面为诸阳聚会之所，其部位各有所属。欲识痘出之吉凶，须按部位验之，则立判矣。如
额属心位，自印堂以上，发际以下，至日月两角，若先见点，先作浆，先结靥者，皆恶
候也。以心为君主，义不受邪，先见于是位者，乃毒发于心，故非吉兆也。左颊属肝，右
颊属肺。若两颊先见红点，磊落分明者吉；如相聚成块地界不清，肉体肿硬者凶。盖肝藏
魂，肺藏魄，枭毒侵犯，则魂魄将离，安望其有生意乎？颏下属肾，自承浆以至两颐，先
见点、先灌、先靥者吉。诚以此位虽系肾部，而三阴三阳之脉，皆聚于此，先发先灌先靥
者，乃阴阳和畅，故可治也。至若鼻属脾脏，位在中央，所最忌者，准头先出与先靥也。盖
脾土荣养于四脏，若毒发于脾，是脾败矣。脾败则四脏亦随之而败；即缠绵时日，亦不过
苟延性命而已。夫耳为肾窍，又少阳相火之脉行耳前后。故凡耳叶先见红点者，乃火毒
燔灼，难以扑灭，非吉象也。最可喜者，口唇四围先出先灌先靥也。以阳明之脉侠口环
唇，胃与大肠主之，多气多血之处，无物不受，故主吉也。此脏腑部位之要，须详察于
平时，庶能权宜于临证也。
\r面部吉凶图\p03-b24a1.bmp\r
痘疮贯顶号蒙头，毒参阳位最可忧，形尖松肌通圣治，红肿如瓜药枉投。
【注】头为诸阳之会，遍身稀疏而头独稠密者，名曰蒙头，此毒参阳位也。若痘形稍
尖圆者，当以松肌通圣散治之。设头红肿如瓜，是为不治之证，即投药饵，终属无济。
\r蒙头图\p03-b24a2.bmp\r
看痘诀曰∶三五相连恐不吉，四六排牵定
是凶，一二上下皆吉道，双单挟处不须忧。
松肌通圣散
荆芥 羌活 牛蒡子（炒、研） 防风 紫草 红花 青皮 当归 赤芍 紫花地丁
蜂房 山楂 木通
引加芦笋、芫荽，水煎服。
【方歌】松肌通圣药最灵，荆芥羌蒡共防风，紫草红花青归芍，地丁蜂房楂木通。
面部是诸阳经汇聚的地方，面部的各个部位分别归属于不同的脏腑。想要识别痘疹发出的吉凶征兆，必须按照部位进行查验，这样就能立刻判断出来。例如：额头属于心的位置，从印堂以上，发际以下，直到左右两角（日月穴附近），如果这里先出现痘点、先化脓、先结痂的，都是凶险的征候。因为心为君主之官，按理说不受邪气侵犯，若在此处先见痘症，说明毒邪发自于心，所以不是吉祥的兆头。左脸颊属于肝，右脸颊属于肺。如果两颊先出现红点，颗粒分明、界限清晰的为吉；如果聚集在一起成片、边界不清、皮肤肿胀坚硬的为凶。因为肝藏魂，肺藏魄，如果枭毒侵犯，就会导致魂魄离散，哪里还能指望有生机呢？下巴属于肾的位置，从承浆穴一直到两侧面颊下方，先出现痘点、先灌脓、先结痂的为吉。诚然这个部位虽然属于肾部，但是足三阴经和足三阳经的经脉都汇聚于此，先发痘、先灌脓、先结痂，说明阴阳之气调和通畅，所以可以治疗。至于鼻子属于脾脏，位于面部中央，最忌讳的是鼻准头（鼻尖）先出痘或先结痂。因为脾土滋养四周的四脏，如果毒邪发自于脾，说明脾脏败坏了。脾脏败坏则其他四脏也会随之败坏；即使拖延时日，也不过是勉强维持生命而已。耳朵是肾的外窍，同时少阳相火的经脉行经耳前耳后。所以凡是耳叶先出现红点的，说明火毒炽盛灼烧，难以扑灭，不是吉祥的征象。最令人欣喜的是口唇周围先出痘、先灌脓、先结痂。因为阳明经脉夹持口唇环绕嘴唇，由胃与大肠主管，这是多气多血的地方，没有事物不能承受，所以主吉。这些脏腑在面部的对应部位要点，必须在平时详细考察，才能在临证时灵活权变处理。
痘疮遍布头顶称为“蒙头”，毒邪侵入阳位最为令人担忧，如果痘形尖圆、肌肉松软，可用松肌通圣散治疗；如果红肿像瓜一样，则是无法治疗的证候，即使用药，最终也无济于事。
【注】头部是诸阳经交会之处，遍身稀疏而唯独头部稠密的，名叫“蒙头”，这是毒邪侵入阳位。如果痘形稍微尖圆的，应当用松肌通圣散治疗。假如头部红肿像瓜一样，这是不治之证，即使用药，终究没有帮助。
看痘诀说：三五相连恐怕不吉利，四六排牵定然是凶险，一二上下排列都是吉道，双单夹杂之处不必忧愁。
松肌通圣散
荆芥 羌活 牛蒡子（炒、研碎） 防风 紫草 红花 青皮 当归 赤芍 紫花地丁 蜂房 山楂 木通
引药加芦笋、芫荽，水煎服。
【方歌】松肌通圣药最灵，荆芥羌活牛蒡子共防风，紫草红花青皮当归赤芍，地丁蜂房山楂木通。
The face is the gathering place of all Yang meridians, and each area corresponds to specific organs. To discern the auspicious or inauspicious nature of eruptive diseases (smallpox/variolous eruptions), one must examine by location, which allows for immediate judgment. For instance: The forehead belongs to the Heart position. From above Yingtang (Yintang) down to the hairline, extending to the two temporal corners (near Riyue), if spots appear first, suppurate first, or scab over first here, these are all ominous prognoses. Since the Heart is the sovereign organ and theoretically does not accept pathogenic factors, early manifestation at this site indicates toxin originating from the Heart, thus it is an inauspicious sign. The left cheek belongs to the Liver, and the right cheek belongs to the Lungs. If red spots appear first on both cheeks, distinct and clearly separated, it is auspicious; if they cluster together into patches with unclear boundaries and the flesh becomes swollen and hard, it is inauspicious. This is because the Liver stores the Hun (Ethereal Soul) and the Lungs store the Po (Corporeal Soul); if fierce toxins invade, the Hun and Po will separate, making it impossible to hope for vitality. The chin belongs to the Kidney position. From Chengjiang (Chengjiang) down to the bilateral mandibular angles, if spots appear first, suppurate first, or scab over first, it is auspicious. Indeed, although this region belongs to the Kidney, the meridians of the Three Yin and Three Yang all converge here; early appearance, suppuration, and scabbing indicate harmonious and smooth flow of Yin and Yang Qi, hence it is treatable. As for the nose, it belongs to the Spleen, located centrally. What is most taboo is eruption or scabbing first at the tip of the nose (Zhuntou). This is because Spleen Earth nourishes the four surrounding organs; if toxin originates from the Spleen, the Spleen is failing. If the Spleen fails, the other four organs will follow suit in failure; even if time drags on, it merely prolongs life temporarily. The ears are the orifices of the Kidneys, and the Shaoyang Ministerial Fire meridian runs along the front and back of the ears. Therefore, if red spots appear first on the earlobes, it indicates blazing fire-toxin that is difficult to extinguish, which is not an auspicious sign. Most gratifying is when eruption, suppuration, and scabbing occur first around the mouth and lips. Because the Yangming meridians flank the mouth and encircle the lips, governed by the Stomach and Large Intestine, this is a region abundant in Qi and Blood where nothing cannot be borne, hence it signifies auspiciousness. These key points regarding organ-face correspondences must be carefully studied during normal times, so as to apply flexible judgment during clinical practice.
When pox covers the crown of the head, it is called "Meng Tou" (Covered Head). Toxin involving the Yang positions is most worrying. If the pustules are slightly pointed and round with soft muscle texture, treat with Songji Tongsheng San (Sore-Relieving Supreme Purity Powder); if red and swollen like a melon, it is an incurable condition, and medication will ultimately be of no avail.
[Note] The head is the meeting point of all Yang meridians. When the body is sparse but the head is dense, it is named "Meng Tou," indicating toxin invading Yang positions. If the pustule shape is slightly pointed and round, it should be treated with Songji Tongsheng San. If the head is red and swollen like a melon, it is an untreatable syndrome; even with herbal administration, there is ultimately no help.
The诀 (Rhyme Formula) for observing pox states: Three or five connected suggests misfortune; four or six aligned implies disaster; one or two arranged up and down are paths of auspiciousness; double or single mixed places need not cause worry.
Songji Tongsheng San (Sore-Relieving Supreme Purity Powder)
Jingjie (Schizonepetae Spica), Qianghuo (Notopterygii Rhizoma et Radix), Niubangzi (Arctii Fructus, stir-fried and ground), Fangfeng (Saposhnikoviae Radix), Zicao (Arnebiae Radix seu Lithospermi Radix), Honghua (Carthami Flos), Qingpi (Aurantii Fructus Immaturus Pericarpium), Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Zihuadiding (Violaris Herba), Fengfang (Vespa Nidus), Shanzha (Crataegi Fructus), Mutong (Akebiae Caulis).
Guiding herbs: Add Luxun (Asparagi Racemiferi Rhizoma) and Yuanxi (Coriandri Fructus), decoct in water and take orally.
[Prescription Verse] Songji Tongsheng medicine is most efficacious, Jingjie, Qianghuo, Niubangzi, and Fangfeng together; Zicao, Honghua, Qingpi, Danggui, and Chishao; Diding, Fengfang, Shanzha, and Mutong.