长浆之际，痘晕红紫，此血分有热，必用消毒活血汤。内有黄芩，外加白术五、六分，
以固胎元，胎必不动。若痘晕淡红以及淡白，必用千金内托散（见前）倍加参 ，去肉桂，
外
孕妇出痘以安胎为主。若从前不能按法调治，至热气内蒸而坠胎者多矣。遇此等症，令
老成稳婆撑扶产母，以热水净沐下体，扶其上床，不要倒睡，必须强坐一二刻，用滚水兑白
酒一种，入童便半盏和服，行其瘀血。若痘稠密用加味保元汤。气血虚甚用十全大补汤。若
小腹急痛，瘀血未尽也，宜黑神散以涤除之，寒凉切不可用。
加味保元汤∶台党、黄 、当归、川芎、白芷、桔梗、上浓朴、紫草、防风、牛子、白
芍、肉桂。
黑神散∶熟地、当归、川芎、甘草、肉桂、炮姜、蒲黄（炒）、黑豆、香附（醋炙）、童
便
妇人产后出痘，只以大补气血为主，十全大补汤是此时要方，方中白芍亦用好酒炒熟，
不可妄用寒凉，以伤生发之意也。
麻症初起，多有咳嗽喷嚏、鼻流清涕、眼泪汪汪，两胞浮肿，身体渐热，二三日或四五
日始见点于皮肤之上。形如麻粒，色若榉花，间有类于痘大者，惟见形之后，形尖稀疏，渐
次稠密，有颗粒而无根晕，微起泛而不生浆，大异于痘也。虽云较痘稍轻，而变化则速，始
终调治，俱宜留神。总之，初起宜先表法透彻，最忌寒凉；已出时当用清利；收散后贵于养
血；兼杂症者则随症参治之。温疹症见伤寒，若发于未痘之先为瘙疹，月内为烂衣疮，百日
内为百日疮，发则遍身红点如粟米之状，乃儿在母腹受热所致，调摄谨慎，自能速愈。痘方
愈而疹随出为盖痘疹，遍身发出，疹色赤作痒，始如粟米，渐成云片，因痘后余毒未尽，更
兼恣意饮食，外受风寒之所致。宜疏风清热为主。至疹出多痒，色红赤隐于皮肤中为瘾疹，
乃心火灼于肺经，更兼外受风湿而成，治宜先散风湿，后清热毒，斯得其法，皆非麻疹，禀
诸胎元毒也。
在痘疹灌浆阶段，若痘晕呈现红紫色，这是血分有热所致，必须使用消毒活血汤。方中虽有黄芩，但需外加白术五至六分，以稳固胎元，确保胎儿安稳不动。如果痘晕呈淡红色或淡白色，则必须使用千金内托散（见前文），并加倍人参用量，去掉肉桂。
孕妇患痘疹应以安胎为主要原则。如果此前未能按照正确方法调理治疗，导致热气内蒸而引发堕胎的情况很多。遇到此类病症，应让经验丰富的稳婆扶持产妇，用热水清洗下身，扶其上床，不要仰卧，必须强行坐立一刻钟左右，然后用滚水兑入白酒一种，加入半盏童便混合服用，以行散瘀血。若痘疹稠密，使用加味保元汤；若气血极度虚弱，使用十全大补汤。若小腹部急痛，说明瘀血未尽，适宜用黑神散来涤除瘀血，切不可使用寒凉药物。
加味保元汤：台党参、黄芪、当归、川芎、白芷、桔梗、上浓朴、紫草、防风、牛蒡子、白芍、肉桂。
黑神散：熟地黄、当归、川芎、甘草、肉桂、炮姜、蒲黄（炒）、黑豆、香附（醋炙）、童便。
妇女产后出痘，只应以大补气血为主，十全大补汤是此时的重要方剂，方中的白芍也要用好酒炒熟，不可妄用寒凉药物，以免损伤生机发散之意。
麻疹初起时，多有咳嗽、喷嚏、流清涕、流泪、眼睑浮肿等症状，身体逐渐发热，二三日或四五日后才在皮肤上出现皮疹。形状像麻粒，颜色像榉树花，间或有类似痘疹较大的，但在出形之后，形态尖细稀疏，逐渐变得稠密，有颗粒但没有根部的红晕，微微隆起泛白但不生浆液，这与痘疹大不相同。虽然常说比痘疹稍轻，但病情变化迅速，从开始到结束的治疗过程中，都必须格外小心。总之，初起宜先用解表法透彻透发，最忌讳寒凉药物；皮疹发出时应当使用清热利湿的方法；收靥脱落后贵在养血；兼杂其他症状的则根据症状参合治疗。温疹症见到伤寒症状，如果在未出痘之前发生称为瘙疹，一个月内发生称为烂衣疮，百日内发生称为百日疮，发作时遍身红点如粟米状，这是由于婴儿在母腹中受热所致，只要调摄谨慎，自然能迅速痊愈。痘疹刚愈而疹子随即发出称为盖痘疹，遍身发出，疹色赤红且瘙痒，开始像粟米，逐渐形成云片状，这是因为痘后余毒未尽，再加上饮食不节制，外受风寒所致。适宜以疏风清热为主。至于疹子发出多痒，色红赤隐于皮肤中称为瘾疹，这是心火灼伤肺经，再加上外受风湿而成，治疗宜先疏散风湿，后清除热毒，这样才符合治疗方法，这些都不是麻疹，而是禀受于胎元的毒气所致。
During the stage of pustule formation (pustulation), if the areola around the pox appears red and purple, this indicates heat in the blood level. It is essential to use Xiaodu Huoxue Tang (Detoxifying and Blood-Activating Decoction). Although the formula contains Huangqin (Scutellariae Radix, 黄芩), one should additionally add Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) five to six fen to stabilize the fetal origin (Taiyuan, 胎元), ensuring the fetus remains stable and unmoved. If the areola is pale red or pale white, Qianjin Neituo San (Thousand-Gold Internal-Supporting Powder, 千金内托散 - see previous text) must be used, with the dosage of Renshen (Ginseng Radix et Rhizoma, 人参) doubled and Rougui (Cinnamomi Cortex, 肉桂) removed.
For pregnant women developing smallpox, securing the fetus should be the primary principle. If prior treatment did not follow proper methods, leading to internal steaming of heat and subsequent miscarriage, such cases are common. In such situations, instruct an experienced midwife to support the parturient woman, wash her lower body with hot water, help her onto the bed, prevent her from lying supine, and require her to sit upright for about fifteen minutes. Then, prepare a mixture by adding one portion of Baijiu (Baijiu, 白酒) to boiling water, mix with half a cup of Tongbian (Human Urine, 童便), and administer orally to promote the circulation and expulsion of blood stasis. If the pox is dense, use Jiawei Baoyuan Tang (Modified Baoyuan Decoction, 加味保元汤); if Qi and Blood are extremely deficient, use Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction, 十全大补汤). If there is acute pain in the lower abdomen, it indicates incomplete expulsion of blood stasis; Heishen San (Black God Powder, 黑神散) is suitable to cleanse and remove it. Cold-natured herbs must strictly be avoided.
Jiawei Baoyuan Tang: Taidangshen (Codonopsis Radix, 台党), Huangqi (Astragali Radix, 黄芪), Danggui (Angelicae Sinensis Radix, 当归), Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎), Baizhi (Angelicae Dahuricae Radix, 白芷), Jiegeng (Platycodonis Radix, 桔梗), Shang Nongpo (Magnoliae Officinalis Bark, 上浓朴), Zicao (Arnebiae seu Lithospermi Radix, 紫草), Fangfeng (Saposhnikoviae Radix, 防风), Niuzi (Arctii Fructus, 牛子), Baishao (Paeoniae Radix Alba, 白芍), Rougui (Cinnamomi Cortex, 肉桂).
Heishen San: Shudi (Rehmanniae Radix Praeparata, 熟地), Danggui (Angelicae Sinensis Radix, 当归), Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草), Rougui (Cinnamomi Cortex, 肉桂), Paojiang (Zingiberis Rhizoma Praeparatum, 炮姜), Puhuang (Typhae Pollen, 蒲黄 - stir-fried), Heidou (Sojae Semen Nigrum, 黑豆), Xiangfu (Cyperi Rhizoma, 香附 - vinegar-processed), Tongbian (Human Urine, 童便).
For women developing smallpox postpartum, the treatment should focus primarily on greatly tonifying Qi and Blood. Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction, 十全大补汤) is the crucial formula at this time. The Baishao (Paeoniae Radix Alba, 白芍) in the formula should also be stir-fried until cooked with good Baijiu (Baijiu, 白酒). One must not recklessly use cold-natured herbs, as this would damage the intent of generating and dispersing vitality.
At the initial stage of measles (Mazheng, 麻症), symptoms often include coughing, sneezing, clear nasal discharge, tearing, and swelling of the eyelids. The body temperature gradually rises, and spots appear on the skin after two to three days or four to five days. The lesions resemble hemp seeds in shape and look like elm flowers in color. Occasionally, some may appear larger, similar to smallpox. However, after the eruption phase begins, the lesions become pointed and sparse, gradually becoming denser. They have granules but lack the root areola. They rise slightly and appear pale but do not form pus, which is significantly different from smallpox. Although it is said to be slightly milder than smallpox, the changes occur rapidly. Careful attention is required throughout the entire course of treatment. In summary, at the onset, thorough exterior-releasing methods should be used first; cold-natured herbs are most taboo. When the rash has erupted, clearing and draining methods should be employed. After the resolution and shedding phases, nourishing Blood is prized. For complicated symptoms, treatment should be adjusted according to the specific manifestations. Warm-rash syndrome presenting with cold-strike symptoms: if it occurs before smallpox eruption, it is called Saozhen (Itching Rash, 瘙疹); within one month, it is called Lanyi Chuang (Rotting Clothes Sore, 烂衣疮); within one hundred days, it is called Bairi Chuang (Hundred-Day Sore, 百日疮). Upon eruption, red spots cover the body like millet grains, caused by heat accumulated in the womb during gestation. With careful nursing and management, rapid recovery will naturally occur. If rashes erupt immediately after smallpox heals, it is called Gaidouzhen (Covering Smallpox Rash, 盖痘疹). The rashes spread over the whole body, are red and itchy, starting like millet grains and gradually forming cloud-like patches. This is due to residual toxins remaining after smallpox, combined with excessive diet and external exposure to wind-cold. Treatment should primarily focus on dispersing wind and clearing heat. Regarding Yinzhen (Urticaria, 瘾疹), where rashes are very itchy, red, and hidden within the skin, this is caused by Heart Fire scorching the Lung Meridian, compounded by external wind-dampness. Treatment should first disperse wind-dampness, then clear heat and toxins. This approach is correct. These conditions are not measles (Mazhen, 麻疹) but rather toxins inherited from the fetal origin (Taiyuan, 胎元).