凡用寒凉，除阳症伤寒、积热痢症及诸实热等症外，其余用之降炎上之火、清血分之火
，俱有寒因热用之义，须根据酒炒、酒制之法，最为紧要。若痘症中前后所用解毒诸凉药，皆
因毒火燥血，而用入血分药以凉血活血者，必须根据法炮制。是以芩、连、知、柏、花粉、大
黄等，必用酒拌炒，牛子必炒香研末，当归、白芍、生地、红花、紫草、牡丹皮、地骨皮之
类，必以酒临时洗用，此要法也。而时医苟简粗率，往往不根据法炒制而生用寒凉，不惟无益
，而反以致害者为矣。此其失非小，而人不知，不惟病家莫之知，而时医亦竟不悟也。若悟
其失，岂肯省此微劳而贻此大害哉。故表而出之，以训将来。
有热者，甘草、黄 、白芍俱生用。虚寒者，黄 、甘草俱炙熟，白芍酒炒。
余第四子生四十日，即出痘。其初，头上并身上不过三五点，身不甚热，食乳如常，看
者皆谓其痘极少，当不满百耳。余以为未必然，即令禁风调理。再越三日而遍身甚多，其头
上、胸腹、腰背、手足俱稠密之甚，至于额上、面上及阴囊等处，俱一片纯红，不分颗粒。
脐内甚多，因肿大突出。舌上亦多，形如白米脓浆，布置满舌。看者以为儿小痘多，且有不
顺症，此必不可为矣。余见其痘色红活，又颇能食乳，尚为可治。但虑其血气难支，因以参
、、炙草煎浓汁，时与乳相间服之，以助其灌脓起胀。至于五六日之后，其头上之痘，多
有脓浆而间有水泡，至于身上及手足，则水泡大半而脓仅少半耳。余以为小儿则气血有限，
其理宜然，不足忧也。独虑其面额上一片纯红，无一点脓浆以为忧耳。盖必得皮下有脓而后
毒瓦斯可散，仍时以参、 、甘草汤与之。至于第七日一更时分，额上纯红者忽有一二处转黑
色，余见大惊！以为此毒盛而变逆症也。然察精神与饮食，则又未见困惫，是夜三更，见其
阴囊处亦转黑结痂，因悟而喜曰∶此非恶候，乃痘收而结痂也，缘儿小而气血易于周浃，是
以七日后即收靥，不可拘以九日常期也。果于第八日寅卯时分，自上至下，遍身俱落痂，
至晚遍身复发大热。余曰∶此痘毒未得尽发，因速结速落，而余毒欲发痈也。急宜解毒，以
大连翘饮煎浓汁，缓挑服之，凡一日一夜服三酒杯，而热退身凉，可无痈患矣。其鼻上痂
落一层又结一层，封闭鼻气不得出，以蜜润其痂，用银挖耳挑开鼻孔以出其气，一片纯红处
，痂虽落而脓水未干，以黄柏、黄连、甘草、骨皮、倍子为末搽之而愈。其阴囊流清水，数
日不愈，诸药不效，用棉茧散而愈。夫以此极小之儿，极危之症，而随症用药，其效如神，
已彰彰可睹矣。而古人之着书，与今人之治痘，一见小儿痘多与穿脐、纯红、水泡等症，即
弃而不治，不亦大枉哉，生灵天死，何可胜计也，虽往者无可如何，而来者犹可急救，有司
命之责，怀慈幼之仁者宜知之。
一妇人，年二十三岁，有娠三月余。夜间为盗贼所惊，不数日而小产，发热二日而出痘
，至四、五日而痘出齐，稠密可畏，又兼呕吐，痘色淡白，诸医见其气禀弱，小产亏损，痘
出又多，皆不敢施治。余曰∶岂有坐而待毙者乎。因以参、术、陈皮等安和胃气，止其呕吐
，而痘色亦略转红活。余喜曰∶此可以温补而调治也。因以参、 、川芎、当归、炙草、官
桂、丁香等大补剂，屡投之。每服补剂后，其痘色辄转红活，若一日不服药，则转为淡白，
余因一日必股以两大剂。至于痘正灌浆时，闻其血漏尚未净。余曰∶此注漏卮也。急于前补
剂中去官桂、木香，加黑姜、升麻、柴胡各一钱五分，阿胶、艾叶各八分，服二剂而血漏立
止。仍除此五味，根据前剂频频服之，其脓渐渐充满。至于二十余日，而后收靥，后又眼肿、
翳颇甚，服清毒拨翳汤数十剂而愈。当其服补剂时，每剂用参、 各二钱，丁、桂各一钱，
他药多寡称之，前后共服二十余剂。夫此极虚之症，苟非此峻补之药，岂能得生乎？拘常格
者，可以悟矣！
一儿，年十五岁，自痘，遍身稠密，至八、九日当灌脓时，其痘粒粒陷入成窝。诸医用
异功散治之，其伏陷愈甚，惟有待毙而已。余往视之，见其痘色红紫，而体气颇旺，余曰∶
此非虚弱，乃毒瓦斯壅蔽血气，是以伏陷不成浆也。因以清毒活血汤与之，辰投一剂，至午而
伏陷立起，再一剂而脓浆充满矣，乃至靥期，又发热熏蒸，投以甘露回天饮而获安矣。
一儿，年十三岁，出痘，身热三四日，痘出隐隐数点，忽然惊狂谵语，欲走出外，医欲
以
毒
药
一儿，十岁，出痘极稠密，而颈项甚多，俗谓之锁颈痘。又有暴胀痘数粒在各处，谓之
贼
灌
曰
其
好
矣
后再服参归鹿茸汤一剂而脓充满矣。收时，余毒颇盛，大便秘涩，用大连翘饮加酒炒大黄一
钱二分，一剂而安。
一儿，年四岁，出痘，其痘症起胀时，泄泻大作，投以参、术、诃、蔻之类，竟不能止
，势甚危急。余以参术散投之，服数次而泄止，痘亦遂安。
一女，年六岁，出痘，其体虚弱，先服补药已多，至于痘已结痂，而忽泄不止，投以异
功散加诃、蔻亦不止，医将以七味豆蔻丸与之。余思此女一向服补药，何以一旦虚滑若是，
因察其大便多努力，且泄之粪又少而色黄，因以加味四芩散，一服而泄止。后因其大便涩滞
，复加入槟榔、青皮、枳壳，一服而安。余用加味四芩散治痘中热毒泄泻，取效甚神。
一儿，三岁，当痘收时，泄泻不止，诸药不效，以七味豆蔻丸与之亦不止，其丸从大便
泄出。余知其虚滑甚也，仍以豆蔻丸研末，和粥少许饮之，其泄立止，痘收而安。余以参术
散并此方治痘中虚寒泄泻，神验。
凡使用寒凉药物，除了阳症伤寒、积热痢疾以及诸实热等病症外，其余情况使用寒凉药来降上炎之火、清血分之火，都含有“寒因热用”的意义，必须依据酒炒、酒制的炮制方法，这是最为紧要的。如果在痘症中前后使用的解毒各类寒凉药，都是因为毒火燥伤血液，而使用入血分的药物来凉血活血的，也必须按照法度进行炮制。因此，黄芩、黄连、知母、黄柏、天花粉、大黄等，必须用酒拌炒；牛蒡子必须炒香后研成粉末；当归、白芍、生地、红花、紫草、牡丹皮、地骨皮之类，必须用酒临时清洗后使用，这是重要的法则。然而当时的医生苟且简慢、粗疏轻率，往往不依据法度炒制而生用寒凉药，这不仅无益，反而会导致危害，这种情况并不少见。这种失误并非小事，但人们却不知道，不仅是病人家属不知道，就连当时的医生也竟然没有醒悟。如果醒悟到这种失误，怎么会肯省却这点微小的辛劳而留下这么大的祸害呢？所以将其揭示出来，以教导后来的人。
有热象的，甘草、黄芪、白芍都生用。虚寒的，黄芪、甘草都炙熟，白芍用酒炒。
我的第四个儿子出生四十天，就出了痘。起初，头上和身上不过三五点，身体不太热，吃奶如常，看诊的人都认为他痘极少，应当不满一百颗。我认为未必如此，立即让他避风调理。又过了三天，全身变得非常多，他的头、胸腹、腰背、手足都非常稠密，以至于额头、面部及阴囊等处，都变成一片纯红色，分不清颗粒。肚脐内也很多，因为肿大突出。舌头上也多，形状像白米脓浆，布满舌头。看诊的人认为孩子小痘多，而且有不顺的症候，这必定无法救治了。我看见他痘色红活，又能吃奶，尚且可以治疗。只是担心他的气血难以支撑，于是用人参、黄芪、炙甘草煎浓汁，时常与乳汁交替服用，以助其灌脓起胀。到了五六日之后，他头上的痘，多有脓浆而间有水泡，至于身上及手足，则水泡大半而脓仅少半罢了。我认为小儿气血有限，道理应该是这样，不值得担忧。唯独担心他面额上一片纯红，没有一点脓浆，为此感到忧虑。大概必须得到皮下有脓而后毒气才能散发，仍然时常给他人参、黄芪、甘草汤喝。到了第七日一更时分，额上纯红的地方忽然有一两处转成黑色，我见到非常惊讶！认为这是毒盛而变为逆症了。然而观察精神和饮食，却又未见困倦疲惫，这天夜里三更，看见他阴囊处也转黑结痂，因而领悟并高兴地说：这不是恶候，而是痘收而结痂啊，因为孩子小气血容易周遍流通，所以在七日后就收靥，不可拘泥于九日的常规日期。果然在第八日寅卯时分，从上到下，全身都落痂，到了晚上全身又复发大热。我说：这是痘毒未能尽发，因为速结速落，而余毒想要发为痈疮啊。急宜解毒，用大连翘饮煎浓汁，慢慢挑服，共一日一夜服三酒杯，而热退身凉，就可以没有痈患了啊。他鼻子上的痂落了一层又结一层，封闭鼻气不得出，用蜜润湿其痂，用银挖耳勺挑开鼻孔以排出气息，那片纯红的地方，痂虽落而脓水未干，用黄柏、黄连、甘草、地骨皮、五倍子为末搽之而痊愈。他阴囊流清水，数日不愈，诸药不效，用棉茧散而痊愈。凭这个极小的婴儿，极危重的病症，而随症用药，其效如神，已经非常明显可见了。而古人著书，与今人治痘，一见小儿痘多与穿脐、纯红、水泡等症，就放弃不治疗，不也太冤枉吗？生灵夭折，何可胜计啊，虽然过去的事无可奈何，而来者还可以急救，负有司命之责、怀有慈幼之仁的人应该知道这些。
有一位妇人，二十三岁，怀孕三个多月。夜间被盗贼惊吓，没过几天就小产，发热二天后出痘，到了四、五天痘出齐，稠密可怕，又兼呕吐，痘色淡白，各位医生见她禀赋弱，小产亏损，痘出又多，都不敢施治。我说：哪有坐以待毙的道理呢。于是用人参、白术、陈皮等安和胃气，止住她的呕吐，而痘色也略微转红活。我高兴地说：这可以用温补来调治了。于是用人参、黄芪、川芎、当归、炙甘草、官桂、丁香等大补剂，屡次投予。每服补剂后，她的痘色就转红活，如果一天不服药，就转为淡白，我因此一天必给她两大剂。到了痘正灌浆时，听说她血漏尚未净。我说：这是注漏不止啊。急于在前补剂中去掉官桂、木香，加黑姜、升麻、柴胡各一钱五分，阿胶、艾叶各八分，服两剂而血漏立刻停止。仍然去掉这五味，根据前剂频频服用，她的脓渐渐充满。到了二十多日后，才收靥，后来又眼肿、翳颇严重，服清毒拨翳汤几十剂而痊愈。当她服补剂时，每剂用人参、黄芪各二钱，丁香、官桂各一钱，其他药多少称量，前后共服二十多剂。凭这个极虚的病症，如果不是这种峻补的药，怎么能得生呢？拘泥于常规格套的人，可以醒悟了！
一个男孩，十五岁，自出痘，遍身稠密，到了八、九天当灌脓时，他的痘粒粒陷入成窝。各位医生用异功散治疗，他的伏陷更加严重，只有等待死亡罢了。我去看他，见他的痘色红紫，而体质气力颇旺盛，我说：这不是虚弱，是毒气壅蔽血气，所以伏陷不成浆啊。于是用清毒活血汤给他，辰时投一剂，到中午伏陷立刻起来，再一剂而脓浆充满矣，到了收靥期，又发热熏蒸，投以甘露回天饮而获得安宁。
一个男孩，十三岁，出痘，身热三四天，痘出隐隐数点，忽然惊狂谵语，想跑出去，医生想用毒药……（原文此处中断）
一个男孩，十岁，出痘极稠密，而颈项很多，俗称为锁颈痘。又有暴胀痘数粒在各处，称为贼灌……（原文此处中断）说……好……后再服参归鹿茸汤一剂而脓充满矣。收时，余毒颇盛，大便秘涩，用大连翘饮加酒炒大黄一钱二分，一剂而安。
一个男孩，四岁，出痘，他的痘症起胀时，泄泻大作，投以人参、白术、诃子、豆蔻之类，竟然不能止住，形势非常危急。我用参术散投予，服几次而泄止，痘也就安稳了。
一个女孩，六岁，出痘，她体虚弱，先服补药已多，到了痘已结痂，而忽然泄不止，投以异功散加诃子、豆蔻也不止，医生打算用七味豆蔻丸给她。我想这个女孩一向服补药，怎么一下子虚滑到这种地步，因而观察她大便多努力，且泄的粪又少而色黄，因而用加味四芩散，一服而泄止。后来因为她大便涩滞，再加入槟榔、青皮、枳壳，一服而安。我用加味四芩散治痘中热毒泄泻，取效非常神奇。
一个男孩，三岁，当痘收时，泄泻不止，诸药不效，用七味豆蔻丸给她也不止，那药丸从大便泄出。我知道他虚滑很严重，仍然将豆蔻丸研末，和少许粥喂他，他的泄立刻止住，痘收而安。我用参术散并此方治痘中虚寒泄泻，神验。
When using cold and cool herbs, except for Yang-pattern Cold Damage (Yang Zheng Shang Han), dysentery with accumulated heat (Ji Re Li Zheng), and other excess-heat patterns, the use of such herbs to subdue flaming fire ascending upward or to clear fire in the blood level involves the principle of "treating cold with hot" (Han Yin Re Yong). It is most crucial to follow the methods of wine-frying (Jiu Chao) and wine-processing (Jiu Zhi). In cases of smallpox, if various cooling and detoxifying herbs are used beforehand or afterwards because toxic fire has dried up the blood, requiring blood-level herbs to cool and invigorate the blood, they must also be processed according to standard methods. Therefore, Scutellariae Radix (Huang Qin), Coptidis Rhizoma (Huang Lian), Anemarrhenae Rhizoma (Zhi Mu), Phellodendri Cortex (Huang Bai), Trichosanthis Radix (Hua Fen), and Rhei Radix et Rhizoma (Da Huang) must be fried with wine; Fructus Arctii (Niu Bang Zi) must be fried until fragrant and ground into powder; Angelicae Sinensis Radix (Dang Gui), Paeoniae Radix Alba (Bai Shao), Rehmanniae Radix (Sheng Di), Carthami Flos (Hong Hua), Lithospermi Radix (Zi Cao), Moutan Cortex (Mu Dan Pi), and Lycii Cortex (Di Gu Pi) must be washed with wine immediately before use. This is an important method. However, contemporary physicians are often negligent, careless, and rough, frequently using cold and cool herbs raw without proper frying or processing. This not only fails to benefit but actually causes harm. Such errors are significant, yet people are unaware; neither do patients' families know, nor do contemporary physicians realize it. If they realized this error, would they not spare this minor labor to avoid such great harm? Thus, I reveal this to instruct future generations.
In cases with heat signs, Licorice Root (Gan Cao), Astragalus Root (Huang Qi), and White Peony Root (Bai Shao) are all used raw. In cases of deficiency-cold, Astragalus Root (Huang Qi) and Licorice Root (Gan Cao) are both honey-fried (Zhi Shu), and White Peony Root (Bai Shao) is wine-fried.
My fourth son developed smallpox at forty days old. Initially, there were only three or five spots on his head and body, his body temperature was not very high, and he nursed normally. The practitioners observed that his smallpox was extremely sparse, predicting fewer than one hundred lesions. I believed this was uncertain and ordered wind avoidance and conditioning. Three days later, the eruption became widespread over his entire body. His head, chest, abdomen, lower back, hands, and feet were densely covered. His forehead, face, and scrotum turned a uniform pure red, with no distinct papules distinguishable. There were many lesions inside the umbilicus, which swelled and protruded. His tongue was also covered with lesions resembling white rice pus, filling the entire surface. Practitioners concluded that given the child's young age and the high density of lesions, along with unfavorable symptoms, recovery was impossible. However, observing that his lesions were vibrant red and he could still nurse, I considered him treatable. My concern was that his Qi and Blood might not sustain the process. Therefore, I decocted concentrated juices of Ginseng Radix et Rhizoma (Ren Shen), Astragalus Root (Huang Qi), and Honey-fried Licorice Root (Zhi Gan Cao), administering them alternately with breast milk to assist in pustule formation and swelling. By the fifth or sixth day, lesions on his head mostly contained pus, interspersed with vesicles. On his body and extremities, however, vesicles accounted for the majority, with only a minority containing pus. I reasoned that since children have limited Qi and Blood, this outcome was expected and not worrying. My sole concern remained the uniform pure redness on his forehead and face, lacking any pustular development. Pus under the skin is necessary for the dispersion of toxic factors. I continued to administer Ginseng Radix et Rhizoma (Ren Shen), Astragalus Root (Huang Qi), and Licorice Root (Gan Cao) decoction frequently. At the first watch of the seventh day, patches of the pure red forehead suddenly turned black. I was greatly alarmed, suspecting toxic excess transforming into adverse symptoms. Yet, upon examining his spirit and diet, he showed no signs of exhaustion. At the third watch that night, I noticed his scrotum had also turned black and formed scabs. Realizing this, I rejoiced, saying: "This is not a malignant sign, but rather the resolution and scabbing of smallpox. Because the child is small, his Qi and Blood circulate readily, allowing resolution after seven days, contrary to the common nine-day expectation." Indeed, at the Yin-Mao hours of the eighth day, scabs fell from top to bottom across his entire body. That evening, he developed a high fever again. I stated: "The smallpox toxin was not fully expelled due to rapid scabbing and falling, leaving residual toxins prone to causing carbuncles. Urgent detoxification is needed." I prescribed Dalianqiao Yin (Great Detoxification Decoction) as a strong decoction, administered slowly by spoonfuls. He took three wine cups over twenty-four hours, after which the fever subsided, his body cooled, and carbuncle complications were avoided. Scabs on his nose fell off layer by layer, blocking nasal airflow. I moistened the scabs with honey and used a silver ear pick to open the nostrils for air passage. For the area of pure redness where scabs had fallen but pus remained wet, I applied a powder of Phellodendri Cortex (Huang Bo), Coptidis Rhizoma (Huang Lian), Licorice Root (Gan Cao), Lycii Cortex (Gu Pi), and Chinese Gallnut (Bei Zi), resulting in cure. His scrotum oozed clear fluid for several days without improvement despite various medicines; applying Mian Jian San (Cocoon Powder) cured it. For such a tiny infant with such a critical condition, treating according to symptoms yielded miraculous effects, clearly visible. Ancient texts and contemporary treatments often abandon cases presenting with dense smallpox, umbilical involvement, uniform redness, or vesicles. Is this not a great injustice? Countless lives perish prematurely. While past events cannot be changed, future cases can still be saved urgently. Those bearing responsibility for life and harboring benevolence toward children should understand this.
A woman, aged twenty-three, pregnant for over three months, was startled by thieves at night. A few days later, she suffered a miscarriage, followed by two days of fever and then smallpox eruption. By the fourth or fifth day, lesions erupted completely, densely and fearfully, accompanied by vomiting. Her lesions were pale white. Physicians, noting her weak constitution, loss from miscarriage, and dense eruption, dared not treat her. I said, "How can we sit and wait for death?" I used Ginseng Radix et Rhizoma (Ren Shen), Atractylodis Macrocephalae Rhizoma (Bai Zhu), and Tangerine Peel (Chen Pi) to harmonize Stomach Qi and stop vomiting. Her lesion color slightly improved to vibrant red. I rejoiced, saying, "This can be treated with warming and tonifying." I repeatedly administered major tonifying formulas containing Ginseng Radix et Rhizoma (Ren Shen), Astragalus Root (Huang Qi), Ligusticum Chuanxiong Rhizome (Chuan Xiong), Angelicae Sinensis Radix (Dang Gui), Honey-fried Licorice Root (Zhi Gan Cao), Cinnamon Twig (Guan Gui), and Clove (Ding Xiang). After each dose, her lesions turned vibrant red; if she skipped a day, they faded to pale white. Thus, I administered two large doses daily. When lesions were actively forming pus, I learned her postpartum bleeding had not ceased. I said, "This is unceasing leakage." I promptly modified the previous tonifying formula by removing Cinnamon Twig (Guan Gui) and Aucklandia Root (Mu Xiang), adding Black Ginger (Hei Jiang), Cimicifugae Rhizoma (Sheng Ma), and Bupleuri Radix (Chai Hu) at 1.5 qian each, and Donkey-hide Gelatin (E Jiao) and Mugwort Leaf (Ai Ye) at 0.8 qian each. After two doses, bleeding stopped immediately. I removed these five herbs and continued frequent administration of the original formula. Pus gradually filled the lesions. After more than twenty days, scabbing occurred. Later, severe eye swelling and corneal opacities developed, which resolved after dozens of doses of Qingdu Boyi Tang (Detoxification and Opacity-Removing Decoction). During the tonifying phase, each dose contained 2 qian of Ginseng Radix et Rhizoma (Ren Shen) and Astragalus Root (Huang Qi), and 1 qian of Clove (Ding Xiang) and Cinnamon Twig (Guan Gui), with other herbs adjusted accordingly. She consumed over twenty doses in total. For such extreme deficiency, how could survival be possible without such potent tonification? Those adhering rigidly to conventional protocols should reflect on this!
A fifteen-year-old boy developed smallpox with dense eruptions over his body. By the eighth or ninth day, during the pus-filling stage, his lesions sank inward, forming pits. Physicians treated him with Yigong San (Yi Gong Powder), worsening the sinking and depression, leaving only awaiting death. Upon examination, I found his lesions were red-purple, and his physical strength was robust. I stated, "This is not deficiency, but toxic factors obstructing Qi and Blood, causing sinking failure to form pus." I administered Qingdu Huoxue Tang (Detoxification and Blood-Invigorating Decoction). One dose in the Chen hour resulted in immediate lifting of the sinking lesions by noon. A second dose filled them with pus. At the scabbing stage, he developed steaming fever. Administration of Ganlu Huitian Yin (Sweet Dew Heaven-Returning Decoction) brought peace.
A thirteen-year-old boy developed smallpox. After three to four days of fever, only a few faint lesions appeared. Suddenly, he experienced convulsions, mania, delirium, and attempted to run outside. Physicians intended to use toxic drugs... [Text interrupted]
A ten-year-old boy developed extremely dense smallpox, particularly on the neck, commonly known as "Lock Neck Smallpox." Several rapidly swollen lesions appeared elsewhere, called "Thief Irrigation"... [Text interrupted] ...said... good... thereafter administered Shen Gui Lu Rong Tang (Ginseng, Angelica, and Deer Antler Decoction) once, resulting in full pus formation. During resolution, residual toxins were strong, with dry constipation. Dalianqiao Yin (Great Detoxification Decoction) plus Wine-fried Rhei Radix et Rhizoma (Da Huang) at 1.2 qian cured him in one dose.
A four-year-old boy developed smallpox. During the swelling stage, severe diarrhea occurred. Treatment with Ginseng Radix et Rhizoma (Ren Shen), Atractylodis Macrocephalae Rhizoma (Bai Zhu), Chebulae Fructus (He Zi), and Cardamomi Fructus (Dou Kou) failed to stop it, creating a critical situation. I administered Shen Zhu San (Ginseng and Atractylodes Powder). After several doses, diarrhea stopped, and the smallpox stabilized.
A six-year-old girl developed smallpox. She was physically weak and had taken many tonifying medicines previously. Even after scabbing, sudden unceasing diarrhea occurred. Yigong San (Yi Gong Powder) added with Chebulae Fructus (He Zi) and Cardamomi Fructus (Dou Kou) failed to stop it. Physicians planned to use Qiw Wei Dou Kou Wan (Seven-Ingredient Cardamom Pill). I reasoned that since she had been taking tonics, why did she become so deficient and slippery now? Observing that she strained during defecation and the stool was scanty and yellow, I used Jiawei Siqin San (Modified Four-Scooling Powder). One dose stopped the diarrhea. Later, due to constipation, I added Areca Seed (Bing Lang), Green Tangerine Peel (Qing Pi), and Aurantium Fructus Immaturus (Zhi Ke). One dose brought relief. My use of Jiawei Siqin San (Modified Four-Scooling Powder) to treat heat-toxin diarrhea in smallpox yields miraculous results.
A three-year-old boy experienced unceasing diarrhea during smallpox resolution. Various medicines failed, and Qiw Wei Dou Kou Wan (Seven-Ingredient Cardamom Pill) also failed, passing through stool undigested. Knowing his deficiency and slipperiness were severe, I ground the Cardamom Pill into powder and mixed it with a little porridge for him. Diarrhea stopped immediately, and smallpox resolved safely. My use of Shen Zhu San (Ginseng and Atractylodes Powder) combined with this formula to treat deficiency-cold diarrhea in smallpox is highly effective.