表虚风邪乘间入，遍身面目虚肿浮，五皮桂枝微汗后，面消身肿胃苓除。
【注】小儿痘后表气虚弱，见风太早，风邪乘虚而入，致使面目虚浮，遍身皆肿者，初
宜五皮汤微汗之。服后面目不浮；惟遍身犹肿者，胃苓汤主之。
五皮汤
地骨皮 五加皮 桑皮（蜜炙） 桂枝 姜皮 大腹皮（洗）
引用灯心，水煎服。
【方歌】痘后浮肿五皮汤，地骨五加蜜炙桑，桂枝姜皮合大腹，引用灯心水煎尝。
胃苓汤（方见泻证）
余毒未尽痘毒生，轻则疮疖重为痈，内用解毒汤俱可，外敷红玉膏有功。
【注】凡痘后余毒，皆因灌浆之时，毒瓦斯大盛，未得尽化，留藏经络，聚而不散。轻则发为疮疖，
重即成痈。或在肌肉之虚处，或发于关节摇动之际。皆不论已溃未溃，均以解毒内托汤主之，外用红玉膏摊
贴患处。
解毒内托汤
生黄 荆芥 防风 连翘（去心） 当归 赤芍药 金银花 甘草节 木通
水煎服。
【方歌】解毒内托汤最灵，黄 荆芥共防风，连翘当归赤芍药，银花甘草与木通。
红玉膏
紫草（一两） 红花（一两） 当归（二两） 黄蜡（三两）
用香油半斤，先将药炸焦去渣，后下黄蜡令匀，以冷为度，摊贴患处。
目病之由风热成，痘毒火郁上攻睛，赤肿涩痛洗肝散，翳膜遮睛龙胆从。
【注】目病固多由风热而起也。夫痘蕴非常之热，自里达外，气血弱则不能逐毒外出，
火郁上攻，目斯病矣。如赤肿疼痛，瘾涩流目，不能开者，以洗肝散主之。翳膜遮睛，隐涩羞明者，加味龙胆
汤主之。
洗肝散
羌活 归尾 防风 山栀仁 谷精草 薄荷 生甘草 川芎
水煎，食后服。
【方歌】洗肝散治目痛疼，羌活归尾及防风，山栀仁同谷精草，薄荷甘草配川芎。
龙胆汤
防风 木贼草 密蒙花 蝉蜕 蔓荆子 龙胆草 菊花 黄连 白芷 蒺藜
水煎服。
【方歌】翳遮龙胆汤堪夸，防风木贼密蒙花，蝉蜕蔓荆龙胆菊，黄连白芷蒺藜佳。
表气虚弱，风邪趁机侵入，导致全身及面目虚浮肿胀。服用五皮汤配合桂枝汤以微发其汗后，面部浮肿消退；若身体仍肿，则用胃苓汤治疗。
【注】小儿出痘后表气虚弱，过早受风，风邪乘虚而入，致使面目虚浮，全身皆肿者，初期宜用五皮汤微发其汗。服药后面目浮肿消退，但仅全身仍肿者，主用胃苓汤。
五皮汤
地骨皮、五加皮、桑白皮（蜜炙）、桂枝、姜皮、大腹皮（洗净）
引用灯心草，水煎服。
【方歌】痘后浮肿五皮汤，地骨五加蜜炙桑，桂枝姜皮合大腹，引用灯心水煎尝。
胃苓汤（方剂见“泻证”章节）
余毒未尽，痘毒滋生，轻则发为疮疖，重则形成痈肿。内服解毒内托汤均可适用，外敷红玉膏亦有效果。
【注】凡是痘后余毒，都是因为灌浆之时，毒气旺盛，未能完全化解，留藏于经络之中，聚结不散。轻则发为疮疖，重则成痈。或在肌肉薄弱之处，或发于关节活动频繁之际。不论是否溃破，均以解毒内托汤为主治，外用红玉膏摊贴患处。
解毒内托汤
生黄芪、荆芥、防风、连翘（去心）、当归、赤芍药、金银花、甘草节、木通
水煎服。
【方歌】解毒内托汤最灵，黄 荆芥共防风，连翘当归赤芍药，银花甘草与木通。
红玉膏
紫草（一两）、红花（一两）、当归（二两）、黄蜡（三两）
用香油半斤，先将药物炸至焦枯去渣，然后加入黄蜡使其均匀，冷却后使用，摊贴患处。
眼病多由风热所致，痘毒火郁上攻眼睛，出现红肿涩痛，可用洗肝散治疗；若有翳膜遮睛，则选用龙胆汤加减。
【注】眼病固然多由风热引起。痘蕴含有非常之热，自里达外，若气血虚弱则不能驱毒外出，火郁上攻，眼睛因此患病。如红肿疼痛，隐涩流泪，不能睁开者，以洗肝散主治。若有翳膜遮睛，隐涩羞明者，加味龙胆汤主治。
洗肝散
羌活、归尾、防风、山栀仁、谷精草、薄荷、生甘草、川芎
水煎，饭后服用。
【方歌】洗肝散治目痛疼，羌活归尾及防风，山栀仁同谷精草，薄荷甘草配川芎。
龙胆汤
防风、木贼草、密蒙花、蝉蜕、蔓荆子、龙胆草、菊花、黄连、白芷、蒺藜
水煎服。
【方歌】翳遮龙胆汤堪夸，防风木贼密蒙花，蝉蜕蔓荆龙胆菊，黄连白芷蒺藜佳。
When the exterior Qi is deficient, wind-pathogens take the opportunity to invade, causing generalized and facial deficiency-type edema. After administering Wupi Decoction (Five-Bark Decoction) combined with Guizhi Tang (Cinnamon Twig Decoction) to induce slight sweating, the facial edema subsides; if body swelling persists, Weiling Tang (Weiling Decoction) should be used.
[Note] In children after smallpox, when the exterior Qi is weak and exposure to wind occurs too early, wind-pathogens enter due to the deficiency, causing facial puffiness and generalized edema. Initially, it is appropriate to use Wupi Decoction (Five-Bark Decoction) to induce slight sweating. After taking the medicine, if facial edema subsides but only generalized body swelling remains, Weiling Tang (Weiling Decoction) is the primary treatment.
Wupi Decoction (Five-Bark Decoction)
* *Cortex Lycii Radicis* (Digutpi)
* *Cortex Acanthopanacis Senticosi* (Wujia Pi)
* *Cortex Mori Radicis* prepared with honey (Sang Bai Pi, honey-fried)
* *Ramulus Cinnamomi* (Guizhi)
* *Pericarpium Zingiberis Recens* (Jiang Pi)
* *Fructus Citri Grandis* washed (Dafu Pi)
Reference: *Herba Centellae Asiaticae* (Dengxincao), decocted in water and taken orally.
[Prescription Song] For post-smallpox edema, Wupi Decoction is chosen,
With Lycium bark, Acanthopanax, and honey-fried Mulberry root.
Cinnamon twig, ginger peel, and broad-fruit citrus combine,
Boiled with centella herb, this remedy you shall find.
Weiling Tang (See "Diarrhea" chapter for prescription details).
Residual toxins remain unexpelled, generating smallpox-derived pathogens; mild cases manifest as furuncles, while severe cases form carbuncles. Internally, Jiedu Neituo Tang (Detoxification and Supportive Decoction) is applicable; externally, Hongyu Gao (Red Jade Ointment) is effective.
[Note] Residual toxins after smallpox arise because during the pustule-filling stage, toxic qi was abundant but not fully transformed, remaining stored in the meridians and accumulating without dispersing. Mildly, they erupt as furuncles; severely, they become carbuncles. They may appear in areas of thin muscle or at mobile joints. Regardless of whether they have ulcerated or not, Jiedu Neituo Tang (Detoxification and Supportive Decoction) is the primary internal treatment, applied externally with Hongyu Gao (Red Jade Ointment) on the affected area.
Jiedu Neituo Tang (Detoxification and Supportive Decoction)
* *Radix Astragali* raw (Sheng Huangqi)
* *Herba Schizonepetae* (Jingjie)
* *Rhizoma Saposhnikoviae* (Fangfeng)
* *Flos Forsythiae* decentered (Lianqiao, heart removed)
* *Radix Angelicae Sinensis* (Danggui)
* *Radix Paeoniae Rubra* (Chishao Yao)
* *Flos Lonicerae Japonicae* (Jinyinhua)
* *Radix Glycyrrhizae* nodes (Gancao Jie)
* *Herba Akebiae* (Mutong)
Decocted in water and taken orally.
[Prescription Song] Jiedu Neituo Tang is most efficacious,
Combined with Astragalus, Schizonepeta, and Saposhnikovia.
Forsythia, Angelica, and Red Peony root,
Along with Honeysuckle, Licorice, and Akevia, they unite.
Hongyu Gao (Red Jade Ointment)
* *Radix Lithospermi* (1 liang)
* *Flos Carthami Tinctorii* (1 liang)
* *Radix Angelicae Sinensis* (2 liang)
* *Cera Flava* (3 liang)
Use half a jin of sesame oil. First, fry the herbs until charred, remove the dregs, then add yellow beeswax to mix evenly. Allow to cool, then apply as a plaster to the affected area.
Eye diseases are often caused by wind-heat; smallpox toxins and stagnant fire attack upward into the eyes. Redness, swelling, dryness, and pain are treated with Xigan San (Liver-Washing Powder); corneal opacity covering the pupil is treated with Longdan Tang (Gentian Decoction).
[Note] Eye diseases indeed mostly originate from wind-heat. Smallpox contains intense heat that spreads from interior to exterior. If Qi and Blood are weak, they cannot expel the toxin outward, leading to stagnant fire attacking upward, thus causing eye disease. In cases of redness, swelling, pain, itching, tearing, and inability to open the eyes, Xigan San (Liver-Washing Powder) is the primary treatment. In cases of corneal opacity covering the pupil, itching, and photophobia, modified Longdan Tang (Gentian Decoction) is the primary treatment.
Xigan San (Liver-Washing Powder)
* *Radix Notopterygii* (Qianghuo)
* *Radix Angelicae Sinensis* tail (Gui Wei)
* *Rhizoma Saposhnikoviae* (Fangfeng)
* *Semen Gleditsiae Sinensis* processed kernel (Shanzhi Ren)
* *Flos Sparganii* (Gujing Cao)
* *Folium Menthae haplocalycis* (Bohe)
* *Radix Glycyrrhizae* raw (Sheng Gancao)
* *Radix Chuanxiong* (Chuanxiong)
Decocted in water, taken after meals.
[Prescription Song] Xigan San treats eye pain and soreness,
With Notopterygium, Angelica tail, and Saposhnikovia.
Gleditsia kernel and Sparganium flower join,
Mint, Licorice, and Chuanxiong complete the combination.
Longdan Tang (Gentian Decoction)
* *Rhizoma Saposhnikoviae* (Fangfeng)
* *Herba Equiseti Hiemalis* (Muzei Cao)
* *Flos Myricariae* (Mimenghua)
* *Exuviation Cicadae* (Chantui)
* *Fructus Viticis Expansa* (Manjingzi)
* *Radix Gentianae* (Longdan Cao)
* *Flos Chrysanthemi Indici* (Juhua)
* *Rhizoma Coptidis* (Huanglian)
* *Radix Angelicae Dahuricae* (Baizhi)
* *Fructus Tribuli Terrestris* (Jili)
Decocted in water and taken orally.
[Prescription Song] For opacity covering the eye, Longdan Tang is praiseworthy,
With Saposhnikovia, Equisetum, and Myricaria flower.
Cicada shell, Vitex, Gentian, and Chrysanthemum,
Along with Coptis, Angelica dahurica, and Tribulus, they are excellent.