治客忤霍乱腹痛胀满，尸疰恶气，癫狂鬼语，蛊毒妖魅，温疟，但是一切恶毒无所不治
方。
丹砂 曾青 雌黄 雄黄 磁石（各四两） 金牙（二两半）
上六味，各捣，绢下筛，其丹砂、雌黄、雄黄三味，以 醋浸之，曾青好酒于铜器中
渍，纸密封讫，日中曝百日，经夏急五日，亦得无日，以火暖之。然后各研，令如细粉，
以醋拌，使干湿得所，纳土釜中，以六一泥固济，勿令泄气。干后安铁环施脚高一尺五寸
置釜上，以渐放火，初放火取熟两秤，炭各长四寸置釜上，待三分二分尽，即益。如此三度
尽用熟火，然后用益生炭其过三上熟火以外，皆须加火渐多，及至一伏时，其火已欲近釜，
即便满，就釜下益炭，经两度即罢，火尽极冷，然后出之，其药精飞化凝着釜上五色者上，
三色者次，一色者下。虽无五色，但色光明皎洁如雪最佳。若飞上不尽，更令与火如前，以
雄鸡翼扫取，或多或少不定，研如枣膏，丸如黍粒。治偏风、大风、恶疾、癫痫、疠节鬼打
等最良。服法，平旦空腹一丸为度。其疟病积久，百方不瘥。又加心腹胀满上气，身面脚等
并肿垂死者，服一丸，吐即瘥，亦有不吐瘥者，若不吐复不瘥者更服一丸半。仍不瘥者后日
增半丸，渐服无有不瘥。气亦定，当吐出青黄白物，其因疟两胁下有癖块者，亦当清除。若
心腹不胀满者，可与一丸，日日加之，以知为度，不必专须吐，亦可一丸即瘥。勿并与服，
亦可三日一服，皆须以意斟酌量得其宜。或腹内有水即下者勿怪。若患疟日近，精神健，亦
可斟酌病患药性，并与两丸作一丸顿服之，皆至午后食，勿使冷，勿使热，豉浆粥任意食之。
若病疟盗汗虚弱者，日服一丸，至三日吐即止。若患疟不汗，气复不流，脚冷者，服一丸。
至三日若不汗，气复，脚即暖有润汗，不至三日吐即止。若患疟无颜色者，服药后三日即有
颜色。亦有须吐瘥者，亦有服少许而瘥者，亦有杀药强人服三四丸，始觉药行者，凡人禀性
不同，不可一概与之。但作黍米大服之为始渐加以知为度，药力验壮，勿并多服，特慎油面
鱼肉蒜，当清净服之。若有患久不瘥在床，羸瘦并腹胀满及肿，或下痢者多死，但与药救之，
十人中或瘥三四人也，瘕症积聚，服一刀圭，以浆水送下。诸卒死中恶客忤霍乱腹满体带五
尸疰恶风疰忤大病相易死亡灭门，狂癫鬼话，已死气绝，心上微暖者，扶起其头，以物撬开
口，不可开凿去两齿，以浆饮送药，药下即活，诸久病者，日服一刀圭，覆令汗，汗出即愈。
不愈者，不过再服，亦有不汗而瘥，复有不汗不愈者，服如上法加半刀圭以瘥为度。常以绛
囊带九刀圭散，男左女右，小儿系头上，辟瘴毒恶时气、射工。小儿患，可以苦酒和之，涂
方寸纸上着儿心腹上，令药在上治之。亦有已死者，冬二日夏一日，与此药服，服得下药便
活，若不得入腹不活。加金牙磁石者，服至五服，内必令人吐逆下利。过此即自定其药如小
豆大为始，从此渐小，不得更大，大风恶癞可二十服。偏风 节，诸恶风癫病等亦可二十服。
自余诸恶病者皆止一二服，量人轻重弱强不得多与。若欲解杀药但烂煮，食肥猪肉，服此药
后，小应头痛身热一二日来，大不能得食味，后自渐得气味，五日后便能食。若贪食过多者
宜节之。若服药下闷乱，可煮木防己汤服之，即定。凡言刀圭者以六粟为一刀圭，一说云三
小豆为一刀圭。
治疗客忤、霍乱引起的腹痛胀满，尸疰恶气，癫狂及幻听（鬼语），蛊毒妖魅作祟，温疟等病症，凡是各种恶毒之邪，没有不能治疗的。
方剂组成：
丹砂、曾青、雌黄、雄黄、磁石（各四两），金牙（二两半）。
以上六味药，分别捣碎，用绢筛过滤。其中丹砂、雌黄、雄黄这三味药，用醋浸泡；曾青用好酒在铜器中浸泡。用纸密封严实后，放在太阳下暴晒一百天，夏天天气炎热时急晒五天也可以，如果没有太阳，可以用火温暖它。然后分别研磨，使其成为细粉状，用醋拌和，使干湿程度适宜，放入土釜中，用六一泥封口加固，不要漏气。待泥干后，安装铁环支架，高度为一尺五寸，将土釜置于其上。逐渐点火加热，最初取熟炭两秤，每根长四寸放在土釜上，等到三分之二的炭烧尽时，再添加。如此重复三次，全部使用熟炭后，然后再添加生炭。超过三次加熟炭之后，都必须逐渐增加火势，直到一个时辰左右，火势已经接近土釜，此时炭火已满，就在土釜下添加炭火，经过两次操作后即可停止。待火完全熄灭且土釜极冷后，取出药物。药物精华飞化凝结在土釜上的，颜色有五种的是上等，三种颜色的次之，一种颜色的为下等。虽然没有五色，但只要色泽光明皎洁如雪般最佳。如果飞散上去的不多，再像前面那样用火加热，用雄鸡的翅膀扫取收集，多少不定。将其研磨成枣膏状，制成黍米大小的丸药。治疗偏风、大风、恶疾、癫痫、疠节、鬼打等病症最为良效。服用方法：清晨空腹服一丸为标准。如果是疟疾病症日久，百方治疗无效，又加上心腹胀满、气逆上冲，身体面部脚部等都浮肿，濒临死亡的患者，服用一丸，呕吐后病即痊愈；也有不呕吐而痊愈的；如果不呕吐又不痊愈的，再服用一丸半。仍然不痊愈的，第二天增加半丸，逐渐服用，没有不痊愈的。气机也会安定，应当吐出青、黄、白色的物质。那些因疟疾导致两胁下有痞块的人，也应当清除。如果心腹不胀满的，可以给予一丸，每天增加剂量，以见效为标准，不一定非要通过呕吐来治愈，也可能服用一丸就痊愈了。不要同时服用多种药物，也可以三天服用一次，都必须根据心意斟酌衡量，得到适宜的剂量。如果腹内有水饮下行，不要奇怪。如果患疟疾日子将近，精神健旺，也可以斟酌患者的药性，将两丸合并为一丸一次性顿服，都在午后进食时服用，不要让药太冷或太热，豆豉浆粥可以随意食用。如果是患疟疾盗汗虚弱的人，每天服用一丸，到第三天呕吐后就停止。如果患疟疾不出汗，气机不畅，脚冷的，服用一丸。到第三天如果还不出汗，气机恢复，脚就会变暖并有湿润的汗水，不到三天呕吐就停止。如果患疟疾面色无华的，服药后三天就有面色。也有需要呕吐才痊愈的，也有服用少量就痊愈的，也有体质强壮的人服用三四丸，才开始感觉到药效运行。凡人的禀赋性质不同，不可一概而论地给药。但先制作黍米大小的丸药开始服用，逐渐增加剂量，以见效为标准。此药药力验证猛烈，不要同时大量服用，特别要谨慎食用油、面、鱼、肉、蒜，应当清淡饮食服用。如果有患病日久不愈卧床不起，消瘦且心腹胀满及浮肿，或者下痢的，大多会死亡，只给予药物救治，十个人中或许能痊愈三四个。对于癥瘕积聚，服用一刀圭的量，用浆水送服。各种突然死亡、中恶、客忤、霍乱、腹满、身体带有五尸疰、恶风疰忤大病相互传染导致灭门绝户，以及狂癫幻听，已经死亡气息断绝，但心上还微暖的，扶起其头部，用物体撬开嘴，如果牙齿紧闭无法张开，就去掉两颗牙齿，用浆液送服药物，药下去人就能活。各种久病患者，每天服用一刀圭，覆盖身体令其出汗，出汗就痊愈。不痊愈的，不超过再次服用，也有不出汗而痊愈的，也有不出汗且不痊愈的，服用方法如上法增加半刀圭，以痊愈为标准。经常用红色袋子携带九刀圭的药散，男性戴在左边，女性戴在右边，小儿系在头上，可以辟除瘴毒、恶时气、射工虫。小儿患病，可以用醋调和，涂在一平方寸的纸上，贴在小儿的心腹部，让药在上面治疗。也有已经死亡的，冬天两天、夏天一天，给这种药服用，药服下后就能活，如果药进不了肚子就不能活。加入金牙、磁石的，服用五次后，内部必然使人出现呕吐腹泻。超过这个次数就要自行调整药量，从小豆大小开始，从此逐渐变小，不得更大，治疗大风恶癞可以服用二十次。偏风、节病，各种恶风癫病等也可以服用二十次。其余各种恶病都只止于一两次服用，根据人的轻重强弱不得多给。如果想解药毒，只要烂煮肥猪肉吃，服用此药后，轻微会出现头痛身热一两天，严重则暂时尝不出食物味道，后来自己逐渐能闻到气味，五日后便能正常进食。如果贪吃过多者应该节制。如果服药后感到胸闷烦乱，可以煮木防己汤服用，即可安定。凡是说“刀圭”的，是以六粒粟米为一刀圭，另一种说法是三颗小豆为一刀圭。
Treats *ke wu* (external pathogenic factors invading suddenly), *huo luan* (acute abdominal disorder with vomiting and diarrhea) causing abdominal pain and distension, *shi zhu* (miasma of corpse transmission), evil qi, mania and delusions (hearing voices of ghosts), *gu du* (poison from gu worms) and demonic influences, *wen nue* (warm malaria), and all other kinds of evil toxins; there is no evil toxin it cannot treat.
Formula:
Cinnabar (Zhusha), Azurite (Cengqing), Realgar (Xionghuang), Orpiment (Xionghuang - *Note: Text lists both Xionghuang for Realgar and Xionghuang for Orpiment, typically distinct as Xionghuang/Realgar and Xionghuang/Orpiment in context, here translated as Realgar and Orpiment based on standard pairing*), Magnetite (Ci Shi) (each 4 liang), Gold Leaf (Jinya) (2.5 liang).
The above six ingredients are each crushed and sifted through silk gauze. The three ingredients—Cinnabar, Orpiment, and Realgar—are soaked in vinegar. Azurite is soaked in good wine in a copper vessel. Seal tightly with paper, expose to the sun for one hundred days. In summer, intense exposure for five days suffices; if without sunlight, warm it with fire. Then grind each separately into fine powder, mix with vinegar to achieve appropriate moisture content, place in an earthen crucible, seal with *Liu Yi Ni* (Six-One Mud) to prevent gas leakage. After drying, install an iron ring stand at a height of one chi five cun, place the crucible on top. Gradually apply fire. Initially, take two sheng of calcined charcoal, each piece four cun long, placed on the crucible. When two-thirds of the charcoal has burned out, add more. Repeat this process three times using only calcined charcoal. Thereafter, add raw charcoal. Beyond these three additions of calcined charcoal, gradually increase the intensity of the fire. Until one *fu* (approx. 2 hours), when the fire approaches the crucible and the charcoal bed is full, add charcoal beneath the crucible. Perform this twice, then stop. Allow the fire to extinguish completely and the crucible to cool thoroughly before retrieving the medicine. The essence of the medicine flies up and condenses on the crucible; those with five colors are superior, three colors are secondary, and one color is inferior. Even without five colors, if the color is bright and pure like snow, it is best. If not much condenses, heat again as before, and collect with the wing of a male rooster. The quantity varies. Grind into a paste resembling jujube paste, and form pills the size of millet seeds. This treats *pian feng* (hemiplegia or localized wind stroke), *da feng* (leprosy or severe wind disease), malignant diseases, epilepsy, *li jie* (leprosy-like nodules), and "ghost strikes," being most effective.
Dosage: Take one pill on an empty stomach in the early morning as the standard. For chronic malaria unresponsive to hundreds of prescriptions, accompanied by abdominal distension, rebellious Qi, edema of the body, face, and feet, approaching death: take one pill. Recovery occurs after vomiting, though some recover without vomiting. If no vomiting and no recovery, take one and a half pills. If still unrecovered, increase by half a pill the next day, gradually adjusting until recovery. Qi will stabilize, and green, yellow, or white substances should be vomited. For those with masses under the hypochondrium due to malaria, these should also be cleared. If there is no abdominal distension, give one pill, increasing daily until efficacy is observed (*zhi*). Vomiting is not strictly necessary; one pill may suffice. Do not combine with other medications simultaneously. Alternatively, take once every three days, adjusting dosage according to judgment. If water accumulates in the abdomen and drains downward, do not be surprised. If the malaria is recent and the patient's spirit is robust, consider the patient's constitution, combining two pills into one large dose taken at once during afternoon meals. Keep the medicine neither cold nor hot; consume fermented soybean porridge (*chi jiang zhou*) freely. For malaria patients with night sweats and weakness, take one pill daily; stop when vomiting occurs on the third day. For malaria patients without sweating, stagnant Qi, and cold feet, take one pill. By the third day, if still no sweat, but Qi returns and feet become warm with moist sweat, stop when vomiting occurs before the third day. For malaria patients with sallow complexion, color returns within three days of taking the medicine. Some recover via vomiting, some with small doses. Strong individuals may need three or four pills to feel the medicinal action. Since constitutions vary, do not administer uniformly. Start with millet-sized pills, gradually increasing until efficacy is observed. The medicinal power is potent; do not overdose. Specifically avoid oil, flour, fish, meat, and garlic; maintain a pure diet. For chronic bedridden patients, emaciated with abdominal distension, edema, or dysentery, mortality is high; medication may save three or four out of ten. For *jia zheng ji ju* (masses and accumulations), take one *dao gui* (unit of measure), washed down with grain water (*jiang shui*).
For sudden death, *zhong e* (evil invasion), *ke wu*, *huo luan*, abdominal distension, *wu shi zhu* (five types of corpse transmission), evil wind, contagious major diseases leading to family extinction, mania, delusions, death with cessation of breath but residual warmth over the heart: lift the head, pry open the mouth. If teeth are clenched, remove two teeth, and deliver the medicine with liquid. Life returns immediately. For chronic patients, take one *dao gui* daily, cover to induce sweating; recovery follows sweating. If not recovered, repeat no more than twice. Some recover without sweating, some do not. Increase by half a *dao gui* as per previous method until recovered. Carry nine *dao gui* of powder in a crimson pouch; men wear it on the left, women on the right, children tie it to their head to ward off miasma, evil seasonal Qi, and *she gong* (arrow workers/schistosomes). For children's illness, mix with vinegar, apply to a square-inch paper, and place on the child's chest or abdomen. For those already dead, administer in winter for two days, in summer for one day; life returns if the medicine enters the stomach. Adding Gold Leaf and Magnetite causes vomiting and diarrhea after five doses. Adjust dosage thereafter, starting from bean-sized pills, gradually decreasing, never increasing. For severe leprosy/wind, up to twenty doses. For hemiplegia, joint pain, and various wind-epilepsy disorders, up to twenty doses. For other malignant diseases, limit to one or two doses; adjust according to severity and strength. To detoxify, boil fatty pork and eat it. After taking this medicine, mild headache and fever may last one to two days; taste may be lost temporarily, recovering naturally after five days when appetite returns. Moderation in diet is advised. If chest oppression and confusion occur after dosing, decoct *Mufangji Tang* (Stephania Tetrandra Decoction) to calm symptoms. One *dao gui* equals six millet grains; another view states three small beans equal one *dao gui*.