与各前篇参看。诸痘未出，独于印堂先现一颗者，名晓星报点。此痘能闭诸毒，急宜以
灯火烧之。但小儿畏灯火，必然躲闪，须用铜钱一个印于痘上，令痘从钱眼暴出，然后烧之
，乃不差误。一儿出痘稀疏，潮热亦退，余见天庭有痘二颗，其大异常。余曰∶此宜去之。
其家不信余言，至次晚复来请余，谓其儿潮热复作，烦躁惊谵，痘皆变色，余往，剔去其痘
，以药敷之，热退人安，痘遂起胀，勿谓此为无害也。
痘出点稠密，其天庭地角，虽然明朗，而两颧甚秘，一片丹红，不分界地。此毒在肝肺
，若不急治，一经咳嗽失声则难救。用前胡、赤芍、紫草茸、生地、丹皮、牛蒡、连翘、川
芎、黄芩、黄连、木通、甘草，煎服。外用水柳草煎水时时洗面，其痘立即转色。又或以胭
脂米擂水擦痘上，亦能解毒活血，但更难于辨色耳。
嘴角有黑痘一粒而独大者，名单锁口；两嘴角俱有黑痘者，名双锁口，皆恶候也。此毒
凝于胃，主不食而死。见此，须宜剔破，用口吸去恶血，以拔疔散（见前痘疔方内）敷之，
或
先有数点者亦凶。喉窝之痘主烦闷。耳后窝、颈项窝有痘皆不吉。又或不拘何处有痘独大异
常者，
散（见
痘出而喉窝及颈窝甚多者，名猪颈，又名锁项。竟至于颐者，又名托颐。主饮食不进，
或喉烂，或声哑而死。急用山豆根、元参、桔梗、甘草、生地、川芎、归尾、木通、牛蒡，
煎服。缓则毒结于喉，必难治也。
与前几篇内容相互参照。痘疹尚未发出，唯独在印堂部位先出现一颗的，称为“晓星报点”。这种痘能闭塞诸毒，必须紧急用灯火灼烧它。但是小儿畏惧灯火，必然会躲闪，需要用一枚铜钱按印在痘上，让痘从铜钱的方孔中暴起，然后再进行灼烧，这样才不会出差错。有一个孩子出痘稀疏，潮热也已消退，但我看见他的天庭部位有两颗痘，大小异常。我说：这应该去除掉。家属不相信我的话，到了第二天晚上又回来请我，说孩子的潮热再次发作，烦躁惊谵，痘色全部改变。我前往后，剔除了那两颗痘，敷上药物，热退人安，痘随后起胀，不要认为这是无害的。
痘点出得稠密，虽然天庭和地角部位看起来明朗，但两颧部位非常隐蔽（指痘色晦暗或分布异常），呈现一片丹红色，界限不分。这是毒邪在肝肺，如果不紧急治疗，一旦咳嗽失声就难以救治。使用前胡、赤芍、紫草茸、生地、丹皮、牛蒡、连翘、川芎、黄芩、黄连、木通、甘草，煎服。外用水柳草煎水经常洗脸，痘色立即转变。或者用胭脂米研磨成水擦拭痘上，也能解毒活血，只是更难辨别痘色罢了。
嘴角有一颗黑痘且特别大的，称为“单锁口”；两嘴角都有黑痘的，称为“双锁口”，都是恶候。这是毒邪凝结在胃，主因不能进食而死。见到这种情况，必须挑破，用口吸去恶血，敷上拔疔散（见前文痘疔方内），或者先有数点的也是凶兆。喉窝部位的痘主烦闷。耳后窝、颈项窝有痘都不吉利。又或者不论何处有痘，只要独大异常的，（均主凶险）。痘出而喉窝及颈窝很多的，称为“猪颈”，又名“锁项”。甚至蔓延到下巴的，又名“托颐”。主饮食不进，或者咽喉腐烂，或者声音嘶哑而死。紧急使用山豆根、元参、桔梗、甘草、生地、川芎、归尾、木通、牛蒡，煎服。如果迟缓，则毒邪结于喉部，必定难以治疗。
Refer to the previous chapters. When pustules have not yet erupted, but a single one appears first on the Yintang (GV29) point, it is named "Xiao Xing Bao Dian" (Dawn Star Reporting Point). This type of pustule can block all toxins; it must be urgently cauterized with a burning lamp. However, children fear the lamp light and will inevitably dodge. Therefore, a copper coin should be pressed onto the pustule so that the pustule erupts violently through the square hole of the coin, and then cauterization is performed, thus avoiding errors. In one case, a child had sparse pustules and tidal fever had subsided, but I observed two unusually large pustules on the Tian Ting (forehead area). I said: These should be removed. The family did not believe my words. The following evening, they returned to consult me again, stating that the child's tidal fever had recurred, accompanied by irritability, restlessness,惊谵 (delirium), and all pustules had changed color. Upon visiting, I removed the pustules and applied medicine. The fever subsided, the person became calm, and the pustules subsequently swelled. Do not consider this harmless.
When pustules are dense, although the Tian Ting (forehead) and Di Jiao (chin corners) appear clear, the cheeks are obscured, presenting a uniform crimson red without distinct boundaries. This indicates toxin in the Liver and Lungs. If not treated urgently, once coughing and loss of voice occur, it will be difficult to save. Use Qian Hu (Peucedani Radix), Chi Shao (Paeoniae Radix Rubra), Zi Cao Rong (Arnebiae Radix), Sheng Di Huang (Rehmanniae Radix), Dan Pi (Moutan Cortex), Niu Bang Zi (Arctii Fructus), Lian Qiao (Forsythiae Fructus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Mu Tong (Akebiae Caulis), and Gan Cao (Glycyrrhizae Radix et Rhizoma), decocted and taken orally. Externally, wash the face frequently with water boiled from Shui Liu Cao (Salix Tomentella or similar willow herb); the pustule color will immediately change. Alternatively, rub Zhi Yi Mi (a type of rice used for coloring) into water and apply to the pustules; this also detoxifies and invigorates blood, though it makes color differentiation more difficult.
A single black pustule at the corner of the mouth that is particularly large is called "Dan Suo Kou" (Single Locking Mouth); black pustules at both corners of the mouth are called "Shuang Suo Kou" (Double Locking Mouth). Both are ominous signs. This indicates toxin congealing in the Stomach, leading to death due to inability to eat. Upon seeing this, the pustule must be lanced, and foul blood sucked out with the mouth, followed by application of Ba Ding San (Pulling Carbuncle Powder, see previous carbuncle formulas). Having several such points initially is also inauspicious. Pustules in the throat hollow indicate oppression and stifling sensation. Pustules behind the ears or in the neck hollow are inauspicious. Furthermore, any pustule appearing anywhere that is uniquely large and abnormal is dangerous. When many pustules appear in the throat hollow and neck hollow, it is called "Zhu Jing" (Pig Neck) or "Suo Xiang" (Locking Neck). If it extends to the chin, it is called "Tuo Yi" (Supporting Chin). This condition leads to inability to eat, rotting of the throat, or death due to hoarseness. Urgently use Shan Dou Gen (Sophorae Tonkinensis Radix), Yuan Shen (Scrophulariae Radix), Jie Geng (Platycodonis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sheng Di Huang (Rehmanniae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gui Wei (Angelicae Sinensis Radix Tail), Mu Tong (Akebiae Caulis), and Niu Bang Zi (Arctii Fructus), decocted and taken orally. If treatment is delayed, toxin will knot in the throat, making it incurable.