1. Although the smallpox has erupted, if the color appears grayish-white and the swelling is flat like a tin cake, one must observe the patient's Zang-Fu Qi. If the patient can eat, has regular bowel movements, and has no other complications, it is auspicious; if the patient cannot eat, or suffers from vomiting and diarrhea, or itching, it is inauspicious.
1. For every portion of smallpox that erupts, a corresponding portion of toxin is expelled. If by the fifth or sixth day the eruption is not complete and the color is not red and vibrant, there is likely no hope for survival.
1. Three days of distension (swelling) is sufficient. If all pustules are full at the apex and red-purple, it is inauspicious; severe swelling of the face and eyes is also inauspicious.
1. During the time when distension should occur, if although pustules appear all over the body, the head and face do not erupt at all, or if the pustules do not swell but the flesh does, causing the skin and flesh of the head and face to become red, swollen, and puffy like a gourd, while the pustules themselves fail to rise, death is certain.
1. During the distension phase, if the tops of the pustules all over the body have holes like needle pricks and are purple-black, death is certain.
1. If the color of the pustules is dry and not moist, dull black and unclear, or if the grayish-white color gradually leads to inversion/collapse (reversal), or if purple blisters appear, death will ensue.
1. During distension, if there is severe pain in the waist and abdomen, or abdominal distension preventing eating, or shortness of breath with coma, or restlessness and agitation, or diarrhea with irritability and thirst, or white lips with phlegm rattling, or delirious speech, crying and groaning, as if seeing ghosts and spirits, death will ensue.
1. During distension, if vomiting and diarrhea do not stop, milk and food are not digested, or if blood appears in stool and urine, death will ensue.
1. If pustules on the hands and feet appear and then disappear, rise and then recede, or if pustules all over the body appear and vanish with the swelling, accompanied by restlessness and wheezing/asthma, death will ensue.
1. After the pustules have begun to distend, if there are six or seven small ones clustered together into a mass, among which there is one large pustule that is flat, broad, and crooked, it is inauspicious.
1. If the pustules erupt purple, and piercing them releases black blood resembling leaking roof water, death will ensue.
1. If during the eruption stage, the heads of the sores immediately contain white pus, regardless of location, it is not a good omen; this applies not only to the lips and mouth.