前证之剧者，可兼服此丸，或单服此丸亦可。并治偏枯、痹木诸证。
人参（二两） 于术（二两炒） 当归（一两） 马钱子（一两，法制） 乳香（一两） 没药（一两）
全蜈蚣（大者五条，不用炙） 穿山甲（一两，蛤粉炒）
共轧细过罗，炼蜜为丸如桐子大。每服二钱，无灰温酒送下，日再服。
马钱子，即番本鳖，其毒甚烈，而其毛与皮尤毒。然治之有法，则有毒者，可至无毒。而其开通经络，
透达关节之力，实远胜于他药也。今将制马钱子法，详载于下。
法∶将马钱子先去净毛，水煮两三沸即捞出。用刀将外皮皆刮净，浸热汤中，旦、暮各换汤一次，浸足
三昼夜取出。再用香
油煎至纯黑色，擘开视其中心微有黄意，火候即到。将马钱子捞出，用温水洗数次，将油洗净。再用沙土，同
入锅内炒之，土有油气，换土再炒，以油气尽净为度。
马钱子为健胃妙药。马钱子性虽有毒，若制至无毒，服之可使全身 动，以治肢体麻痹（此兴奋神经之作
用）；若少少服之，但令胃腑 动有力，则胃中之食必速消。此非但凭理想，实有所见而云然也。沧州朱媪，
年过六旬，素有痫风证，医治数十年，先服中药无效，继服西药麻醉脑筋之品，虽见效，然必日日服之始能强
制不发。因诸药性皆咸寒，久服伤胃，浸至食量减少，身体羸弱。后有人授以王勋臣龙马自来丹方，其方原以
马钱子为主药，如法制好，服之数日，食量顿增，旬余身体渐壮，痫病虽未即除根，而已大轻减矣。由斯知马
钱子健胃之功效迥异乎他药也。
特是龙马自来丹，马钱子伍以地龙，为治痫风设也。若用以健胃，宜去地龙，加炒白术细末，其健胃之效
益着。爰拟定其方于下∶
炒白术（四两，细末） 制好马钱子（一两，细末）
二药调勺，水和为丸一分重（干透足一分），饭后服五丸，一日再服，旬余自见功效。
病情严重的患者，可以兼服此丸，或者单独服用此丸也可以。本方还治疗半身不遂、肢体麻木疼痛等各种证候。
人参（二两） 炒于术（二两） 当归（一两） 法制马钱子（一两） 乳香（一两） 没药（一两）
大蜈蚣（五条，不用炙烤） 穿山甲（一两，用蛤粉炒制）
将上述药物共同研磨成细粉，过筛，用炼蜜制成如梧桐子大小的丸剂。每次服用二钱，用无灰温酒送服，每日服用两次。
马钱子，即番木鳖，其毒性非常猛烈，而其毛和皮毒性更甚。然而，如果处理得当，有毒的药物可以变为无毒。而且它在疏通经络、透达关节方面的力量，确实远远超过其他药物。现将炮制马钱子的方法详细记载如下。
方法：先将马钱子去净绒毛，用水煮两三滚后立即捞出。用刀将外皮全部刮净，浸泡在热汤中，早晚各换一次汤，浸泡满三个昼夜后取出。再用香油煎至纯黑色，掰开看中心微带黄色，火候就到了。将马钱子捞出，用温水清洗数次，将油洗净。再用沙土，一同放入锅内炒制，土吸附了油气后，换土再炒，直到油气完全去除为止。
马钱子是健胃的妙药。马钱子性虽有毒，若炮制到无毒，服用后可使全身肌肉跳动（这是兴奋神经的作用）；如果少量服用，仅让胃部蠕动有力，那么胃中的食物必定迅速消化。这并非凭空想象，而是确有实证才这样说的。沧州朱老太太，年过六十，素有癫痫风证，医治数十年，先服中药无效，继服西药麻醉神经的药物，虽然见效，但必须每天服用才能强制抑制发作。因为各种西药性质皆咸寒，久服损伤脾胃，逐渐导致食量减少，身体瘦弱。后来有人传授给她王勋臣的龙马自来丹方，该方原以马钱子为主药，按照方法炮制好后，服用数日，食量顿时增加，十几天后身体逐渐强壮，癫痫风病虽未立即除根，但已大大减轻。由此可知马钱子健胃的功效迥异于其他药物。
只是龙马自来丹中，马钱子配伍地龙，是为治疗癫痫风而设的。若用来健胃，应当去掉地龙，加入炒白术的细末，其健胃的效果更加显著。因此拟定以下方剂：
将两药调和均匀，用水泛丸，每丸重一分（干透后足一分），饭后服用五丸，一日服用两次，十几天自然可见功效。
For severe cases of the aforementioned syndrome, this pill may be taken in conjunction with other treatments, or it may be taken alone. It is also indicated for treating hemiplegia (偏枯), numbness and bi-syndrome (痹木), and various other conditions.
Ren Shen (Ginseng Radix et Rhizoma) — 2 liang
Yu Zhu (Atractylodis Rhizoma, stir-fried) — 2 liang
Dang Gui (Angelicae Sinensis Radix) — 1 liang
Zhi Ma Qian Zi (Strychni Semen, processed) — 1 liang
Ru Xiang (Boswelliae Resin) — 1 liang
Mo Yao (Myrrhae Resin) — 1 liang
Quan Wu Gong (Scolopendra, large specimens, five pieces, not stir-fried)
Chuan Shan Jia (Manis Squama, 1 liang, stir-fried with Arsenici Trioxidum powder)
Grind all ingredients into a fine powder and sieve them. Form pills using refined honey, sized like wu tong zi (seeds of Koelreuteria paniculata). Take 2 qian per dose, administered with warm wine free of ash impurities. Take twice daily.
Ma Qian Zi (Strychni Semen), also known as Fan Ben Bie (Strichnos nux-vomica seed), possesses potent toxicity, with its hairs and skin being particularly toxic. However, when processed correctly, toxic substances can become non-toxic. Moreover, its efficacy in unblocking meridians and penetrating joints far surpasses that of other herbs. The method for processing Ma Qian Zi is detailed below.
Method: First, remove all hairs from the Ma Qian Zi seeds. Boil them in water for two to three boils, then immediately remove them. Scrape off the outer skin completely with a knife. Soak the seeds in hot water, changing the water once in the morning and once in the evening, for exactly three days and nights. Then, fry the seeds in sesame oil until they turn pure black. Break one open; if the center shows a slight yellow hue, the heating process is complete. Remove the seeds from the oil, wash them several times with warm water to remove all residual oil. Finally, stir-fry the seeds together with sand in a pot. When the sand absorbs the oily residue, replace the sand and continue frying until all oily odor is eliminated.
Ma Qian Zi is an excellent herb for strengthening the stomach. Although inherently toxic, when processed to be non-toxic, ingestion causes whole-body muscle twitching (an effect resulting from nerve excitation); if taken in small doses, it merely enhances gastric motility, thereby accelerating the digestion of food in the stomach. This assertion is not based on speculation but on clinical observation. For instance, Mrs. Zhu from Cangzhou, over sixty years old, suffered from epilepsy (Xian Feng) for decades. Initial treatment with Chinese medicine was ineffective, and subsequent use of Western anesthetics provided relief only through daily administration. Since these Western drugs are salty and cold in nature, prolonged use damaged her spleen and stomach, leading to reduced appetite and emaciation. Later, she was prescribed Long Ma Zi Lai Dan by Wang Xunchen, which uses Ma Qian Zi as the principal ingredient. After proper processing and taking the medication for several days, her appetite increased significantly, and within ten days, her physical strength improved. Although her epilepsy was not cured, it was greatly alleviated. This demonstrates that the stomach-strengthening efficacy of Ma Qian Zi is distinct from other herbs.
However, in Long Ma Zi Lai Dan, Ma Qian Zi is combined with Di Long (Pheretima), specifically formulated for treating epilepsy. If used for strengthening the stomach, Di Long should be omitted, and finely powdered Chao Bai Zhu (Stir-fried Atractylodis Rhizoma) should be added, which significantly enhances the stomach-strengthening effect. Therefore, the following formula is proposed:
Chao Bai Zhu (Stir-fried Atractylodis Rhizoma, 4 liang, finely powdered)
Zhi Hao Ma Qian Zi (Processed Strychni Semen, 1 liang, finely powdered)
Mix the two powders thoroughly. Form pills using water, each weighing 1 fen (when fully dried). Take 5 pills after meals, twice daily. Efficacy will typically be observed within ten days.