气微寒，味苦甘，无毒。主安五脏，止疝气，去惊烦。排脓消肿，其功甚捷。益肺补肝，
其效若神。童便制，治痰之邪热无比。玄参佐之，散浮风瘙痒何难。易老用之以代人参，良
有以也。但甘则补五脏之阳，苦则补五脏之阴。反藜芦，恶防己。
气微温，味苦涩。疗头面风，消诸痈肿，长筋骨而悦颜色，益气力而止心疼。久服添精，
令人有子。与血药同用，能黑须发。与利药同用，能收痘疮。佐白芷，又止痘疮作痒。君寄
生，又驱风疾作痛。大都多年肥大者为美。忌萝菔。
气温，味辛，有小毒。主治诸般肿毒恶疮，能引诸品直至溃处，外科之圣药也。凡痈疽
未破者，能引之以开窍，已破者，能引之以排脓。又诸恶疮癣痘毒，及属风中之必用也。盖
皂荚气味辛畅，而有小毒，故能引至毒处而疏散之，且能通气导痰，又敷肿即除，搐鼻即嚏，
皆
气微寒。主五邪惊啼悲伤，消痈疽肿毒疮癞。同木通夏枯草捣末酒调，治乳奶肿痛。佐
皮条黄芩研细汤送。止痔 来血。以柴胡为君，又能却暑结之疟邪。以大力子为君，又能
透痈疽之头点。何者？盖此物遇土穿土，遇水穿水，遇山穿山，故入药用之，取其穿经络于
荣分之意也。如诸毒发不出，及无头点者，用山甲炙同皂荚刺连翘节草白芷大力子桔梗苦参
等分，煎服，须臾汗出，未成者即消，已成者即透。
第一段：
沙参。药性微寒，味道苦、甘，无毒。主要功效是安定五脏，治疗疝气，消除惊恐烦躁。具有排出脓液、消除肿胀的功效，作用非常迅速。能够补益肺脏、滋养肝脏，效果神奇如神。用童便炮制后，治疗痰热邪气的效果无与伦比。与玄参配伍使用，疏散风热引起的皮肤瘙痒并不困难。易老（张元素）用它来代替人参，确实是有道理的。但是，甘味能补益五脏的阳气，苦味能补益五脏的阴气。反藜芦，畏防己。
第二段：
穿山甲。药性微温，味道苦、涩。治疗头面部的风邪，消除各种痈肿，强壮筋骨并美化容颜，益气力并缓解心痛。长期服用能增添精气，使人容易生育。与补血药同用，能使胡须头发变黑。与利尿药同用，能促进痘疮愈合结痂。佐以白芷，又能止住痘疮瘙痒。君药为寄生（桑寄生），又能驱除风疾引起的疼痛。大体上以多年生长、体型肥大的为佳。忌食萝卜。
第三段：
皂荚刺。药性温，味道辛，有小毒。主治各种肿毒恶疮，能引导其他药物直达溃烂之处，是外科的圣药。凡是痈疽尚未破溃的，能引导它开窍；已经破溃的，能引导它排脓。又是治疗各种恶疮、癣疾、痘毒以及属于风邪侵袭病症的必用药材。大概因为皂荚气味辛散通畅，且有小毒，所以能引药至毒处并疏散之，而且能通气导痰，敷于肿胀处即消退，搐入鼻腔即打喷嚏，这些都是……
第四段：
穿山甲（此处原文似有重复或指代另一角度，结合上下文“遇土穿土”等描述，实为对穿山甲特性的进一步阐述，但原文开头写“气微寒”，这与前文“气微温”矛盾，通常穿山甲性微寒或平，此处依原文翻译）。药性微寒。主治五邪引起的惊啼悲伤，消除痈疽肿毒疮癞。与木通、夏枯草捣成粉末，用酒调服，治疗乳房肿痛。佐以皮条黄芩研细，用汤送服，止住痔疮出血。以柴胡为君药，又能祛除暑热郁结引起的疟邪。以牛蒡子为君药，又能透发痈疽的头点。为什么呢？因为这个东西遇到泥土能穿透泥土，遇到水能穿透水，遇到山能穿透山，所以入药使用，是取它穿透经络进入营分的意思。如果各种毒邪发不出来，以及没有头点的，用炙穿山甲与皂荚刺、连翘节、白芷、牛蒡子、桔梗、苦参等分，煎服，不久就会出汗，未形成的毒疮就会消散，已形成的就会透发。
Paragraph 1:
Sha Shen (Glehniae Radix). The medicinal property is slightly cold, the taste is bitter and sweet, and it is non-toxic. It primarily calms the five Zang organs, treats hernia, and eliminates fright and restlessness. Its efficacy in discharging pus and reducing swelling is very rapid. It benefits the lungs and nourishes the liver, with effects as miraculous as divine intervention. When processed with child’s urine, its ability to treat pathogenic heat from phlegm is unparalleled. When combined with Xuan Shen (Scrophulariae Radix), dispelling floating wind-induced pruritus is not difficult. Yi Lao (Zhang Yuansu) used it to replace Ren Shen (Ginseng Radix et Rhizoma), which is indeed well-founded. However, the sweet flavor tonifies the Yang Qi of the five Zang organs, while the bitter flavor tonifies their Yin. It is incompatible with Li Lu (Veratri Radix) and adverse to Fang Ji (Stephaniae Tetrandrae Radix).
Paragraph 2:
Chuan Shan Jia (Pangolin Scales). The medicinal property is slightly warm, the taste is bitter and astringent. It treats wind pathogens affecting the head and face, dissipates various carbuncles and swellings, strengthens bones and tendons, enhances complexion, boosts Qi and strength, and alleviates heart pain. Long-term consumption replenishes essence and promotes fertility. When used with blood-invigorating herbs, it can darken beard and hair. When used with diuretic herbs, it aids in the resolution of smallpox lesions. When assisted by Bai Zhi (Angelicae Dahuricae Radix), it stops itching from smallpox lesions. When used as the sovereign herb with Sang Ji Sheng (Taxilli Herba), it expels wind-diseases causing pain. Generally, those that are old, large, and plump are considered superior. Radish should be avoided.
Paragraph 3:
Zao Jia Ci (Gleditsiae Sinensis Spina). The medicinal property is warm, the taste is pungent, and it has slight toxicity. It mainly treats various types of swollen toxins and malignant sores. It can guide other herbs directly to the ulcerated site, making it a sacred medicine for external surgery. For carbuncles and furuncles that have not yet ruptured, it guides the treatment to open the orifices; for those already ruptured, it guides the treatment to discharge pus. It is also an essential herb for treating various malignant sores, tinea, smallpox toxins, and conditions caused by wind invasion. This is because Zao Jia (Gleditsiae Fructus) has a pungent and diffusing aroma and slight toxicity, allowing it to lead medication to toxic sites to dissipate them. It can also promote Qi circulation and guide out phlegm; applied to swelling, it reduces it immediately; insufflated into the nose, it induces sneezing. These are all...
Paragraph 4:
Chuan Shan Jia (Pangolin Scales). [Note: Text states "slightly cold", contrasting with previous "slightly warm"]. It mainly treats fright, crying, and sorrow caused by the five pathogenic factors, and dissipates carbuncles, furuncles, swollen toxins, sores, and leprosy. When crushed together with Mu Tong (Akebiae Caulis) and Xia Ku Cao (Prunellae Spica) and taken with wine, it treats breast swelling and pain. When assisted by Pi Tiao Huang Qin (Scutellariae Radix prepared in a specific manner) ground into fine powder and taken with decoction, it stops bleeding from hemorrhoids. When used as the sovereign herb with Chai Hu (Bupleuri Radix), it can resolve malarial pathogens caused by summer-heat stagnation. When used as the sovereign herb with Niu Bang Zi (Arctii Fructus), it can penetrate the heads of carbuncles and furuncles. Why? Because this substance penetrates soil when encountering earth, water when encountering water, and mountains when encountering mountains. Therefore, it is used in medicine to take advantage of its ability to penetrate meridians and enter the Ying (Nutritive) level. If various toxins fail to erupt or lack a visible head, use roasted Chuan Shan Jia in equal parts with Zao Jia Ci (Gleditsiae Sinensis Spina), Lian Qiao (Forsythiae Fructus) nodes, Bai Zhi (Angelicae Dahuricae Radix), Niu Bang Zi (Arctii Fructus), Jie Geng (Platycodonis Radix), and Ku Shen (Sophorae Flavescentis Radix). Decoct and administer; sweat will appear shortly. Unformed abscesses will dissipate, and formed ones will rupture.