咸大温无毒。即室女初通经水中之结块，如樱桃者是也。
发明 红铅，流秽之余。其性大热，峻补命门淫火。陈酒服一枚，少顷蒙昧如醉；若连
服二枚，则邪火内拒，令人暴亡，壮火食气之验也。
咸温小毒。制法∶以香水涤净，酥炙，杵细，入药或煎酒或 末，随证取用。
忌铁器。
发明 脑为髓海，诸阳之会。能辟一切阴邪不正之气，故曰天灵。凡人身中气血安和，
诸邪不能侵犯。阴阳乖戾，则尸疰之气得以乘虚袭入，是即瘵虫之根气也。若其人平昔阳衰
，则虫攻脊脉，脊中淫，淫作痒，隐隐作痛，转侧不能自安，或时凛凛畏寒，或时翕翕发热
，手足四末常轻，脉来弦细乏力，非天灵盖散不能疗之。若其人素禀阴虚，则虫蚀脏腑，胸
中嘈杂如饥，默默不知所苦，无处不苦，动则时咳时呕，静则善寐善忘，面上忽时哄热，脉
来弦劲搏指，此属獭肝丸证，非天灵之所宜。其天灵散方用炙净三指大一片、赤槟榔三枚、
白甘遂、麝香、真安息各三分、阿魏二分、辰砂一分捣罗为散，桃枝煎汤，五更调进一服，
约人行十里顷虫不下，再进一服，天明进第三服，取下虫物，急擒入油铛熬之，其虫嘴黄赤
者，可卜病患，血气未艾，治之可愈。青黑白者，血气已竭，治之难已。然亦得断传染之患
。凡修合勿令病患知，择僻净处，忌鸡、犬、妇人、孝服者见，虫下后，忌肥鲜及盐半月，
白粥调养渐安。若病久不胜甘遂、阿魏等攻逐，只以天灵盖香水涤净，仰置银缶器内，盛以
醇酒，隔水煮一官香，酒耗旋添，候一炷香足，取酒服之，少顷头旋颅胀，瘵虫随呕吐出，
即以烬火燎之，将养三日后，取前盖骨制服如前，虫尽，即以盖骨仍埋旧处。其炙净细末并
治小儿痘疮灰白陷伏不长，烦躁不宁，酒服四五分即起，然皆不得已而用之。至于敷下部疳
，入枯痔散，乃以人之至高之骨置之污下不洁之处，虽极其神验，殊非仁人君子之用心，舍
此岂无他药可治乎。
咸味，性大温，无毒。即处女初次来潮经血中的凝结块状物，形状像樱桃那样。
发明：红铅，是排泄污秽后的残余物。其性质大热，能猛烈补益命门的淫火。用陈年酒送服一枚，不久便神志昏蒙如同醉酒；如果连续服用两枚，则邪火在内抗拒，使人突然死亡，这是“壮火食气”的验证。
咸味，性温，有小毒。制法：用香汤洗涤干净，用酥油炙烤，捣碎成细末，入药时或煎煮、或泡酒、或制成粉末，根据证候选用。
忌用铁器。
发明：脑为髓海，是诸阳经交会之处。（天灵盖）能驱避一切阴邪不正之气，所以称为“天灵”。凡是人体气血平和，各种邪气就不能侵犯。如果阴阳失调，那么尸疰（一种具有传染性的慢性消耗性疾病）之气就能乘虚侵袭，这就是瘵虫（痨虫）的根本气机。如果这个人平素阳气衰弱，那么虫邪攻击脊脉，脊柱中淫邪作痒，隐隐作痛，翻身转动不能安宁，有时凛凛畏寒，有时翕翕发热，手足四肢常感轻弱无力，脉象弦细而乏力，非天灵盖散不能治疗。如果这个人素体阴虚，那么虫邪侵蚀脏腑，胸中嘈杂感觉像饥饿一样，默默不知哪里痛苦，无处不苦，活动时时常咳嗽呕吐，安静时善于睡眠但健忘，面上忽然而起烘热感，脉象弦劲搏指，这属于獭肝丸证的范畴，不适合使用天灵盖。天灵散方剂用炙净的三指宽的一片、赤槟榔三枚、白甘遂、麝香、真安息香各三分、阿魏二分、辰砂一分，捣碎过筛为散剂，用桃枝煎汤，在五更时分调服一剂，大约行人走十里路的时间若虫未排出，再进服一剂，天亮时进服第三剂，排出虫物后，急忙捉入油锅中熬炼，虫嘴呈黄红色的，可以推断病患气血尚未耗尽，治疗可以痊愈；虫嘴呈青黑白颜色的，说明气血已竭，治疗难以治愈。但这也能断绝传染的祸患。凡调制此药不要让病患知道，选择偏僻洁净的地方，忌讳鸡、狗、妇人、穿孝服的人看见，虫排出后，忌讳吃肥腻鲜美食物及盐分半个月，用白粥调养逐渐安定。如果病久身体不能承受甘遂、阿魏等攻逐药物，只用天灵盖用香汤洗涤干净，仰置在银容器中，盛满醇酒，隔水蒸煮一支官香的时间，酒挥发减少时随时添加，等到一支香燃尽，取酒服用，不久头晕颅胀，瘵虫随呕吐而出，立即用灰烬火焰燎烧处理，调养三天后，取前盖骨按上述方法制备成细末，并用于治疗小儿痘疮灰白陷伏不长、烦躁不安，用酒送服四五分即可起效，然而这些都是不得已才使用的。至于敷贴下部疳疮，加入枯痔散中，是将人最高处的骨头置于污下不洁之处，虽然极其神验，殊非仁人君子的用心，除了这个难道没有其他药物可以治疗吗？
Salty, greatly warm, non-toxic. It refers to the clotted masses found in the menstrual blood of a virgin upon her first menstruation, resembling cherries in shape.
Invention: Hongqian (Red Lead) is the residue of excreted filth. Its nature is greatly hot, and it fiercely tonifies the lewd fire of the Mingmen (Gate of Life). Taken with aged wine, one pill causes drowsiness and confusion akin to drunkenness shortly after ingestion; if two pills are taken consecutively, the pathogenic fire rebels internally, leading to sudden death, which serves as verification of the principle that "vigorous fire consumes qi."
Salty, warm, slightly toxic. Preparation method: Wash thoroughly with fragrant water, roast with suet (animal fat), pound into fine powder. For medicinal use, decoct, steep in wine, or take as powder according to the syndrome.
Avoid iron vessels.
Invention: The brain is the sea of marrow and the convergence point of all yang meridians. [Tianlinggai] can repel all yin pathogens and abnormal qi, hence it is called "Tianling" (Heavenly Spirit). When qi and blood in the human body are harmonious, various pathogens cannot invade. If yin and yang are discordant, the qi of Shizhu (a contagious chronic wasting disease) can invade due to deficiency, which constitutes the root qi of Zhaichong (tubercle bacillus/parasite). If a person has chronically deficient yang, the parasite attacks the spinal meridians, causing itching and dull pain in the spine, restlessness when turning over, occasional chills, or slight fever, with weakness in the four extremities, and a wiry, thin, and weak pulse. Only Tianlinggai San (Sky Skull Powder) can treat this. If a person has constitutionally deficient yin, the parasite erodes the zang-fu organs, causing epigastric discomfort resembling hunger, silence without knowing the specific source of suffering, pervasive discomfort, coughing and vomiting during activity, deep sleep and forgetfulness during rest, intermittent facial flushing, and a wiry, forceful pulse beating against the fingers. This belongs to the syndrome treated by Tatan Wan (Beaver Liver Pill), and Tianlinggai is not suitable. The formula for Tianling San uses one piece of roasted Tianlinggai (three finger-widths wide), three pieces of Red Areca Nut (Chibinglang), Bai Gansui (White Kansui Root), She Xiang (Musk), Zhen Anxi Xiang (True Benzoin), Awei (Asafoetida) half part, and Chensha (Cinnabar) one part, pounded and sieved into a powder. Decoct peach branches to make soup, mix with one dose at wugeng (3-5 AM). If parasites are not expelled after walking about five kilometers, administer another dose. At dawn, administer the third dose. Once parasites are expelled, immediately capture them and fry in oil. Parasites with yellow-red mouths indicate that the patient's qi and blood are not yet exhausted, and treatment can be curative. Parasites with blue-black-white mouths indicate exhaustion of qi and blood, making treatment difficult. However, this can also cut off the risk of transmission. When compounding, do not let the patient know. Choose a secluded and clean place. Avoid exposure to chickens, dogs, women, or those wearing mourning clothes. After expulsion, avoid rich, fresh foods and salt for half a month. Recover gradually with white rice porridge. If the illness is prolonged and the body cannot withstand the purgative effects of Gansui and Awei, simply wash the Tianlinggai with fragrant water, place it upside down in a silver vessel, fill with pure wine, and steam over water for the duration of one incense stick. Refill wine as needed. After one incense stick burns out, drink the wine. Shortly thereafter, dizziness and cranial distension occur, and Zhaichong are vomited out. Immediately scorch them with embers. After recuperating for three days, prepare the skull bone powder as described above. This powder also treats infantile smallpox presenting as grayish-white, depressed, and unerupted lesions, accompanied by irritability and restlessness. Administer 4-5 fen with wine to induce eruption. However, these are measures of last resort. As for applying it to genital chancre or incorporating it into Kuzhi San (Hemorrhoid Caustic Powder), placing the highest bone of the human body in filthy and unclean places, although extremely effective, is contrary to the mindset of benevolent gentlemen. Is there no other medicine available for treatment?