胸前出痘贵稀轻，攒聚粘连毒热凝，速用凉膈攻毒饮，免使枭毒内里攻。
【注】胸膈乃心、肺二经部位，出痘稀少方吉。倘攒簇于此，名曰攒胸，乃毒热所致
也。当以凉膈攻毒饮主之，则枭毒不内侵矣。
\r攒胸图\p03-b24a14.bmp\r
凉膈攻毒饮
栀子（生） 黄连（生） 石膏（生） 荆芥 紫花 地丁 枳壳（麸炒） 桔梗 元参
生地 牛蒡子（炒、研） 大黄 赤芍 甘草（生） 薄荷 木通
引加灯心、竹叶，水煎服。
【方歌】凉膈攻毒治攒胸，栀连石膏荆地丁，枳桔元参生地蒡，大黄芍草薄木通。
断桥之痘形甚异，腰间绝无上下密，气血阻滞毒热壅，归宗峻攻痘出吉。
【注】痘名断桥者，腰间绝无一点，惟身之上下稠密也。盖枭毒壅于上下，气血阻于
中宫，故致上下隔断而成最恶之证。宜用归宗汤攻之，使无痘处透出，方化为吉也。
\r断桥图\p03-b24a15.bmp\r
归宗汤（方见发热证治）
腰为肾候痘宜疏，连珠环绕奈何如，治宜攻毒莫少待，归宗急服患能除。
【注】腰为肾候，痘宜稀疏。若连珠环绕，名曰缠腰，此毒伏于肾也。治以攻毒为主，宜
用归宗汤治之。
\r缠腰图\p03-b24a16.bmp\r
归宗汤（方见发热证治）
胸前部位出痘，以稀疏轻浅为吉兆；若痘疹攒聚粘连，则是毒热凝结之象，需迅速使用凉膈攻毒饮，以免凶险之毒内侵脏腑。
【注】胸膈是心和肺两经所主的部位，出痘稀少才是吉祥的征兆。倘若痘疹在此处簇拥聚集，称为“攒胸”，这是由毒热所致。应当以凉膈攻毒饮为主进行治疗，这样凶毒便不会向内侵袭了。
凉膈攻毒饮
栀子（生用） 黄连（生用） 石膏（生用） 荆芥 紫花地丁 枳壳（麸炒） 桔梗 玄参 生地 牛蒡子（炒、研碎） 大黄 赤芍 甘草（生用） 薄荷 木通
煎服时加入灯心草、竹叶作为引药，用水煎煮后服用。
【方歌】凉膈攻毒治攒胸，栀连石膏荆地丁，枳桔元参生地蒡，大黄芍草薄木通。
断桥证的痘形非常特殊，腰部上下完全没有痘疹，而身体其他部位却稠密分布，这是因为气血阻滞、毒热壅盛所致，采用峻猛攻下的方法使痘疹透出则吉利。
【注】痘疹名为“断桥”的，是指腰部上下完全没有任何一点痘疹，只有身体上下部分稠密。这是因为凶毒壅塞于身体上下，气血阻绝于中焦脾胃，导致上下隔断，从而形成最恶劣的证候。适宜使用归宗汤进行攻逐治疗，使无痘之处透出痘疹，才能转化为吉兆。
腰为肾之外候，痘疹宜稀疏。若如串珠般环绕腰部，这种情况该如何处理呢？治疗应当以攻毒为主，不可稍作等待，急服归宗汤，病患即可痊愈。
【注】腰部是肾脏的外候，痘疹应当稀疏。如果痘疹像连珠一样环绕腰部，称为“缠腰”，这是毒邪潜伏在肾脏所致。治疗以攻毒为主要原则，适宜使用归宗汤来治疗。
Acne eruption on the chest is auspicious when sparse and mild; if the lesions cluster and adhere, it indicates condensation of toxic heat. One must promptly use Liangge Gongdu Yin (Cool the Diaphragm and Attack Toxin Decoction) to prevent malignant toxins from attacking the interior organs.
[Note] The chest and diaphragm are the regions governed by the Heart and Lung meridians. Sparse eruption is a favorable sign. If the lesions cluster here, it is named "Chest Clustering" (Zan Xiong), caused by toxic heat. It should be primarily treated with Liangge Gongdu Yin (Cool the Diaphragm and Attack Toxin Decoction), so that malignant toxins will not invade inwardly.
Liangge Gongdu Yin (Cool the Diaphragm and Attack Toxin Decoction)
Gardeniae Fructus (raw) [Zhizi], Coptidis Rhizoma (raw) [Huanglian], Gypsum Fibrosum (raw) [Shigao], Schizonepetae Herba [Jingjie], Violae Herba [Zihua Diding], Aurantii Fructus Immaturus (bran-fried) [Zhike], Platycodonis Radix [Jiegeng], Scrophulariae Radix [Yuanshen], Rehmanniae Radix [Shengdi], Arctii Fructus (fried, crushed) [Niubangzi], Rheomi Radix et Rhizoma [Dahuang], Paeoniae Radix Rubra [Chishao], Glycyrrhizae Radix et Rhizoma (raw) [Gancao], Menthae Haplocalycis Herba [Bohe], Akebiae Caulis [Mutong].
Add Juncus Effusus [Dengxin] and Phragmitis Rhizoma [Zhuye] as guides, decoct in water, and take orally.
[Prescription Song]: Liangge Gongdu treats Chest Clustering, Zhizi, Huanglian, Shigao, Jingjie, Zihua Diding; Zhike, Jiegeng, Yuanshen, Shengdi, Niubangzi; Dahuang, Chishao, Gancao, Bohe, Mutong.
The morphology of acne in the "Broken Bridge" syndrome is very distinct: there are absolutely no lesions above and below the waist, while the rest of the body is densely distributed. This results from qi and blood obstruction and toxic heat stagnation; using vigorous purgative methods to promote eruption is auspicious.
[Note] Acne named "Broken Bridge" refers to the complete absence of any lesions on the waist, with density only at the upper and lower parts of the body. This occurs because malignant toxins stagnate in the upper and lower regions, while qi and blood are blocked in the middle jiao (Spleen and Stomach), causing a separation between upper and lower, thus forming the most severe syndrome. It is suitable to use Guizong Tang (Return to Origin Decoction) for aggressive treatment, allowing lesions to emerge in the area without them, thereby transforming into an auspicious outcome.
The waist is the external indicator of the Kidney; acne should be sparse. If they surround the waist like a string of beads, how should this be managed? Treatment should focus on attacking toxins without delay; urgently administering Guizong Tang (Return to Origin Decoction) can eliminate the illness.
[Note] The waist is the external manifestation of the Kidney, and acne should be sparse. If the lesions surround the waist like connected pearls, it is called "Waist Coiling" (Chan Yao), indicating toxin latent in the Kidney. Treatment prioritizes attacking toxins, and Guizong Tang (Return to Origin Decoction) is appropriate.