悬镜痘∶此痘背驰三阴，毒凑五俞，形似发背，乃一不识也。其候必烦躁谵语，恶渴呕吐，身如火热。
蝎子痘∶此痘经于肝道，枭毒总聚左胁，其大如豆，四沿小者如珠，乃二不识
也。其候必干渴烦躁，呕吐不食。
覆釜痘∶此痘总会诸阳，旋绕连泽而下部俱无，其候呕吐头痛，形似秃疮，乃三不识也。
锁井痘∶此痘毒凑脾络，群聚口沿，旋绕无数，乃四不识也。其候必舔舌难咽，睡卧不宁。
盘蛇痘∶此痘毒郁肺络，颈项围绕形如瘰 ，乃五不识也。其候痰涎紧并，眼赤恶渴。
豢虎痘∶此痘毒凑脾胃，脐轮左右枭淫盘结，乃六不识也。其候肚腹如纹，泄泻吐逆，肢冷恶寒。
玄丘痘∶此痘经心达肾，毒凑阳物壮似梅疮，乃七不识也，其候小腹闷胀，便涩而赤，口渴身热。
掩月痘∶此痘经于阳明，毒凑两腋，中窝圈锁十五六颗，手臂垂痛，其候口吐涎沫，恶热脸赤，乃八不识也。
卷阿痘∶此痘经于脾，毒凑阳明，两掌心痘四五颗连聚，此乃九不识也。其候吐泻烦躁。
五禁疮者，最恶证也，此痘一出，诸痘不能宣发成浆矣。一曰胃禁；二曰火禁；
三曰水禁；四曰风禁∶五曰寒禁。胃禁者，因毒火炙胃，不能发达于外，是以脾胃溃
烂，其外出之痘在于唇口之间，而四五点相连，诸痘未浆，此痘先已黄熟，是热毒
内攻，胃已腐烂，诸痘不能成浆也。故凡唇口一见此痘，如见繁红气粗，热甚口臭
异常者，是其候也，不治。火禁者，因初发之际，身发寒热，就火温热太过，致使
皮肤干燥，又兼气虚不能拘逐，故毒停滞于皮肤之内，发泄不出；细看皮中，觉有
红色点子，无头无脚，独于四肢或面方广之处见一二点者，则诸痘皆从此痘发泄为
孽，隐隐不起之痘，终不能快出者是也。宜外以水杨荆芥煎汤浴之；内用升麻和解散
主之，则诸痘自可起发矣。水禁者，有因初热之际，毒瓦斯方炽，误食生冷则毒伏于
皮肤之间，隐隐见有红点，或于方广两胁手足头面之际，发有水泡者是也。然冷气
在内，故内必腹痛肚胀，外必发热恶寒，宜以丁桂、茯苓、升麻、大腹之类逐之。风
禁者，因发热之初，失于避风，是以肌表固密，痘不能出，皮肤麻木不知痛痒，或
皮毛干燥，肤痒欲搔，甚则狂烦谵语者，此风与火相搏也。治宜以干葛、羌活、蝉蜕
之类逐之。寒禁者，发热之初，误经冷水沐浴，或睡卧于铁漆寒冷之处，或衣被单
薄，感冒风寒，是以寒凝肌表，痘毒不能宣发，手足麻木冷痛之处不出痘子，惟在
委曲避风之处，或头面发际之上痘如瘾疹
者是也，宜内芎 、桂枝、独、羌以逐之；外用重衣浓帛以温之。
悬镜痘：这种痘疹背离三阴经，毒邪聚集于五俞穴，形态类似发背疽，这是第一种“不识”（无法识别或误判的危重痘症）。其症状必然包括烦躁、说胡话、极度口渴、呕吐，身体像火烧一样热。
蝎子痘：这种痘疹经过肝经，枭毒总聚在左侧胁部，大的如豆子，周围小的如珍珠，这是第二种“不识”。其症状必然包括口干渴、烦躁、呕吐、不能进食。
覆釜痘：这种痘疹汇聚诸阳经之气，环绕向下蔓延至下部却无痘出，其症状包括呕吐、头痛，形态类似秃疮，这是第三种“不识”。
锁井痘：这种痘疹毒邪聚集于脾络，群聚在口唇边缘，环绕无数，这是第四种“不识”。其症状必然包括舔舌难咽、睡眠不安稳。
盘蛇痘：这种痘疹毒邪郁结于肺络，颈项周围形成类似瘰疬的形态，这是第五种“不识”。其症状包括痰涎紧束、眼睛红赤、极度口渴。
豢虎痘：这种痘疹毒邪聚集于脾胃，肚脐周围左右枭淫盘结，这是第六种“不识”。其症状包括腹部皮肤起皱纹、泄泻、吐逆、四肢冰冷、恶寒。
玄丘痘：这种痘疹经过心经直达肾经，毒邪聚集于生殖器部位，壮实类似梅毒疮，这是第七种“不识”，其症状包括小腹闷胀、小便涩痛且色赤、口渴身热。
掩月痘：这种痘疹经过阳明经，毒邪聚集在两腋，中间窝处圈锁十五六颗，手臂垂下时疼痛，其症状包括口吐涎沫、怕热脸红，这是第八种“不识”。
卷阿痘：这种痘疹经过脾经，毒邪聚集于阳明经，两掌心有四五颗痘连聚，这是第九种“不识”。其症状包括呕吐、泄泻、烦躁。
五禁疮是最恶劣的证候，这种痘一旦发出，其他痘疹就不能宣发化脓了。一曰胃禁；二曰火禁；三曰水禁；四曰风禁；五曰寒禁。
胃禁：是因为毒火炙烤胃部，导致痘疹不能在外部发育，因此脾胃腐烂，向外发出的痘疹位于唇口之间，四五点相连，其他痘疹尚未化浆，此痘先已黄熟，这是热毒内攻，胃已腐烂，其他痘疹不能成浆。所以凡是唇口一见此痘，如果见到面色繁红、气粗、热甚口臭异常者，就是其症状，属于不治之症。
火禁：因为在初发之际，身体出现寒热，靠近火源取暖太过，致使皮肤干燥，又兼气虚不能拘束驱逐毒邪，所以毒邪停滞在皮肤之内，发泄不出来；仔细看皮中，觉得有红色点子，无头无脚，独在四肢或面方广之处见一二点的，那么其他痘疹都从此痘发泄为祸患，隐隐不起的痘疹，最终不能痛快发出的就是这种情况。适宜外用杨枝、荆芥煎汤沐浴；内服升麻和解散为主，则其他痘疹自然可以起发。
水禁：有因为初热之际，毒瓦斯正炽盛，误食生冷食物则毒邪伏于皮肤之间，隐隐可见红点，或在方广、两胁、手足、头面之际，发出水泡的情况。然而冷气在内，所以内部必然腹痛肚胀，外部必然发热恶寒，适宜用丁香、肉桂、茯苓、升麻、大腹皮之类药物驱逐它。
风禁：因为发热之初，失于避风，因此肌表固密，痘疹不能发出，皮肤麻木不知痛痒，或者皮毛干燥，皮肤瘙痒想抓挠，甚至狂烦说胡话的，这是风与火相搏结。治疗适宜用干葛根、羌活、蝉蜕之类药物驱逐它。
寒禁：因为发热之初，误用冷水沐浴，或睡卧在铁漆寒冷之处，或衣被单薄，感冒风寒，因此寒凝肌表，痘毒不能宣发，手足麻木冷痛之处不出痘子，只在弯曲避风之处，或头面发际之上痘疹如瘾疹（风团）的情况，适宜内服川芎、桂枝、独活、羌活以驱逐它；外用厚衣重帛来温煦它。
Xuanjing Dou (Suspicious Mirror Pox): This type of pox deviates from the Three Yin meridians, with toxic pathogens gathering at the Five Shu points. Its appearance resembles a carbuncle on the back, representing the first type of "unrecognizable" (misidentified or unrecognized critical pox condition). The symptoms necessarily include restlessness, delirious speech, extreme thirst, vomiting, and a body heat resembling fire.
Xiezi Dou (Scorpion Pox): This type of pox travels through the Liver meridian, with枭毒 (fierce toxicity) accumulating in the left hypochondrium. The larger lesions are like beans, while smaller ones around them resemble pearls, representing the second type of "unrecognizable." The symptoms necessarily include dry mouth and thirst, restlessness, vomiting, and an inability to eat.
Fufu Dou (Overturned Cauldron Pox): This type of pox gathers Qi from all Yang meridians, spreading downwards in a circle but lacking lesions in the lower part. The symptoms include vomiting and headache, with an appearance similar to alopecia barbae (tinea barbae), representing the third type of "unrecognizable."
Suo Jing Dou (Locked Well Pox): This type of pox has toxic pathogens gathering in the Spleen collaterals, clustering around the lips and mouth in countless circles, representing the fourth type of "unrecognizable." The symptoms necessarily include difficulty swallowing due to tongue licking, and restless sleep.
Panshe Dou (Coiling Snake Pox): This type of pox has toxic pathogens stagnating in the Lung collaterals, forming lesions around the neck and nape resembling scrofula (lymphatic tuberculosis), representing the fifth type of "unrecognizable." The symptoms include tight phlegm and saliva, red eyes, and extreme thirst.
Huanhu Dou (Taming Tiger Pox): This type of pox has toxic pathogens gathering in the Stomach and Spleen, with fierce toxicity coiling around the umbilicus on both sides, representing the sixth type of "unrecognizable." The symptoms include wrinkled abdominal skin, diarrhea, vomiting and regurgitation, cold limbs, and aversion to cold.
Xuanqiu Dou (Dark Hill Pox): This type of pox passes through the Heart meridian reaching the Kidney meridian, with toxic pathogens gathering at the genitalia, appearing robust and similar to syphilitic chancres, representing the seventh type of "unrecognizable." The symptoms include distension and fullness in the lower abdomen, painful and reddish urination, thirst, and fever.
Yanyue Dou (Covering Moon Pox): This type of pox travels through the Yangming meridian, with toxic pathogens gathering in both axillae, forming a locked circle of fifteen or sixteen lesions in the epigastric fossa, accompanied by pain when the arms hang down. The symptoms include spitting of salivary foam, aversion to heat, and flushed face, representing the eighth type of "unrecognizable."
Juan'e Dou (Rolling Slope Pox): This type of pox travels through the Spleen meridian, with toxic pathogens gathering in the Yangming meridian, presenting four or five clustered lesions on both palms. This represents the ninth type of "unrecognizable." The symptoms include vomiting, diarrhea, and restlessness.
Wu Jin Chuang (Five Prohibited Sores) is the most malignant syndrome. Once this pox appears, other poxes cannot develop and suppurate properly. There are five prohibitions: First, Stomach Prohibition; Second, Fire Prohibition; Third, Water Prohibition; Fourth, Wind Prohibition; Fifth, Cold Prohibition.
Stomach Prohibition: Caused by toxic fire roasting the Stomach, preventing external development, leading to ulceration of the Spleen and Stomach. The externally erupting poxes appear between the lips and mouth, with four or five points connected. While other poxes have not yet formed pus, this specific pox has already turned yellow and matured. This indicates internal attack by heat-toxicity and rotting of the Stomach, preventing other poxes from forming pus. Therefore, whenever such a pox is seen at the lips and mouth, especially if accompanied by excessive redness, coarse breathing, severe heat, and abnormal foul breath, it is symptomatic of a terminal condition that is untreatable.
Fire Prohibition: Occurs during initial eruption when the body experiences chills and fever. Excessive warming near fire sources causes skin dryness. Combined with Qi deficiency failing to constrain and expel pathogens, toxins stagnate within the skin and fail to vent. Careful inspection reveals red spots without heads or feet, typically one or two appearing on the limbs or broad areas of the face. Other poxes then become corrupted by venting from this spot, and those hidden beneath fail to emerge clearly. Treatment should involve external bathing with a decoction of Poplar branches and Schizonepeta (Shengma Jiehe San is used internally as the primary formula) so that other poxes can naturally rise and develop.
Water Prohibition: Occurs when, during initial heat, toxic vapors are intense, but raw/cold foods are mistakenly ingested, causing toxins to hide between the skin layers. Faint red spots may be seen, or blisters may erupt on broad areas, hypochondriac regions, hands, feet, head, and face. Since cold qi is internal, there must be abdominal pain and distension internally, and fever with aversion to cold externally. Treatment should use drugs such as Clove (Dingxiang), Cinnamon Bark (Rougui), Poria (Fuling), Cimicifuga (Shengma), and Areca Seed (Dafupi) to expel the pathogen.
Wind Prohibition: Occurs because wind was not avoided during the initial fever. Consequently, the muscle surface becomes dense and closed, preventing pox eruption. The skin feels numb, lacking sensation of pain or itch, or the hair and skin are dry and itchy, desiring scratching. In severe cases, mania, restlessness, and delirium occur, indicating a struggle between Wind and Fire. Treatment should use drugs such as Kudzu Root (Gegen), Notopterygium (Qianghuo), and Cicada Slough (Chantui) to expel the pathogen.
Cold Prohibition: Occurs because, during initial fever, cold water bathing was mistakenly performed, or sleeping in cold places like iron or lacquer surfaces, or wearing thin clothing and bedding, leading to contraction of Wind-Cold. Thus, cold congeals the muscle surface, preventing the venting of pox toxins. No poxes appear on numb, cold, and painful extremities; instead, poxes resembling urticaria (wind wheals) appear only in sheltered, curved areas or above the hairline of the head and face. Internal treatment should use Ligusticum (Chuanxiong), Cinnamon Twig (Guizhi), Angelica Dahurica (Bai Zhi/Du Huo context implies expulsion), and Notopterygium (Qianghuo) to expel the pathogen; external treatment should use thick clothes and heavy fabrics to warm the body.