问∶“痧胀，有愈而屡屡复发者矣。若麻疹，有愈而屡屡复发者乎？”曰∶”无有。”然则谓麻疹即痧胀，谬矣。使有
犯麻疹复痧胀，乃即以治麻疹法治之，误莫大焉。故曰麻疹后复痧胀，不可不知。
治验∶
一王日斯幼女，正月间，麻疹后，泻痢白色，治之稍安。骤然腹痛，脉短而微。余曰∶“此秽气新触作痛，非麻疹之
故。”放指上痧二十余针，未愈。用救苦丹，清茶稍冷服之。付藿香汤加卜子、红花、乌药、木通微冷冻饮料之，即痊。
一陶元升，麻疹后，忽壮热面赤，痰喘不已。两额太阳，抽痛异常。脉不洪滑反濡细，痧气阻塞脉路也；痰喘不已，
痧气上壅也；两额太阳抽痛，痧毒上攻三阳也；其面赤发热者，毒盛极而攻表也；均不因麻疹而然。启腿弯痧筋放六针，
毒血墨黑，未愈。用清凉至宝饮减细辛加黄芩、干葛、红花、牛膝、木通微冷冻饮料二剂渐安。但腹中饱闷，按之则痛，用
丁沉阿魏丸，微温饮之，又付必胜汤，温饮四剂，下尽黑恶毒物而愈。
一 钧甫子，二月间，麻疹后遍身疼痛，不能转侧，有似麻疹余毒，治之反加沉重。延余，脉累累如贯珠，时一促
疾。盖遍身疼痛不能转侧者，痧胀毒攻血分也；脉累累如贯珠疾促者，痧胀于中，筋脉缩急而然也；反加沉重者，误饮
温热，痧毒内攻势盛也。放腿弯痧四针，及臂指痧二十余针，咸流紫黑血，未愈。用桃仁红花汤加牛膝、山楂、枳壳、
磨降香微温服，四剂而安。
问：“痧胀（因感受秽浊疫毒之气，导致气机阻滞、腹部胀满疼痛的病证），有痊愈后却屡屡复发的吗？”回答说：“没有。”既然如此，说麻疹就是痧胀，是错误的。假使有人患过麻疹后又得了痧胀，如果还用治疗麻疹的方法来治疗，错误就太大了。所以说，麻疹之后又发生痧胀，是不可不知道的。
治验：
有一位王日斯的幼女，在正月期间，出完麻疹后，出现白色泻痢，经过治疗稍微安定。突然腹痛，脉象短而微弱。我说：“这是新的秽浊之气触动导致的疼痛，不是麻疹的缘故。”在手指上放痧二十多针，病未愈。使用救苦丹，用稍冷的清茶送服。给予藿香汤加入莱菔子、红花、乌药、木通，微冷冻后饮用，随即痊愈。
有一位陶元升，出完麻疹后，忽然高热面赤，痰喘不止。两侧额角和太阳穴抽搐疼痛异常。脉象不洪大滑利反而濡细，这是痧气阻塞脉路；痰喘不止，是痧气上壅；两侧额角和太阳穴抽搐疼痛，是痧毒上攻三阳经；其面赤发热，是毒气极盛而攻于体表。这些都不是因为麻疹引起的。在腿弯处放痧筋六针，流出的毒血墨黑，病未愈。使用清凉至宝饮减去细辛，加入黄芩、干葛、红花、牛膝、木通，微冷冻后分两剂服用，逐渐安定。但腹中饱闷，按压则痛，使用丁沉阿魏丸，微温饮用，又给予必胜汤，温饮四剂，排尽黑色恶臭的毒物而痊愈。
有一位钧甫的儿子，二月间，出完麻疹后遍身疼痛，不能翻身转动，看似麻疹余毒，治疗反而加重沉重感。延请我诊治，脉象累累如贯珠，时而急促疾速。大概遍身疼痛不能转侧，是痧胀毒气攻入血分；脉象累累如贯珠且疾促，是痧胀在中焦，导致筋脉收缩紧急；反而加重沉重感，是因为误饮温热药物，导致痧毒内攻之势更盛。在腿弯处放痧四针，以及手臂手指处放痧二十多针，都流出紫黑色的血，病未愈。使用桃仁红花汤加入牛膝、山楂、枳壳、磨碎的降香，微温服用，四剂后安定。
Question: "Is there Sha Zhang (a disease characterized by abdominal distension and pain caused by the stagnation of qi due to pathogenic foul pathogens) that recurs repeatedly after recovery?" Answer: "No." Therefore, to claim that Measles is Sha Zhang is erroneous. If a patient contracts Sha Zhang after recovering from Measles, and one treats it using methods for Measles, the error would be immense. Thus, it is crucial to understand the occurrence of Sha Zhang following Measles.
Clinical Cases:
1. A young daughter of Wang Risi, in January, after contracting Measles, suffered from white diarrhea and dysentery, which was slightly stabilized by treatment. Suddenly, she experienced abdominal pain with a short and faint pulse. I stated, "This pain is caused by new contact with foul pathogens, not by Measles." Pricking blood from over twenty points on the fingers did not cure her. She was given Jiuku Dan (Rescue Suffering Pill), taken with slightly cooled clear tea. Then, Huoxiang Tang (Agastache Decoction) was prescribed with added Radish Seed (Bai Fuzi), Safflower (Honghua), Lindera Root (Wuyao), and Akebia Stem (Mutong), served slightly chilled, resulting in immediate recovery.
2. Tao Yuansheng, after contracting Measles, suddenly developed high fever, red face, and incessant phlegm-wheezing. There was abnormal twitching pain in both temples and the Taiyang region. The pulse was not surging and slippery but rather soft and fine, indicating that Sha Qi (Sha pathogenic factor) was blocking the vessel pathways; the incessant phlegm-wheezing indicated Sha Qi obstructing upwards; the twitching pain in the temples and Taiyang region indicated Sha Toxin attacking the Three Yang meridians; the red face and fever indicated extreme toxin strength attacking the exterior. None of these were due to Measles. Six needles were used to prick the Sha veins in the popliteal fossa, releasing dark black toxic blood, but the condition persisted. Qingliang Zhibao Yin (Cooling Precious Treasure Decoction) was prescribed, with Xixin removed and Huangqin, Gegen, Honghua, Niuxi, and Mutong added, taken in two doses while slightly chilled, leading to gradual stabilization. However, due to abdominal fullness and pain upon pressure, Dingchen Awai Wan (Dingchen Asafoetida Pill) was taken with slight warmth. Subsequently, Bisheng Tang (Victory Guaranteed Decoction) was administered warm for four doses, resulting in the discharge of all black, foul-smelling toxic matter and recovery.
3. The son of Junfu, in February, after contracting Measles, suffered from body-wide pain and inability to turn or move, resembling residual toxins from Measles; however, treatment aggravated the heaviness. Upon consultation, the pulse was continuous like a string of pearls, occasionally rapid and hurried. Generally, body-wide pain preventing movement indicates Sha Toxin attacking the Blood level; the continuous, pearl-like, rapid pulse indicates Sha Stagnation in the middle jiao causing contraction and urgency of sinews and vessels; the aggravation of heaviness is due to mistakenly drinking warm substances, intensifying the internal attack of Sha Toxin. Four needles were pricked in the popliteal fossa, and over twenty needles in the arms and fingers, all yielding purple-black blood, yet the condition persisted. Taoren Honghua Tang (Peach Kernel and Safflower Decoction) was prescribed with added Niuxi, Hawthorn Fruit (Shanzha), Aurantium Peel (Zhike), and ground Agarwood (Xiang), taken warm. After four doses, the condition stabilized.