胡黄连丸
胡黄连（半钱，去果积） 阿魏（一钱半，醋煮，去肉积） 麝香（四粒） 神曲（二钱半，去食积）
黄连（二钱半，炒，去热积）
上为末，猪胆汁丸，如黍米大。每服二十丸，白术汤下。
小儿疳病腹大∶胡黄连丸二十丸，白术汤下。
（分气虚、血虚补之。）
气虚用人参、白术，加解毒药。
但见红点，便忌升麻葛根汤，发得表虚也。
吐泻、少食、为里虚。不吐泻、能食、为实。
里实而补，则结痈肿。
陷伏、倒靥、灰白、为表虚；或用烧人屎。黑陷甚者，烧人屎，红、活、绽、凸为表实，而复用表药，则
要溃烂不结痂。二者俱见，为表里俱虚。
痘疮，或初出，或未出时，人有患者，宜预服此药。多者合少，重者合轻。方用丝瓜近蒂三寸连瓜子皮烧
灰存性，为末，砂糖拌吃。入朱砂末亦可。
解痘疮毒药
丝瓜 升麻 酒芍药 甘草（生用） 糖球 黑豆 犀角 赤小豆
解痘疮法，已出未出皆可用。朱砂为末，以蜜水调服。多者可减，少者可无。
萝卜子（蒸） 紫苏梗 陈皮 干姜（各等分） 甘草（减半） 食减者加白术，煎服。
胡黄连丸
胡黄连（半钱，用于去除因积食引起的疳积） 阿魏（一钱半，用醋煮制，用于去除肉类积滞） 麝香（四粒） 神曲（二钱半，用于去除食物积滞）
黄连（二钱半，炒制，用于清除热邪积滞）
将上述药物研成细末，用猪胆汁制成丸剂，大小如黍米。每次服用二十丸，用白术汤送服。
小儿患疳病腹部胀大：服用胡黄连丸二十丸，用白术汤送服。
（需根据气虚或血虚的情况分别进行补益。）
气虚者用人参、白术，并加入解毒药物。
只要见到红点，就应忌用升麻葛根汤，因为发汗会导致表虚。
呕吐腹泻、食欲减退，属于里虚。不呕吐腹泻、能进食，属于实证。
如果体内实邪未去而盲目进补，则会导致痈肿结聚。
痘疹内陷、倒靥（痘顶凹陷）、颜色灰白，属于表虚；或者使用烧过的人粪。若痘色黑陷严重，使用烧过的人粪；若痘色红润、鲜活、绽开、凸起，属于表实，此时若再用发表药物，就会导致溃烂且不结痂。两者同时出现，属于表里俱虚。
对于痘疮，无论是刚发出还是尚未发出时，若有患者接触，宜预先服用此药。病情重者剂量可参照轻症调整。方剂用靠近瓜蒂的丝瓜三寸连同瓜子皮烧存性，研成细末，拌砂糖服用。加入朱砂细末也可以。
解痘疮毒药
丝瓜 升麻 酒芍药 甘草（生用） 糖球 黑豆 犀角 赤小豆
解除痘疮毒邪的方法，无论痘疹已出或未出均可使用。将朱砂研成细末，用蜜水调服。用量多者可减少，少者可不用。
萝卜子（蒸制） 紫苏梗 陈皮 干姜（各等分） 甘草（减半） 食欲不振者加白术，煎服。
Hu Huang Lian Wan (Huanglian Decoction Pill)
*Anemarrhenae Rhizoma* (Ban Qian, half a qian, to resolve food stagnation leading to gan syndrome), *Asafoetida* (Yi Qian Ban, one and a half qian, boiled in vinegar, to resolve meat stagnation), *Moschus* (Si Li, four grains), *Medicated Leaven* (Er Qian Ban, two and a half qian, to resolve food accumulation).
*Coptidis Rhizoma* (Er Qian Ban, two and a half qian, stir-fried, to clear heat accumulation).
Grind the above ingredients into powder. Form pills with pig bile, sized like millet seeds. Take twenty pills per dose, administered with *Baizhu Tang* (Atractylodes Macrocephala Decoction).
For pediatric gan syndrome presenting with abdominal distension: Take twenty pills of Hu Huang Lian Wan, administered with Baizhu Tang.
(Supplement according to whether there is Qi deficiency or Blood deficiency.)
In cases of Qi deficiency, use *Ren Shen* (Ginseng) and *Bai Zhu* (Atractylodes Macrocephala), adding detoxifying herbs.
If red spots are observed, *Sheng Ma Ge Gen Tang* (Cimicifugae and Puerariae Decoction) must be contraindicated, as diaphoresis would lead to exterior deficiency.
Vomiting, diarrhea, and poor appetite indicate interior deficiency. Absence of vomiting/diarrhea and ability to eat indicate excess patterns.
Tonifying when there is interior excess will result in the formation of carbuncles and swellings.
Internalization of lesions, inverted pustules, and grayish-white color indicate exterior deficiency; alternatively, calcined human feces may be used. For severe black depression, calcined human feces are used. Red, vibrant, open, and convex lesions indicate exterior excess; using exterior-releasing herbs in such cases will cause ulceration without scabbing. If both conditions are present, it indicates simultaneous exterior and interior deficiency.
Regarding variola (smallpox/chickenpox), if exposure occurs before eruption or during early eruption, this medicine should be taken prophylactically. Adjust dosage based on severity: combine heavy doses for mild cases, and light doses for severe cases. The formula uses three cun of loofah near the stem, including seeds and skin, burned until carbonized but retaining its nature, then ground into powder. Mix with brown sugar for consumption. Adding *Zhusha* (Cinnabar) powder is also acceptable.
To Resolve Variola Toxins
*Luffae Fructus Retinervus* (Loofah), *Cimicifugae Rhizoma*, *Paeolia Radix Alba* prepared with wine, *Glycyrrhizae Radix et Rhizoma* (used raw), *Tangqiu* (Sugar ball), *Sojae Semen Nigrum* (Black Soybean), *Rhinocerotis Cornu*.
This method to resolve variola toxins can be used whether lesions have erupted or not. Grind *Zhusha* (Cinnabar) into powder, mix with honey water, and administer orally. Dosage may be reduced for heavier cases or omitted for lighter ones.
*Raphani Semen* (steamed), *Perillae Caulis*, *Citri Reticulatae Pericarpium*, *Zingiberis Rhizoma* (dried, equal parts each), *Glycyrrhizae Radix et Rhizoma* (half amount). Add *Bai Zhu* (Atractylodes Macrocephala) if appetite is decreased; decoct and take.
*Ren Shen* (Ginseng, one and a half qian), *Coptidis Rhizoma* (one and a half qian, stir-fried with ginger juice), *Glycyrrhizae Radix et Rhizoma* (half a qian), *Phragmitis Rhizoma* leaves (twenty leaves). Divide into two doses. Add one slice of ginger, decoct, and take.
Dai Yun stated: "When ulcers cover the entire mouth, it is identified as such." Apply Jiang Cha (Jiang tea) and Fen Cao (licorice powder) topically.
Another prescription: Equal parts of *Sophorae Flavescentis Radix*, *Minium*, *Myrobalani Fructus*, and *Indigo Naturalis*. Apply topically.