疹属阳毒,感之则暴悍酷烈,为害匪细,变态顷刻。所以发热时,最宜解表散邪,必令发出
透彻,乃无余毒蕴热之患。或表发不透,或风寒阻塞,或误饮食,或犯禁忌,疹虽收而余证作者
多矣。疹后自宜热退,若拂热犹在,随证详审。如呕吐,仍用前方。便秘加制大黄。若胸高如圭
,肩耸而喘,口鼻出血,面红或青枯黯,皆为恶候。然亦有肺虚,为毒所遏而发喘,连声不已,
用止嗽清肺方参酌。如日夜烦躁,谵语狂乱,主方调六一散(方见暑门)加辰砂灯心汤下。小
便赤短,五苓散(方见便癃)加芩连煎调辰砂服。
烦躁谵语,升麻葛根汤、辰砂六一散服。随所见证,以后方酌用。
止嗽清肺∶知母 贝母 天门冬 麦冬 桔梗 软石膏 杏仁 马兜铃(等分) 糯米百粒
,水煎服。热加连翘。
气热鼻燥,毛焦咳嗽∶麦门冬 桔梗(各二钱) 知母(一钱) 荆芥(取穗一钱) 天粉
石菖蒲(一寸,九节者) 诃子肉(各四分) 水煎服。
余毒不尽加防风、牛蒡、甘草。
热乘肺金,声哑咳喘∶当归(酒洗) 白芍(酒炒) 生地黄(酒洗) 陈皮 贝母 栝蒌
仁白茯苓 片黄芩(酒炒) 栀子(炒) 天门冬 玄参 麦门冬 桑皮 杏仁 热加黄连、
石膏、苏梗、甘草。水煎服。
嗽不止∶陈皮 半夏 茯苓 黄连(姜炒) 甘草 竹茹水煎服。
泻不止∶猪苓 泽泻 滑石 赤芍 黄连(姜炒) 升麻 甘草 水煎服。未止,加止泻药。
痢不止∶黄芩 芍药(各一钱半) 黄连 枳壳 当归 木通 生地(各七分)
不通加酒大黄。后重,木香,另磨槟榔。水煎。
汗不止∶黄 黄连 黄柏 黄芩 生地 熟地黄 酸枣仁 当归 加浮小麦一撮,水煎服。
鼻衄出血∶玄参 丹皮 生地 茅花(无,用根汁) 片黄芩 栀子 石膏(等分) 甘草
(减半) 水煎,调百草霜服。
咽喉肿痛∶黄连(二钱) 黄芩(二钱) 黄柏(一钱五分) 苦参(一钱) 玄胡索 乳
香(各三分) 雄黄 孩儿茶(各五分)上各为细末,研匀,芦管吹入喉中。
心神恍惚,夜卧不安∶黄连(二钱) 当归 生地 远志(甘草煮,剥) 茯神 人参 酸
枣仁(炒) 丹参 柏子仁 石菖蒲 麦冬 甘草(炙。各一钱) 上为末,入金箔三张,山药
糊丸,朱砂为衣,每服一钱,灯心竹叶汤送下。
疹后痈毒,肢节肿痛∶羌活 穿山甲(炒,研末。各一两) 金银花 白芷梢 大黄(各五钱)
甘草节(一钱) 乳香(制研,二钱) 上为末,每服一钱。用牙皂角刺同煎,酒调下,发汗出
为度。
咽喉肿痛,不能饮食∶甘草 桔梗(各二钱) 玄参(一钱) 连翘 牛蒡子 射干 山豆根
(各五分) 上水煎服。
(前吹叶入薄荷、甘草、桔梗、玄参、山根末,蜜丸噙化,效。)
走马牙疳,龈肉黑烂∶人中白 芦荟 使君子肉 龙胆草 胡黄连 五灵脂(等分) 上
为末,蒸饼,糊丸黍米大,每服一钱,临睡白汤下。
敷方 (牙疳黑烂) 雄黄(水飞,一钱) 黄柏(研末,二钱) 麝香(五厘) 上研
匀,先用艾煎汤洗净,次敷药。
又方 五倍子(研末,二钱) 雄黄(水飞,五钱) 枯矾(八分) 蚕蜕纸(烧灰,一钱
)上研匀,先温米泔、乱发洗净,敷药。(痘前后牙疳急,宜敷。服。有传于两颊浮肿,穿溃
死者)
疹后水蓄证,因渴时多饮所致。水停于胃为呕哕,入脾为肿胀,宜利水实脾,猪苓、泽泻、
茯苓、白术。入肺为喘咳,加葶苈。入心惊悸,宜赤苓、木通。入肝胁痛,加芫花。入肾、膀胱
,小便不利,车前子。疹后昼夜发热,毛发焦枯,皮肤干槁,肌肉羸瘦,清热丸(方见牙疳门
主方。)如忽然心腹绞痛汗出,乃元气亏损,失于补养,外虽似安,内虚未实,偶中恶气,多致
不救。及睡中露睛,手足厥冷,欲作慢脾风,不救之证。
热甚失血∶犀角地黄汤(方见血门)加三黄、栀子、茵陈、木通,小便泄火。
疹时食鸡、鱼,终身皮肤粟起,天行疹时重出。食猪肉,每岁出疹之月下痢。食盐醋,每岁
月咳嗽。食五辛,则生惊、热不时,必四十九日或百日无忌。
(贺千秋传)痘痒或痛∶桦皮、乳香、茵陈和匀,烧熏及熏被盖,立止。
痘泻,三日前毒火发,药重加黄连,愈。三日无功,痘疹后余毒泻,干柯根(即刀茅,)
煎汁服安。
痘喘,白花地丁煎服,愈。火痘毒盛,捣绞汁和白酒浆少许服,效。
稀痘神方∶金银花为末,砂糖调,经年服。或再花连藤煎汤作饮。
痧疹喘急闷乱∶西河柳研末(四钱,)水调服愈(发疹药中重加,大效。疹后痢,砂糖调柳
服。)
〔补遗〕惺惺散 小儿变蒸发热,痰嗽,风寒时疫,痘疹大行,气不和。
人参 白术 茯苓 芍药 桔梗 天粉 细辛 甘草(等分) 为末二钱,生姜、薄荷煎
。热,柴胡。随证加。
疹症属于阳毒,感染后病情暴烈凶险,危害极大,且变化迅速。因此在发热期间,最适宜采用解表散邪的方法,务必使疹点透发彻底,这样才能避免余毒蕴结化热的隐患。如果表证发散不透,或因风寒阻塞、饮食不当、触犯禁忌等原因,即使疹点已消退,也常出现多种残留症状。疹后体温理应恢复正常,若仍有余热未清,需根据具体证候仔细辨证。如出现呕吐,仍使用前面的方剂;若便秘,则加入制大黄。如果出现胸部高耸如圭状、耸肩喘息、口鼻出血、面色红赤或青黑枯暗,这些都是不良的征兆。然而也有因肺气虚弱,被余毒郁遏而引发气喘,连续不断的情况,可参考使用止嗽清肺方。如果日夜烦躁不安,胡言乱语甚至狂乱,主方选用调六一散(方见暑门章节),用辰砂灯心汤送服。若小便短赤,可用五苓散(方见便癃章节)加黄芩、黄连煎煮,调入辰砂服用。
对于烦躁谵语,可服用升麻葛根汤、辰砂六一散。根据所见证候,酌情使用以下方剂。
止嗽清肺方:知母、贝母、天门冬、麦冬、桔梗、软石膏、杏仁、马兜铃(各等分),糯米一百粒,水煎服。热象重者加连翘。
气热鼻干、毛发焦枯咳嗽:麦门冬、桔梗(各二钱),知母(一钱),荆芥穗(一钱),天粉石菖蒲(一寸,以九节者为佳),诃子肉(各四分),水煎服。
热邪乘袭肺金,声音嘶哑咳嗽气喘:当归(酒洗)、白芍(酒炒)、生地黄(酒洗)、陈皮、贝母、瓜蒌仁、白茯苓、片黄芩(酒炒)、栀子(炒)、天门冬、玄参、麦门冬、桑白皮、杏仁。热重者加黄连、石膏、苏梗、甘草。水煎服。
咳嗽不止:陈皮、半夏、茯苓、黄连(姜炒)、甘草、竹茹,水煎服。
腹泻不止:猪苓、泽泻、滑石、赤芍、黄连(姜炒)、升麻、甘草,水煎服。若不止,加止泻药。
痢疾不止:黄芩、芍药(各一钱半)、黄连、枳壳、当归、木通、生地黄(各七分)。不通畅者加酒大黄。里急后重者加木香,另磨槟榔。水煎服。
出汗不止:黄芪、黄连、黄柏、黄芩、生地黄、熟地黄、酸枣仁、当归,加浮小麦一撮,水煎服。
鼻出血:玄参、丹皮、生地黄、茅花(无茅花用根汁)、片黄芩、栀子、石膏(各等分),甘草(减半量),水煎,调入百草霜服用。
咽喉肿痛:黄连(二钱)、黄芩(二钱)、黄柏(一钱五分)、苦参(一钱)、玄胡索、乳香(各三分)、雄黄、孩儿茶(各五分)。以上药物研为细末,混合均匀,用芦管吹入喉中。
心神恍惚,夜间睡眠不安:黄连(二钱)、当归、生地黄、远志(甘草煮过剥去心)、茯神、人参、酸枣仁(炒)、丹参、柏子仁、石菖蒲、麦冬、甘草(炙,各一钱)。以上药物研为末,加入金箔三张,山药糊制成丸药,朱砂为衣,每次服用一钱,用灯心竹叶汤送下。
疹后痈毒,肢体关节肿痛:羌活、穿山甲(炒,研末,各一两)、金银花、白芷梢、大黄(各五钱)、甘草节(一钱)、乳香(制研,二钱)。以上药物研为末,每次服用一钱。用牙皂角刺同煎,酒调服,以发汗为度。
咽喉肿痛,无法进食:甘草、桔梗(各二钱)、玄参(一钱)、连翘、牛蒡子、射干、山豆根(各五分)。水煎服。
(前文提到的吹药方中加入薄荷、甘草、桔梗、玄参、山豆根末,蜜丸含化,效果良好。)
走马牙疳,牙龈黑烂:人中白、芦荟、使君子肉、龙胆草、胡黄连、五灵脂(各等分)。以上药物研为末,蒸饼为丸,如黍米大小,每次服用一钱,临睡前用白开水送服。
外敷方(治疗牙疳黑烂):雄黄(水飞,一钱)、黄柏(研末,二钱)、麝香(五厘)。以上药物研匀,先用艾叶煎汤洗净患处,再敷药。
又一方:五倍子(研末,二钱)、雄黄(水飞,五钱)、枯矾(八分)、蚕蜕纸(烧灰,一钱)。以上药物研匀,先用温米泔水和乱发洗净患处,再敷药。(痘疹前后出现的急性牙疳,宜敷此药。若服药无效,导致两颊浮肿、穿孔溃烂而死的情况需注意。)
疹后水蓄证,因口渴时饮水过多所致。水停于胃则呕吐呃逆,入脾则肿胀,宜利水实脾,用猪苓、泽泻、茯苓、白术。水入肺则喘咳,加葶苈子。水入心则惊悸,宜用赤茯苓、木通。水入肝则胁痛,加芫花。水入肾、膀胱则小便不利,用车前子。疹后昼夜发热,毛发焦枯,皮肤干枯,肌肉消瘦,用清热丸(方见牙疳门主方)。如果忽然心腹绞痛并出汗,这是元气亏损,失于补养,虽然外表看似平静,但内虚未复,偶然中受恶气,多导致不治。以及睡中眼睛半睁,手足厥冷,欲作慢脾风,属于不治之证。
热盛导致失血:犀角地黄汤(方见血门)加三黄、栀子、茵陈、木通,以利小便泄火。
出疹期间吃鸡肉、鱼肉,会导致终身皮肤起粟粒状疙瘩,或在时行疹病时复发。吃猪肉,每年出疹的月份会患痢疾。吃盐醋,每年该月会咳嗽。吃五辛,则会生惊、发热不时,必须四十九日或百日之内忌口。
(贺千秋传)痘疮瘙痒或疼痛:桦树皮、乳香、茵陈混合均匀,烧熏及熏盖被子,立即停止。
痘疮腹泻,前三天毒火发作,用药重用黄连,痊愈。三天无效,则是痘疹后余毒引起的腹泻,用干柯根(即刀茅草根)煎汁服用可安。
痘疮气喘,用白花地丁煎服,痊愈。火痘毒盛,捣碎绞汁,和少许白酒浆服用,有效。
稀痘神方:金银花研末,砂糖调服,常年服用。或者将金银花连藤煎汤作为饮料。
痧疹气喘急促闷乱:西河柳研末(四钱),水调服可愈(在发疹药中加重用量,效果显著。疹后痢疾,用砂糖调西河柳粉服用。)
〔补遗〕惺惺散:小儿变蒸发热,痰嗽,风寒时疫,痘疹盛行,气机不和。
人参、白术、茯苓、芍药、桔梗、天花粉、细辛、甘草(各等分)。研为末,每次二钱,生姜、薄荷煎汤送服。热重者加柴胡。随证加减。
Rash (Zhen) belongs to Yang Toxicity. Upon infection, the condition is violent and fierce, causing significant harm with rapid transformations. Therefore, during the fever stage, it is most appropriate to resolve the exterior and disperse pathogens, ensuring the rash erupts thoroughly to avoid complications from residual toxicity and accumulated heat. If the exterior is not adequately released, or if blocked by wind-cold, or due to dietary errors or violation of taboos, even after the rash subsides, many residual symptoms may arise. After the rash, body temperature should naturally return to normal; if residual heat persists, careful differentiation based on specific symptoms is required. For vomiting, use the previous formula; for constipation, add prepared Rhizoma et Radix Pinelliae (Zhida Huang). Symptoms such as a chest protruding like a 'gui' shape, shoulder shrugging with panting, bleeding from mouth and nose, or a red or cyanotic/dark/withered complexion are all ominous signs. However, some cases involve lung deficiency where toxicity obstructs the airways causing continuous wheezing; in such cases, refer to the Zhisou Qingfei Fang (Stop Coughing and Clear Lung Formula). For day-and-night restlessness, delirium, and mania, the main formula is Tiao Liuyi San (Regulate Six-One Powder) (see Summer Heat section), taken with Chen Sha Dengxin Tang (Cinnabar and Juncus Decoction). For dark and scanty urine, use Wuling San (Five-Ingredient Powder with Poria) (see Urinary Obstruction section) added with Radix Scutellariae (Huangqin) and Radix Coptidis (Huanglian), decocted and mixed with Cinnabar.
For restlessness and delirium, take Shengma Gegen Tang (Cimicifugae and Puerariae Root Decoction) or Chen Sha Liuyi San. Use subsequent formulas according to observed symptoms.
**Zhisou Qingfei Fang (Stop Coughing and Clear Lung Formula):** Radix Anemarrhenae (Zhimu), Fritillariae Bulbus (Beimu), Asparagi Radix (Tianmendong), Ophiopogonis Radix (Maidong), Platycodonis Radix (Jiegeng), Gypsum Fibrosum (Ruanshigao), Armeniacae Semen Amarum (Xingren), Aristolochiae Fructus (Madouling) (equal parts), plus 100 grains of glutinous rice. Decoct in water and take. Add Forsythiae Fructus (Lianqiao) if heat is severe.
**For Qi-heat, dry nose, withered hair, and cough:** Ophiopogonis Radix (Maimendong), Platycodonis Radix (Jiegeng) (each 2 qian), Radix Anemarrhenae (Zhimu) (1 qian), Schizonepetae Herba (Jingjie) taking only the spikes (1 qian), Tianfen Shi Changpu (Acorus Tatarinowii, 1 cun, preferably nine-jointed), Pericarpium Arecae Preparatum (Hezi Rou) (each 4 fen). Decoct in water and take.
**For incomplete clearance of residual toxicity:** Add Saposhnikoviae Radix (Fangfeng), Arctii Fructus (Niubang), and Glycyrrhizae Radix et Rhizoma (Gancao).
**When Heat attacks Metal (Lung), causing hoarseness, cough, and asthma:** Radix Angelicae Sinensis (Danggui) washed in wine, Radix Paeoniae Alba (Baishao) fried in wine, Rehmanniae Radix (Shengdihuang) washed in wine, Citri Reticulatae Pericarpium (Chenpi), Fritillariae Bulbus (Beimu), Trichosanthis Semen (Gualou Ren), Poria (Fuling), Radix Scutellariae (Pian Huangqin) fried in wine, Gardeniae Fructus (Zhizi) stir-fried, Asparagi Radix (Tianmendong), Scrophulariae Radix (Xuanshen), Ophiopogonis Radix (Maidong), Cortex Mori Radicis (Sangpi), Armeniacae Semen Amarum (Xingren). If heat is severe, add Radix Coptidis (Huanglian), Gypsum Fibrosum (Shigao), Perilla Caulis (Sugeng), and Glycyrrhizae Radix et Rhizoma (Gancao). Decoct in water and take.
**For persistent cough:** Citri Reticulatae Pericarpium (Chenpi), Pinelliae Rhizoma (Banxia), Poria (Fuling), Radix Coptidis (Huanglian) stir-fried with ginger, Glycyrrhizae Radix et Rhizoma (Gancao), Bamboo Shavings (Zhuru). Decoct in water and take.
**For persistent diarrhea:** Polyporus (Zhuling), Alismatis Rhizoma (Zexie), Talcum (Huashi), Radix Paeoniae Rubra (Chishao), Radix Coptidis (Huanglian) stir-fried with ginger, Cimicifugae Rhizoma (Shengma), Glycyrrhizae Radix et Rhizoma (Gancao). Decoct in water and take. If ineffective, add anti-diarrheal herbs.
**For persistent dysentery:** Radix Scutellariae (Huangqin), Radix Paeoniae (Shaoyao) (each 1.5 qian), Radix Coptidis (Huanglian), Aurantii Fructus Immaturus (Zhike), Radix Angelicae Sinensis (Danggui), Akebiae Caulis (Mutong), Rehmanniae Radix (Shengdi) (each 0.7 qian). If obstruction exists, add Rhizoma et Radix Pinelliae (Jiu Dahuang). For tenesmus, add Aucklandiae Radix (Muxiang), and separately grind Arecae Semen (Binglang). Decoct in water and take.
**For persistent sweating:** Astragali Radix (Huangqi), Radix Coptidis (Huanglian), Phellodendri Cortex (Huangbai), Radix Scutellariae (Huangqin), Rehmanniae Radix (Shengdi), Rehmanniae Radix Preparata (Shudihuang), Ziziphi Spinosae Semen (Suanzaoren), Radix Angelicae Sinensis (Danggui). Add a pinch of Tritici Fructus (Fuxiaomai). Decoct in water and take.
**For epistaxis (Nosebleed):** Scrophulariae Radix (Xuanshen), Moutan Cortex (Danpi), Rehmanniae Radix (Shengdi), Spike of Imperatae Rhizoma (Maohua - if unavailable, use root juice), Radix Scutellariae (Pian Huangqin), Gardeniae Fructus (Zhizi), Gypsum Fibrosum (Shigao) (equal parts), Glycyrrhizae Radix et Rhizoma (Gancao) (half dose). Decoct in water, mix with Bai Cao Shuang (soot from burning hundred herbs), and take.
**For sore throat and swelling:** Radix Coptidis (Huanglian) (2 qian), Radix Scutellariae (Huangqin) (2 qian), Phellodendri Cortex (Huangbai) (1.5 qian), Sophorae Flavescentis Radix (Kushen) (1 qian), Corydalis Rhizoma (Yanhusuo), Resina Draconis (Ruxiang) (each 3 fen), Realgar (Xionghuang), Child's Tea (Haiercha) (each 5 fen). Grind all into fine powder, mix well, and insufflate into the throat using a reed tube.
**For mental confusion and restless sleep at night:** Radix Coptidis (Huanglian) (2 qian), Radix Angelicae Sinensis (Danggui), Rehmanniae Radix (Shengdi), Polygalae Radix (Yuanzhi) boiled in licorice water and peeled, Spirit of Poria (Fushen), Ginseng Radix (Renshen), Ziziphi Spinosae Semen (Suanzaoren) stir-fried, Salviae Miltiorrhizae Radix (Danshen), Biota Seed (Baiziren), Acori Tatarinowii Rhizoma (Shichangpu), Ophiopogonis Radix (Maidong), Glycyrrhizae Radix et Rhizoma (Gancao) roasted (each 1 qian). Grind into powder, add three sheets of Gold Leaf, form pills with Yam paste, coat with Cinnabar. Take 1 qian per dose, delivered with Dengxin Zhuye Tang (Juncus and Bamboo Leaf Decoction).
**For post-rash carbuncles/toxicity and limb/joint swelling:** Notopterygii Rhizoma et Radix (Qianghuo), Manis Squama (Chuanshanjia) stir-fried and powdered (each 1 liang), Lonicerae Japonicae Flos (Jinyinhua), Peucedani Radix (Baizhi Shao), Rhizoma et Radix Pinelliae (Dahuang) (each 5 qian), Glycyrrhizae Radix et Rhizoma (Ganjie) (1 qian), Resina Draconis (Ruxiang) processed and powdered (2 qian). Grind into powder, take 1 qian per dose. Decoct with Gleditsiae Sinensis Spina (Yazaojiaoci), mix with wine, and take until sweating occurs.
**For sore throat unable to eat:** Glycyrrhizae Radix et Rhizoma (Gancao), Platycodonis Radix (Jiegeng) (each 2 qian), Scrophulariae Radix (Xuanshen) (1 qian), Forsythiae Fructus (Lianqiao), Arctii Fructus (Niubangzi), Belamcandae Rhizoma (Shegan), Sophorae Radix (Shandougen) (each 5 fen). Decoct in water and take.
(Note: The insufflation formula mentioned earlier can be enhanced by adding Menthae Haplocalycis Herba (Bohe), Glycyrrhizae Radix et Rhizoma (Gancao), Platycodonis Radix (Jiegeng), Scrophulariae Radix (Xuanshen), and Sophorae Radix (Shandougen) powder, formed into honey pills for sucking.)
**For Gangrenous Stomatitis (Zouma Yagan) with black/rotten gums:** Human Calcined Bone (Renzhongbai), Aloe (Luhui), Quisqualis Fructus (Shijunzi), Gentianae Radix et Rhizoma (Longdancao), Coptidis Rhizoma (Huhuanglian), Trogopterori Faeces (Wulingzhi) (equal parts). Grind into powder, make pills with steamed wheat cake paste, size of millet seeds. Take 1 qian per dose before bed with warm water.
**External Application Formula (for Gangrenous Stomatitis):** Realgar (water-ground, 1 qian), Phellodendri Cortex (powdered, 2 qian), Moschus (Muxiang) (5 li). Grind uniformly. First wash the area with Mugwort decoction, then apply the medicine.
**Another Formula:** Myrobalan (powdered, 2 qian), Realgar (water-ground, 5 qian), Alum (Kufan) (8 fen), Silkworm Molting Paper (burnt to ash, 1 qian). Grind uniformly. Wash the area first with warm rice water and human hair, then apply. (For acute gangrenous stomatitis before/after chickenpox/smallpox. Apply externally. Note: If untreated, it may spread to cheek swelling and perforation leading to death.)
**Post-Rash Water Retention Syndrome:** Caused by excessive drinking when thirsty. Water stagnating in the Stomach causes vomiting/hiccups; entering the Spleen causes swelling. Treat by promoting urination and strengthening the Spleen using Polyporus (Zhuling), Alismatis Rhizoma (Zexie), Poria (Fuling), and Atractylodis Macrocephalae Rhizoma (Baizhu). Water entering the Lung causes asthma/cough; add Descurainiae Semen (Tingli). Water entering the Heart causes palpitations; use Red Poria (Chiling) and Akebiae Caulis (Mutong). Water entering the Liver causes hypochondriac pain; add Genkwa Flos (Yuanhua). Water entering the Kidney/Bladder causes difficult urination; use Plantaginis Semen (Cheqianzi).
If after the rash there is day-and-night fever, withered hair, dry skin, and emaciation, use Qingre Wan (Clear Heat Pill) (see Gangrenous Stomatitis section). If sudden colic with sweating occurs, this indicates Yuan Qi (Original Qi) depletion and lack of nourishment. Although the exterior seems calm, internal deficiency remains; accidental exposure to evil qi often leads to untreatable conditions. Also, sleeping with eyes half-open, cold extremities, and signs of Man Pi Feng (Slow Spleen Wind) are signs of untreatable conditions.
**Heat excess causing hemorrhage:** Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) (see Blood section) added with San Huang (Three Yellows), Gardeniae Fructus (Zhizi), Artemisiae Scopariae Herba (Yinchen), and Akebiae Caulis (Mutong) to promote urination and drain fire.
Eating chicken or fish during the rash period causes lifelong skin eruptions resembling millet grains, or recurrence during epidemic rashes. Eating pork causes dysentery in the month corresponding to the annual rash occurrence. Eating salt and vinegar causes coughing in that month annually. Eating Five Pungent Spices causes fright and irregular fever; abstinence must be maintained for 49 or 100 days.
**(From He Qianqiu's transmission)** For itching or pain in smallpox: Birch bark, Resina Draconis (Ruxiang), and Artemisiae Scopariae Herba (Yinchén) mixed evenly, burned for fumigation and to smoke bedding, stops immediately.
For smallpox diarrhea: If within the first three days, toxic fire is erupting, use heavy doses of Radix Coptidis (Huanglian) to cure. If no effect after three days, it is diarrhea from residual toxicity after rash; decoct Gan Ke Gen (Dry Branch Root, i.e., Dao Mao grass root) and take the juice to settle.
For smallpox asthma: Decoct and take Baihua Di Ding (Hedyotis diffusa). For Fire Smallpox with intense toxicity, crush, extract juice, mix with a little white wine mash, and take; effective.
**Divine Formula for Mildening Rash:** Lonicerae Japonicae Flos (Jinyinhua) powdered, mixed with rock sugar, taken for years. Or boil Lonicerae Japonicae Flos with vines as tea.
**For Sha Rash with urgent asthma and distress:** Xihe Liu (Tamarix Ramulus) powdered (4 qian), mixed with water and taken to cure. (Add heavily to rash-inducing medicines for great effect. For post-rash dysentery, mix with rock sugar and take.)
[Supplement] **Xingxing San:** For pediatric transformation fever, phlegm-cough, wind-cold seasonal epidemics, widespread smallpox/rash, and disharmony of Qi.
Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Radix Paeoniae (Shaoyao), Platycodonis Radix (Jiegeng), Trichosanthes Radix (Tianfen), Asari Radix et Rhizoma (Xixin), Glycyrrhizae Radix et Rhizoma (Gancao) (equal parts). Grind into powder, take 2 qian, decoct with Ginger and Mint. Add Bupleuri Radix (Chaihu) if heat is severe. Adjust according to symptoms.