歌曰∶金蚣丸内用蜈蚣，全蝎山甲与僵虫，朱砂雄黄同配合，痰核瘰 散无踪。
（处方） 金头蜈蚣（十五条去头足微炒） 全蝎（二十个去头足米泔水洗） 山甲（二十片土炒成珠） 僵蚕（二
十条炒去丝） 朱砂（二钱） 明雄（二钱） 川军（三钱）
（制法） 共研细末，黄酒、曲糊为丸，如绿豆大，朱砂、雄黄为衣。
（用法） 每服三十至五十粒，空心温黄酒送服，老弱量服，汗出即愈，未成者消，已成脓者，次日即溃，已溃者
忌服。如系痰核瘰 ，可兼服中九丸五至十粒以辅助之。
又如患者体质柔弱，消化不良，服中九丸后腹痛作泻者，可兼服此丸，即可减退其副作用。
又古方“五虎下西川”，即金蚣丸之多蝉蜕者，但据我收藏的十三方抄本中，亦有三本方中有蝉蜕，可知本方是从五
虎下西川蜕化出来的一个验方。原方如次∶
金头蜈蚣（一条去头足糯米炒黄色） 全蝎（五钱洗去盐焙干） 蝉蜕（五钱去头足） 穿山甲（五钱陈土炒） 僵
蚕（五钱炒去丝）
共研细末，苕面为丸，如绿豆大，朱砂为衣，壮者每服二十丸，弱者十丸，土苓汤下，忌油荤，及一切发物，凡一
切杨梅毒疮，鱼口横 ，不问已溃未溃，皆可治之，无不验者。
又钱塘赵恕轩串雅编及种福堂公选良方中之“鳞鲤丸”，皆与金蚣丸方十九相同，且较金蚣丸完善而稳妥。据赵氏云∶
即铃医之“八面锋”，为一切无名肿毒之特效专药，而于瘰 一症尤具特长，故编者每于用金蚣丸处，皆易以此方，不仅
效力确实，而且更少流弊，今录其方于次∶
归尾（五钱） 生军（三钱） 蝉蜕（二十只去头足） 乳香（一钱） 没药（一钱） 制芩（三钱）
全蝎（二钱） 连翘（三钱去心） 防风（二钱五分） 羌活（二钱五分） 雄黄（水飞七分）
僵蚕（二十五条姜汁炒） 牛胶（一两土炒） 荆芥（二钱） 桔梗（二钱） 金头蜈蚣四条，去头足，分作四种制法∶
一条用姜汁搽，焙干；一条用香油搽，焙干；一条用浓醋搽，焙干；一条用酥搽，焙干。
上制后，共合一处研细末，备用；再以山甲四两，亦分作四种制法∶
一两用红花五钱煎汤煮，焙干；一两用牙皂五钱煎汤煮，焙干；一两用紫草五钱煎汤煮，焙干；一两用苏木五钱煎
汤煮，焙干。
上制后，亦混合一处，研末备用。
将上面各种药末共合一处，以米醋打糊为丸，外以朱砂五线为衣，每丸重一钱二分，瓷瓶收贮，以麝香五分养之。
服时以一丸，热酒送服，未成者内消，已成者出脓，神效非常。金蚣丸药味即此方之一部分，与蟾酥丸处方亦小异大同，
其为外科之重要方，可想而知。且此方之前数味，乃“神授卫生汤”药味，功能宣热散风，行瘀活血，解毒消肿，故为
外科门中之首要方，且较金蚣丸尤为周到而踏实。编者每于用金蚣丸处，皆易以此方者，亦以其周到而踏实也。
吾蜀梁山杨旭东，蜀中医纂有“骊龙珠”一方，为痈疽总方，专治一切痈疽肿毒，不论已溃未溃，俱能散毒收口，
生肌长肉，
方名之下标明为“内庭方”，亦即鳞鲤丸、金蚣丸之小有不同者。惟方中蜈蚣系二十一条，将山甲、蜈蚣制好后，每以山
甲末一两，蜈蚣末二钱，配入群药之中，每丸重一钱五分；全蝎又系用荷叶包炮之，此小异耳。欲知其详，可覆按原书。
又赵氏串雅编中之“八厘金”，主治痈疽发背，疔肿疮毒，未成者服之，内消甚效，察其处方药味，殆亦金蚣丸之加
味，故并录于此，以作他山之助。
番木鳖（水浸去皮油 枯五钱） 蟾酥（二钱） 僵蚕（二钱） 乳香（二钱） 没药（二钱） 胆矾（一钱） 蜈
蚣（三钱） 山甲（一钱） 血竭（一钱） 朱砂（三钱） 蝉蜕（一钱） 川乌（一钱） 雄黄（一两） 麝香（五
分）
上共研末，于五月五日修合，水泛为丸，如莱菔子大，上部病饱服，下部病饥服，每以八厘，陈酒送下，小儿酌减。
他如赵氏之十宝丹，串雅补之回生丹，青囊秘授之全生丹，外科大成之六军丸，蓬莱山樵辑方之观音救苦丹等，皆
与金蚣丸如出一辙，原书俱在，未遑尽录。
蜈蚣、山甲等对腺结核有疗效，自宜重用。且此方功能镇静神经，如加入麝香，更可治疗小儿惊风抽搐。
歌诀说：金蚣丸里面用了蜈蚣，还有全蝎、穿山甲和僵蚕，朱砂和雄黄一同配合，痰核瘰疬消散得无影无踪。
（处方） 金头蜈蚣（十五条，去掉头足，微炒） 全蝎（二十个，去掉头足，用米泔水清洗） 穿山甲（二十片，土炒至成珠状） 僵蚕（二十条，炒后去掉丝） 朱砂（二钱） 明雄黄（二钱） 川军（三钱，即大黄）
（制法） 将上述药材共同研成细末，用黄酒和曲糊制作成丸药，大小如绿豆，外层包裹朱砂和雄黄粉末作为衣料。
（用法） 每次服用三十至五十粒，空腹时用温热的黄酒送服，年老体弱者酌情减量。服药后若出汗则病愈；未化脓的肿块可消散，已化脓的次日即可溃破，已经溃破的忌服。如果是痰核瘰疬，可以同时服用中九丸五至十粒以辅助治疗。
又如患者体质柔弱，消化不良，服用中九丸后出现腹痛腹泻的情况，可以同时服用此丸，即可减轻其副作用。
另外古方“五虎下西川”，就是金蚣丸多加蝉蜕的版本，但据我收藏的十三方抄本中，也有三个版本含有蝉蜕，可知本方是从“五虎下西川”演变而来的一个有效验方。原方如下：
金头蜈蚣（一条，去掉头足，用糯米炒至黄色） 全蝎（五钱，洗去盐分焙干） 蝉蜕（五钱，去掉头足） 穿山甲（五钱，陈土炒） 僵蚕（五钱，炒后去掉丝）
共同研成细末，用苕面（红薯淀粉）制成丸药，大小如绿豆，外层包裹朱砂。身体强壮者每次服用二十丸，体弱者十丸，用土茯苓汤送服，忌食油腻荤腥及一切发物。凡是各种杨梅毒疮、鱼口横痃，无论是否溃破，都可以治疗，无不灵验。
另外钱塘赵恕轩编纂的《串雅编》及《种福堂公选良方》中的“鳞鲤丸”，与金蚣丸方子十九味药相同，且比金蚣丸更完善稳妥。据赵氏所说，这就是铃医的“八面锋”，是治疗一切无名肿毒的特效专药，而对于瘰疬一症尤其具有特长，所以编者每当使用金蚣丸的地方，都改用此方，不仅疗效确实，而且更少流弊，现将该方记录如下：
当归尾（五钱） 生大黄（三钱） 蝉蜕（二十只，去掉头足） 乳香（一钱） 没药（一钱） 制黄芩（三钱）
全蝎（二钱） 连翘（三钱，去掉心） 防风（二钱五分） 羌活（二钱五分） 雄黄（水飞法处理七分）
僵蚕（二十五条，姜汁炒） 牛胶（一两，土炒） 荆芥（二钱） 桔梗（二钱） 金头蜈蚣四条，去掉头足，分为四种炮制方法∶
一条用姜汁涂抹，焙干；一条用香油涂抹，焙干；一条用浓醋涂抹，焙干；一条用酥油涂抹，焙干。
上述炮制好后，混合在一起研成细末，备用；再用穿山甲四两，也分为四种炮制方法∶
一两用红花五钱煎汤煮，焙干；一两用牙皂五钱煎汤煮，焙干；一两用紫草五钱煎汤煮，焙干；一两用苏木五钱煎汤煮，焙干。
上述炮制好后，也混合在一起，研成细末备用。
将上面各种药末混合在一起，用米醋打糊制成丸药，外层包裹朱砂五钱为衣，每丸重一钱二分，装在瓷瓶中收存，并用麝香五分养护。
服用时取一丸，用热酒送服，未化脓的可内消，已化脓的可排脓，效果神妙非凡。金蚣丸的药味只是此方的一部分，与蟾酥丸的处方也是大同小异，其为外科的重要方剂，可想而知。而且此方前面的几味药，乃是“神授卫生汤”的药味，功能宣散风热，行瘀活血，解毒消肿，所以是外科门中的首要方剂，且比金蚣丸更为周到踏实。编者每当使用金蚣丸的地方，都改用此方，也是因为其周到而踏实。
我们四川梁山的杨旭东，在《蜀中医纂》中记载了“骊龙珠”一方，这是治疗痈疽的总方，专门治疗一切痈疽肿毒，不论是否溃破，都能散毒收口，生肌长肉。
方名之下标明为“内庭方”，也就是鳞鲤丸、金蚣丸稍有不同的版本。只是方中蜈蚣用了二十一条，将穿山甲、蜈蚣炮制好后，每次以穿山甲末一两，蜈蚣末二钱，配入群药之中，每丸重一钱五分；全蝎又是用荷叶包裹炮制的，这只是细微的差异。想要了解详情，可以查阅原书。
另外赵氏《串雅编》中的“八厘金”，主治痈疽发背、疔肿疮毒，未化脓时服用，内消效果显著，考察其处方药味，大概也是金蚣丸的加味方，所以一并记录在此，以作借鉴。
番木鳖（水浸去皮去油，炒枯五钱） 蟾酥（二钱） 僵蚕（二钱） 乳香（二钱） 没药（二钱） 胆矾（一钱） 蜈蚣（三钱） 穿山甲（一钱） 血竭（一钱） 朱砂（三钱） 蝉蜕（一钱） 川乌（一钱） 雄黄（一两） 麝香（五分）
以上共同研成细末，在五月五日配制，用水泛丸，大小如莱菔子（萝卜籽），上部疾病饱腹时服用，下部疾病空腹时服用，每次八厘，陈年酒送下，小儿酌情减量。
其他的如赵氏的十宝丹，串雅补遗的回生丹，青囊秘授的全生丹，《外科大成》的六军丸，蓬莱山樵辑录方的观音救苦丹等，都与金蚣丸如出一辙，原书都在，来不及全部记录。
Song says: Jin Gong Wan (Golden Centipede Pill) contains centipedes, scorpions, pangolin scales, and silkworms; cinnabar and realgar are combined with them, causing phlegm nodules and scrofula to disappear without a trace.
(Prescription) Golden-headed centipede (15 pieces, heads and feet removed, lightly stir-fried), Scorpion (20 pieces, heads and feet removed, washed with rice water), Pangolin scale (20 slices, earth-stir-fried until pearl-like), Silkworm (20 pieces, stir-fried and silk removed), Cinnabar (2 qian), Realgar (2 qian), Rhubarb (3 qian).
(Preparation) Grind all ingredients into fine powder together. Use yellow wine and yeast paste to form pills the size of mung beans. Coat the pills with cinnabar and realgar powder.
(Usage) Take 30 to 50 pills each time on an empty stomach, delivered with warm yellow wine. Reduce the dose for the elderly and weak. If sweating occurs, the disease is cured; un-suppurated masses will dissipate; suppurated masses will ulcerate the next day; already ulcerated cases should avoid taking this medicine. For phlegm nodules and scrofula, Zhong Jiu Wan (Central Nine Pills) can be taken concurrently, 5 to 10 pills, as an adjuvant.
If the patient has a weak constitution, indigestion, or experiences abdominal pain and diarrhea after taking Zhong Jiu Wan, taking this pill concurrently can mitigate these side effects.
Furthermore, the ancient formula "Wu Hu Xia Xi Chuan" (Five Tigers Descend from Western Sichuan) is essentially Jin Gong Wan with additional cicada sloughs. Among my collected copies of the Thirteen Formulas, three versions contain cicada sloughs, indicating that this formula evolved from "Wu Hu Xia Xi Chuan" as an effective empirical prescription. The original formula is as follows:
Golden-headed centipede (1 piece, heads and feet removed, stir-fried with glutinous rice until yellow), Scorpion (5 qian, washed to remove salt and baked dry), Cicada slough (5 qian, heads and feet removed), Pangolin scale (5 qian, stir-fried with aged soil), Silkworm (5 qian, stir-fried and silk removed).
Grind all into fine powder. Form pills the size of mung beans using sweet potato starch. Coat with cinnabar. Robust individuals take 20 pills per dose; weak individuals take 10 pills. Deliver with Smilax glabra decoction. Avoid oily, meaty foods, and all stimulating foods. This treats all forms of yaws sores and buboes, whether ulcerated or not, with reliable efficacy.
Additionally, the "Lin Li Wan" (Scale Carp Pill) found in Zhao Shuxuan's *Chuan Ya Bian* and *Zhong Fu Tang Gong Xuan Liang Fang* shares nineteen ingredients with Jin Gong Wan and is more complete and stable. According to Zhao, this is the "Ba Mian Feng" (Eight-Sided Edge) of itinerant doctors, a specific remedy for all nameless swellings and toxins, particularly effective for scrofula. Therefore, editors often substitute this formula for Jin Gong Wan, as it ensures efficacy while minimizing adverse effects. The formula is recorded below:
Angelica sinensis tail (5 qian), Raw Rhubarb (3 qian), Cicada slough (20 pieces, heads and feet removed), Frankincense (1 qian), Myrrh (1 qian), Processed Scutellaria baicalensis root (3 qian), Scorpion (2 qian), Forsythia fruit (3 qian, heart removed), Saposhnikovia root (2.5 qian), Notopterygium root (2.5 qian), Realgar (7 fen, water-triturated), Silkworm (25 pieces, ginger juice stir-fried), Bovine glue (1 liang, earth-stir-fried), Schizonepeta spike (2 qian), Platycodon root (2 qian).
Golden-headed centipedes (4 pieces, heads and feet removed), processed in four ways: one coated with ginger juice and baked dry; one coated with sesame oil and baked dry; one coated with strong vinegar and baked dry; one coated with butter and baked dry. After processing, mix and grind into fine powder for reserve use.
Pangolin scales (4 liang), also processed in four ways: one liang boiled in Safflower decoction and baked dry; one liang boiled in Soap pod decoction and baked dry; one liang boiled in Lithospermum root decoction and baked dry; one liang boiled in Sappan wood decoction and baked dry. After processing, mix and grind into fine powder for reserve use.
Combine all powders. Use rice vinegar to make a paste for forming pills. Coat externally with 5 qian of cinnabar. Each pill weighs 1.2 qian. Store in porcelain bottles, preserving with 5 fen of Musk.
Take one pill at a time, delivered with hot wine. Un-suppurated lesions will resolve internally; suppurated lesions will discharge pus. The effect is miraculous. The ingredients of Jin Gong Wan constitute only a part of this formula, which is largely similar to Chan Su Wan (Toad Venom Pill), confirming its importance in surgery. Moreover, the initial ingredients of this formula belong to Shen Shou Wei Sheng Tang (Divine Bestowal Health-Nourishing Decoction), which functions to vent heat and disperse wind, promote blood circulation and remove stasis, detoxify, and reduce swelling. Thus, it is a primary formula in surgery, even more comprehensive and reliable than Jin Gong Wan. Editors substitute it for Jin Gong Wan due to its reliability.
Yang Xudong from Liangshan, Sichuan, recorded the "Li Zhu Long" (Pearl Dragon Ball) formula in *Shu Yi Zhong Zuan*, a general formula for carbuncles and sores, treating all types regardless of ulceration status, capable of resolving toxins, closing wounds, and generating flesh. Marked as "Nei Ting Fang," it differs slightly from Lin Li Wan and Jin Gong Wan. It uses 21 centipedes. After processing pangolin scales and centipedes, 1 liang of pangolin powder and 2 qian of centipede powder are added to the mixture per pill, weighing 1.5 qian. Scorpions are processed wrapped in lotus leaves. These are minor differences. See the original book for details.
Also, "Ba Li Jin" (Eight-Cent Gold) from Zhao's *Chuan Ya Bian* treats carbuncles, back infections, and malignant sores. Taken before suppuration, it effectively resolves lesions internally. Its ingredients appear to be an augmented version of Jin Gong Wan, so it is recorded here for reference.
Strychnos nux-vomica seed (water-soaked, skin and oil removed, fried crisp, 5 qian), Toad venom (2 qian), Silkworm (2 qian), Frankincense (2 qian), Myrrh (2 qian), Chalcanthite (1 qian), Centipede (3 qian), Pangolin scale (1 qian), Draconis sanguis (1 qian), Cinnabar (3 qian), Cicada slough (1 qian), Aconitum carmichaelii lateral root (1 qian), Realgar (1 liang), Musk (5 fen).
Grind all into powder. Prepare on the fifth day of the fifth lunar month. Form pills the size of radish seeds using water. Take full when treating upper body diseases, empty stomach when treating lower body diseases. Dosage is 8 li delivered with aged wine; reduce for children.
Others such as Zhao's Shi Bao Dan (Ten-Treasure Powder), Hui Sheng Dan (Revival Pill) from *Chuan Ya Bu Yi*, Quan Sheng Dan (Complete Life Pill) from *Qing Nang Mi Shou*, Liu Jun Wan (Six-Army Pill) from *Wai Ke Da Cheng*, and Guan Yin Jiu Ku Dan (Guanyin Saving Suffering Pill) compiled by Penglai Shan Qiao are all consistent with Jin Gong Wan. Original texts exist, but recording them all is omitted.
Centipedes and pangolin scales are effective against tuberculous lymphadenitis and should be used in heavy doses. Furthermore, this formula calms the nervous system; adding Musk enhances its ability to treat infantile convulsions and spasms.