琼酥散 此散治一切肿毒等疮，服之开针不痛。
蟾酥（一钱） 半夏（六分） 闹羊花（六分） 胡椒（一钱八分） 川椒（一钱八分）
荜茇（一钱） 川乌（一钱八分）
上七味，共为细末，每服半分，黄酒调
服。如欲大开，加白酒药一丸。
【方歌】琼酥散是麻人药，开针不痛用蟾酥，荜茇闹羊生半夏，胡椒川椒与川乌。
整骨麻药 此药开取箭头，服之不痛。
麻黄 胡茄子 姜黄 川乌 草乌（各等分） 闹羊花（倍用）
上六味共为末，每服五分，茶、酒任下。欲解，用甘草煎汤，服之即苏。
【方歌】整骨麻药取箭头，不伤筋骨可无忧，麻黄姜黄胡茄子，川草乌与闹羊投。
外敷麻药 此药敷于毒上，麻木任割不痛。
川乌尖（五钱） 草乌尖（五钱） 蟾酥（四钱） 胡椒（一两） 生南星（五钱） 生半夏（五钱）
一方加荜茇五钱，一方加细辛一两。
上为末，用烧酒调敷。
【方歌】外敷麻药调烧酒，刀割不痛效最神，川草乌蟾椒星夏，一加荜茇一加辛。
腐者，坏肉也。诸书云∶腐不去则新肉不生。盖以腐能浸淫好肉也，当速去之。如
遇气实之人，则用刀割之取效；若遇气虚之人，则惟恃药力以化之。盖去腐之药，乃疡
科之要药也。
白降丹 此丹治痈疽发背，一切疔毒，用少许。疮大者用五六厘，疮小者用一二厘，水
调敷疮头上。初起者立刻起 消散，成脓者即溃，腐者即脱消肿，诚夺命之灵丹也。
朱砂 雄黄（各二钱） 水银（一两） 硼砂（五钱） 火硝 食盐 白矾 皂矾（各一两五钱）
先将朱、雄、硼三味研细，入盐、矾、硝、皂、水银共研匀，以水银不见星为度。用阳
城罐一个，放微炭火上，徐徐起药入罐化尽，微火逼令干取起。如火大太干则汞走，如不
干则药倒下无用，其难处在此。再用一阳城罐合上，用棉纸截半寸宽，将罐子泥、草鞋
灰、光粉三样研细，以盐滴卤汁调极湿，一层泥一层纸，糊合口四五重，及糊有药罐上
二三重。地下挖一小潭，用饭碗盛水放潭底。将无药罐放于碗内，以瓦挨潭口四边齐地，恐
炭灰落碗内也。有药罐上以生炭火盖之，不可有空处。约三炷香，去火冷定开看，约有
一两外药矣。炼时罐上如有绿烟起，急用笔蘸罐子盐泥固之。
红升丹 此丹治一切疮疡溃后，拔毒去腐，生肌长肉，疮口坚硬，肉黯紫黑，用丹
少许，鸡翎扫上立刻红活。疡医若无红、白二丹，决难立刻取效。
朱砂（五钱） 雄黄（五钱） 水银（一两） 火硝（四两） 白矾（一两） 皂矾（六钱）
先将二矾、火硝研碎，入大铜杓内，加火硝一小杯炖化，一干即起研细。另将汞、朱、
雄研细，至不见星为度，再入硝矾末研匀。先将阳城罐用纸筋泥搪一指浓，阴干，常轻轻
扑之，不使生裂纹，搪泥罐子泥亦可用。如有裂纹，以罐子泥补之，极干再晒。无裂纹
方入前药在内，罐口以铁油盏盖定，加铁梁盏，上下用铁 铁丝扎紧，用棉纸捻条蘸蜜，
周遭塞罐口缝间，外用熟石膏细末，醋调封固。盏上加炭火二块，使盏热罐口封固易干
也。用大钉三根钉地下，将罐子放钉上，罐底下置坚大炭火一块，外砌百眼炉，升三炷
香。第一炷香用底火，如火大则汞先飞上；二炷香用大半罐火，以笔蘸水擦盏；第三炷香
火平罐口，用扇扇之，频频擦盏，勿令干，干则汞先飞上。三香完，去火冷定开看，方气
足，盏上约有六七钱，刮下研极细，瓷罐盛用。再预以盐卤汁调罐子稀泥，用笔蘸泥水
扫罐口周遭，勿令泄气。盖恐有绿烟起汞走
也，绿烟一起即无用矣。
【方歌】白降丹为夺命丹，拔脓化腐立时安，朱雄汞与硼砂入，还有硝盐白皂矾，若
去硼盐红升是，长肉生肌自不难。
元珠膏 此膏治肿疡将溃，涂之脓从毛孔吸出。已开针者，用捻蘸送孔内，呼脓腐
不净，涂之立化。
木鳖子肉（十四个） 斑蝥（八十一个） 柳枝（四十九寸） 驴甲片（三钱） 草乌（一钱） 麻油（二两）
上药浸七日，文火炸枯，去渣，入巴豆仁三个，煎至黑，倾于钵内，研如泥，加麝香一分，搅匀入罐内收用。
【方歌】呼脓化腐用元珠，木鳖斑蝥共柳枝，驴甲草乌油内浸，炸枯巴豆麝香施。
琼酥散：此散剂用于治疗各种肿毒等疮疡，服用后针刺时不感到疼痛。
蟾酥（一钱） 半夏（六分） 闹羊花（六分） 胡椒（一钱八分） 川椒（一钱八分）
荜茇（一钱） 川乌（一钱八分）
以上七味药，共同研磨成细末，每次服用半分，用黄酒调服。如果想要麻醉效果更强，加上一丸白酒药。
【方歌】琼酥散是使人麻醉的药，针刺不痛依靠蟾酥，荜茇、闹羊花和生半夏，加上胡椒、川椒与川乌。
整骨麻药：此药用于取出箭头，服用后不感到疼痛。
麻黄 胡茄子 姜黄 川乌 草乌（各等分） 闹羊花（加倍使用）
以上六味药共同研成粉末，每次服用五分，茶或酒送服均可。想要解除麻醉，用甘草煎汤服用，即可苏醒。
【方歌】整骨麻药用于取箭头，不伤筋骨可无忧虑，麻黄、姜黄、胡茄子，川乌、草乌与闹羊花配合。
外敷麻药：此药敷在毒疮上，局部麻木任其切割也不感到疼痛。
川乌尖（五钱） 草乌尖（五钱） 蟾酥（四钱） 胡椒（一两） 生南星（五钱） 生半夏（五钱）
一方加入荜茇五钱，另一方加入细辛一两。
以上药物研成粉末，用烧酒调匀后外敷。
【方歌】外敷麻药用烧酒调，刀割不痛效果最神奇，川乌、草乌、蟾酥、花椒、南星、半夏，一方加荜茇，一方加细辛。
腐肉，就是坏死的肌肉。各种医书说：腐肉不去则新肉不生。因为腐肉能浸淫侵蚀好肉，应当迅速去除它。如果遇到体质壮实的人，就用刀割除以见效；如果遇到体质虚弱的人，就只依赖药力来化解它。大概去腐的药物，是外科的重要药物。
白降丹：此丹药治疗痈疽发背，各种疔毒，使用少量。疮大的用五六厘，疮小的用一二厘，用水调匀敷在疮头上。初起者立刻消散，成脓者立即溃破，腐肉立即脱落消肿，确实是救命的灵丹。
朱砂 雄黄（各二钱） 水银（一两） 硼砂（五钱） 火硝 食盐 白矾 皂矾（各一两五钱）
先将朱砂、雄黄、硼砂三味药研磨细，放入盐、矾、硝、皂、水银共同研磨均匀，直到看不见水银星点为止。用一个阳城罐，放在微炭火上，慢慢将药放入罐中化尽，用微火逼令干燥取出。如果火太大太干则汞会跑掉，如果不干则药倒下无用，难点就在这里。再用一个阳城罐盖在上面，用棉纸截成半寸宽，将罐子泥、草鞋灰、光粉三样东西研细，用盐水滴卤汁调得非常湿，一层泥一层纸，糊合口四五重，以及糊在有药的罐上二三重。在地上挖一个小潭，用饭碗盛水放在潭底。将没有药的罐放在碗内，用瓦片挨着潭口四边齐地，恐怕炭灰落入碗内。有药的罐上面盖上生炭火，不能有空处。大约三炷香的时间，去掉火冷却后打开看，大约有外药一两左右。炼制时如果罐上有绿烟升起，急忙用笔蘸罐子盐泥固定它。
红升丹：此丹药治疗各种疮疡溃烂后，拔毒去腐，生肌长肉，疮口坚硬，肉色暗紫黑，使用少许丹药，用鸡毛掸扫在上面立刻变得红润鲜活。外科医生如果没有红、白两种丹药，很难立刻见效。
朱砂（五钱） 雄黄（五钱） 水银（一两） 火硝（四两） 白矾（一两） 皂矾（六钱）
先将两种矾、火硝研碎，放入大铜勺内，加入一小杯火硝炖化，一干就取出研细。另外将汞、朱砂、雄黄研细，直到看不见星点为止，再放入硝矾末研磨均匀。先将阳城罐用纸筋泥搪涂一指厚，阴干，经常轻轻拍打，不让产生裂纹，搪泥罐子泥也可以用。如果有裂纹，用罐子泥修补，极干后再晒。没有裂纹才放入前面的药在内，罐口用铁油盏盖定，加上铁梁盏，上下用铁丝扎紧，用棉纸捻条蘸蜂蜜，周围塞入罐口缝间，外用熟石膏细末，醋调封固。盏上加炭火两块，使盏热让罐口封固容易干燥。用大钉三根钉在地上，将罐子放在钉上，罐底下放置坚大炭火一块，外面砌百眼炉，升三炷香。第一炷香用底火，如果火大则汞先飞上去；二炷香用大半罐火，用笔蘸水擦拭盏；第三炷香火平罐口，用扇子扇它，频频擦拭盏，不要让干，干了则汞先飞上去。三炷香完毕，去掉火冷却后打开看，药气充足，盏上约有六七钱，刮下来研极细，瓷罐盛放使用。再预先用盐卤汁调罐子稀泥，用笔蘸泥水扫罐口周围，不要让漏气。盖恐怕有绿烟升起汞跑掉，绿烟一起就没有用了。
【方歌】白降丹是夺命丹，拔脓化腐立刻平安，朱砂、雄黄、汞与硼砂入，还有硝盐、白矾、皂矾，如果去掉硼盐就是红升丹，长肉生肌自然不难。
元珠膏：此膏治疗肿疡将要溃破，涂抹后脓液从毛孔吸出。已经切开针孔的，用棉签蘸取送入孔内，呼叫脓腐不净，涂抹后立即化解。
木鳖子肉（十四个） 斑蝥（八十一个） 柳枝（四十九寸） 驴甲片（三钱） 草乌（一钱） 麻油（二两）
以上药物浸泡七天，文火炸枯，去掉药渣，加入巴豆仁三个，煎至黑色，倒在钵内，研磨如泥，加入麝香一分，搅匀放入罐内收存使用。
【方歌】呼脓化腐使用元珠膏，木鳖子、斑蝥共柳枝，驴甲、草乌在油内浸泡，炸枯后加入巴豆、麝香施用。
Qiongsu San (Jade Butter Powder): This powder is used to treat various swellings, toxic sores, and other ulcers; after ingestion, acupuncture or incision causes no pain.
Chansu (Toad Venom) (1 qian), Banxia (Pinellia Rhizome) (6 fen), Naoyanghua (Rhododendron Molle Flower) (6 fen), Hujiao (Pepper Fruit) (1 qian 8 fen), Chuanjiao (Sichuan Pepper) (1 qian 8 fen), Bibai (Long Pepper Fruit) (1 qian), Chuanwu (Aconitum carmichaelii Lateral Root) (1 qian 8 fen).
The above seven ingredients are ground together into a fine powder. Each dose is 0.5 fen, taken with yellow wine mixed in. If stronger anesthesia is desired, add one pill of Baijiuyao (White Wine Yeast).
[Formula Song]: Qiongsu San is an anesthetic agent, needle insertion without pain relies on Toad Venom, Long Pepper, Rhododendron Molle, and raw Pinellia, along with Pepper, Sichuan Pepper, and Aconite.
Zhenggu Mayao (Bone-setting Anesthetic Medicine): This medicine is used to extract arrowheads; ingestion results in no pain.
Mahuang (Ephedra Herb), Huqiezi (Solanum melongena fruit), Jianghuang (Turmeric Rhizome), Chuanwu (Aconitum carmichaelii Lateral Root), Caowu (Aconitum kusnezoffii Root), Naoyanghua (Rhododendron Molle Flower) (used in double amount).
The above six ingredients are ground together into powder. Each dose is 5 fen, taken with tea or wine as desired. To reverse the anesthesia, decoct Gancao (Licorice Root) in water and ingest it to regain consciousness.
[Formula Song]: Zhenggu Mayao for extracting arrowheads, without injuring bones and tendons there is no worry, Ephedra, Turmeric, and Eggplant fruit, combined with Aconite and Rhododendron Molle.
Waifu Mayao (Topical Anesthetic Medicine): This medicine applied to toxic sores causes local numbness, allowing cutting without pain.
Chuanwu tip (5 qian), Caowu tip (5 qian), Chansu (Toad Venom) (4 qian), Hujiao (Pepper Fruit) (1 liang), Sheng Nanxing (Raw Arisaema Rhizome) (5 qian), Sheng Banxia (Raw Pinellia Rhizome) (5 qian).
One variant adds Bibai (Long Pepper Fruit) 5 qian; another variant adds Xixin (Asarum Root) 1 liang.
The above drugs are ground into powder and mixed with burning wine (distilled liquor) for topical application.
[Formula Song]: Topical anesthetic mixed with distilled liquor, knife cutting without pain is most miraculous, Aconite, Rhododendron, Toad Venom, Pepper, Arisaema, Pinellia, one adds Long Pepper, one adds Asarum.
Flesh rot refers to necrotic tissue. Various texts state: if necrotic flesh is not removed, new flesh will not grow. This is because necrotic tissue can infiltrate and damage healthy flesh, so it must be removed quickly. For patients with strong constitution, surgical excision with a knife is effective; for patients with weak constitution, reliance is placed solely on medicinal power to dissolve the necrosis. Generally, debridement medicines are essential in surgery.
Baijiang Dan (White Descending Cinnabar): This cinnabar treats carbuncles, back infections, and all types of ding toxic sores. Use a small amount. For large sores, use 5-6 li; for small sores, use 1-2 li. Mix with water and apply to the sore head. In the initial stage, it dissipates immediately; when pus forms, it ulcerates immediately; necrotic tissue detaches, swelling subsides. It is truly a life-saving spiritual cinnabar.
Zhusha (Cinnabar), Xionghuang (Realgar) (each 2 qian), Shuiyin (Mercury) (1 liang), Pengsha (Borax) (5 qian), Huoxiao (Saltpeter), Yanshi (Salt), Baifan (Alum), Zaofan (Green Vitriol) (each 1 liang 5 qian).
First, grind Zhusha, Xionghuang, and Pengsha finely. Add salt, alum, saltpeter, green vitriol, and mercury, grinding together until uniform, stopping when no mercury stars are visible. Place one Yangcheng jar on mild charcoal fire, slowly adding the medicine to melt completely in the jar. Use mild fire to drive off moisture and retrieve. If the fire is too large and dry, mercury escapes; if not dry enough, the medicine falls and becomes useless; this is the difficulty. Cover with another Yangcheng jar. Cut cotton paper into half-inch strips. Grind jar mud, straw shoe ash, and guangfen (white powder) finely. Mix with salt brine juice until very wet. Apply alternating layers of mud and paper, four to five layers at the seal, and two to three layers on the jar containing medicine. Dig a small pit underground, place a rice bowl filled with water at the bottom. Place the empty jar inside the bowl. Align tiles around the pit mouth to the ground to prevent charcoal ash from falling into the bowl. Cover the medicated jar with live charcoal fire, ensuring no gaps. After approximately three incense sticks' time, extinguish fire and let cool before opening. Approximately one liang of external medicine remains. If green smoke rises during refining, immediately use a brush dipped in jar salt mud to seal it.
Hongsheng Dan (Red Ascending Cinnabar): This cinnabar treats post-ulceration of all sores and ulcers, drawing out toxins, removing necrosis, generating muscle, and promoting flesh growth. For hard sore mouths and dark purple-black flesh, apply a small amount of cinnabar. Sweep onto the area with a chicken feather; it immediately becomes red and vibrant. Surgeons without Red and White cinnabars cannot achieve immediate effects.
Zhusha (Cinnabar) (5 qian), Xionghuang (Realgar) (5 qian), Shuiyin (Mercury) (1 liang), Huoxiao (Saltpeter) (4 liang), Baifan (Alum) (1 liang), Zaofan (Green Vitriol) (6 qian).
First, crush both alums and saltpeter. Place in a large copper spoon, add a small cup of saltpeter, stew until melted, remove when dry, and grind finely. Separately, grind mercury, cinnabar, and realgar finely until no stars are visible. Then mix with the nitrate-alum powder and grind uniformly. Coat a Yangcheng jar with paper-joint mud to a thickness of one finger, air dry, and gently tap occasionally to prevent cracks. Jar mud can also be used. If cracks appear, patch with jar mud, dry thoroughly, and sun-dry. Only when crack-free, insert the previous medicines. Seal the jar mouth with an iron oil lamp cover, add an iron beam lamp, and tightly bind top and bottom with iron wire. Dip twisted cotton paper strips in honey, stuff into the jar mouth seams. Externally seal with cooked gypsum fine powder mixed with vinegar. Place two charcoal fires on the lamp to heat it, aiding drying of the seal. Drive three large nails into the ground, place the jar on the nails, put a large solid charcoal fire under the jar, build a hundred-eye furnace around it, and refine for three incense sticks. The first incense stick uses bottom fire; if too hot, mercury flies up first. The second incense stick uses fire filling more than half the jar; wipe the lamp with a water-dipped brush. The third incense stick has fire level with the jar mouth; fan it, frequently wiping the lamp, do not let it dry, or mercury will fly up first. After three incense sticks, extinguish fire, let cool, and open. The medicinal qi is sufficient. There should be about 6-7 qian on the lamp lid. Scrape off, grind extremely fine, and store in a porcelain jar. Pre-mix salt brine juice with jar mud, brush around the jar mouth with a brush to prevent gas leakage. This is to prevent green smoke rising and mercury escaping; once green smoke appears, it is useless.
[Formula Song]: Baijiang Dan is the life-saving cinnabar, draining pus and resolving necrosis brings instant peace, Cinnabar, Realgar, Mercury, and Borax enter, plus Saltpeter, Salt, White Alum, Green Vitriol. Remove Borax and Salt to make Hongsheng Dan, generating flesh and muscle is naturally not difficult.
Yuanzhu Gao (Pearl Paste): This paste treats abscesses about to ulcerate; applying it draws pus out through pores. For already opened needle holes, dip a swab and insert into the hole. It calls out pus and necrosis; if impure, applying it resolves it immediately.
Mubiezi meat (14 seeds), Banmao (Mylabris Beetle) (81 insects), Liuzhi (Willow Branch) (49 cun), Lvjiapian (Donkey-hide gelatin slice) (3 qian), Caowu (Aconitum kusnezoffii Root) (1 qian), Mayou (Hemp Seed Oil) (2 liang).
Soak the above medicines for seven days. Fry with gentle fire until withered, remove dregs. Add three Baiduoren (Castor Bean Kernels), fry until black. Pour into a mortar, grind into paste. Add Shexiang (Musk) 1 fen, mix evenly, and store in a jar.
[Formula Song]: Calling out pus and resolving necrosis uses Yuanzhu, Spurge seed, Mylabris, and Willow branch together, Donkey-hide and Aconite soaked in oil, fried with Withered Castor Bean and Musk applied.