若乡居，若宦邸，无医之处，忽患痘与疹，最宜房室固密，谨避风寒，衣衾温浓，怀抱和暖
。父母、乳母须赤身与卧，令患儿融和如春，大助发生之力。又不宜烈火熏蒸，以助火毒。经云
∶寒主收引。人之腠理（即毛孔）暖则疏通快畅，在痘则易于发出，起胀贯脓，收敛结靥，落痂
无滞；在疹则根据时发出，根据时收敛，三日毒尽，疹散斑消。寒则闭塞不通，在痘则不能尽出，
有陷伏、内攻、倒靥等证作焉，在疹则发不透彻，有喘急、腹胀、昏乱等证生焉。盖痘之与疹，
内之本原，虽有轻重寒热之殊，外之调护，当
知宜忌，始终则一。倘遇寒天，和暖最为急务；若逢暄日，清凉必为要诠。用意调理，可保无虞
。今之变坏者，原犯逆证者有之，常因风寒触犯，而 枉者亦多矣，深可痛惜，大凡儿至十岁外
，气血壮盛，饮食寒暖自知保护，肯听教戒，保全为易。所以婴儿值遇痘疹天行，勿令出外，恐
传染流殃。及避风寒节饮食，更令欢悦，勿焦烦怒哭，致动心肝之火，及跌扑惊恐，庶可延免。
顺 身热和缓，不时发惊（忽然跳动也），神色清爽，气息和平，睡卧安宁，饮食不减，二便
如常，不必服药。疑似难明，通治方一剂，略表微汗，令痘易出。若因风寒，汗出即愈（但令两
足暖，微有汗出，微有吐泻，痘出止。）
险 身体壮热，乍盛乍轻，神昏汗出，口渴呕泻，饮食减少。或二便秘涩，宜服散邪发表之药。或发惊搐，宜服平
肝木、利小水之剂。勿服凉心药，恐寒闭腠理。
主方 升麻 干葛 前胡 桔梗 山楂 陈皮 枳壳 川芎 羌活（等分） 甘草（减半）
水煎服。
热甚加木通、防风。声音忽变，倍甘草、桔梗，加玄参、牛蒡、荆芥，或加清肺饮。热盛合
导赤散，或消毒饮（方俱见后）。
逆 身发大热，绝不饮食（但宜消毒火，勿误用养胃进食热药杀人，）腹胀啼叫，喘急闷乱。
或饮食入口，即大吐不止（此乃毒火不能发越，攻冲胃口，故忌热药）。或泄泻（只宜升提发表
，亦忌止泻热药。）或腰疼腹痛，不能站立（乃命门毒火盛，不能
传出，故极为恶候。若能饮食有愈者，大宜清凉解毒，痘出痛止。）头面一片如胭脂，及照心胸
肉里，或周身有红块者死。头温足冷，昏闷如痴，凶。
如果居住在乡村，或者住在官邸中，没有医生诊治的地方，突然患上痘病或疹病，最重要的是房屋门窗要严密封闭，小心避免风寒侵袭，被褥衣物要温暖厚实，父母怀抱孩子时要保持和暖。
父母、乳母必须脱去外衣与孩子同睡，让孩子感觉温暖如春，这极大地有助于痘疹的发越生长。同时也不宜用烈火烘烤熏蒸，以免助长体内的火毒。医经说：寒邪具有收敛牵引的特性。人的腠理（即毛孔）温暖则疏通畅快，对于痘病来说，就易于发出，顺利起胀、化脓、收口结痂、落痂无滞留；对于疹病来说，就能按时发出，按时收敛，三天内毒气排尽，疹退斑消。如果受寒，则腠理闭塞不通，对于痘病来说，就不能完全发出，会出现陷伏、内攻、倒靥等证候；对于疹病来说，发出不透彻，会出现喘急、腹胀、昏乱等证候。大概痘病与疹病，内在的本原虽然有轻重、寒热的不同，但外部的调护，应当知道适宜与禁忌，从头到尾的原则是一致的。如果遇到寒冷天气，保暖是最紧急的任务；如果遇到温暖的日子，清凉一定是关键要领。用心调理，就可以保证没有忧患。现在病情变坏的人，有的是原本就犯了逆证，有的常常因为触犯风寒，而枉死者也很多，深可痛惜。大凡孩子到了十岁以外，气血壮盛，饮食冷暖自知保护，肯听从教导戒律，保全性命比较容易。所以婴儿遇到痘疹流行时，不要让他们外出，恐怕传染带来灾殃。以及躲避风寒、节制饮食，更让他们心情欢悦，不要焦躁烦恼愤怒哭泣，以致动用心肝之火，以及防止跌倒扑撞和惊恐，这样就可以延缓免除祸患。
顺证：身体发热和缓，不时出现惊跳（忽然跳动），神色清爽，气息平和，睡卧安宁，饮食不减少，大小便如常，不必服药。如果疑似难明，通用治疗方一剂，略微发散微汗，让痘疹容易发出。如果是因风寒引起，出汗后即痊愈（只要让双脚暖和，微微有汗出，微微有吐泻，痘出即止）。
险证：身体壮热，热度忽高忽低，神志昏迷出汗，口渴呕吐腹泻，饮食减少。或者大小便秘涩，适宜服用散邪发表的药物。如果出现惊厥抽搐，适宜服用平肝木、利小便的药剂。不要服用凉心药，恐怕寒邪闭阻腠理。
主方：升麻、干葛、前胡、桔梗、山楂、陈皮、枳壳、川芎、羌活（等分）、甘草（减半）。水煎服。
热势甚重加木通、防风。声音忽然改变，加倍使用甘草、桔梗，加玄参、牛蒡子、荆芥，或者加清肺饮。热盛配合导赤散，或者消毒饮（方剂都在后面见到）。
逆证：身体发大热，完全不进食（只宜消毒火，不要误用养胃进食的热药杀人），腹胀啼叫，喘急闷乱。或者饮食入口，立即大吐不止（这是毒火不能发越，攻冲胃口，所以忌用热药）。或者泄泻（只宜升提发表，也忌用止泻热药）。或者腰疼腹痛，不能站立（这是命门毒火盛，不能传出，所以极为恶候。如果能饮食有痊愈者，大宜清凉解毒，痘出痛止。）头面一片如胭脂色，以及照看心胸肉里，或者周身有红块的死亡。头温足冷，昏闷如痴，凶险。
If residing in the countryside or in an official residence, where no physician is available, and suddenly suffering from smallpox (Tianhuang) or chickenpox/rash diseases (Zhen), it is most appropriate that the rooms be tightly sealed to carefully avoid wind-cold invasion. The bedding and clothing should be warm and thick, and parents holding the child must maintain warmth. Parents and wet nurses should sleep naked with the infant, making the child feel as warm as spring, which greatly assists the force of eruption and development. One must not use fierce fire to smoke and steam, so as not to assist the fire-toxin. The Classics state: "Cold governs contraction and pulling." When a person's Couli (skin pores and interstices) are warm, they are unobstructed and smooth; for smallpox, this facilitates eruption, allowing for proper swelling, suppuration, scabbing, and shedding without stagnation; for rash diseases, it ensures timely eruption and resolution, with toxins exhausted within three days, leading to the dissipation of rashes and fading of macules. If cold invades, the Couli become blocked and obstructed; for smallpox, eruption will be incomplete, leading to conditions such as sinking (Xianfu), internal attack (Neigong), and inverted scabs (Daoye); for rash diseases, eruption will be impure, leading to conditions such as panting urgency (Zhuanji), abdominal distension (Fuzhang), and confusion (Hunluan). Generally, although the internal root of smallpox and rash diseases may differ in severity and cold-heat nature, external care requires knowing what is suitable and contraindicated, with principles remaining consistent from start to finish. If encountering cold weather, keeping warm is the most urgent task; if encountering warm days, cooling is the essential principle. Careful regulation can ensure safety. Those whose conditions deteriorate nowadays either originally suffered from adverse patterns (Nizheng) or often died due to wind-cold invasion, which is deeply regrettable. Generally, children over ten years old have robust Qi and Blood, know how to protect themselves from dietary extremes and temperature changes, obey instructions, and are easier to save. Therefore, when infants encounter epidemic smallpox or rash diseases, they should not go outside to avoid contagion and disaster. They should avoid wind-cold, regulate diet, remain joyful, and avoid anxiety, frustration, anger, or crying, which could stir up Heart-Liver Fire, as well as prevent falls and fright, thus delaying or avoiding harm.
Smooth Pattern (Shun): Body heat is mild and moderate, occasional startles (sudden jumping) occur, spirit and complexion are clear, breathing is peaceful, sleep and lying down are tranquil, food intake is unchanged, and urination and defecation are normal. No medicine is needed. If differentiation is difficult, administer one dose of the General Treatment Formula to induce slight sweating, facilitating easy eruption of smallpox. If caused by wind-cold, recovery occurs upon sweating (ensure feet are warm, with slight sweating and slight vomiting/diarrhea, stopping once smallpox erupts).
Dangerous Pattern (Xian): Body has high fever, fluctuating between intense and mild, accompanied by mental confusion, sweating, thirst, vomiting, and diarrhea, with reduced food intake. Or constipation of both urine and stool; suitable to take herbs that disperse pathogens and release the exterior. If convulsions and tremors occur, suitable to take formulas that pacify Liver Wood and promote urination. Do not take Heart-cooling medicines, lest cold block the Couli.
Main Formula: Shengma (Cimicifugae Rhizoma), Gange (Puerariae Radix), Qianhu (Peucedani Radix), Jiegeng (Platycodonis Radix), Shanzha (Crataegi Fructus), Chenpi (Citri Reticulatae Pericarpium), Zhiqiao (Aurantii Fructus Immaturus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix) in equal parts; Gancao (Glycyrrhizae Radix et Rhizoma) halved. Decoct in water and take orally.
If heat is severe, add Mutong (Akebiae Caulis) and Fangfeng (Saposhnikoviae Radix). If voice changes suddenly, double the dosage of Gancao and Jiegeng, add Xuanshen (Scrophulariae Radix), Niubangzi (Arctii Fructus), and Jingjie (Schizonepetae Herba), or add Qingfei Yin (Lung-Clearing Decoction). If heat is excessive, combine with Daochi San (Guide Out Red Powder) or Xiaodu Yin (Toxin-Dispersing Decoction) (formulas see later).
Adverse Pattern (Ni): Body develops high fever, complete refusal to eat (only suitable to clear toxin-fire, do not mistakenly use stomach-nourishing or appetite-stimulating hot medicines which kill), abdominal distension, crying, panting urgency, and mental restlessness. Or food vomited immediately upon entering the mouth (this is because toxin-fire cannot vent outward, attacking the stomach gate, hence hot medicines are contraindicated). Or diarrhea (only suitable to lift and release the exterior, also contraindicated to use anti-diarrheal hot medicines). Or lower back pain and abdominal pain, inability to stand (this is because Mingmen Fire-Toxin is excessive and cannot transmit outward, hence extremely ominous. If able to eat and recover, strongly suitable to use cooling and detoxifying methods; pain stops after smallpox erupts). A face covered in redness like rouge, or red patches visible under the skin of the chest/heart area or all over the body indicates death. Warm head but cold feet, mental confusion resembling dementia, indicates ominous prognosis.