蝉壳，禀木土之余气化而成形，其飞鸣又得风露之清气，故能入肝风散热，主小
儿壮热，惊痫，主妇人生子不下者，其取蜕脱之义，其鸣清响。能发音声，其性善蜕，
能脱翳障，其体轻浮，能发疮疹，其味甘寒，能除风热。及皮肤风热，天吊惊哭夜啼等症也。
蚱蝉，治产妇胎衣不下，通乳堕胎。主小儿惊痫夜啼，驱邪逐热。蝉花乃生壳顶
上，状类花冠，止天吊螈 ，心悸怔忡。蝉
蜕，系脱换薄壳，去翳膜侵睛。 肉满 ，取性之善脱也。疗哑病夜啼，取昼鸣夜息
也，善发痘疹，取轻浮易透肌肤也，疗壮热惊痫，取味甘咸而寒，可散风热也。
主治（痘疹合参） 蝉蜕，能发痘疹不快，解毒而退风热，兼能明目，又治风气客
于皮肤，搔痒不止，凡红紫热甚者可用，寒症忌之，又曰不论寒热虚实皆可用，头面痘
不起用头，足不起用足，身不起用身，乃退热止痒之圣药也。倒陷黑陷者，便可酒洗研
末，汤调服之，兼参 同用，则虚痒自愈。但能润肌滑窍，多服恐泄元气，以致表虚。
夫蚕属阳，其僵者又兼金水之化，故味咸、辛、气微温、无毒，入足厥阴，手太
阴。少阳经。辛能祛散风寒，温能通行血脉，辛温复能散风燥湿，所以入脏而疗痛中
阴痒，风痰结滞喉痹，口噤中风痰壅。惊痫夜啼，在皮肤而疗疔肿诸疮，黑 ，瘢痕，
面色令好，内而痰结，外而皮肤，为血为痰为风为湿为热，一切诸症也。一蚕蜕，如蝉
蜕、蛇蜕之类各因其本质以为用，且得蚕气之余，故能治血风诸病，血热则生风，妇人
以血为主，故尤益妇人也。近世以之疗痘疹，去目中翳障，其义犹蝉蜕也。原蚕砂，
即晚蚕所出屎也。味辛甘、气温、无毒。肠鸣者，水火相触也，甘以和之，消渴者，中
气燥热也，辛以润之，蚕属火，食而不饮，故其性燥，燥能胜湿祛风，故用以炒黄，袋
盛浸酒，去风缓不随，皮肤顽痹，腹内宿冷瘀血，腰脚冷痛，炒热熨偏风筋骨瘫痪等
症。原蚕蛾，乃是晚蚕第一番出者，其子再复出者，为二蚕，此二蚕之种，其蛾性最
淫，出茧便媾，味咸，气温热。故能强阴益精，令交接不倦也。《日华子》，主壮阳事，
止泄精尿血，暖水脏，盖取其性淫，助阳，咸温，入肾之功耳。故《千金方》治丈夫阴
痿不起，未连蚕蛾二升，去头翅足，炒为细末，蜜丸如梧桐子大，每夜服二丸，可御十女，须以菖蒲酒止之。
白僵蚕，逐风温殊功，口噤失音必用，拔疔毒极效，肿突几危急敷，中风痰壅，四
肢搐搦，皮肤风痒。瘰 诸疮，小儿惊痫夜啼，妇人崩中赤白，止阴痒，灭黑 诸疮瘢
痕，面色令好，散风痰，结滞痰块，托痘疮喉痹使开，驱分娩罢余痛，解伤寒后阴易。
原蚕蛾系二蚕者，其性最淫，出茧便媾，取未交雄者佳，入药微火炒黄，任合丸散，强
阴痿，交接不倦，益精气禁固难来，健于媾精，敏于生育，敷诸疮灭瘢，止尿血暖肾。
蚕砂，即屎。治湿痹瘾疹瘫风，主肠鸣热中消渴，炒黄浸酒，治风湿为疾，麻油调敷，
治烂弦风眼，蚕退，用宜烧灰，多治血风，甚益女妇，止带漏崩中，赤白痢疾，除肠风
下血，吐衄鼻洪疔胀，取灰敷牙疳，加麝贴牙宣，灰擦齿上口疮，灰敷患间，又治邪崇
风癫，灰调酒下立愈。蚕茧，烧灰酒下，立使肿痈透孔，一茧一孔，功同茅针，若煎汤
液服之，杀虫止泻并效。缫丝汤，瓮埋土内年深，消渴病来急宜取饮，引清气上朝口舌，降相火下泄膀胱。
主治（痘疹合参） 白僵蚕，属火，有土与木，得金气僵而不化，须白色成条，酒
净炒用。治凉风痰热，四肢搐搦，除风热，解毒发痘，和血贯浆定疡，拔疔毒极效。
蝉壳，禀受木土之余气而化生成形，其飞翔鸣叫又得风露的清气，因此能入肝经以祛风散热，主治小儿高热、惊痫；主治妇女难产（胎盘不下），这是取它蜕壳脱落的寓意。它的鸣叫声清脆响亮，能发声；其性质善于蜕变，能去除眼部翳障；其体轻浮，能透发疮疹；其味甘寒，能清除风热。以及皮肤风热、天吊惊哭、夜间啼哭等症状。
蚱蝉，治疗产妇胎衣不下，通乳并堕胎。主治小儿惊痫、夜间啼哭，驱除邪气、逐退热邪。蝉花生长在壳顶上，形状像花冠，可止天吊抽搐、心悸怔忡。蝉蜕，是蝉脱换下的薄壳，用于去除侵及眼球的翳膜。肉满（指蝉蜕内充实的部分），取它善于蜕变的特性。治疗失音和夜间啼哭，取它白天鸣叫、夜晚休息的特性；善于透发痘疹，取它轻浮易透肌肤的特性；治疗高热惊痫，取它味甘咸而性寒，可以疏散风热的特性。
主治（痘疹合参）：蝉蜕能透发痘疹出不畅，解毒并退风热，兼能明目，又治风气客于皮肤引起的瘙痒不止，凡是红紫热甚者可用，寒症忌用。又说无论寒热虚实皆可用，头面部的痘疹不起用蝉头，足部不起用蝉足，身体不起用蝉身，这是退热止痒的圣药。倒陷黑陷者，可用酒洗后研末，汤剂调服，兼用人参同用，则虚痒自愈。但蝉蜕只能润肌滑窍，多服恐怕泄耗元气，导致表虚。
蚕属阳，其僵化的尸体又兼有金水之化，所以味咸、辛，气微温，无毒，入足厥阴肝经、手太阴肺经、少阳胆经。辛能祛散风寒，温能通行血脉，辛温又能散风燥湿，所以入脏而治疗痛中阴痒、风痰结滞导致的喉痹、口噤中风痰壅、惊痫夜啼；在皮肤则治疗疔肿诸疮、黑痣、瘢痕，使面色红润；在内则治痰结，在外则治因血、痰、风、湿、热引起的一切诸症。一蚕蜕（指蚕蜕皮），如蝉蜕、蛇蜕之类，各因其本质发挥作用，且得蚕气之余，所以能治血风诸病。血热则生风，妇人以血为主，所以尤其有益于妇人。近世用它治疗痘疹，去除目中翳障，其义理与蝉蜕相同。原蚕砂，即晚蚕排出的粪便。味辛甘，气温，无毒。肠鸣，是水火相触所致，甘味能和缓之；消渴，是中气燥热所致，辛味能润之。蚕属火，只吃桑叶不饮水，所以其性燥，燥能胜湿祛风，故用以炒黄，袋盛浸酒，去风缓急不遂、皮肤顽痹、腹内宿冷瘀血、腰脚冷痛，炒热熨敷偏风筋骨瘫痪等症。原蚕蛾，乃是晚蚕第一番出来的，它的后代再出来，称为二蚕。这二蚕的种类，其蛾性最淫乱，出茧便交配，味咸，气温热。所以能强阴益精，让人性交不倦。《日华子》记载，主治壮阳事，止泄精尿血，暖水脏，大概是取其性淫、助阳、咸温、入肾的功效罢了。所以《千金方》治疗丈夫阳痿不起，用连蚕蛾二升，去掉头翅足，炒为细末，蜜丸如梧桐子大，每晚服二丸，可御十女，须用菖蒲酒来制止（防止过度）。
白僵蚕，驱逐风温有特殊功效，口噤失音必用，拔疔毒极效，肿突几危急时外敷，中风痰壅、四肢搐搦、皮肤风痒、瘰疬诸疮、小儿惊痫夜啼、妇人崩中赤白带下、止阴痒、灭黑痣诸疮瘢痕、使面色红润、散风痰、结滞痰块、托痘疮喉痹使其开放、驱分娩罢余痛、解伤寒后阴易。
原蚕蛾系二蚕者，其性最淫乱，出茧便交配，取未交配的雄者佳，入药用微火炒黄，任合丸散，治阳痿，性交不倦，益精气禁固难来，健于媾精，敏于生育，敷诸疮灭瘢，止尿血暖肾。
蚕砂，即粪便。治湿痹瘾疹瘫风，主肠鸣热中消渴，炒黄浸酒，治风湿为疾，麻油调敷，治烂弦风眼。蚕退（蚕蜕皮），用宜烧灰，多治血风，甚益妇女，止带漏崩中、赤白痢疾、除肠风下血、吐衄鼻洪疔胀，取灰敷牙疳，加麝香贴牙宣，灰擦齿上口疮，灰敷患处，又治邪祟风癫，灰调酒下立愈。蚕茧，烧灰酒下，立使肿痈透孔，一茧一孔，功同茅针，若煎汤液服之，杀虫止泻并效。缫丝汤，瓮埋土内年深，消渴病来急宜取饮，引清气上朝口舌，降相火下泄膀胱。
主治（痘疹合参）：白僵蚕，属火，有土与木，得金气僵而不化，须白色成条，酒净炒用。治凉风痰热，四肢搐搦，除风热，解毒发痘，和血贯浆定疡，拔疔毒极效。
Cicada slough (Chan Ke) is formed by inheriting the residual Qi of Wood and Earth. Its flying and chirping obtain the clear Qi of wind and dew; therefore, it can enter the Liver channel to dispel wind and dissipate heat. It treats infantile high fever (Xiao'er Zhuang Re) and convulsive epilepsy (Jing Xian). It treats difficult labor in women (placenta retention), taking advantage of its symbolism of shedding and molting. Its chirping is clear and resonant, enabling voice production. Its nature is good at molting, enabling it to remove eye nebula (Yi Zhang). Its body is light and floating, enabling it to vent carbuncles and rashes. Its taste is sweet and cold, enabling it to eliminate wind-heat. It treats skin wind-heat, Tian Diao (convulsive crying), night crying, and other symptoms.
Cha Chan (Grasshopper Cicada) treats placental retention in postpartum women, promotes lactation, and induces abortion. It treats infantile convulsive epilepsy and night crying, driving out evil and expelling heat. Chan Hua (Cicada Flower) grows on top of the shell, resembling a flower crown, stopping Tian Diao convulsions, palpitations, and anxiety. Chan Tui (Cicada Slough) is the thin shell shed by the cicada, used to remove nebula invading the eye. The flesh-filled part takes advantage of its nature of good molting. Treating aphonia and night crying takes advantage of its day-chirping and night-resting nature. Good at venting smallpox/rashes takes advantage of its lightness and ease of penetrating the skin. Treating high fever and convulsive epilepsy takes advantage of its sweet, salty, and cold nature, which can disperse wind-heat.
Main Indications (Integrating Smallpox and Rashes): Cicada slough can vent unsmooth smallpox/rashes, detoxify, and dissipate wind-heat. It also brightens the eyes and treats itching caused by wind pathogen lodging in the skin. It can be used for severe redness, purple color, and heat; it is contraindicated in cold syndromes. It is also said that it can be used regardless of cold, heat, deficiency, or excess. For smallpox/rashes not rising on the head and face, use the head; on the feet, use the foot; on the body, use the body. It is a holy medicine for reducing heat and stopping itching. For inverted or black depressed lesions, wash with wine, grind into powder, and take mixed with decoction. Combined with Ginseng (Renshen), deficiency-related itching will heal spontaneously. However, it only moistens the skin and lubricates orifices; excessive use may leak Yuan Qi, leading to exterior deficiency.
Silkworm belongs to Yang. Its stiffened corpse combines the transformation of Metal and Water. Therefore, it tastes salty and pungent, has a slightly warm nature, and is non-toxic. It enters the Foot Jueyin (Liver), Hand Taiyin (Lung), and Shaoyang channels. Pungency can disperse wind-cold; warmth can unblock blood vessels. Pungency and warmth together can disperse wind and dry dampness. Thus, entering the Zang organs, it treats yin itching in pain, phlegm-wind stagnation causing throat obstruction (Hou Bi), mouth locking (Kou Jin), stroke with phlegm congestion, convulsive epilepsy, and night crying. On the skin, it treats ding sores and various ulcers, black nevi, and scars, improving complexion. Internally, it treats phlegm accumulation; externally, it treats all conditions caused by blood, phlegm, wind, dampness, and heat. Silkworm slough, like cicada slough and snake slough, functions according to its essence and benefits from the residual Qi of the silkworm, thus treating blood-wind diseases. Blood heat generates wind. Since women are primarily governed by blood, it is especially beneficial to women. In recent times, it is used to treat smallpox/rashes and remove eye nebula, following the same principle as cicada slough.
Yuan Can Sha (Raw Silkworm Feces) is the feces excreted by late-season silkworms. It tastes pungent and sweet, has a warm nature, and is non-toxic. Intestinal borborygmus is caused by the interaction of Water and Fire; sweetness harmonizes it. Xiao Ke (Wasting-Thirst) is caused by dryness-heat in the Middle Qi; pungency moistens it. Silkworms belong to Fire, eat but do not drink, so their nature is dry. Dryness overcomes dampness and dispels wind. Therefore, it is stir-fried until yellow, placed in bags, and soaked in wine to treat wind-induced flaccidity and paralysis, stubborn skin numbness, chronic cold and blood stasis in the abdomen, cold pain in the waist and legs. Stir-fried hot and applied as a compress, it treats hemiplegia and tendon-bone paralysis due to wind.
Yuan Can E (Raw Silkworm Moth) refers to the first generation of moths emerging from late-season silkworms. Their offspring emerging again are called "Er Can" (Second Silkworm). The moths of this second generation have the most licentious nature, mating immediately upon emerging from the cocoon. They taste salty and have a warm-hot nature. Thus, they strengthen Yin and benefit Jing (Essence), allowing tireless sexual intercourse. *Ri Hua Zi* states they treat impotence, stop seminal emission and hematuria, warm the Shui Zang (Kidney/Bladder), likely due to their licentious nature, yang-assisting properties, salty-warm flavor, and entry into the Kidney. Therefore, *Qianjin Fang* treats male impotence using two sheng of intact silkworm moths, removing heads, wings, and feet, stir-frying into fine powder, forming pills with honey the size of Sophora seeds. Take two pills nightly; one can engage in intercourse with ten women, but must be stopped with Calamus Wine.
Bai Jiang Can (White Stiff Silkworm) has special efficacy in expelling wind-warmth. It is essential for mouth locking and loss of voice. It is extremely effective in extracting ding toxicity. Applied externally for urgent swelling protrusion. It treats stroke with phlegm congestion, limb spasms, skin wind-itch, scrofula, various sores, infantile convulsive epilepsy and night crying, uterine bleeding with red and white discharge, stops yin itching, removes black nevi and scar marks, improves complexion, disperses wind-phlegm, resolves stagnant phlegm masses, helps open smallpox/rashes and throat obstruction, drives away residual pain after childbirth, and resolves Yin Yi (post-smallpox contagion) after Shang Han.
For Yuan Can E from the second generation, which is most licentious and mates immediately upon emergence, select unmated males. For medicinal use, stir-fry lightly until yellow, suitable for pills and powders. It treats impotence, allows tireless intercourse, benefits Jing and Qi, prevents premature emission, enhances fertility, applies to sores to remove scars, stops hematuria, and warms the Kidney.
Can Sha (Silkworm Feces) treats damp-bi, urticaria, and flaccid wind. It governs intestinal borborygmus, heat in the middle, and wasting-thirst. Stir-fried yellow and soaked in wine, it treats rheumatic diseases. Mixed with sesame oil and applied, it treats rotten margin wind-eye. Can Tui (Silkworm Slough) should be burned to ash for treating blood-wind, greatly benefiting women. It stops leukorrhea, metrorrhagia, red and white dysentery, removes intestinal wind bleeding, epistaxis, and ding distension. Ash applied to gum rot, added with Musk for gingival inflammation, rubbed on oral ulcers, or applied to affected areas. Also treats demonic wind-epilepsy; taken with wine, it cures instantly. Can Jian (Silkworm Cocoon), burned to ash and taken with wine, immediately penetrates abscesses (one cocoon per hole), similar to Mugwort shoots. If decocted and drunk, it kills parasites and stops diarrhea. Sao Si Tang (Reeling Silk Soup), buried in a jar deep in the soil for years, is urgently drunk for wasting-thirst. It draws clear Qi up to the tongue and mouth, and descends Ministerial Fire down to the Bladder.
Main Indications (Integrating Smallpox and Rashes): Bai Jiang Can belongs to Fire, contains Earth and Wood, and obtains Metal Qi becoming stiff without transforming. It must be white and strip-like, cleaned with wine and stir-fried before use. It treats cool wind-phlegm-heat, limb spasms, eliminates wind-heat, detoxifies and vents smallpox, harmonizes blood, fills pustules, stabilizes ulcers, and is extremely effective in extracting ding toxicity.