满泡通红，其内是血，故名血泡。此血热毒炽，不能运化以成浆，故有此症。急宜凉血
解毒为主。用生地、赤芍、红花、紫草、丹皮、牛蒡、黄芩、白芷，弱者忌服，查前看形色
法，斟酌用之为要。
初起发时，疮痘即有白浆，其后必成灰白痒塌而死。盖浆必由脚而起，乃为顺症。此毒
参阳分而阴血不能运化，故不久而即陷伏也。但初起之际，间有数点，即刺去其浆，随刺随
长，有浆则又刺去，时时看视，不可怠玩。内服千金内托散大补气血，乃可无虞。若遍身如
此，则难治矣。慎之慎之！或照前看形色法，大补元煎治之更妙。
千金内托散∶人参、当归、炙 各钱半，白芍、肉桂各六分，川芎、炙草各四分，白芷
七分，山楂八分，木香、防风、浓朴各三分。
参看各前篇。痘未成浆，顶上有孔，漏出汁水，堆聚而结，形若癞头，俗呼漏痘。此因
表虚不能养浆，故不伤而自溃也。急宜补气健脾，固其肌肉，乃可救也。若遍身俱溃，则必
死矣。须用人参、炙 、当归、官桂、川芎、白术、白芷、炙草、丁香、淮山，加龙眼、莲
子同煎。
痘有小孔如针嘴大，似虫蛀之眼，故曰蛀痘。此腠理不密，乃有此痘，若不急治，大泄
元气，必成灰陷而死。须用人参、炙 、当归、炙草、肉桂、丁香，加荔枝为引，必孔秘而
痘乃起胀行浆也。仍参看各前篇为要。
满布痘泡颜色通红，内部充满血液，因此称为血泡痘。这是由于血分热毒炽盛，无法运化转化为脓浆，所以出现这种症状。治疗上急需以凉血解毒为主。方药使用生地黄、赤芍、红花、紫草、牡丹皮、牛蒡子、黄芩、白芷；体质虚弱者忌用此方，必须参照前文观察形色判断病情的方法，斟酌后使用才是关键。
在发病初期，疮痘即有白色脓浆，但随后必然变成灰白色并瘙痒塌陷，导致死亡。因为正常的脓浆应当从脚部开始发出，这才属于顺症（正常病程）。这是因为毒邪侵犯阳分，而阴血不能运化，所以不久之后毒邪就会陷入伏匿。但在发病初期，偶尔有几颗痘疹，可以立即刺破排出其中的脓浆，随刺随长，只要有脓浆就再次刺破，需要时时观察护理，不可懈怠玩忽。内服千金内托散以大补气血，才可以没有危险。如果全身都出现这种情况，那就难以治愈了。务必谨慎！或者参照前文观察形色的方法，使用大补元煎治疗更为巧妙。
千金内托散：人参、炙黄芪各一钱半，白芍、肉桂各六分，川芎、炙甘草各四分，白芷七分，山楂八分，木香、防风、厚朴各三分。
参考前面各篇章的内容。痘疹未能形成脓浆，顶部有小孔，流出汁水，堆积凝结，形状像癞头疮，俗称漏痘。这是因为表虚不能滋养脓浆，所以未受外力损伤却自行溃破。治疗上急需补气健脾，巩固肌肉，才可以挽救。如果全身都溃破，则必然死亡。必须用人参、炙黄芪、当归、官桂、川芎、白术、白芷、炙甘草、丁香、淮山药，加入龙眼肉、莲子共同煎煮服用。
痘疹上有小孔如针嘴大小，像被虫蛀过的眼睛，所以称为蛀痘。这是因为腠理不致密，才出现这种痘疹，如果不紧急治疗，会导致元气大量泄失，必然变成灰暗下陷而死。必须用人参、炙黄芪、当归、炙甘草、肉桂、丁香，加入荔枝作为药引，必定能使孔窍闭合，痘疹才能起胀并发出脓浆。仍然要参考前面各篇章的内容作为关键。
The pustules are fully covered and red, filled with blood inside, hence named "Blood Blister Pox" (Xuepao Dou). This condition arises from intense heat-toxin in the blood level that fails to transform into pus, resulting in this symptom. Urgent treatment should focus on cooling the blood and resolving toxicity. The prescription uses Shengdi Huang (Rehmanniae Radix), Chishao (Red Peony Root), Honghua (Carthami Flos), Zicao (Arnebiae Radix), Danpi (Moutan Cortex), Niubangzi (Arctii Fructus), Huangqin (Scutellariae Radix), and Baizhi (Angelicae Dahuricae Radix); it is contraindicated for those with weak constitutions. It is essential to refer to the previous methods of observing appearance and color to deliberate and use this appropriately.
At the initial onset, if the sores already contain white pus but subsequently turn grayish-white, become itchy, and collapse, death will ensue. Normally, pus formation starting from the feet indicates a favorable course (Shun Zheng). Here, the toxin invades the Yang aspect, while Yin blood fails to transform it, causing the toxin to sink and lie latent shortly thereafter. However, at the very beginning, if only a few spots appear, one may puncture them to drain the pus; as new pus forms, puncture again. Constant monitoring is required without negligence. Internally administering Qianjin Neituo San (Thousand-Gold Internal Support Powder) to greatly tonify Qi and Blood ensures safety. If the entire body presents thus, it becomes difficult to treat. Exercise utmost caution! Alternatively, referring to the previous diagnostic methods, treating with Dabu Yuan Jian (Great Tonification Decoction) is even more excellent.
Qianjin Neituo San: Renshen (Ginseng Radix et Rhizoma), Zhi Huangqi (Astragali Radix prepared with honey) each 1.5 qian; Baishao (Paeoniae Radix Alba), Rougui (Cinnamomi Cortex) each 6 fen; Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhi Gancao (Glycyrrhizae Radix et Rhizoma prepared with honey) each 4 fen; Baizhi (Angelicae Dahuricae Radix) 7 fen; Shanzha (Crataegi Fructus) 8 fen; Muxiang (Aucklandiae Radix), Fangfeng (Saposhnikoviae Radix), Houpo (Magnoliae Officinalis Cortex) each 3 fen.
Refer to the preceding chapters. When pox fail to form pus, holes appear on the apex, leaking fluid which accumulates and condenses, resembling tinea capitis (ringworm of the scalp), commonly known as "Leaking Pox" (Lou Dou). This occurs because exterior deficiency fails to nourish the pus, leading to spontaneous rupture without external injury. Urgent treatment requires tonifying Qi and strengthening the Spleen to consolidate the muscles for salvation. If the whole body ruptures, death is inevitable. One must use Renshen (Ginseng Radix et Rhizoma), Zhi Huangqi (Astragali Radix prepared with honey), Danggui (Angelicae Sinensis Radix), Guanzi Gui (Cinnamomi Ramulus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Zhi Gancao (Glycyrrhizae Radix et Rhizoma prepared with honey), Dingxiang (Caryophylli Flos), Huaishan (Dioscoreae Rhizoma), adding Longyan Rou (Longan Aril) and Lianzi (Nelumbinis Semen) to decoct together.
Pox presenting small holes the size of a needle mouth, resembling eyes chewed by insects, are termed "Bitten Pox" (Zhu Dou). This results from loose interstices (Cou Li), and if not treated urgently, massive depletion of Primordial Qi will lead to grayish sinking and death. One must use Renshen (Ginseng Radix et Rhizoma), Zhi Huangqi (Astragali Radix prepared with honey), Danggui (Angelicae Sinensis Radix), Zhi Gancao (Glycyrrhizae Radix et Rhizoma prepared with honey), Rougui (Cinnamomi Cortex), Dingxiang (Caryophylli Flos), adding Lizhi (Litchi Chinensis pericarpium or fruit) as a guiding drug. This will surely close the pores, allowing the pox to swell and generate pus. It remains crucial to consult the preceding chapters.