小青皮（七分） 细木通（四分） 丹皮（一钱） 鲜生地（五钱至一两） 紫花地丁（三钱） 犀角汁（三分冲
藏红花四分） 酒洗生锦纹（一钱） 灯心草（一分）
消毒活血汤 老紫草（钱半） 青连翘（钱半） 炒牛蒡（一钱） 木通（七分） 鲜生地（钱半） 净楂肉
（一钱） 酒炒青子芩（五分）
潞党参（五分） 生棉 （钱半） 酒炒小川连（三分） 当归须（八分） 苦桔梗（六分） 酒洗赤芍药（五分） 前
胡（一钱） 生甘草（三分）
鲜生姜（一片）
按∶本方去参，名清毒和血汤，治毒滞血凝，不能行浆。如形气壮实者，去参、 ；治痘不如期灌浆，
板硬干黄或灰滞黑暗，倍紫草、芩、连，去参、 ；治毒炽血凝，痘晕红紫，或带干枯，兼有焦黑者，均效。
三妙血 白雄鸡冠血 猪尾血 蚯蚓血各一匙 陈酒一钟冲服。
按∶鸡冠血性温提浆，升表治上；猪尾血性动活血，入里
治下，二血有上下表里之分；鲜地龙血，性凉活血，善通经络，能引诸药直破恶毒所聚之处。治痘五六朝，根
赤转紫而顶有孔，如针刺，如嵌顶，必身热苔黄，口渴便秘，盖毒火盛而蔽其气瘀其血，浆必不化，宜此方合
解毒药，如加减普济消毒饮、周氏五味消毒饮之类；若痘根色紫，甚至转黑，而顶下陷者，为毒陷，宜三妙血
合紫雪等药加金汁；如身热便秘，顶嵌根紫，或发水泡而间有半浆者，将无浆之泡挑去，用此方入流气败毒之
药，如银花败毒散、人参败毒散之类。
周氏五味消毒饮（补） 鲜杜银花（三钱） 鲜野菊花（钱半） 鲜蒲公英（钱半） 紫花地丁（二钱） 紫
贝天葵（钱半）
参归鹿茸汤 吉林参（三钱） 白归身（一钱） 炙棉 （二钱） 炙甘（五分） 鹿茸血片（三分） 龙
眼肉（三朵） 鲜
生姜（一片） 上药煎成，冲陈酒一杯。倦食，手足厥冷，加广木香八分，公丁香、安边桂各三分，寒战切牙，
加安边桂二分，浓附块三分，酒炒白芍七分，煨诃子、煨肉果各二分。
按∶聂久吾制此方，大能补气暖血；专治痘色淡白，气血虚缩，不能成脓，并灰陷白陷，温服一二剂，
立刻起浆，奏功之捷，莫过于此。若嫌鹿茸血片价昂，代以鹿角尖一钱亦可，如有鹿茸酒，更妙。
附 制鹿茸酒法∶
邱柳樊曰∶用二三寸真茄茸一两，以酒入瓦瓶，煮令皮脱，取出，将酒滤过。其茸之真膏，俱在此酒内；
再将瓦瓶注酒，煮令皮烂，逐渐添酒，看皮烂时，以布滤过，其皮揉烂，化在酒内，其毛去之；又将茸内骨，
酥炙焦为末，将前膏酒皮酒，总和一处候用。此制茸酒妙法，人多不知，一概炙之，其真膏悉去，无效矣。
费氏清解散 荆芥 防风 川芎 连翘 木通 炒牛蒡
（各七分） 生葛根 山楂（各八分） 桔梗（六分） 前胡（一钱） 老紫草 青子芩 升麻（各五分） 川连（二
分） 甘草（三分）
蝉蜕（十二只） 生姜（两片） 水煎温服。
费氏苏解散 荆芥 防风 川芎 细木通 苏叶 白芷（各七分） 生葛根 山楂（各八分） 桔梗（六分）
前胡（一钱） 老紫草 连翘心 升麻 炒牛蒡 羌活（各五分） 甘草（二分） 蝉蜕（十二只） 生姜（三片） 水
煎温服。
按∶张逊玉种痘新书云∶上二方为初热见点之要药，痘出齐后莫用。
椒梅丸 炒川椒（三钱） 乌梅炭 炒川连（各一钱为末） 饴糖丸如黍米大，量儿大小分二三服，服后须臾
得
入虫口。治痘为虫闷，不得发出，最效。次与紫草承气汤下之。
飞马金丹（补） 巴豆霜 广木香 赖橘红（各三钱） 五灵脂 广郁金 生打上雄黄 制锦纹（各一两）
飞辰砂（五钱） 明乳香 净没药 山慈菇 百草霜（各二钱） 各秤另研净末分两，再合研一时许令匀，米醋法丸，
金箔为衣，如绿豆大，隔纸晒干，紧贮瓷器，置高燥处。二十岁以上者，每服十二丸，禀强者加三丸，老幼随
减，三两岁者七丸或五丸，七八十岁者九丸，温开水送下，半日或一二时许，非吐必泻，孕妇遇急症，七丸为度。
按∶温热伏邪及病霍乱痧胀者，临时每多夹水、夹食、夹饮、蓄血之故，与邪互并，结于胸胁，如食结
胸、水结胸、血结胸，每因伏邪与夹邪互结，痛不可按，或时昏冒，因虽不同，而其结痛拒按，闭塞不容喘息
之状则同。若不细察详问，鲜不认为本病应得之候，不先行探吐去之，则所受之邪，为其羁留伏匿，不得透达，
必致夭殇。宜即与飞马金丹一服，自能随所结之上下，而施其吐下之功，得夹邪一解，正气自伸，按法调治本
症，为较易耳。故此丹治水食痰血寒热诸邪，结于胸膈，高突痛胀，不可抑按，不得呼吸，欲吐不得吐，欲泻
不得泻者。凡外感内伤，飞尸猝中，暴厥自经，跌压诸症，见有此状者，无论大小均可服之。
枳实导滞汤 小枳实（钱半） 制川朴（一钱） 酒洗生锦纹（八分） 仙露夏（钱半） 净楂肉（三钱） 青
连翘（钱半） 川
连（四分） 海南子（钱半） 老紫草（三钱） 细木通（八分） 炙草（五分）
按∶孙际康曰∶此等症昧者最多，以急于治痘而忽于里滞，不知胃主肌肉，胃不宣化，肌肉无自而松，
即极力凉解，反成冰伏。此方开者开，降者降，不升发而自升发矣。故治有形之物与无形之毒，留滞于中，令
气血不能流通者，极效。
参 茸升汤 别直参（五钱） 炙棉 （一两） 鹿茸片（三分） 升麻（一钱） 煎成，冲陈酒一杯。
按∶痘之生死，判于浆之有无∶有浆，毒从外散，故生；无浆，毒留内攻，故死。至其脓浆之不成，
其病有二∶一毒瓦斯炽盛则血燥而枯，一元气虚弱则血寒而缩，俱不能运化而成脓，脓不成则浆不行，而五陷之
症作矣。如痘稠密，晕红紫而顶陷下，紫陷也。甚则晕脚干枯，中有黑脐而成黑陷。此毒热炽盛，蔽其气凝其
血而陷也。宜急以聂氏清毒活血汤、伍氏凉血解毒汤二方为主。然当其紫陷时，不过一二剂痘立起，及至黑陷
则受毒已深，虽用此等大剂，亦不过十救一二。又如痘出稠密，色淡白，根无红晕而顶陷者，白陷也。甚则迟
一二日，转为灰陷。此血气虚寒，不能运化毒瓦斯以成浆，故陷也。宜乘白陷之时，大补气血，急以聂氏参归鹿
茸汤、张氏参 茸升汤为主，连进一二剂，犹可望生。又有一种痘，颗粒通红，成血泡而不成浆，此气虚不能
统血，血反上居气位，治宜参 保元汤大补其气，气充则毒化而成浆，血泡失治，则气愈虚而为血陷，
治法亦不外此二方。以上五陷之症辨明，则初起泛浆、长浆、催浆、足浆之法，可类推矣。
导赤泻心汤（补） 治热陷心经神昏，及胃热蒸脑，撮空见鬼。小川连（一钱） 青子芩（钱半） 生山栀（钱
半）
知母（钱半） 西洋参（一钱） 辰茯神（二钱） 益元散（三钱） 麦冬（一钱） 先用犀角八分，灯心七分，煎汤
代水。
加减服蛮煎（补） 治温热病舌绛神昏最效。
鲜生地（五钱） 鲜金钗（二钱） 原麦冬（一钱） 知母（二钱） 粉丹皮（二钱） 辰茯神（二钱） 细木通
（一钱） 广皮（一钱）
鲜石菖蒲叶（一钱搓热冲） 犀角汁（一瓢） 西黄（一分冲）
来复丹（补） 治上盛下虚，暑湿入络，肢厥神迷，便泻溺涩，极效。玄精石 倭硫黄 牙硝（各一两） 赖
橘红 小青皮 五灵脂（各二钱） 醋糊丸，每服二钱或三十丸，空心醋汤下，善能交通阴阳。
参茸养阳汤（增） 治遗精足痿，气促自汗。如嫌茸价太贵，易鹿角胶一钱。大山参（一钱） 鹿茸片（二分）
甘杞子（三钱） 归身（二钱） 小茴香（五分） 生雄羊内肾（一对） 盐水炒胡桃肉（一枚）
按∶此方柔剂养阳，填精血，补督任，非桂附刚燥气烈劫阴者比。
小青皮（七分） 细木通（四分） 丹皮（一钱） 鲜生地（五钱至一两） 紫花地丁（三钱） 犀角汁（三分冲藏红花四分） 酒洗生锦纹（一钱） 灯心草（一分）
消毒活血汤：老紫草（钱半） 青连翘（钱半） 炒牛蒡（一钱） 木通（七分） 鲜生地（钱半） 净楂肉（一钱） 酒炒青子芩（五分） 潞党参（五分） 生棉（钱半） 酒炒小川连（三分） 当归须（八分） 苦桔梗（六分） 酒洗赤芍药（五分） 前胡（一钱） 生甘草（三分） 鲜生姜（一片）
按语：本方去掉人参，名为清毒和血汤，治疗毒邪滞留、血液凝滞，导致痘浆不能生成的情况。如果患者形体气力壮实，去掉人参、[此处原文缺字，推测为某药]；治疗痘疮不如期灌浆，痘体板硬干黄或灰滞黑暗，加倍使用紫草、黄芩、黄连，去掉人参、[此处原文缺字]；治疗毒邪炽盛、血液凝滞，痘晕红紫，或带有干枯，兼有焦黑色的，均有效。
按语：鸡冠血性温，能提升痘浆，升发表邪以治上部；猪尾血性动，能活血，入里以治下部，这两种血有上下、表里的区别；鲜地龙（蚯蚓）血，性凉，能活血，善于疏通经络，能引导诸药直接攻破恶毒聚集之处。治疗痘疮五六天，根部由红转紫且顶部有孔，如针刺，如嵌顶，必定身体发热、舌苔黄、口渴、便秘，这是因为毒火旺盛而遮蔽了气机、瘀滞了血液，痘浆必然无法化生，适宜用此方配合解毒药，如加减普济消毒饮、周氏五味消毒饮之类；如果痘根颜色紫，甚至转黑，且顶部下陷的，为毒邪内陷，适宜用三妙血配合紫雪等药加入金汁；如果身体发热、便秘，顶部嵌陷、根部紫，或出现水泡且间或有半浆的，将没有浆的水泡挑破去除，用此方加入流气败毒的药物，如银花败毒散、人参败毒散之类。
周氏五味消毒饮（补方）：鲜杜银花（三钱） 鲜野菊花（钱半） 鲜蒲公英（钱半） 紫花地丁（二钱） 紫贝天葵（钱半）
参归鹿茸汤：吉林参（三钱） 白归身（一钱） 炙棉（二钱） 炙甘（五分） 鹿茸血片（三分） 龙眼肉（三朵） 鲜生姜（一片） 以上药物煎成后，冲入陈酒一杯。倦怠食少，手足厥冷，加广木香八分，公丁香、安边桂各三分；寒战咬牙，加安边桂二分，浓附块三分，酒炒白芍七分，煨诃子、煨肉果各二分。
按语：聂久吾制定此方，大能补气暖血；专门治疗痘色淡白，气血虚弱收缩，不能化成脓液，以及灰陷、白陷，温服一二剂，立刻起浆，见效之快，没有比这更快的了。如果觉得鹿茸血片价格昂贵，可以用鹿角尖一钱代替也可以，如果有鹿茸酒，更妙。
附：制鹿茸酒的方法：
邱柳樊说：用二三寸长的真鹿茸一两，用酒装入瓦瓶，煮到鹿茸皮脱落，取出，将酒过滤。鹿茸的真膏，都在这个酒里面；再将瓦瓶注入酒，煮到鹿茸皮烂，逐渐添加酒，看皮烂时，用布过滤，将皮揉烂，化在酒内，去掉毛；又将鹿茸内的骨头，酥烤焦研为末，将前面的膏酒、皮酒，总和在一起备用。这是制作鹿茸酒的妙法，人们大多不知道，一概只是烤制，鹿茸的真膏都去除了，就没有效用了。
费氏清解散：荆芥、防风、川芎、连翘、木通、炒牛蒡（各七分） 生葛根、山楂（各八分） 桔梗（六分） 前胡（一钱） 老紫草、青子芩、升麻（各五分） 川连（二分） 甘草（三分） 蝉蜕（十二只） 生姜（两片） 水煎温服。
费氏苏解散：荆芥、防风、川芎、细木通、苏叶、白芷（各七分） 生葛根、山楂（各八分） 桔梗（六分） 前胡（一钱） 老紫草、连翘心、升麻、炒牛蒡、羌活（各五分） 甘草（二分） 蝉蜕（十二只） 生姜（三片） 水煎温服。
按语：张逊玉《种痘新书》说：以上两个方子是初热见点的重要药物，痘出齐后不要使用。
椒梅丸：炒川椒（三钱） 乌梅炭、炒川连（各一钱研为末） 饴糖制成丸如黍米大小，根据孩子的大小分两三次服用，服用后不久虫子就会进入虫口。治疗痘疮因虫闷而不能发出，效果最好。随后再用紫草承气汤攻下。
飞马金丹（补方）：巴豆霜、广木香、赖橘红（各三钱） 五灵脂、广郁金、生打上雄黄、制锦纹（各一两） 飞辰砂（五钱） 明乳香、净没药、山慈菇、百草霜（各二钱） 分别称量单独研成净末，再合在一起研磨约一小时令均匀，用米醋法制丸，金箔为衣，如绿豆大小，隔纸晒干，紧密贮存在瓷器中，放在高燥处。二十岁以上者，每次服用十二丸，体质强壮者加三丸，老人小孩酌情减少，两三岁者七丸或五丸，七八十岁者九丸，温开水送下，半日或一两个时辰左右，不是呕吐就是腹泻，孕妇遇到急症，七丸为限度。
按语：温热伏邪以及患霍乱痧胀的病人，临时往往多夹杂水、夹食、夹饮、蓄血的情况，与邪气互结，凝结于胸胁，如食结胸、水结胸、血结胸，往往因为伏邪与夹邪互相纠结，疼痛不可按压，有时昏冒，原因虽然不同，但其结痛拒按、闭塞不容喘息的状态则相同。如果不仔细察看详细询问，很少不认为是本病应有的症状，不先行探吐去除它，那么所受的邪气，会被其羁留伏匿，不能透达，必定导致夭折死亡。适宜立即给予飞马金丹一服，自然能随着所结部位的上下，而施行吐下的功效，得到夹邪一解，正气自然伸展，按照方法调治本症，就比较容易了。所以这个丹丸治疗水、食、痰、血、寒、热各种邪气，结于胸膈，高突痛胀，不可抑制按压，不能呼吸，想吐吐不出，想拉拉不出的人。凡是外感内伤，飞尸猝中，暴厥自经，跌压各种病症，见到有此状态的，无论大小都可以服用。
枳实导滞汤：小枳实（钱半） 制川朴（一钱） 酒洗生锦纹（八分） 仙露夏（钱半） 净楂肉（三钱） 青连翘（钱半） 川连（四分） 海南子（钱半） 老紫草（三钱） 细木通（八分） 炙草（五分）
按语：孙际康说：这类病症庸医最多，因为急于治疗痘疮而忽视里滞，不知道胃主肌肉，胃不宣发运化，肌肉自然松弛，即使极力凉解，反而成为冰伏。此方该开的开，该降的降，不刻意升发而自然升发了。所以治疗有形之物与无形之毒，留滞于中，令气血不能流通的，极有效。
参茸升汤：别直参（五钱） 炙棉（一两） 鹿茸片（三分） 升麻（一钱） 煎成后，冲入陈酒一杯。
按语：痘疮的生死，判断在于是否有浆：有浆，毒从外部散发，所以生；无浆，毒留在内部攻伐，所以死。至于脓浆不能形成，病因有二：一是毒瓦斯炽盛则血燥而枯，一是元气虚弱则血寒而缩，都不能运化而成脓，脓不成则浆不行，于是五陷的病症就出现了。如果痘疮稠密，晕红紫且顶部下陷，是紫陷。严重时晕脚干枯，中有黑脐而成黑陷。这是毒热炽盛，遮蔽气机凝聚血液而陷入。适宜急忙用聂氏清毒活血汤、伍氏凉血解毒汤两个方子为主。然而当处于紫陷时，不过一二剂痘立起，等到黑陷则受毒已深，虽然用这样的大剂，也不过十救一二。又如痘出稠密，色淡白，根部无红晕且顶部下陷的，是白陷。严重时迟一两天，转为灰陷。这是血气虚寒，不能运化毒瓦斯以成浆，所以陷入。适宜趁着白陷的时候，大补气血，急忙用聂氏参归鹿茸汤、张氏参茸升汤为主，连续进一二剂，还可望生。又有一种痘，颗粒通红，成血泡而不成浆，这是气虚不能统血，血反而上居气位，治疗适宜用参保元汤大补其气，气充则毒化而成浆，血泡失治，则气愈虚而为血陷，治法也不外乎这两个方子。以上五陷的病症辨明，那么初起泛浆、长浆、催浆、足浆的方法，可以类推了。
导赤泻心汤（补方）：治疗热陷心经神昏，以及胃热蒸脑，撮空见鬼。小川连（一钱） 青子芩（钱半） 生山栀（钱半） 知母（钱半） 西洋参（一钱） 辰茯神（二钱） 益元散（三钱） 麦冬（一钱） 先用犀角八分，灯心七分，煎汤代水。
加减服蛮煎（补方）：治疗温热病舌绛神昏最效。鲜生地（五钱） 鲜金钗（二钱） 原麦冬（一钱） 知母（二钱） 粉丹皮（二钱） 辰茯神（二钱） 细木通（一钱） 广皮（一钱） 鲜石菖蒲叶（一钱搓热冲） 犀角汁（一瓢） 西黄（一分冲）
来复丹（补方）：治疗上盛下虚，暑湿入络，肢厥神迷，便泻溺涩，极效。玄精石、倭硫黄、牙硝（各一两） 赖橘红、小青皮、五灵脂（各二钱） 醋糊丸，每次服用二钱或三十丸，空腹醋汤送下，善能交通阴阳。
参茸养阳汤（增方）：治疗遗精足痿，气促自汗。如果觉得鹿茸价格太贵，可用鹿角胶一钱代替。大山参（一钱） 鹿茸片（二分） 甘杞子（三钱） 归身（二钱） 小茴香（五分） 生雄羊内肾（一对） 盐水炒胡桃肉（一枚）
Xiao Qingpi (7 fen) Ximutong (4 fen) Danpi (1 qian) Xian Shengdi (5 qian to 1 liang) Zihua Diding (3 qian) Xijiao Zhi (3 fen, mixed with Zanghonghua 4 fen) Jiu Xi Sheng Jinwen (1 qian) Dengxincao (1 fen)
Xiaodu Huoxue Tang (Disinfecting and Blood-Invigorating Decoction): Lao Zicao (1.5 qian) Qing Lianqiao (1.5 qian) Chao Niubangzi (1 qian) Mutong (7 fen) Xian Shengdi (1.5 qian) Jing Zhairou (1 qian) Jiu Chao Qing Ziqin (5 fen) Lu Dangshen (5 fen) Sheng Mianhuang (1.5 qian) Jiu Chao Xiao Chuanlian (3 fen) Danggui Xu (8 fen) Ku Jiegeng (6 fen) Jiu Xi Chi Shaoyao (5 fen) Qianhu (1 qian) Sheng Gancao (3 fen) Xian Shengjiang (1 slice)
Note: Removing Ginseng from this formula yields Qingdu Hexue Tang (Clear Toxins and Harmonize Blood Decoction), which treats toxin stagnation and blood coagulation preventing the formation of pustular fluid. For patients with robust physique and strong qi, remove Ginseng and [missing character]; for treating pox that fail to fill with pus on schedule, presenting as hard, dry, yellow, or dull gray/dark, increase the dosage of Zicao, Qin, and Lian, while removing Ginseng and [missing character]; for treating intense toxins and blood coagulation, where the pox halo is red-purple, or accompanied by dryness/withering and scabbing, all are effective.
Sanmiao Xue (Three Marvelous Bloods): Bai Xiongjiguan Xue (White Rooster Comb Blood), Zhuwei Xue (Pig Tail Blood), Qiuyin Xue (Earthworm Blood) each 1 spoon, taken with Chenjiu (Aged Wine) 1 cup mixed in.
Note: Ji Guan Xue (Rooster Comb Blood) is warm in nature, promotes pus formation, and raises exterior pathogens to treat upper conditions; Zhu Wei Xue (Pig Tail Blood) is moving in nature, invigorates blood, enters the interior to treat lower conditions; these two bloods have distinctions of upper/lower and exterior/interior; Xian Dilong Xue (Fresh Earthworm Blood) is cool in nature, invigorates blood, excels at unblocking collaterals, and can guide various herbs directly to break through areas where evil toxins gather. For treating pox at day 5-6, where the root turns purple from red and the top has holes like needle pricks or embedded tops, accompanied by fever, yellow tongue coating, thirst, and constipation, indicating intense toxic fire obscuring qi and stasis blocking blood, preventing pus formation, use this formula combined with detoxifying herbs such as Ji Jian Puji Xiaodu Yin (Modified Puji Detoxification Decoction) or Zhou Shi Wuwei Xiaodu Yin (Zhou’s Five-Ingredient Detoxification Decoction); if the pox root is purple, even turning black, with sunken tops, indicating toxin sinking, use Sanmiao Xue combined with Zixue (Purple Snow) and other herbs plus Jinzhi (Human Excrement Juice); if there is fever, constipation, embedded tops, purple roots, or blisters appearing with partial pus, puncture and remove blisters lacking pus, and use this formula added with Qi-moving and toxin-resolving drugs such as Yinhua Baidu San (Honeysuckle Detoxification Powder) or Renshen Baidu San (Ginseng Detoxification Powder).
Zhou Shi Wuwei Xiaodu Yin (Supplementing Formula): Xian Du Yinhua (Fresh Honeysuckle) (3 qian) Xian Ye Ju Hua (Fresh Wild Chrysanthemum) (1.5 qian) Xian Gongying (Fresh Dandelion) (1.5 qian) Zihua Diding (2 qian) Zi Bei Tiankui (1.5 qian)
Shen Gui Lurong Tang (Ginseng, Angelica, and Deer Antler Blood Decoction): Jilin Shen (Jilin Ginseng) (3 qian) Bai Guishen (White Angelica Root) (1 qian) Zhi Mianhuang (Honey-fried Astragalus) (2 qian) Zhi Gancao (Honey-fried Licorice) (5 fen) Lurong Xuepian (Deer Antler Blood Slices) (3 fen) Longyanrou (Longan Aril) (3 pieces) Xian Shengjiang (Fresh Ginger) (1 slice) Decoct the above herbs, mix in 1 cup of aged wine before drinking. For fatigue, poor appetite, and cold extremities, add Guangmuxiang (Costus Root) 8 fen, Gong Dingxiang (Clove) and Anbian Gui (Cinnamon Bark) each 3 fen; for chills and teeth grinding, add Anbian Gui 2 fen, Nong Fukuai (Thick Aconite Slice) 3 fen, Jiu Chao Baishaoyao (Wine-fried White Peony Root) 7 fen, Wei Hezi (Baked Chebula Fruit) and Wei Rouguo (Baked Myristica Seed) each 2 fen.
Note: Nie Jiuwu formulated this decoction to greatly tonify qi and warm blood; it specifically treats pale pox due to deficiency and collapse of qi and blood, inability to form pus, as well as gray sinking and white sinking types. Taken warm for one to two doses, it rapidly induces pus formation, achieving swift results unmatched by others. If Deer Antler Blood Slices are considered too expensive, replace with 1 qian of Deer Antler Tip; Deer Antler Wine is even better.
Appendix: Method for Preparing Deer Antler Wine:
Qiu Liufan states: Take 1 liang of true deer antler (2-3 cun long), place in a clay bottle with wine, boil until the skin peels off, remove the antler, and filter the wine. The true essence of the antler remains in this wine. Refill the clay bottle with wine, boil until the skin rots, gradually adding more wine. When the skin is rotten, filter it through cloth, mash the skin, and dissolve it into the wine, removing the hair. Also, roast the bone inside the antler until charred and grind into powder. Combine the essence wine, skin wine, and bone powder together for use. This is a superb method for preparing antler wine, unknown to many who simply roast the antler, thereby losing the true essence and rendering it ineffective.
Fei Shi Qingjie San (Fei’s Clearing and Releasing Powder): Jingjie (Schizonepeta), Fangfeng (Saposhnikovia), Chuanxiong (Ligusticum), Lianqiao (Forsythia), Mutong (Akebia), Chao Niubangzi (Prepared Arctium Seed) (each 7 fen) Sheng Gegen (Raw Pueraria Root), Shan Zha (Hawthorn Flesh) (each 8 fen) Jiegeng (Platycodon Root) (6 fen) Qianhu (Peucedanum Root) (1 qian) Lao Zicao (Old Lithospermum Root), Qing Ziqin (Green Scutellaria Root), Shengma (Cimicifuga Rhizome) (each 5 fen) Chuanlian (Coptis Rhizome) (2 fen) Gancao (Licorice Root) (3 fen) Chantui (Cicada Slough) (12 pieces) Shengjiang (Ginger) (2 slices) Decoct in water and take warm.
Fei Shi Sujie San (Fei’s Perilla Clearing and Releasing Powder): Jingjie (Schizonepeta), Fangfeng (Saposhnikovia), Chuanxiong (Ligusticum), Ximutong (Fine Akebia), Suye (Perilla Leaf), Baizhi (Angelica Dahurica) (each 7 fen) Sheng Gegen (Raw Pueraria Root), Shan Zha (Hawthorn Flesh) (each 8 fen) Jiegeng (Platycodon Root) (6 fen) Qianhu (Peucedanum Root) (1 qian) Lao Zicao (Old Lithospermum Root), Lianqiao Xin (Forsythia Heart), Shengma (Cimicifuga Rhizome), Chao Niubangzi (Prepared Arctium Seed), Qianghuo (Notopterygium Rhizome) (each 5 fen) Gancao (Licorice Root) (2 fen) Chantui (Cicada Slough) (12 pieces) Shengjiang (Ginger) (3 slices) Decoct in water and take warm.
Note: Zhang Xunyu’s *Zhongdou Xinshu* (New Book on Smallpox Vaccination) states: These two formulas are essential medicines for the initial heat and appearance of spots; they should not be used after the pox have fully erupted.
Jiaomei Wan (Pepper and Plum Pill): Chao Chuanjiao (Stir-fried Sichuan Pepper) (3 qian) Wumei Tan (Charred Plum Fruit), Chao Chuanlian (Stir-fried Coptis Rhizome) (each 1 qian, ground into powder) Form pills with Yitang (Malt Sugar) the size of millet seeds. Divide into two or three doses according to the child's size. After administration, worms will soon enter the mouth. It is highly effective for treating pox obstructed by worms, preventing eruption. Follow up with Zicao Chengqi Tang (Lithospermum and Da Huang Decoction) to purge.
Feima Jindan (Flying Horse Golden Pill) (Supplementing Formula): Badoushuang (Croton Seed Frost), Guangmuxiang (Costus Root), Lai Juhong (Tangerine Peel) (each 3 qian) Wulingzhi (Trogopterus Dung), Guang Yujin (Curcuma Rhizome), Sheng Dashang Xionghuang (Raw Realgar) (each 1 liang) Fei Chensha (Cinnabar) (5 qian) Ming Ruxiang (Frankincense), Jing Moyao (Myrrh), Shancigu (Cremanthodium Bulb), Baicaoshuang (Soot from Chimney) (each 2 qian) Weigh and grind each ingredient separately into fine powder, then mix and grind together for about an hour until uniform. Form pills using rice vinegar, coat with gold foil, size of mung beans, dry between papers, store tightly in porcelain vessels in a high, dry place. For those over 20 years old, take 12 pills per dose; for robust constitutions, add 3 pills; reduce for elderly and children (7 or 5 pills for ages 2-3; 9 pills for ages 70-80). Take with warm boiled water. Within half a day or 1-2 shichen (hours), vomiting or diarrhea will occur. For pregnant women in emergencies, limit to 7 pills.
Note: In cases of latent warm-heat pathogens or cholera/shazhang (plague-like swelling), there are often concurrent conditions involving water retention, food stagnation, drink retention, or blood stasis, intertwining with pathogens and knotting in the chest and hypochondrium, similar to Food Knot Chest, Water Knot Chest, or Blood Knot Chest. Often caused by the interaction of latent pathogens and concurrent pathogens, resulting in pain unyielding to pressure, occasional dizziness/confusion. Although causes differ, the state of knotted pain, rejection of pressure, and obstruction preventing breathing is the same. Without careful examination and inquiry, one rarely fails to mistake this for inherent symptoms of the disease. If not first treated with emesis to remove them, the acquired pathogens will remain lodged and hidden, unable to penetrate and reach the surface, inevitably leading to premature death. Immediately administer one dose of Feima Jindan, which will naturally exert its emetic or purgative effects depending on the location of the knot. Once the concurrent pathogen is resolved, healthy qi naturally expands, making subsequent treatment of the primary condition easier. Thus, this pill treats various pathogens (water, food, phlegm, blood, cold, heat) knotting in the chest and diaphragm, causing protrusion, pain, distension, inability to press down, difficulty breathing, desire to vomit but unable, desire to defecate but unable. It is suitable for any external contraction or internal injury, sudden attacks of Feishi (flying corpse/pathogen), acute syncope, meridian disorders, falls, and impacts presenting with these symptoms, regardless of age.
Zhishi Daozhi Tang (Immature Bitter Orange Guiding Stagnation Decoction): Xiao Zhishi (Immature Bitter Orange) (1.5 qian) Zhi Chuanpu (Prepared Magnolia Bark) (1 qian) Jiu Xi Sheng Jinwen (Wine-washed Raw Rheum Palmatum) (8 fen) Xianluxia (Pinellia Prepared with Alumen) (1.5 qian) Jing Zhairou (Clean Hawthorn Flesh) (3 qian) Qing Lianqiao (Green Forsythia) (1.5 qian) Chuanlian (Coptis Rhizome) (4 fen) Hainanzi (Areca Seed) (1.5 qian) Lao Zicao (Old Lithospermum Root) (3 qian) Ximutong (Fine Akebia) (8 fen) Zhi Cao (Honey-fried Licorice) (5 fen)
Note: Sun Jikang says: Among practitioners, ignorance is most common in such cases; due to urgency in treating pox, they neglect interior stagnation. They do not know that the Stomach governs muscles; if the Stomach fails to disseminate and transform, muscles cannot relax naturally. Even with vigorous cooling and resolving, it becomes "ice-stagnation." This formula opens what needs opening, descends what needs descending, promoting natural ascending without forced stimulation. Therefore, it is extremely effective for treating tangible substances and intangible toxins lingering in the middle, obstructing the free flow of qi and blood.
Shen Rong Sheng Tang (Ginseng and Deer Antler Ascending Decoction): Biezhi Shen (Korean Ginseng) (5 qian) Zhi Mianhuang (Honey-fried Astragalus) (1 liang) Lurong Pian (Deer Antler Slices) (3 fen) Shengma (Cimicifuga Rhizome) (1 qian) Decoct, mix in 1 cup of aged wine before drinking.
Note: The life or death of pox is determined by the presence or absence of pus/fluid: With pus, toxins disperse externally, so survival; without pus, toxins attack internally, so death. Regarding the failure to form pus/fluid, there are two pathological mechanisms: First, intense toxic qi causes blood dryness and withering; second, deficiency of primal qi causes blood coldness and contraction. Neither can transform into pus; without pus, fluid does not flow, leading to the "Five Collapses" syndromes. If pox are dense, with red-purple halos and sunken tops, this is Purple Collapse. Severe cases show dry/withered halo bases and black umbilici, becoming Black Collapse. This is due to intense toxic heat obscuring qi and condensing blood, causing collapse. Urgently use Nie’s Qingdu Huoxue Tang (Clear Toxins and Invigorate Blood Decoction) and Wu’s Liangxue Jiedu Tang (Cool Blood and Detoxify Decoction) as main treatments. However, during Purple Collapse, one to two doses may raise the pox immediately; once Black Collapse occurs, toxin depth is severe, and even large doses only save one or two out of ten. If pox are dense, pale-white, with no red halo at roots and sunken tops, this is White Collapse. Severe cases turn Gray Collapse after one or two days. This is due to qi-blood deficiency and cold, failing to transform toxic qi into fluid, causing collapse. During White Collapse, vigorously tonify qi and blood, urgently using Nie’s Shengui Lurong Tang (Ginseng, Angelica, and Deer Antler Decoction) and Zhang’s Shenrong Sheng Tang (Ginseng, Deer Antler, and Ascending Decoction) as main treatments. Continuous intake of one to two doses offers hope for survival. Another type presents with bright red granules forming blood blisters instead of pus; this is qi deficiency failing to control blood, causing blood to rise to the qi position. Treatment requires Shenbao Yuantang (Ginseng Protecting Origin Decoction) to vigorously tonify qi; when qi is sufficient, toxins transform into pus. Neglecting blood blisters leads to further qi deficiency and Blood Collapse. Treatment methods remain within these two formulas. Having distinguished the Five Collapses, the methods for initial fluid generation, elongation, urging, and fullness can be inferred.
Daochi Xiexin Tang (Draining Bladder and Purging Heart Decoction) (Supplementing Formula): Treats heat sinking into the Heart Meridian causing confusion, and stomach heat steaming the brain causing grasping at empty air and seeing ghosts. Xiao Chuanlian (Small Coptis Rhizome) (1 qian) Qing Ziqin (Green Scutellaria Root) (1.5 qian) Sheng Shanzhi (Raw Gardenia Fruit) (1.5 qian) Zhimu (Anemarrhena Rhizome) (1.5 qian) Xiyangshen (American Ginseng) (1 qian) Chen Fushen (Vermilion-infused Poria with Hostwood) (2 qian) Yiyuan San (Benefit Origin Powder) (3 qian) Maidong (Ophiopogon Tuber) (1 qian) First, decoct Xijiao (Rhinoceros Horn - substitute with Buffalo Horn in modern practice) 8 fen and Dengxincao (Juncus Effusus) 7 fen in water to replace normal water for decocting other herbs.
Jiajian Fu Man Jian (Modified Fu Man Decoction) (Supplementing Formula): Most effective for warm-heat diseases with crimson tongue and confusion. Xian Shengdi (Fresh Rehmannia Root) (5 qian) Xian Jinchai (Fresh Dendrobium Stem) (2 qian) Yuan Maidong (Original Ophiopogon Tuber) (1 qian) Zhimu (Anemarrhena Rhizome) (2 qian) Fen Danpi (Powdered Moutan Cortex) (2 qian) Chen Fushen (Vermilion-infused Poria with Hostwood) (2 qian) Ximutong (Fine Akebia) (1 qian) Guangpi (Broad-leaved Tangerine Peel) (1 qian) Xian Shichangpu Ye (Fresh Acorus Tatarinowii Leaf) (1 qian, rubbed warm and mixed in) Xijiao Zhi (Rhinoceros Horn Juice - substitute with Buffalo Horn Juice) (1 ladle) Xihuang (Indian Musk Ambergris) (1 fen, mixed in)
Laifu Dan (Restoring Harmony Pill) (Supplementing Formula): Treats excess above and deficiency below, summer-dampness entering collaterals, cold limbs and spirit confusion, loose stools and difficult urination, extremely effective. Xuanjingshi (Calcium Carbonate Mineral), Wowuhuang (Japanese Sulfur), Yanxiao (Mirabilite Saltpeter) (each 1 liang) Lai Juhong (Tangerine Peel), Xiao Qingpi (Young Citrus Peel), Wulingzhi (Trogopterus Dung) (each 2 qian) Form pills with vinegar paste. Take 2 qian or 30 pills per dose, on an empty stomach with vinegar water. Excellent at communicating yin and yang.
Shenrong Yangyang Tang (Ginseng and Deer Antler Nourishing Yang Decoction) (Added Formula): Treats seminal emission, leg weakness, shortness of breath, and spontaneous sweating. If Deer Antler price is too high, replace with 1 qian of Lurong Jiao (Deer Antler Glue). Dashanshen (Large Mountain Ginseng) (1 qian) Lurong Pian (Deer Antler Slices) (2 fen) Gan Qizi (Sweet Goji Berry) (3 qian) Guishen (Angelica Root) (2 qian) Xiaohuixiang (Small Fennel Seed) (5 fen) Sheng Xiong Yang Neishen (Raw Male Sheep Kidney) (1 pair) Shuiyan Chao Hutao Rou (Salt-water stir-fried Walnut Kernel) (1 piece)
Note: This formula uses soft agents to nourish yang, fill essence and blood, and supplement the Du and Ren meridians. It differs from the harsh, drying, and qi-agitating properties of Gui (Cinnamon) and Fu (Aconite) which can damage yin.