治风热痰壅、 腮、发颐、时毒、痰核、瘰 及咽喉肿痛腐烂、肺痈、胃痈咯吐脓血诸证。
象山贝母（六两） 关西牛黄（五钱） 透明腰黄（二两）
以上各为极细末，以好黄酒化陈胆星，杵和为丸如大豆，辰砂为衣。密收弗透空气，弗
用锻石同藏。每服三、五、七丸，细嚼缓咽下。
【方解】 此丸主治各证，无一非风热结痰，凝聚不化。方中清热解毒，开泄痰
壅，重
兼用风药，反以煽动痰热助之上扬，必有流弊。此制方之深意，非缺点也。五倍之涩亦以火
焰方张，防其四散走窜，丸子之与煎剂所以不同之处亦在此。若以五倍用入煎药，即是大谬
治疗疮大毒，火焰方张；大便不行者用之。地道一通，其势自缓。
明雄黄（一两） 生锦纹（二两） 巴豆霜（拣取白肉纸色，压去油涂四两）
以上三味各为细末，少加飞面五、六钱，米醋同杵为丸如凤仙子大，每服五丸至七丸，
最重证不过十二丸，不可多用。温开水吞。泄一二次，预备绿豆清汤冷冻饮料数口即止。虚人孕
妇勿用。小儿痰食实证，发热大便不通者，每用二、三丸，杵细饲之，泄一次即愈。
【方解】 疔毒皆实热证。地道壅塞，是以火焰上凌，其毒益炽。是方即仲景备
急丸之
，针锋相对。小儿亦可用之者，惟其大实大壅，故可下夺，且所服无多，不嫌其厉。京都有
盛行之保赤散，即是巴霜、朱砂。世皆知其有功，而不识中是何物。若使明告以方，当无不
骇为可怪。须知每服不过一厘，自不为害，但不可频用以伤脾胃耳。近年沪上某儿医，亦自
制有幼科通治之某某丹。颐曾见其药，色亦微红，当即是京都之物。某君于幼科颇负时名，
经验已富，而亦用此。当可知是药之不致贻祸矣。
治疗风热痰浊壅盛、腮部肿痛（痄腮）、发颐（耳后或颈侧肿毒）、时行疫毒、痰核（皮下结节）、瘰疬（颈部淋巴结结核）以及咽喉肿痛溃烂、肺痈（肺部化脓性感染）、胃痈（胃部化脓性感染）咯吐脓血等各种证候。
将以上各药研磨成极细粉末，用优质黄酒化开陈胆星（天南星经牛胆汁拌制后的炮制品），捣匀和合制成如大豆大小的丸剂，以辰砂（朱砂）为衣。密封保存以防空气透入，不可与锻石（煅石膏等矿物药）同藏。每次服用三、五、七丸，细细咀嚼后缓缓咽下。
【方解】此丸主治的各种证候，无一不是风热结聚痰浊，凝聚而不消散。方中采用清热解毒、开泄痰浊壅滞的方法，同时重用祛风药物，反而煽动痰热助其上扬，这必然会有流弊。这是制方的深意所在，并非缺点。五倍子的收敛涩滞之性，也是为了在火势正旺之时，防止病邪四处扩散走窜，丸剂与煎剂的不同之处也正在于此。若将五倍子用于煎药，那就是极大的谬误。
治疗疮疡大毒，火势正旺；大便不通者使用此方。肠道通畅后，病势自然缓解。
明雄黄（一两） 生锦纹（大黄，二两） 巴豆霜（选取白色肉质部分，压榨去油至四两）
将以上三味药分别研成细末，加入少量飞面（精制面粉）五、六钱，用米醋共同捣匀制成如凤仙子（牵牛子）大小的丸剂，每次服用五丸至七丸，最严重的病症不超过十二丸，不可多用。用温开水吞服。腹泻一两次后，预备几口冷冻的绿豆清汤即可止泻。体虚者和孕妇禁用。小儿痰食实证，发热且大便不通者，每次用二、三丸，研细喂食，腹泻一次即可痊愈。
【方解】疔疮毒邪皆属实热证。肠道壅塞不通，导致火热上凌，毒势更加炽盛。此方即张仲景《金匮要略》中备急丸的对应方剂，针锋相对。小儿也可以使用此方，是因为病情属于大实大壅，所以可以采用攻下夺邪的方法，且服药量不多，不嫌其药力猛烈。京都地区盛行的保赤散，就是由巴豆霜和朱砂组成。世人皆知其功效，却不知其中成分为何。如果明确告知其配方，应当无不惊骇认为怪异。须知每次服用不过一厘（极微量），自然不会造成伤害，只是不可频繁使用以免损伤脾胃罢了。近年来上海某位儿科医生，也自制有儿科通治的某某丹。我曾见过他的药，颜色也微红，应当就是京都的那种药物。这位先生在儿科颇负当时名声，经验丰富，也使用此药。由此可知该药不会造成祸害。
To treat conditions such as wind-heat with phlegm turbidity obstructing the interior, mumps (Zhang Sanlei's term for parotitis), erysipelas of the neck/face, epidemic toxic heat, phlegma nodules (subcutaneous nodules), scrofula (tuberculous lymphadenitis of the neck), swelling and pain with ulceration of the throat, lung abscess (pulmonary suppurative infection), stomach abscess (gastric suppurative infection) with expectoration of pus and blood, and various other syndromes.
Xiangshan Fumu (Fritillariae Thunbergii Bulbus, 6 liang) Guanxi Niuhuang (Bovis Calculus, 5 qian) Touming Yaohuang (Realgar from Yaozhou, 2 liang)
Grind each of the above into an extremely fine powder. Dissolve Chendanxing (Arisaema cum Bile, prepared with bovine bile) in good yellow wine, pound and mix to form pills the size of soybeans, coated with Chen sha (Cinnabar). Store tightly sealed to prevent air penetration; do not store together with Duanshi (calcined minerals). Take 3, 5, or 7 pills per dose, chew thoroughly, and swallow slowly.
[Formula Analysis] The various syndromes treated by this pill are all caused by wind-heat binding with phlegm, condensing and failing to dissipate. The formula employs methods to clear heat and detoxify, and to open up phlegm obstruction. It heavily uses wind-dispelling herbs, which might seem to stir up phlegm-heat and assist its upward movement, inevitably leading to adverse effects. This is the profound intent of the formula formulation, not a defect. The astringent property of Wu beizi (Galla Chinensis) is used to prevent the pathogenic factors from scattering and wandering when the fire-heat is at its peak. This is also the key difference between pills and decoctions. If Wu beizi were used in a decoction, it would be a major error.
For treating severe sores with great toxicity where fire-heat is raging, and constipation is present, use this formula. Once the bowel movements are unblocked, the pathological momentum will naturally subside.
Ming Xionghuang (Realgar, 1 liang) Sheng Jinwen (Rhei Radix et Rhizoma, raw, 2 liang) Badou Shuang (Crotonis Fructus Frost, extracted white flesh, oil pressed out, 4 liang)
Grind the above three ingredients into fine powders separately. Add a small amount of Feimian (refined wheat flour), 5-6 qian, and pound together with rice vinegar to form pills the size of Fengxianzi (Pharbitidis Semen). Take 5 to 7 pills per dose. For the most severe cases, do not exceed 12 pills; do not use more. Swallow with warm boiled water. After one or two episodes of diarrhea, prepare several mouthfuls of cold Menvdou Qingtang (mung bean clear soup) to stop the diarrhea. Contraindicated for persons with deficiency and pregnant women. For children with excess syndrome of phlegm and food retention, presenting with fever and constipation, use 2-3 pills per dose, grind finely and feed. One episode of diarrhea leads to cure.
[Formula Analysis] Ding du (carbuncle toxins) all belong to excess-heat syndromes. Obstruction of the intestinal pathway causes fire-heat to rush upward, making the toxicity even more intense. This formula corresponds directly to Beiji Wan (Emergency Rescue Pill) by Zhang Zhongjing, addressing the condition head-on. Children can also use this formula because their condition involves extreme excess and obstruction, allowing for purgative therapy to drain the pathogen. Moreover, the dosage is small, so the harshness of the medicine is not a concern. Baochi San (Infant Protection Powder), popular in Kyoto, consists of Badou Shuang (Croton frost) and Zhusha (Cinnabar). People know its efficacy but do not recognize its ingredients. If the formula were explicitly revealed, people would likely be shocked and consider it strange. Note that taking only one li (an extremely small unit) per dose causes no harm; the caution is against frequent use which could damage the Spleen and Stomach. In recent years, a certain pediatrician in Shanghai also self-prepared a generic pediatric pill named [Redacted] Dan. I have seen his medicine; it is slightly red in color and should be the same as the product from Kyoto. This gentleman is well-known in pediatrics and has rich experience, yet he also uses this medicine. This indicates that the medicine does not cause disaster.