大红升 辰州大劈砂（五钱） 明雄黄（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。加火酒一杯炖化。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HT 铁丝扎紧。用绵纸捻条护密周遭塞罐口缝间。外用
熟石
羔细末。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。钉放地下。将罐下放钉上。罐底下置壑大
炭火一块。外砌百眼炉。升三炷香。第一炷香。惟用底火如火大则汞先飞上。二炷香用大半罐火。以笔蘸水擦尽。三炷
香火平罐口。用扇扇之。频用水擦尽。弗令干。干则汞先飞上。三炷香完去火。冷定开看。方气足盏上。约六七钱。刮
下研细。瓷罐盛用。再预以盐卤汁调罐子稀泥。用笔蘸泥水。埽罐口周遭勿令泄气。盖恐有绿烟起。汞走也。绿烟一走。
即无用矣。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。鸡翎埽上。立刻红活。疡医
若无红白二丹。决难立刻取效。
大白升 水银 枯皂矾 焰硝 食盐（各一两） 共研至水银不见星为度。入阳城罐内。口上一铁油盏盖之。铁丝
扎紧。
铁盏四围。用白绵丝条箝紧。外用盐五两。光粉和泥捣匀擦罐。入百眼炉内。初用文火一炷香。盏上常以微水润之。至
三炷香。用武火完为度。俟冷定打开。取升在盏上色白者。刮下研细盛用。此丹可服可敷。如疮口有黄水用此。无水用
红粉霜。
一方加硼砂、黄丹、朱砂、胆矾、雄黄。
附封罐口神胶方 破砂罐末 草鞋灰 黄泥 倾银药末 烧盐粽子各一两。共研细末。用盐卤调和胶丹。入乳钵擂
细。用抿子挑封罐口。
小红升 真水银（二两） 净明矾（二两） 提净火硝（二两） 上三味捣和研匀。安铁耳锅内。盖以高深宫碗。
居中平稳。用
煨石膏研细。揪满碗HT 。用围平锅口封好。放于风炉上。以先文后武之火。炼三炷香为度。过夜待冷。以刀刮去封口
石膏。轻轻HT 抹碗HT 。将碗揭起。用小刀刮下升丹。或绿或黄或红。各自贮开。瓷瓶盛之。听用。颜色虽殊。功
效则一。陈一年者。出尽火气。愈陈愈佳。此药治一切疮疡疔肿疖各毒。初起出脓时。用此掺疮口。自能呼脓拔毒。外
用膏药盖之。如脓腐去净者。另用生肌长肉粉霜。如男子肾囊。女子乳头。及眼珠上下两角。或生疮毒。切勿用此丹。恐
受水银之气。受患莫测。慎之。
六仙升丹 水银（三两） 火硝（三两） 明矾（五两） 东丹（四两） 轻粉（六钱） 皂矾（一两五钱）。如红
升法。
白降丹。（即夏冰对配丹。） 水银 净火硝 白矾 皂矾 炒白盐（各九钱） 上五味共研至不见水银星为度。盛
于新
大倾银罐内。以微火熔化。火急则水银上升走炉。须用 炭为妙。熬至罐上无白烟起。再以竹木枝拨之。无药屑拨起为
度。则药吸于罐底。谓之结胎。胎成用大木盆一个盛水。水内置净铁火盆一个。以水盆内水。及铁盆之半腰为度。然后
将前结就之胎。连罐覆于铁盆内之居中。以盐卤和黄土封固罐口。勿令出气。出气即走炉。再用净灰铺于铁盆内。灰及
罐腰。将灰按平。不可摇动药罐。恐伤封口。即要走炉。铺灰毕。取烧红栗炭。攒围罐底。用扇微扇。炼一炷香。谓之
文火。再略重扇。炼一炷香。谓之武火。炭随少随添。勿令间断。而见罐底。再炼一炷香即退火。待次日盆炭冷定。用
帚埽去盆灰。并将封口上去净。开罐铁盆内所有白霜。即谓之丹。将瓷瓶收贮待用。愈陈愈佳。其罐内原胎。研掺癣疮
神效。若恐胎结不老。罐覆盆内。一遇火炼。胎落铁盆。便无丹降。亦为走炉。一法用铁丝扎作三脚小架。顶炉内撑住
丹胎。最为稳妥。此丹如遇痈疽发背毒。一切恶毒。用一厘许。以津唾调点毒顶上。以膏药盖之。次日毒根尽拔于毒顶
上。顶上结成黑肉一块。三四日即脱落。再用升药敷此。即收功。此丹用蒸粉糕。以水少润。共和极匀为细条。晒干收
竹筒内。各为锭子。凡毒成管。即约量管之深浅。插入锭子。上盖膏药。次日挤脓。如此一二次。其管即化为脓。管尽
再上升药数次。即收功。此丹比升丹功速十倍。但性最烈。点毒甚痛。法用生半夏对搀。再加冰片少许。一方加辰砂（二
钱） 雄黄（二钱） 硼砂（五钱） 水银用（一两）。余四味。各用一两五钱。
大白降 水银（一两） 青盐（二两） 皂矾（二两） 火硝（二两五钱） 卤砂（三钱） 雄黄（三钱） 辰砂
（三钱） 白砒（五分） 明矾（二两）
上药共研匀。放阳城罐内。微火煨干后。如前法降三炷香。候冷取药不可被生人鸡犬冲破。此丹凡肿毒未成名件者。
用醋调点患处头上。看毒大小。如桐子大 起。毒即消。若已成不肯穿者。亦用此丸。将膏药贴头上。半日即穿。
小白降 水银 火硝 生矾（各五分） 食盐（二分） 上共研末。入倾银罐内。放炭火上。文火煎滚。滚至边上
起焦黄色。
候至满面俱焦黄米色为度。将罐离火候冷。再用圆正擂盆一个。裹面须拣光细者。将银罐连药轻轻倒合在擂盆内。罐口
与擂盆缝间。须用绵纸条墨水润湿。加盐泥封固。然后将擂盆坐于大水盆中。罐底先盖文火。用扇扇之。先文后武。
至五寸线香为度。退去炭火候冷。先埽去罐口外盐泥。然后开罐取降于擂盆底内之药。药色以洁白如霜者为上。若青黄
黑色。不可用。或以银簪脚。与磨亮刀头。略沾微唾。蘸药在上。即刻起锈者为佳。用时用新绵花蘸药。敲些许于膏药
上。比升药更要少些。贴后两杯热茶时。即发痛。半日即止。毒重者。每日一换膏。毒轻者。贴两三日亦不妨。若贴大
肿毒上膏。先放些麝香、阿魏。然后上此药少许贴之。若要做咬头膏药代针丸。将面糊以竹片拌和做成细条。切作芝麻
粒大小。放膏心中对肿头贴之。此药不可沾在指头上。沾则要疼痛发 退皮。此药陈久者。少痛。性和缓。却要多用些。
如第一次降完。药色不白。可将罐内之药刮净。此药无所用处。只将降于擂盆底内之药刮出。另将水银、火硝、生矾各
五分。食盐二分。并将擂盆内降不透之药。与四味一并研和。从新再入银罐。照根据前法降之。此药若一次降不如法。不
妨两次三次连降。即降至十数次方能降好。计算已有水银五钱在内矣。每次只将银罐刷净。或另换新罐。每次只要用水
银、火硝、生矾各五分。食盐二分。直降到好方止。初起煎时。须要火候得法。若火候不及。则罐中结胎尚嫩。水银尚
活。倒合转来。非连胎坠入擂盆底内。即活水银先流入擂盆底中。若火候太过。结胎太老。非水银先已飞去。即有降不
下之病。总以结胎不嫩不老为度。用 炭火最得法。凡疮毒已穿破。用水炼降药法。新炼出白降丹研细。用元色缎五寸。
将降药筛匀缎上。卷紧以麻线捆扎极紧放瓦铫内。清水煮约一伏时内。换水三次。将缎先取起挂风处阴干。然后打开以
鸡翎埽下。收贮瓷瓶用之。并不痛楚。
一降 水银（六钱） 朱砂（二钱） 雄黄（二钱） 硼砂（二钱） 甘草水煮硝（一两） 绿豆煮白砒（一钱）
青盐（三钱） 制明矾（一两） 食盐（一两） 共研末。用阳城罐装药在内。用火熔化结硬。再将新茶杯合在罐口上。
四围泥固。用铜杓一个。边上画后天
八卦图。内放水六七分。将茶杯放在水内。阳城罐底朝上。四面以瓦合好。上放梗炭。文武火炼三炷香为度。去火候冷
开看。茶杯内药。有七八钱重。刮下研末。同二降再炼。
二降 水银（一钱） 朱砂（一钱） 雄黄（一钱五分） 硼砂（二钱五分） 火硝（一两二钱） 明矾（二两） 皂
矾（二两） 食盐（一两二钱） 同前炼过药。共和为末。同前炼法。炼完再同后炼。
三降 硼砂（二钱） 青黛（四钱） 白砒（一钱五分） 水银（六钱） 明矾（六钱） 同前炼过丹药共研极细。
同前丹炼三降。灵丹俱已炼成。其色雪白。勿见铁器研细。加冰片（五厘） 蟾酥（五厘） 共研极细。瓷罐收贮。勿
令出气。凡遇痔漏 块。将成
药线插在毒内。治一切肿毒。及发背痈疽 块痔漏等毒。以去腐生新。立刻见效。
五色灵药 食盐（五钱） 黑铅（六钱） 枯皂矾 枯白矾 水银 火硝（各二两） 先将盐、铅二味熔化。入水
银结成砂子。
再入二矾、火硝同炒干研细。入铅、汞再研。以不见星为度。入罐内盐泥固济封口。打三炷香。不可太过。又及一宿。
取出视之。其白如雪。约有二两。为火候得中之灵药。如要色紫者。加硫黄（五钱） 要黄者。加明雄黄（五钱） 要
红者。用黑铅（九钱） 水银（一两） 枯白矾（二两） 火硝（三两） 辰砂（四钱） 明雄黄（三钱） 升炼火候。
俱如前法。凡升打灵药。硝要炒燥。
矾要 枯。一方用烧酒煮干炒燥。方研入罐。一法凡打出灵药。倍加石膏和匀。复入新罐内。打一炷香。用之不痛。此
五色灵药。治痈疽诸疮已溃。余腐不尽。新肉不生。撒之最妙。
升打灵药固罐法 用阳城罐。将罐 热。捣大蒜于罐外遍擦之。再 再擦。如是三四次。再以姜醋入罐内荡之煮之。
以干为度。次用黄土二分、煤炭二分。以马毛与盐水。合之固罐。一指浓阴干。裂缝再固。必要完固听用。
升打灵药封口法 入药毕。盖铁盏。用铁丝HT 毕。用石膏、无名异等分。食盐减半。俱 过为极细末。醋调成膏。
次加炭火二三块于盏内。外热以笔蘸药。周遭搽之。随干随搽。以口平为率。一用石膏、生白矾、食盐等分为末。水调
搽之。如前。
金蟾化管丸 水银（三钱） 明雄黄（一两） 以二斤火酒渐煮添。酒尽为度。共乳细。用纸包好。取大虾蟆将药
包入于肚
内。去肠只留肝肺。以线缝好。再用银硝（一两） 白矾（一两） 研匀。入阳城罐内。加水半茶钟。放火上熬令枯干。
罐底取
放地上。再纳虾蟆于内。铁盏盖好。将盐泥固济。升文火二炷香。中火一炷香。武火一炷香。冷定开看盏上灵药。刮下
研细。用蟾酥乳化为丸。如芥子大。阴干。凡一切诸漏有管者。虽弯曲之处。用一丸放膏药上。对管口自入到底方回。
嫩管自化。老管自退。七日见效。如未全退。再用一丸。无不除根。
大红升：辰州大劈砂朱砂（五钱）、明雄黄（五钱）、水银（一两）、火硝（四两）、白矾（一两）、皂矾（六钱）。先将两种矾和火硝研碎，放入大铜勺内，加入一杯火酒炖化。一旦水分干尽即取出研细。另外将水银、朱砂、雄黄研细，直到看不见银色星点为止。再将这些粉末与硝、矾末混合研匀。先将阳城罐用掺有草筋的泥涂抹，手指厚度，阴干。经常轻轻拍打，使其不产生裂纹。搪瓷罐子的泥也可以使用。如果有裂纹，用罐子泥修补至极干燥，再晒至无裂纹，方可装入上述药物。罐口用铁油盏盖定，加上铁梁，盏上下用铁丝扎紧。用棉纸捻成的条状物严密塞住罐口缝隙。外用熟石膏细末，醋调封固盏上。加两块炭火，使盏热，利于罐口封固处变干。用三根大钉子钉在地上，将罐放在钉子上，罐底下放置一块很大的炭火，外围砌百眼炉。燃烧三炷香的时间。第一炷香只用底火，如果火太大则水银会先飞上去；第二炷香用大半罐的火量，用笔蘸水擦拭干净；第三炷香火平罐口，用扇子扇风，频繁用水擦拭干净，不要让它干，干了则水银会先飞上去。三炷香烧完去火，冷却后打开查看，丹药气体充足，在盏上约有六七钱重。刮下研细，用瓷罐盛装备用。事先再用盐卤汁调和罐子稀泥，用笔蘸泥水刷在罐口周围，不要漏气。因为恐怕有绿烟升起，那是水银流失了。绿烟一走，就无用了。此丹治疗一切疮疡溃烂后，拔毒去腐，生肌长肉。若疮口坚硬，肌肉暗紫黑，用少许丹药，用鸡毛帚扫在上面，立刻变得红润鲜活。疡医如果没有红、白两种丹药，很难立刻见效。
大白升：水银、枯皂矾、焰硝、食盐（各一两）。共同研磨至水银不见星点为止。放入阳城罐内，口上用铁油盏盖住，铁丝扎紧。铁盏四周用白绵丝条夹紧，外用五两盐和光粉和泥捣匀擦在罐外。放入百眼炉内，初时用文火一炷香，盏上经常以微水润湿，到三炷香时，改用武火完成。等冷却后打开，取升在盏上颜色白的部分，刮下研细盛放备用。此丹可内服也可外敷。如果疮口有黄水就用此药，无水用红粉霜。一方配方中加入硼砂、黄丹、朱砂、胆矾、雄黄。
附：封罐口神胶方：破砂罐末、草鞋灰、黄泥、倾银药末、烧盐粽子（各一两）。共同研成细末，用盐卤调和胶结丹药，放入乳钵中擂细，用抿子挑起来封住罐口。
小红升：真水银（二两）、净明矾（二两）、提净火硝（二两）。以上三味捣和研匀，安放在铁耳锅内，盖上高深的宫碗，居中平稳。用煨石膏研细，填满碗与锅之间的空隙，用围平锅口的方法封好，放在风炉上，先用文火后用武火，炼制三炷香为度。过夜待冷，用刀刮去封口石膏，轻轻抹平碗壁，将碗揭起，用小刀刮下升丹，颜色或绿或黄或红，分别贮存，用瓷瓶盛装，听候使用。颜色虽然不同，功效则一样。陈放一年的，出尽火气，越陈越好。此药治疗一切疮疡疔肿疖等各种毒症。初起出脓时，用此药掺入疮口，自然能呼脓拔毒。外用膏药覆盖。如果脓腐已去净，另用生肌长肉粉霜。如男子肾囊、女子乳头，以及眼珠上下两角，如果生疮毒，切勿用此丹，恐怕受水银之气伤害，后果难以预测，务必谨慎。
六仙升丹：水银（三两）、火硝（三两）、明矾（五两）、东丹（四两）、轻粉（六钱）、皂矾（一两五钱）。按照红升的方法制作。
白降丹（即夏冰对配丹）：水银、净火硝、白矾、皂矾、炒白盐（各九钱）。以上五味共同研磨至看不见水银星点为止，盛于新的大倾银罐内，用微火熔化，火急则水银上升走炉，须用炭火为妙。熬至罐上无白烟升起，再用竹木枝拨动，没有药屑被拨起为度，则药物吸附在罐底，称为“结胎”。胎成后，用一个大木盆盛水，水中内置一个净铁火盆，水位及铁盆的半腰为度。然后将前面试炼好的胎，连同罐子倒扣在铁盆内的正中位置，用盐卤和黄土封固罐口，不要让气体溢出，溢出即走炉。再用净灰铺在铁盆内，灰的高度及罐腰，将灰按平，不可摇动药罐，恐怕损伤封口，一旦走炉。铺灰完毕，取烧红的栗炭，围绕罐底，用扇子微微扇风，炼制一炷香，称为文火。再稍微用力扇，炼制一炷香，称为武火。炭随少随添，不要间断，看到罐底，再炼一炷香就退火。等到第二天盆炭冷却，用扫帚扫去盆灰，并将封口去掉，打开罐子，铁盆内所有的白霜，就称为丹。用瓷瓶收贮备用，越陈越好。罐内原来的胎，研碎掺入治疗癣疮，效果神奇。如果担心胎结得不老，罐子倒扣在盆内，一遇火炼，胎就会落在铁盆里，就没有丹降下了，这也叫走炉。另一种方法是用铁丝扎成三脚小架，顶住炉内的丹胎，最为稳妥。此丹如果遇到痈疽发背毒等一切恶毒，用一厘左右，用唾液调点在毒顶之上，用膏药盖住。第二天毒根全部拔出，毒顶上结成一块黑肉，三四天后即脱落。再用升药敷在此处，即可收功。此丹可以用蒸粉糕，用水稍微润湿，共和极匀做成细条，晒干收在竹筒内，做成锭子。凡是毒已成管，就约量管的深浅，插入锭子，上面盖膏药。第二天挤脓，如此一两次，其管即化为脓。管尽后再用升药数次，即可收功。此丹比升丹功效快十倍，但性质最猛烈，点毒非常疼痛。用法是用生半夏配合搀杂，再加少许冰片。一方配方中加入辰砂（二钱）、雄黄（二钱）、硼砂（五钱），水银用（一两），其余四味各用一两五钱。
大白降：水银（一两）、青盐（二两）、皂矾（二两）、火硝（二两五钱）、卤砂（三钱）、雄黄（三钱）、辰砂（三钱）、白砒（五分）、明矾（二两）。以上药物共同研匀，放入阳城罐内，微火煨干后，像前面降法那样烧三炷香。等候冷却取药，不要被生人或鸡犬冲撞。此丹凡肿毒未形成脓包者，用醋调点在患处头上，看毒的大小，如桐子大小隆起，毒即消。如果已经成形不肯穿破的，也用此丸，将膏药贴在头上，半天即穿破。
小白降：水银、火硝、生矾（各五分）、食盐（二分）。以上共同研末，放入倾银罐内，放在炭火上，文火煎滚。滚到边上起焦黄色，等到满面都呈焦黄色米色为度。将罐离开火源冷却，再用一个圆正的擂盆，里面要挑选光滑细腻的，将银罐连同药轻轻倒扣在擂盆内，罐口与擂盆缝间，必须用绵纸条墨水润湿，加盐泥封固。然后将擂盆坐于大水盆中，罐底先盖文火，用扇子扇风，先文后武，到五寸线香为度，退去炭火冷却。先扫去罐口外的盐泥，然后开罐取降在擂盆底内的药。药色以洁白如霜者为上品。如果青黄黑色，不可用。或者用银簪脚，与磨亮的刀头，略沾一点唾液，蘸药在上，即刻起锈的为佳。用时用新棉花蘸药，敲些许在膏药上，比升药更要少些。贴后喝两杯热茶的时间，即发痛，半天即止。毒重的，每日一换膏药。毒轻的，贴两三天也无妨。如果贴在大肿毒上的膏药，先放些麝香、阿魏，然后上此药少许贴之。如果要制作咬头膏药代替针丸，将面糊以竹片拌和做成细条，切作芝麻粒大小，放在膏药心中对准肿头贴之。此药不可沾在指头上，沾上要疼痛脱皮。此药陈久的，痛感少，药性温和，却要多用些。如果第一次降完，药色不白，可将罐内的药刮净，此药无所用处，只将降于擂盆底内的药刮出，另外取水银、火硝、生矾各五分，食盐二分，并将擂盆内降不透的药，与这四味一并研和，重新再入银罐，照根据前面的方法降之。此药如果一次降不如法，不妨两次三次连降，即降至十数次方能降好。计算已有水银五钱在内矣。每次只要将银罐刷净，或另换新罐，每次只要用水银、火硝、生矾各五分，食盐二分，直降到好才停止。初起煎时，须要火候得法。如果火候不及，则罐中结胎尚嫩，水银尚活，倒扣过来，不是连胎坠入擂盆底内，就是活水银先流入擂盆底中。如果火候太过，结胎太老，不是水银先已飞去，就是有降不下的毛病。总以结胎不嫩不老为度。用炭火最得法。凡是疮毒已穿破，用水炼降药法：新炼出的白降丹研细，用元色缎五寸，将降药筛匀在缎上，卷紧以麻线捆扎极紧，放瓦铫内，清水煮约一伏时内，换水三次，将缎先取起挂风处阴干，然后打开以鸡毛帚扫下，收贮瓷瓶用之，并不痛楚。
一降：水银（六钱）、朱砂（二钱）、雄黄（二钱）、硼砂（二钱）、甘草水煮硝（一两）、绿豆煮白砒（一钱）、青盐（三钱）、制明矾（一两）、食盐（一两）。共同研末，用阳城罐装药在内，用火熔化结硬，再将新茶杯合在罐口上，四围泥固，用铜杓一个，边上画后天八卦图，内放水六七分，将茶杯放在水内，阳城罐底朝上，四面以瓦合好，上放梗炭，文武火炼三炷香为度，去火冷却开看，茶杯内药，有七八钱重，刮下研末，同二降再炼。
二降：水银（一钱）、朱砂（一钱）、雄黄（一钱五分）、硼砂（二钱五分）、火硝（一两二钱）、明矾（二两）、皂矾（二两）、食盐（一两二钱）。同前炼过的药，共和为末，同前炼法，炼完再同后炼。
三降：硼砂（二钱）、青黛（四钱）、白砒（一钱五分）、水银（六钱）、明矾（六钱）。同前炼过丹药共研极细，同前丹炼三降，灵丹俱已炼成，其色雪白，勿见铁器研细，加冰片（五厘）、蟾酥（五厘）共研极细，瓷罐收贮，勿令出气。凡遇痔漏肿块，将成药线插在毒内，治一切肿毒，及发背痈疽肿块痔漏等毒，以去腐生新，立刻见效。
五色灵药：食盐（五钱）、黑铅（六钱）、枯皂矾、枯白矾、水银、火硝（各二两）。先将盐、铅两味熔化，入水银结成砂子，再入二矾、火硝同炒干研细，入铅、汞再研，以不见星点为度，入罐内盐泥固济封口，打三炷香，不可太过，又及一宿，取出视之，其白如雪，约有二两，为火候得中之灵药。如要色紫者，加硫黄（五钱）；要黄者，加明雄黄（五钱）；要红者，用黑铅（九钱）、水银（一两）、枯白矾（二两）、火硝（三两）、辰砂（四钱）、明雄黄（三钱），升炼火候，俱如前法。凡升打灵药，硝要炒燥，矾要枯。一方用烧酒煮干炒燥，方研入罐。一法凡打出灵药，倍加石膏和匀，复入新罐内，打一炷香，用之不痛。此五色灵药，治痈疽诸疮已溃，余腐不尽，新肉不生，撒之最妙。
升打灵药固罐法：用阳城罐，将罐烧热，捣大蒜于罐外遍擦之，再擦再擦，如是三四次，再以姜醋入罐内荡之煮之，以干为度。次用黄土二分、煤炭二分，以马毛与盐水，合之固罐，一指厚阴干，裂缝再固，必要完固听用。
升打灵药封口法：入药毕，盖铁盏，用铁丝扎毕，用石膏、无名异等分，食盐减半，俱炒过为极细末，醋调成膏，次加炭火二三块于盏内，外热以笔蘸药，周遭搽之，随干随搽，以口平为率。一用石膏、生白矾、食盐等分为末，水调搽之，如前。
金蟾化管丸：水银（三钱）、明雄黄（一两），以二斤火酒渐煮添，酒尽为度，共乳细，用纸包好，取大虾蟆将药包入于肚内，去肠只留肝肺，以线缝好，再用银硝（一两）、白矾（一两）研匀，入阳城罐内，加水半茶钟，放火上熬令枯干，罐底取放地上，再纳虾蟆于内，铁盏盖好，将盐泥固济，升文火二炷香，中火一炷香，武火一炷香，冷定开看盏上灵药，刮下研细，用蟾酥乳化为丸，如芥子大，阴干。凡一切诸漏有管者，虽弯曲之处，用一丸放膏药上，对管口自入到底方回，嫩管自化，老管自退，七日见效。如未全退，再用一丸，无不除根。
Da Hong Sheng (Great Red Ascendant): Chenzhou Da Pi Sha Cinnabar (Wu Qian, 5 qian), Ming Xiong Huang Realgar (Wu Qian, 5 qian), Shuiyin Mercury (Yi Liang, 1 liang), Huoxiao Saltpeter (Si Liang, 4 liang), Bai Fan White Alum (Yi Liang, 1 liang), Zao Fan Green Vitriol (Liu Qian, 6 qian). First, crush the two alums and saltpeter. Place them in a large copper spoon, add one cup of fire wine (high-proof alcohol) and stew until dissolved. Once dry, remove and grind finely. Separately, grind mercury, cinnabar, and realgar until no silver specks are visible. Then mix these powders with the saltpeter and alum powder and grind evenly. Prepare a Yangcheng clay jar by coating it with mud mixed with grass fibers to the thickness of a finger, and dry it in the shade. Gently pat it occasionally to prevent cracks. Mud from enamel jars can also be used. If cracks appear, patch them with jar mud until extremely dry, then sun-dry until crack-free before adding the prepared medicines. Cover the jar mouth with an iron oil lamp lid, secure with an iron beam, and tie tightly above and below the lid with iron wire. Seal the gaps around the jar mouth densely with cotton paper twists. Externally, seal the lid with fine熟 (calcined) gypsum powder mixed with vinegar. Add two pieces of charcoal to heat the lid, aiding the drying of the seal. Place three large nails on the ground and set the jar on them. Place a large piece of charcoal under the jar bottom, and build a "Hundred-Eye Furnace" around it. Burn for three incense sticks' duration. During the first incense stick, use only bottom fire; if the fire is too strong, mercury will ascend prematurely. For the second incense stick, use enough fire to fill half the jar, wiping clean with a water-dipped brush. For the third incense stick, keep the fire level with the jar mouth, fan it, and frequently wipe with water to prevent drying, which would cause premature mercury ascent. After three incense sticks, extinguish the fire. Once cooled, open and check: the medicinal gas should be sufficient, yielding about 6-7 qian of substance on the lid. Scrape this down, grind finely, and store in a porcelain jar. Pre-mix salt brine with thin jar mud, brush this mixture around the jar mouth to prevent gas leakage, as green smoke indicates mercury loss, rendering the preparation useless. This pill treats all post-ulceration sores, extracting toxins, removing necrotic tissue, and promoting flesh regeneration. If the sore opening is hard with dark purple-black flesh, apply a small amount of this pill with a chicken feather brush; it will immediately become red and vibrant. Without Red or White pills, ulcer doctors find it difficult to achieve immediate results.
Da Bai Sheng (Great White Ascendant): Shuiyin Mercury, Ku Zao Fan Calcined Green Vitriol, Yan Xiao Flame Saltpeter, Shiyan Salt (each Yi Liang, 1 liang). Grind together until no mercury specks remain. Place in a Yangcheng jar, cover the mouth with an iron oil lamp lid, and secure tightly with iron wire. Clamp the surroundings of the iron lid with white cotton silk strips. Externally, rub the jar with a paste made of five liang of salt and Guangfen (light powder) mixed with mud. Place in a Hundred-Eye Furnace. Initially use gentle fire (Wen Huo) for one incense stick, keeping the lid moist with slight water application using a brush. By the third incense stick, switch to intense fire (Wu Huo) to complete the process. Wait for cooling, then open and scrape off the white-colored substance that has ascended onto the lid. Grind finely and store. This pill can be taken internally or applied externally. Use this if the sore exudes yellow fluid; use Hong Fen Shuang (Red Powder Frost) if there is no fluid. One formula adds Pengsha Borax, Huang Dan Yellow Lead Oxide, Zhusha Cinnabar, Danfan Blue Vitriol, and Xionghuang Realgar.
Appendix: Shen Jiao Formula for Sealing Jar Mouth: Broken clay jar powder, straw shoe ash, yellow mud, Qingyin medicine powder, Shao Yan Zongzi (burned salt粽子) (each Yi Liang, 1 liang). Grind into fine powder, mix with salt brine to form a glue for the pill, pound finely in a mortar, and use a spatula to seal the jar mouth.
Xiao Hong Sheng (Small Red Ascendant): Zhen Shuiyin True Mercury (Liang, 2 liang), Jing Mingfan Pure White Alum (Liang, 2 liang), Ti Jing Huoxiao Refined Saltpeter (Liang, 2 liang). Crush and grind the three ingredients evenly. Place in an iron pot with ears, cover with a deep palace bowl, ensuring it is centered and stable. Fill the gap between the bowl and pot rim with finely ground Wei Shigao Calcined Gypsum, sealing the pot rim flatly. Place on a wind furnace. Refine using gentle fire initially, then intense fire, for three incense sticks. Leave overnight to cool. Scrape off the sealing gypsum with a knife, gently wipe the bowl walls, lift the bowl, and scrape off the ascended pill with a small knife. The color may be green, yellow, or red; store separately in porcelain bottles. Although colors differ, efficacy is identical. Aged for one year, it loses its fiery nature and becomes better with age. This medicine treats all sores, carbuncles, boils, and various toxic swellings. When pus begins to form at the onset, sprinkle this pill into the sore to promote pus discharge and toxin extraction. Cover with a plaster externally. If pus and necrotic tissue are completely removed, use a separate flesh-regenerating powder. Do not use this pill on the male scrotum, female nipples, or the upper and lower corners of the eyes if sores/toxins arise there, due to the risk of mercury toxicity with unpredictable consequences. Exercise caution.
Liu Xian Sheng Dan (Six Immortals Ascendant Pill): Shuiyin Mercury (San Liang, 3 liang), Huoxiao Saltpeter (San Liang, 3 liang), Mingfan White Alum (Wu Liang, 5 liang), Dongdan Eastern Lead Oxide (Si Liang, 4 liang), Qingfen Calomel (Liu Qian, 6 qian), Zaofan Green Vitriol (Yi Wu Qian, 1.5 liang). Prepare according to the method for Red Ascendant.
Bai Jiang Dan (White Descendant Pill, also known as Xia Bing Dui Pei Dan): Shuiyin Mercury, Jing Huoxiao Pure Saltpeter, Baifan White Alum, Zaofan Green Vitriol, Chao Baiyan Stir-fried White Salt (each Jiu Qian, 9 qian). Grind the five ingredients together until no mercury specks remain. Place in a new large Qingyin (silver-plated) jar. Melt over gentle fire; if the fire is too urgent, mercury will ascend and escape the furnace. Charcoal fire is best. Boil until no white smoke rises from the jar. Stir with a bamboo/wood branch until no medicinal residue lifts, indicating the medicine has adhered to the jar bottom, termed "Jie Tai" (forming the embryo). Once formed, place a large wooden basin filled with water, inside which sit a clean iron fire basin up to its mid-section. Invert the jar containing the formed embryo into the center of the iron basin. Seal the jar mouth with salt brine and yellow earth to prevent gas leakage (leakage causes furnace escape). Spread clean ash in the iron basin up to the jar's waist, leveling it without shaking the jar to avoid damaging the seal. Surround the jar bottom with red-hot chestnut charcoal. Fan gently to refine for one incense stick (Wen Huo/Gentle Fire). Fan slightly harder for another incense stick (Wu Huo/Intense Fire). Add charcoal as needed without interruption until the jar bottom is visible. Refine for one more incense stick, then extinguish. Wait until the next day for the basin charcoal to cool. Sweep away the ash, remove the seal, and open the jar. The white frost collected in the iron basin is the pill. Store in a porcelain bottle; aging improves it. The original embryo remaining in the jar, when ground and sprinkled, is effective for tinea (ringworm). To prevent incomplete embryo formation, if the inverted jar is heated, the embryo may fall into the iron basin, resulting in no descending pill (furnace escape). Alternatively, use an iron wire tripod to support the embryo in the furnace, which is safer. For carbuncles, back sores, and other severe toxins, apply approximately 1 li (0.03g) mixed with saliva to the top of the toxin, cover with a plaster. The next day, the toxin root is extracted, leaving a black fleshy mass on top, which falls off after 3-4 days. Apply ascending pills thereafter to complete healing. This pill can be made into strips using steamed flour cake moistened with water, dried, and stored in bamboo tubes as suppositories. For sinus tracts, insert the strip according to depth, cover with plaster, and squeeze out pus the next day. Repeat once or twice until the tract converts to pus. After the tract is gone, apply ascending pills several times to heal. This pill is ten times faster than ascending pills but is extremely potent and painful. Mix with raw Banxia Pinellia and a little Bingpian Borneol. One formula adds Chen Sha Cinnabar (2 qian), Xionghuang Realgar (2 qian), Pengsha Borax (5 qian); use Shuiyin Mercury (1 liang) and 1.5 liang each of the other four ingredients.
Da Bai Jiang (Great White Descendant): Shuiyin Mercury (Yi Liang, 1 liang), Qingyan Green Salt (Er Liang, 2 liang), Zaofan Green Vitriol (Er Liang, 2 liang), Huoxiao Saltpeter (Er Wu Qian, 2.5 liang), Lusha Halite Sand (San Qian, 3 qian), Xionghuang Realgar (San Qian, 3 qian), Chen Sha Cinnabar (San Qian, 3 qian), Bai Pi White Arsenic (Wu Fen, 0.5 fen), Mingfan White Alum (Er Liang, 2 liang). Grind uniformly, place in a Yangcheng jar, and dry over gentle fire. Descend for three incense sticks as previously described. Cool and retrieve the medicine, avoiding disturbance by strangers, chickens, or dogs. For swelling/toxins not yet formed into abscesses, mix with vinegar and apply to the head of the lesion. If it swells like a tung seed, the toxin dissipates. For formed lesions that refuse to rupture, apply this pill under a plaster on the head; it will rupture in half a day.
Xiao Bai Jiang (Small White Descendant): Shuiyin Mercury, Huoxiao Saltpeter, Shengfan Raw Alum (each Wu Fen, 0.5 fen), Shiyan Salt (Er Fen, 0.2 fen). Grind into powder, place in a Qingyin jar, and boil over charcoal fire with gentle heat. Boil until edges turn scorched yellow, continuing until the entire surface is scorched yellow-beige. Remove from fire and cool. Place a round, smooth grinding basin upside down. Invert the silver jar containing the medicine onto the basin. Wet the seam between the jar mouth and basin with cotton strips dipped in ink, and seal with salt mud. Sit the basin in a large water basin. Apply gentle fire to the jar bottom, fanning gently, transitioning from gentle to intense fire, lasting for five-inch incense sticks. Remove charcoal and cool. Sweep off external salt mud, open the jar, and collect the descended medicine from the basin bottom. The best quality is white and frost-like. Green, yellow, or black colors are unusable. Test with a silver hairpin or polished knife tip dipped in saliva; immediate rusting indicates good quality. Use fresh cotton to dip the medicine, tapping a small amount onto a plaster (less than ascending pills). Pain starts after drinking two cups of hot tea and subsides in half a day. For severe toxins, change the plaster daily; for mild ones, leave for 2-3 days. For large swollen toxins, apply Musk and Asafetida first, then this pill. To make "Bitou" (biting head) plasters replacing needles, mix flour paste with bamboo strips into thin lines, cut into sesame-sized pieces, place in the center of the plaster against the swelling. Avoid contact with fingers as it causes pain and peeling. Older pills are less painful and milder but require larger doses. If the first descent yields non-white medicine, scrape out the jar contents (useless) and collect only the basin residue. Re-grind with fresh Mercury (0.5 fen), Saltpeter (0.5 fen), Raw Alum (0.5 fen), and Salt (0.2 fen), plus any un-descended residue from the basin. Re-enter the silver jar and descend again. Repeat 2-3 times or even ten times until satisfactory. Total mercury used is 5 qian. Clean or replace the jar each time, using only 0.5 fen each of Mercury, Saltpeter, Raw Alum, and 0.2 fen Salt per cycle, until successful. Proper heat control is crucial. Insufficient heat leaves the embryo tender and mercury active, causing it to fall into the basin upon inversion. Excessive heat makes the embryo too old, causing mercury to fly away or fail to descend. The ideal state is an embryo neither too tender nor too old. Charcoal fire is optimal. For perforated sores, use water-refined descending method: Grind newly refined Bai Jiang Dan finely, sieve onto 5 cun of plain silk, roll tightly, bind with hemp thread, and boil in a clay pot with clear water for one shichen (2 hours), changing water three times. Hang the silk to dry in the wind, then brush off the medicine into a porcelain bottle. It causes no pain.
Yi Jiang (First Descent): Shuiyin Mercury (Liu Qian, 6 qian), Zhusha Cinnabar (Er Qian, 2 qian), Xionghuang Realgar (Er Qian, 2 qian), Pengsha Borax (Er Qian, 2 qian), Gancao Shuixiao Nitre (Licorice-boiled Saltpeter) (Yi Liang, 1 liang), Lv Dou Zhu Bai Pi (Mung Bean-boiled White Arsenic) (Yi Qian, 1 qian), Qingyan Green Salt (San Qian, 3 qian), Zhi Mingfan Prepared White Alum (Yi Liang, 1 liang), Shiyan Salt (Yi Liang, 1 liang). Grind into powder, place in a Yangcheng jar, melt and solidify with fire. Cover the jar mouth with a new teacup, seal四周 with mud. Place a copper ladle with Later Heaven Bagua diagram drawn on its edge, filled with 6-7 fen of water. Place the teacup in the water, with the Yangcheng jar upside down on top. Seal sides with tiles, place stem charcoal on top, and refine with alternating gentle/intense fire for three incense sticks. Cool, open, and scrape the 7-8 qian of medicine from the teacup. Grind and mix with Er Jiang for further refining.
Er Jiang (Second Descent): Shuiyin Mercury (Yi Qian, 1 qian), Zhusha Cinnabar (Yi Qian, 1 qian), Xionghuang Realgar (Yi Wu Qian, 1.5 qian), Pengsha Borax (Er Wu Qian, 2.5 qian), Huoxiao Saltpeter (Yi Er Qian, 1.2 liang), Mingfan White Alum (Er Liang, 2 liang), Zaofan Green Vitriol (Er Liang, 2 liang), Shiyan Salt (Yi Er Qian, 1.2 liang). Mix with previously refined powder, grind together, and refine as before. Mix the result with San Jiang for further refining.
San Jiang (Third Descent): Pengsha Borax (Er Qian, 2 qian), Qingdai Indigo Naturalis (Si Qian, 4 qian), Bai Pi White Arsenic (Yi Wu Qian, 1.5 qian), Shuiyin Mercury (Liu Qian, 6 qian), Mingfan White Alum (Liu Qian, 6 qian). Grind finely with previously refined pills. Refine for three descents. The Ling Dan (Spirit Pill) is complete, snow-white. Do not grind with iron tools. Add Bingpian Borneol (Wu Li, 0.05 qian) and Chansu Toad Venom (Wu Li, 0.05 qian), grind finely, and store in a porcelain jar, sealed. For fistulas and lumps, insert the prepared medicine thread into the toxin. Treats all swellings, back carbuncles, and fistulas, removing necrosis and promoting new growth with immediate effect.
Wu Se Ling Yao (Five-Colored Spirit Medicine): Shiyan Salt (Wu Qian, 5 qian), Heiqian Black Lead (Liu Qian, 6 qian), Ku Zao Fan Calcined Green Vitriol, Ku Baifan Calcined White Alum, Shuiyin Mercury, Huoxiao Saltpeter (each Er Liang, 2 liang). Melt salt and lead, add mercury to form sand-like grains. Add the two alums and saltpeter, stir-fry until dry, grind finely. Add lead and mercury, grind again until no specks remain. Place in a jar, seal with salt mud, refine for three incense sticks (not too long), and let stand overnight. The result is snow-white, approx. 2 liang, representing perfect heat control. For purple color, add Liuhuang Sulfur (Wu Qian, 5 qian). For yellow, add Ming Xionghuang Realgar (Wu Qian, 5 qian). For red, use Heiqian Black Lead (Jiu Qian, 9 qian), Shuiyin Mercury (Yi Liang, 1 liang), Ku Baifan Calcined White Alum (Er Liang, 2 liang), Huoxiao Saltpeter (San Liang, 3 liang), Chen Sha Cinnabar (Si Qian, 4 qian), Ming Xionghuang Realgar (San Qian, 3 qian). Refining heat follows previous methods. For spirit pills, saltpeter must be dry-roasted, and alum calcined. One method uses liquor to boil dry and roast before grinding. Another method doubles the gypsum content, mixes well, re-enters a new jar, refines for one incense stick, and results in a non-painful preparation. This Five-Colored Spirit Medicine is excellent for ulcers/carbuncles that have ruptured but retain residual necrosis and lack new flesh growth; sprinkling it is best.
Sheng Da Ling Yao Gu Guan Fa (Method for Securing Jars for Ascending/Beating Spirit Pills): Heat a Yangcheng jar. Rub crushed garlic all over the exterior multiple times (3-4 times). Rinse and boil with ginger-vinegar inside until dry. Secure the jar using a mixture of 2 parts yellow earth, 2 parts coal dust, horsehair, and salt water. Dry to finger-thickness in the shade. Patch cracks and ensure absolute integrity.
Sheng Da Ling Yao Feng Kou Fa (Method for Sealing Mouths for Ascending/Beating Spirit Pills): After loading medicine, cover with an iron lid and secure with wire. Mix equal parts Shigao Gypsum and Wumingyi Hematite, with half amount of Shiyan Salt. Roast all to fine powder, mix with vinegar to form a paste. Add 2-3 pieces of charcoal inside the lid to heat it externally. Brush the paste around the mouth, reapplying as it dries, until level with the rim. Alternatively, use equal parts Shigao Gypsum, Shengbaifan Raw White Alum, and Shiyan Salt, mixed with water and applied similarly.
Jin Chan Hua Guan Wan (Golden Toad Tube-Dissolving Pill): Shuiyin Mercury (San Qian, 3 qian), Ming Xionghuang Realgar (Yi Liang, 1 liang). Slowly add and boil with two jin of fire wine until wine is exhausted. Grind finely, wrap in paper. Take a large toad, insert the medicine packet into its stomach, remove intestines leaving liver/lungs, and sew shut. Grind Yinxiao Silver Nitre (Yi Liang, 1 liang) and Baifan White Alum (Yi Liang, 1 liang) evenly. Place in a Yangcheng jar with half a teacup of water. Boil on fire until dry. Place the jar bottom on the ground. Insert the toad inside. Cover with an iron lid and seal with salt mud. Ascend with gentle fire for two incense sticks, medium fire for one, and intense fire for one. Cool, open, and scrape the spirit pill from the lid. Grind finely. Mix with Chansu Toad Venom to form pills the size of mustard seeds. Dry in shade. For all types of fistulas with tracts, even curved ones, place one pill on a plaster against the tract opening; it will enter to the bottom and return. Young tracts dissolve, old tracts recede. Visible results in seven days. If not fully resolved, apply another pill to eradicate the root.