毒瓦斯发越，聚于三阳，故掀肿也，宜解毒汤（羌活、防风、
荆芥、大力、条芩、连翘、柴胡、桔梗、石膏各二钱），如 未透时去石膏。
鼻掀者，肺气绝也。口张者，脾气绝也。气喘胸闷者，肺火盛极而难下也，不治。服清肺饮重加石膏、黄
芩一两余，或冀挽回于万一，然必要胸中、鼻尖不动，乃可用药耳。
气高而喘息作声，掀胸抬肚者，余毒在于肺脏也。痰涎稠粘，切牙戈齿，泄不止，口臭者，余毒在于脾
胃也。盗汗身热不退，渴盛者余毒在于心经也。梦中多惊，摄手振动，目赤者，余毒在于肝胆也。耳 手足
尖热者，余毒在于肾脏也。身肿不消，壮热不退，郁闷不舒，诸经皆有未尽之余毒也。
心火亢极，上灼肺金而孔窍闭塞，故寒战不止，宜发汗以去表热。如大便闭，宜下之，小便不通，宜利
之。论火性甚烈，喜散而不喜郁，则拂其性矣。欲达而不达，气血与火毒，五内搏激，其能免身之不战乎？火
郁固战，每过郁而反似寒者，是热极反见水化，如嗜强酒，若不胜其所寒矣。惟用麻黄为先，毒火松
透，自必炽热火性得顺而寒战自止矣。
火气熏赫，肺金受制而寒水生化之源已绝，故气短、倦怠、
出汗，皆本经症，宜麦冬清肺饮以濡肺金之枯燥。
紫红泡起于化肌传肝，表里不解，致血鼎沸，以黄连解毒汤加犀角、紫草、生地、丹皮、山栀、木通治
之。白泡者，乃气有余而血不足也。化肌传肺，热毒注于皮肤之间，其津液亦随气而泡也。白而空者，其气虚
也；白而有清水者，其气实也，用川连、石膏、丹皮、黄芩、生地、僵蚕、连翘、玄参。又云∶白泡亦热之
故，《经》云∶血热则斑，气热则泡。又云∶皮湿之故，肾水盛耳，总有热毒未出而热邪先为所害也。论气
盛则泡，气盛者毒瓦斯盛也。冲突处毒锋如射膺，锋者囊随毒瓦斯而发也，则泡之有自来矣。气血关锁之极者，色
白而囊空也。气得浮动者，内含清水；血得浮动者，水若腌鱼。总为毒瓦斯所致。又云∶血热则枯，血凉则生洵然。
毒邪发散，聚集于三阳经，因此导致红肿，适宜使用解毒汤（由羌活、防风、荆芥、牛蒡子、黄芩、连翘、柴胡、桔梗、石膏各二钱组成），如果痘疹尚未透发，则去掉石膏。
鼻部红肿的，是肺气衰竭的表现。口张开的，是脾气衰竭的表现。气喘且胸闷的，是肺火极盛且难以降下，属于不治之症。服用清肺饮并加重石膏和黄芩至一两以上，或许能有一线生机挽回，但前提是患者胸中和鼻尖必须没有剧烈反应，才能用药。
呼吸急促且喘息有声，胸部掀动、腹部抬举的，是余毒滞留于肺脏。痰涎粘稠，咬紧牙关，腹泻不止，口臭的，是余毒滞留于脾胃。夜间盗汗、身热不退、口渴严重的，是余毒滞留于心经。梦中多惊悸，手部抽搐振动，眼睛充血的，是余毒滞留于肝胆。耳朵、手、脚指尖发热的，是余毒滞留于肾脏。全身浮肿不消，高热不退，心情郁闷不舒，说明各条经络都有未尽的余毒。
心火亢盛到了极点，向上灼烧肺金导致孔窍闭塞，所以寒战不止，适宜用发汗的方法来去除表热。如果大便闭结，适宜用泻下的方法；小便不通，适宜用利尿的方法。论述火性非常猛烈，喜欢发散而不喜欢郁结，如果违背了它的本性，想要发散却发散不出来，气血与火毒在五脏内激烈搏激，怎么能避免身体发生战栗呢？火气郁结确实会导致战栗，有时因为郁结过甚反而看似寒证，这是热极反见水化的表现，就像嗜食烈酒的人，若不胜其寒凉一样。只有先用麻黄，使毒火松透，火热之性自然顺遂，寒战自然会停止。
火气熏蒸炽盛，肺金受到制约，而肾水生化之源已经断绝，所以气短、倦怠、出汗，都是本经的症状，适宜用麦冬清肺饮来滋润肺金的枯燥。
紫红色水泡起于化脓阶段传变至肝，表里之邪未解，导致血分沸腾，用黄连解毒汤加犀角、紫草、生地黄、牡丹皮、山栀、木通来治疗。白色水泡，是气有余而血不足的表现。化脓传变至肺，热毒注于皮肤之间，津液也随着气机而形成水泡。白色且空瘪的，是气虚；白色且含有清水的，是气实，使用川黄连、石膏、牡丹皮、黄芩、生地黄、僵蚕、连翘、玄参。又有说法认为：白色水泡也是热邪所致，《内经》说：血热则出现斑疹，气热则出现水泡。又说：这是皮肤湿润的缘故，是肾水旺盛所致，总之是有热毒未能透出，而热邪先伤害了机体。论述认为气盛则出现水泡，气盛意味着毒邪旺盛。冲突之处毒锋如射向胸前，锋者指囊泡随毒邪散发而出，那么水泡的产生也就有由来。气血阻滞到极点的，颜色白且囊泡空瘪；气浮动不安的，内含清水；血浮动不安的，水液像腌鱼一样浑浊。总归都是由毒邪引起。又有说法认为：血热则干枯，血凉则滋生，确实如此。
The pathogenic toxic qi diffuses and gathers in the Three Yang meridians, causing swelling; thus, Jiedu Tang (Decoction for Resolving Toxicity) is indicated, composed of Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Herba), Niu Bang Zi (Arctii Fructus), Huang Qin (Scutellariae Radix), Lian Qiao (Forsythiae Fructus), Chai Hu (Bupleuri Radix), Jie Geng (Platycodonis Radix), and Shigao (Gypsum Fibrosum), each two qian. If the eruption has not yet fully emerged, remove Shigao.
Swelling of the nose indicates exhaustion of Lung Qi. Mouth gaping indicates exhaustion of Spleen Qi. Panting with chest oppression indicates extreme excess of Lung Fire that is difficult to descend, a condition that is incurable. Administer Qingfei Yin (Decoction for Clearing the Lungs) with heavy doses of Shigao and Huang Qin exceeding one liang; this may offer a slim chance of recovery, but medication should only be used if there is no severe reaction in the chest or at the tip of the nose.
Elevated breathing with audible panting, heaving chest and abdomen, indicates residual toxicity lodged in the Lung organ. Thick and sticky phlegm-saliva, grinding teeth, incessant diarrhea, and foul breath indicate residual toxicity lodged in the Stomach and Spleen. Night sweats, persistent fever, and intense thirst indicate residual toxicity lodged in the Heart meridian. Frequent fright in dreams, hand twitching and trembling, and red eyes indicate residual toxicity lodged in the Liver and Gallbladder. Heat in the ears and the tips of the hands and feet indicates residual toxicity lodged in the Kidney organ. Generalized edema that does not subside, high fever that does not recede, and depression/unrelieved discomfort indicate that residual toxicity remains unexhausted in all meridians.
When Heart Fire is extremely hyperactive, it scorches Lung Metal from above, causing obstruction of orifices, leading to incessant chills. Sweating methods are appropriate to release exterior heat. If constipation occurs, purgation is indicated; if urinary retention occurs, diuresis is indicated. The nature of Fire is fierce; it prefers dispersion over stagnation. Violating its nature, when it desires to disperse but cannot, Qi and Blood clash violently with Fire-Toxin within the interior, inevitably causing bodily shivering. Fire stagnation indeed causes shivering; sometimes excessive stagnation mimics cold symptoms, which is "extreme heat manifesting as water transformation," similar to how a person addicted to strong liquor might feel overwhelmed by cold. Only by using Mahuang (Ephedrae Herba) first can the toxic fire be loosened and penetrated, allowing the fiery nature to flow smoothly, thereby stopping the chills naturally.
When Fire Qi is scorching and oppressive, Lung Metal is constrained, and the source of Kidney Water generation is cut off. Thus, shortness of breath, fatigue, and sweating are symptoms of this meridian. Maidong Qingfei Yin (Ophiopogon Decoction for Clearing the Lungs) is indicated to moisten the dryness of Lung Metal.
Purple-red blisters arising during the suppuration stage transmitting to the Liver, with unresolved exterior and interior pathogens, causing boiling blood, are treated with Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) plus Xijiao (Rhinocerotis Cornu), Zicao (Lithospermi Radix), Sheng Di Huang (Rehmanniae Radix), Mu Dan Pi (Moutan Cortex), Shan Zhi (Gardeniae Fructus), and Mutong (Akebiae Caulis). White blisters indicate excess Qi and deficient Blood. Suppuration transmitting to the Lung, with heat-toxin lodging in the skin, causes body fluids to form blisters along with Qi. White and empty blisters indicate Qi deficiency; white blisters containing clear fluid indicate Qi excess. Treatment involves Chuan Lian (Coptidis Rhizoma), Shigao, Mu Dan Pi, Huang Qin, Sheng Di Huang, Jiang Can (Bombyx Batryticatus), Lian Qiao, and Xuan Shen (Scrophulariae Radix). Another view states: White blisters are also due to heat. The Classics say: "Blood heat causes macules; Qi heat causes blisters." It is also said: This is due to damp skin and abundant Kidney Water; ultimately, heat-toxin has not exited, and heat-pathogen harms the body first. Discussion holds: Excess Qi causes blisters; excess Qi means abundant toxic qi. At sites of conflict, the toxic edge shoots toward the chest; the "edge" refers to the blister sac developing with the toxic qi, hence the origin of blisters. When Qi and Blood are extremely locked, the color is white and the sac is empty. When Qi floats restlessly, it contains clear fluid; when Blood floats restlessly, the fluid resembles pickled fish. All are caused by toxic qi. Another saying goes: "Blood heat causes dryness; Blood cooling promotes growth," which is indeed true.