徐仲光治一儿患痘，五朝，匀朗绽突，但娇红嫩艳，乃脾胃气弱也。至浆满而不苍老，犹防泄泻痒塌之患。
治以黄土水煎保元汤，下参苓白术散扶脾，土固可免下陷。奈俗医因期在发浆之始，恐参苓渗湿，但以保元调
理。至八朝，溏泻四五次，继而倒靥烦躁，二六而逝。常验此痘，多至十二日而卒，亦有于十四日而卒者。
一儿痘症类前，按法治之，九朝浆清而靥，结如麸。幸能食便调，发痈毒而愈。
一儿患痘五朝，娇红嫩艳。或谓晃痘，不能苍老结痂。视之，见其肌色白嫩，则皮薄娇红，可谓无虞。以
保元汤加官桂、白术调理而愈。
一女周岁患痘，娇红，初时呕吐溏泻，身体诸处匀朗夭艳，惟绕口四角，稠密一片。初朝用前胡、桔梗、
僵蚕、陈皮、甘草、川芎、木通、山楂、羌活。二朝，用前方去羌活、陈皮，加防风、红花、连翘、干葛。三
朝，用桔梗、川芎、僵蚕、当归、陈皮、甘草、山楂、前胡、红花、丹皮、连翘、生地。四朝，用山药、茯苓、
归身、川芎、甘草、白芷、蜂房、僵蚕、桔梗、陈皮、人参四分。五朝，如前方，只加参六分。六朝，黄 、
当归、茯苓、白术、白芷、川芎、蜂房、桔梗、甘草、人参六分，夜服桑虫酒浆。七朝，人参九分，黄 、白
芷、当归、川芎、甘草、山甲、官桂二分。至夜作泻，眼开呛呕，先吐白沫，喘胀交作，随用前方加人参一钱，
肉果五分，砂仁三粒，附子三分，白术、黄 各一钱，煎服。昏沉痰锯，颠作良久，约二三个时辰，大汗周身，
声音始出，即与乳吃，痘转明亮，平塌顿起行浆。八朝，用参、 、芷、术、红花、僵蚕、归、芎、陈皮、甘
草、官桂、肉果二分，浆足泻止。九朝，用人参钱二分，芷、术、山药、桂、僵蚕、甘草、肉果、白附子二分，
头面胸腹胀满，惟两小腿半浆血靥。十朝，参、芷、当归、白芍、陈皮、甘草、五味、薏仁、山药、茯苓，以
后用平补之剂，调理而愈。
万密斋治胡氏子，未痘先两颊赤燥。曰∶《伤寒论》云，面色缘缘赤者，阳明热也。若不预解，至出痘时，
此处必甚稠密而赤贯串难靥。以升麻葛根汤加防风、牛蒡、连翘，三服而红色尽去，痘出亦疏。
汪氏子五岁，痘盛密，且红艳。此险症，气实血热可治也。用当归梢、赤芍、生地、荆、防、甘、桔、连
翘、牛蒡、青皮、桔梗、楂肉，调理十五日而靥。
费建中治臧氏子，痘甚密而充肥，色不干滞，但红艳，身太热，以清热解毒汤二剂，五日便行一
次，未思饮食，次日浆即老，红晕 赤。又三日，便不行，虑成火褐症，急宜润之，使毒松利，前方加生地、
滑石两许，更加黄芩。药未成而燥痒，急进之，去宿垢极臭硬，即清爽熟睡，红盘渐淡渐收，饮食大
进。以忍冬解毒汤而愈。
徐仲光治疗一个患痘疮的幼儿，出痘第五天，痘疹分布均匀、清晰隆起，但颜色娇嫩鲜红，这是脾胃之气虚弱的表现。到了浆液充满时，痘色仍不苍老坚实，还需防范泄泻和痘疹塌陷瘙痒的祸患。
用黄土水煎煮保元汤，配合服用参苓白术散以扶助脾气，土气稳固则可避免中气下陷。无奈世俗医生因为正值发浆初期，担心人参、茯苓渗利湿气，仅用保元汤调理。到了第八天，患儿腹泻四五次，随后出现痘疹倒靥（凹陷）、烦躁不安，在第二十六天去世。通常验证这类痘症，多在第十二天死亡，也有在第十四天死亡的。
另一个幼儿痘症类似前例，按此法治疗，第九天浆液清稀而结痂，结痂如麦麸状。幸好他能进食且大便调畅，后来发出痈毒而痊愈。
又一个幼儿患痘五天，痘色娇嫩鲜红。有人说这是“晃痘”，不能苍老结痂。观察其肌肤色泽白嫩，则皮肤薄而娇红，可以说没有大碍。用保元汤加官桂、白术调理而痊愈。
一个周岁女童患痘，痘色娇红，初起时呕吐腹泻，身体各处痘疹均匀艳丽，只有口周四角稠密成片。第一天使用前胡、桔梗、僵蚕、陈皮、甘草、川芎、木通、山楂、羌活。第二天，用前方去掉羌活、陈皮，加入防风、红花、连翘、干葛。第三天，用桔梗、川芎、僵蚕、当归、陈皮、甘草、山楂、前胡、红花、丹皮、连翘、生地。第四天，用山药、茯苓、归身、川芎、甘草、白芷、蜂房、僵蚕、桔梗、陈皮、人参四分。第五天，照前方，只将人参加至六分。第六天，用黄芪、当归、茯苓、白术、白芷、川芎、蜂房、桔梗、甘草、人参六分，夜间服用桑虫酒浆。第七天，人参九分，黄芪、白芷、当归、川芎、甘草、穿山甲、官桂二分。到了夜晚发生腹泻，眼睛睁开呛咳呕吐，先吐出白沫，气喘腹胀交替发作，随即用前方加入人参一钱，肉豆蔻五分，砂仁三粒，附子三分，白术、黄芪各一钱，煎服。患儿昏沉痰鸣，抽搐发作良久，约两三个时辰后，周身大汗，声音才恢复，随即给予乳汁，痘疹转为明亮，平塌顿起并开始行浆。第八天，用人参、黄芪、白芷、白术、红花、僵蚕、当归、川芎、陈皮、甘草、官桂、肉豆蔻二分，浆液充足后腹泻停止。第九天，用人参钱二分，白芷、白术、山药、桂枝、僵蚕、甘草、肉豆蔻、白附子二分，头面胸腹胀满，只有两条小腿半浆血痂。第十天，用人参、白芷、当归、白芍、陈皮、甘草、五味子、薏苡仁、山药、茯苓，之后用平和补益之剂调理而痊愈。
万密斋治疗胡氏之子，未出痘前两颊赤红干燥。他说：《伤寒论》记载，面色持续发红的是阳明热证。如果不预先解除，等到出痘时，此处必然非常稠密且红色贯穿难以结痂。用升麻葛根汤加防风、牛蒡子、连翘，服用三剂后红色尽去，痘疹也稀疏。
汪氏之子五岁，痘疹盛多稠密，且红艳。这是险症，但气实血热可以治愈。用当归梢、赤芍、生地、荆芥、防风、甘草、桔梗、连翘、牛蒡子、青皮、桔梗、山楂肉，调理十五天后结痂。
费建中治疗臧氏之子，痘疹非常稠密且饱满，颜色不干涩滞浊，只是红艳，身体太热，用清热解毒汤两剂，五日排便一次，不想饮食，次日浆液即变老，红晕转赤。又过三天，不再排便，担心形成火褐症（痘色紫黑干枯），急需润燥，使毒邪松利，前方加入生地、滑石各两许，再加黄芩。药未熬成时患儿已燥痒难耐，急忙进药，排出宿便极臭硬，随即清爽熟睡，红盘逐渐变淡收敛，饮食大增。用忍冬解毒汤而痊愈。
Xu Zhongguang treated a child with smallpox. On the fifth day, the pustules were evenly distributed, clear, and protruding, but their color was tender and bright red, indicating weak spleen and stomach qi (Spleen and Stomach Qi). By the time the pustules were full of pus, they still lacked a tough and aged appearance, so one must still guard against complications such as diarrhea and pustule collapse with itching.
He prescribed Baoyuan Tang (Preserve the Origin Decoction) decocted in loess water, combined with Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) to support the spleen. Solidifying the earth element can prevent the sinking of middle qi (Middle Qi Sinking). However, ordinary physicians, because it was just the beginning of the pus-filling stage, feared that the damp-draining properties of Ginseng and Poria would be harmful, and only used Baoyuan Tang for regulation. By the eighth day, the child had diarrhea four or five times, followed by inverted scabs (Inverted Scab), irritability, and died on the twenty-sixth day. In my experience, this type of smallpox often leads to death by the twelfth day, and sometimes by the fourteenth day.
Another child presented with similar symptoms. Following this treatment method, by the ninth day, the pus was clear and scabs formed, resembling bran. Fortunately, he could eat and his bowels were regular; he later developed an abscess/toxin but recovered.
Another child, five days into smallpox, had tender and bright red pustules. Some said this was "Huang Dou" (Shifting Smallpox), which cannot become tough and form scabs. Upon examination, the skin was white and tender, thin-skinned and bright red, suggesting no major danger. He was treated with Baoyuan Tang plus Guigui (Cinnamon Twig) and Baizhu (Atractylodes Macrocephala Rhizome) and recovered.
A one-year-old girl suffered from smallpox with tender redness. Initially, she vomited and had loose stools. Her body showed even and bright pustules, except around the mouth where they were densely clustered. On the first day, Qian Hu (Peucedani Radix), Jie Geng (Platycodonis Radix), Jiang Can (Bombyx Batryticatus), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Mu Tong (Akebiae Caulis), Shan Zha (Crataegi Fructus), and Qiang Huo (Notopterygii Rhizoma et Radix) were used. On the second day, Qiang Huo and Chen Pi were removed from the previous formula, and Fang Feng (Saposhnikoviae Radix), Hong Hua (Carthami Flos), Lian Qiao (Forsythiae Fructus), and Gan Ge (Puerariae Lobatae Radix) were added. On the third day, Jie Geng, Chuan Xiong, Jiang Can, Dang Gui (Angelicae Sinensis Radix), Chen Pi, Gan Cao, Shan Zha, Qian Hu, Hong Hua, Dan Pi (Moutan Cortex), Lian Qiao, and Sheng Di (Rehmanniae Radix) were used. On the fourth day, Shan Yao (Dioscoreae Rhizoma), Fu Ling (Poria), Gui Shen (Angelicae Sinensis Radix), Chuan Xiong, Gan Cao, Bai Zhi (Angelicae Dahuricae Radix), Feng Fang (Vespa), Jiang Can, Jie Geng, Chen Pi, and 4 fen of Ren Shen (Ginseng Radix et Rhizoma) were used. On the fifth day, the same formula was used, but Ren Shen was increased to 6 fen. On the sixth day, Huang Qi (Astragali Radix), Dang Gui, Fu Ling, Bai Zhu, Bai Zhi, Chuan Xiong, Feng Fang, Jie Geng, Gan Cao, and 6 fen of Ren Shen were used, with Sang Chong Wine taken at night. On the seventh day, 9 fen of Ren Shen, Huang Qi, Bai Zhi, Dang Gui, Chuan Xiong, Gan Cao, Shan Jia (Manis Squama), and 2 fen of Guigui were used. At night, diarrhea occurred, eyes opened with choking and vomiting, initially expelling white foam, with panting and abdominal distension alternating. The previous formula was then modified with 1 qian of Ren Shen, 5 fen of Rou Dou Kou (Myristicae Semen), 3 grains of Sha Ren (Amomi Fructus Rotundus), 3 fen of Fu Zi (Aconiti Lateralis Radix Praeparata), and 1 qian each of Bai Zhu and Huang Qi, decocted and administered. The child became lethargic with phlegm rattle, experienced convulsions for a long time, and after about two to three shichen (hours), profuse sweating occurred all over the body, and voice returned. Milk was then given, the pustules became bright, flat areas suddenly rose, and pus formation began. On the eighth day, Ren Shen, Huang Qi, Bai Zhi, Bai Zhu, Hong Hua, Jiang Can, Dang Gui, Chuan Xiong, Chen Pi, Gan Cao, Guigui, and 2 fen of Rou Dou Kou were used; diarrhea stopped once pus was sufficient. On the ninth day, 0.2 qian of Ren Shen, Bai Zhi, Bai Zhu, Shan Yao, Guizhi (Cinnamomi Ramulus), Jiang Can, Gan Cao, Rou Dou Kou, and 2 fen of Bai Fu Zi (Typhonii Rhizoma) were used. There was distension in the head, face, chest, and abdomen, with only half of the calves having bloody scabs. On the tenth day, Ren Shen, Bai Zhi, Dang Gui, Bai Shao (Paeoniae Radix Alba), Chen Pi, Gan Cao, Wu Wei Zi (Schisandrae Chinensis Fructus), Yi Yi Ren (Coicis Semen), Shan Yao, and Fu Ling were used. Subsequently, a mild tonifying agent was used for regulation, leading to recovery.
Wan Mizhai treated the son of the Hu family, whose cheeks were red and dry before the eruption of smallpox. He stated: "The Shanghan Lun (Treatise on Cold Damage Disorders) says that continuous facial redness indicates Yangming heat (Yangming Heat Syndrome). If not resolved in advance, when the smallpox erupts, this area will be very dense and red, making it difficult to heal. He prescribed Shengma Gegen Tang (Kudzu Root and Cimicifuga Decoction) plus Fang Feng, Niu Bang Zi (Arctii Fructus), and Lian Qiao. After three doses, the redness disappeared completely, and the smallpox eruption was sparse."
The son of the Wang family, five years old, had dense and bright red smallpox. This is a critical condition, but since qi is substantial and blood is hot, it is treatable. He used Dang Gui Shao (Tip of Angelicae Sinensis Radix), Chi Shao (Paeoniae Radix Rubra), Sheng Di, Jing Jie (Schizonepetae Spica), Fang Feng, Gan Cao, Jie Geng, Lian Qiao, Niu Bang Zi, Qing Pi (Citri Reticulatae Pericarpium Viride), Jie Geng, and Zha Rou (Crataegi Fructus). After fifteen days of regulation, scabs formed.
Fei Jianzhong treated the son of the Zang family. The smallpox was very dense and plump, the color was not dry or stagnant, but merely bright red, and the body was too hot. Two doses of Qingre Jiedu Tang (Clear Heat and Detoxify Decoction) were given. Bowel movement occurred once every five days, appetite was absent, but by the next day the pus matured, and the red halo turned crimson. Three days later, there was no bowel movement, raising concern for Huo He Zheng (Fire-Brown Syndrome, characterized by dark, dry pustules). Urgent moistening was required to loosen the toxin. Sheng Di and Shi Gao (Talcum) were added to the previous formula, along with Huang Qin (Scutellariae Radix). Before the medicine was fully prepared, the child became dry and itchy, so it was administered immediately. Old feces, extremely foul and hard, were expelled, followed by refreshment and deep sleep. The red patches gradually faded and receded, and appetite greatly improved. Recovery was achieved using Rendong Jiedu Tang (Honeysuckle Detoxification Decoction).