治疔疮初起一粒，形如粟米，顶白无根，初觉顽木或则微痒，最是恶证。势必肿散腐开
，其毒甚炽，非三仙所能治，则需此散。先用针当头点破半分许，稍稍见血乃用此药少许掺
于疮头上，以清凉薄贴盖之。一日再换，能束肿提脓，并能提出腐肉一块，其韧异常，俗谓
之疔头。此腐一脱，大证皆平，是神丹也。脑疽、发背及其他顽疮，苟有坚韧或粘如筋，或
黑而臭，牵连好肉，镊之不去，皆可以此散轻轻掺在恶肉上，亦能速之使脱。但必预护新肌
，弗沾此药。
斑蝥（七枚，糯米拌炒黄，去米弗用。此米大毒，宜埋土中） 全蝎（漂淡土拌炒干，三
枚） 玄参（炒松弗焦，三钱） 爪儿血竭（研细，去粗硬块，三钱） 乳香 没药（各一钱，取
净末） 上梅
各为细末，和匀密藏。
此方加重斑蝥、全蝎各三倍，另为一料，治代指初起，肿痛无头。用药一二分贴于痛处
，以膏盖之，轻者可退，重者提出速成，可不化大。咽喉痛者，以此药少许，贴于颈外相近
痛处，上以膏盖。一周时揭去，皮有水泡，银簪挑破泄去毒水，喉痛即瘥。近有刊送咽喉异
功散者，即是此方，其应神速。
（此药名各处通行，然药各不同。此则朱氏家传，大有经验者也。）
治大证顽毒，三仙丹不能治。与拔疔散功相近，而提取脓水，威而不猛。大约腐肉不脱
，利于拔疔，并无恶肉，而脓水频仍，经久不愈则宜此丹。
全蝎（制同上方七枚） 蜈蚣（炙大者七条） 蜘蛛（炙大者七个） 甲片（炙七片） 白僵蚕
（炙七条）
霜（净者五钱）
各为极细末，和匀瓷瓶密贮。每用少许掺疮口上，以薄贴盖之。凡虚寒疡患，溃久不敛
及溃后阳虚，恶腐不脱者，亦掺此丹，功在三仙丹之上。
治疗疔疮初起，表现为疮头如粟米大小，顶部发白且无根基，起初感觉麻木或轻微瘙痒，这是最严重的恶证。病情必然会导致肿胀扩散、腐烂破溃，此时毒势非常炽盛，普通的三仙丹无法治愈，需要使用此散剂。先用针在疮头正中刺破约半分许深，稍微见到出血后，取少量此药撒在疮头上，再用清凉性质的薄贴覆盖。每天更换两次，此药能约束肿势、提脓外出，并能带出一块异常坚韧的腐肉，俗称“疔头”。这块腐肉一旦脱落，重症即可平息，堪称神效之丹。对于脑疽、发背以及其他顽固性疮疡，如果有坚韧如筋、黑色发臭、牵连周围健康肌肉、镊子夹不掉的恶肉，都可以将此散剂轻轻撒在恶肉上，也能促使它们迅速脱落。但必须预先保护新生肌肤，避免药物沾染到健康组织。
斑蝥（七枚，用糯米拌炒至黄色，去掉糯米不用。此米毒性极大，应埋入土中处理） 全蝎（漂洗去土味，拌炒干燥，三枚） 玄参（炒至松脆但不焦黑，三钱） 爪儿血竭（研成细粉，去除粗硬块，三钱） 乳香 没药（各一钱，取纯净粉末） 以上药材分别研为细末，混合均匀，密封贮藏。
此方将斑蝥、全蝎的用量增加三倍，另配一味药料，用于治疗代指（手指末端红肿疼痛如指甲盖状）初起，表现为肿痛但无脓头。用药一两分贴在患处，用膏药覆盖，轻症可消退，重症可促使脓液快速形成，可不化大为小。咽喉痛者，取少量此药贴在颈部靠近疼痛处的外部，上面用膏药覆盖。一周后揭去，皮肤会出现水泡，用银簪挑破排出毒水，咽喉痛即痊愈。近来有刊印赠送名为“咽喉异功散”的药物，就是此方，其见效神速。
（此药名各地通用，但配方各不相同。此处为朱氏家传秘方，大有临床经验。）
治疗严重顽固毒邪，三仙丹不能治愈的情况。此方功效与拔疔散相近，但在提取脓液方面，威力大而不猛烈。大致而言，若腐肉未脱，利于使用拔疔散；若无恶肉，但脓水频出，经久不愈，则适宜使用此丹。
全蝎（炮制方法同上方，七枚） 蜈蚣（炙烤大号者七条） 蜘蛛（炙烤大号者七个） 穿山甲片（炙烤七片） 白僵蚕（炙烤七条） 轻粉（纯净者五钱）
以上药材分别研为极细粉末，混合均匀，存入瓷瓶密封保存。每次取少量撒在疮口上，用薄贴覆盖。凡是虚寒型疮疡患者，溃疡日久不愈合，以及溃后阳气虚弱、恶腐肉不脱落者，也可撒此丹，其功效在三仙丹之上。
Treatment for early-stage Ding Chuang (furuncle/carbuncle), presenting as a single lesion resembling a millet seed, with a white apex and no root. Initially, there is a sensation of numbness or slight itching; this is the most malignant syndrome. The condition inevitably leads to swelling dispersion and ulceration, at which point the pathogenic toxin is extremely fierce. It cannot be treated by San Xian Dan (Three Immortals Pill), thus requiring this powder. First, use a needle to puncture the center of the lesion to a depth of approximately half a cun. Once slight bleeding occurs, apply a small amount of this medicine onto the wound surface, covering it with a cool, thin plaster. Change the dressing twice daily. This preparation can confine the swelling, promote pus discharge, and extract a piece of exceptionally tough necrotic tissue, commonly referred to as the "Ding head" (core of the furuncle). Once this necrotic tissue detaches, the severe symptoms subside, making it a miraculous elixir. For Nao Ju (carbuncle on the back of the neck), Fa Bei (back carbuncle), and other stubborn ulcers, if there is tough tissue resembling sinew, or black and foul-smelling tissue adhering to healthy flesh that cannot be removed with forceps, this powder can be gently sprinkled upon the malignant tissue to accelerate its detachment. However, new granulation tissue must be protected beforehand to prevent contact with this medicine.
Ban Mao (Mylabris, seven pieces, stir-fried with glutinous rice until yellow, discard the rice; the rice is highly toxic and should be buried in soil) Quan Xie (Scorpio, washed to remove earthy taste, stir-fried dry, three pieces) Xuan Shen (Radix Scrophulariae, stir-fried until loose but not charred, three qian) Zhua'er Xuejie (Dragon's Blood, ground into fine powder, coarse hard lumps removed, three qian) Ru Xiang (Boswelliae Fructus, one qian) Mo Yao (Myrrhae Resina, one qian; take only the pure powder). Grind all ingredients into fine powders separately, mix evenly, and store tightly sealed.
This formula increases the dosage of Ban Mao and Quan Xie by three times each, prepared as a separate batch, to treat Dai Zhi (infection of the fingertip), characterized by initial swelling and pain without an abscess head. Apply one or two fen of the medicine to the painful area, covered with a plaster. Mild cases may resolve; severe cases will rapidly form pus, avoiding extensive tissue destruction. For sore throat, apply a small amount of this medicine externally on the neck near the painful area, covered with a plaster. After one week, remove the plaster; blisters will appear on the skin. Puncture them with a silver hairpin to drain the toxic fluid, and the sore throat will heal. Recently, a product named Yan Hou Yi Gong San (Throat Extraordinary Efficacy Powder) has been published and distributed, which is essentially this formula, known for its rapid efficacy.
(This medicine name is common in various regions, but the formulations differ. This is a family secret recipe of the Zhu clan, possessing significant clinical experience.)
For treating severe and stubborn toxins where San Xian Dan is ineffective. Its efficacy is similar to Ba Ding San (Furuncle Extraction Powder), but it extracts pus with great power yet mild intensity. Generally, if necrotic tissue has not detached, Ba Ding San is suitable; if there is no malignant tissue but pus flows frequently and the ulcer fails to heal over a long period, this pill is appropriate.
Quan Xie (Scorpio, processed as above, seven pieces) Wu Gong (Scolopendra, roasted, large specimens, seven strips) Zhi Zhu (Spider, roasted, large specimens, seven pieces) Jia Pian (Tartar Testudo, roasted, seven slices) Bai Jiang Can (Bombyx Batryticatus, roasted, seven strips) Shuang (Calomelas, pure substance, five qian). Grind all ingredients into extremely fine powders, mix evenly, and store tightly in porcelain bottles. Use a small amount sprinkled on the wound surface each time, covered with a thin plaster. For patients with deficiency-cold type ulcers, chronic non-healing ulcers, or post-ulceration yang deficiency with failure of malignant tissue to detach, sprinkle this pill; its efficacy surpasses that of San Xian Dan.