\r原蚕蛾\pd438.bmp\r
雄者，有小毒。主益精气，强阴道，交接不倦，亦止精。
臣禹锡等谨按阴痿通用药云∶原蚕蛾，热。蜀本云∶原蚕蛾，味咸，温。
屎 温，无毒。主肠鸣，热中消渴，风痹瘾疹。
陶隐居云∶原蚕是重养者，俗呼为魏蚕。道家用其蛾止精，其翁茧入术用。屎，名蚕沙，
多
入诸方∶用，不但熨风而已也。今按∶陈藏器本草云∶原蚕屎，一名蚕沙，净收，取晒干，
炒令黄，袋盛浸酒，去风，缓诸节不随，皮肤顽痹，腹内宿冷，冷血瘀血，腰脚疼冷。炒令
热，
袋盛热熨之，主偏风，筋骨瘫缓，手足不随及腰脚软，皮肤顽痹。臣禹锡等谨按日华子云
∶晚蚕蛾，壮阳事，止泄精，尿血，暖水藏。又，蚕蛾，平。治暴风，金疮，冻疮，汤火疮
并
灭疮瘢，入药炒用。又云∶蚕布纸，平。治吐血，鼻洪，肠风泻血，崩中带下，赤白痢，敷
疔肿疮。入药烧用。又云∶蚕沙，治风痹顽疾不仁，肠鸣。
图经曰∶原蚕蛾，《本经》不载所出州土，今东南州郡多养此蚕，处皆有之。此是重养
者，
俗呼为晚蚕。北人不甚复养，恶其损桑。而《周礼》禁原蚕者，郑康成注云∶为其伤马，伤
马
亦是其一事耳。《淮南子》曰∶原蚕一岁再登，非不利也。然王法禁之者，为其残桑是也，
人既稀养，市中货者亦多早蛾，不可用也。至于用蚕沙、蚕退，亦须用晚出者，唯白僵蚕不
着早晚，但用白而条直者。凡用蚕，并须食桑蚕，不用食柘者。蚕蛾，益阳方中多用之。
今方∶治小儿撮口及发噤者，取二枚炙黄，研末，蜜和，涂口唇内，便瘥。蚕沙、蚕退，并
入
治风及妇人药中用。蚕退，医家多用初出蚕壳在纸上者。一说蚕眠时所退皮，用之更有效。
圣惠方∶治风瘙瘾疹遍身痒成疮。用蚕沙一升，水二斗，煮取一斗二升，去滓，温热得
所
以洗之。宜避风。千金方∶治妇人始觉妊娠，转女为男法∶取原蚕屎一枚，井花水服之，日
三服
。
血生肌。天蛾散∶晚蚕蛾为末，掺匀绢裹之，随手疮合血止。一切金疮亦治。简要济众∶小
儿撮口
及发噤方∶晚蚕蛾二枚，炙令黄，为末，蜜和，敷儿口唇内。子母秘录云∶倒产难生。原
蚕子烧末，饮服三钱。小儿宫气方∶治小儿口疮及风疳疮等，晚蚕蛾细研，贴疮上，妙。
衍义曰∶原蚕蛾，有原复敏速之义，此则第二番蛾也。白僵蚕条中已具。屎，饲牛代谷。
又
，以三升醇酒，拌蚕屎五斗，用甑蒸热，于暖室中铺于油单上，令患风冷气闭及近感瘫风人，
就
所患一边卧，看温热，浓盖覆，汗出为度。若虚人须常在左右，防大热昏冒。仍令头面在外
，不得壅覆。未全愈，间，再作。
雄性的，有小毒。主治补益精气，强壮性功能，性交时不知疲倦，也能固精止遗。
臣禹锡等人谨按《阴痿通用药》记载：原蚕蛾，性热。蜀地版本记载：原蚕蛾，味咸，性温。
蚕沙（蚕粪） 性温，无毒。主治肠鸣，中焦有热导致的消渴症，风痹及瘾疹（皮肤瘙痒起疹）。
陶隐居说：原蚕是第二次饲养的蚕，俗称魏蚕。道家使用其蛾来固精止遗，其公茧混入白术中使用。蚕沙，名为蚕沙，广泛进入各种方剂中应用，不仅用于热敷治疗风邪而已。如今考证：陈藏器《本草》记载：原蚕屎，又名蚕沙，需净收，取晒干，炒至黄色，装入袋中浸泡酒中，可祛风，缓解关节活动不利、皮肤顽痹、腹内宿冷、冷血瘀血、腰脚疼痛发冷。炒热后装入袋中热敷，主治偏瘫、筋骨弛缓、手足不能随意运动及腰脚软弱、皮肤顽痹。臣禹锡等人谨按《日华子本草》记载：晚蚕蛾，壮阳事，止泄精，治尿血，暖肾。另外，蚕蛾，性平。治疗暴风侵袭、金疮、冻疮、汤火烫伤，并能消除疮疤，入药需炒用。又说：蚕布纸（蚕蜕下的皮制成的纸），性平。治疗吐血、鼻出血、肠风泻血、崩漏带下、赤白痢疾，外敷疔肿疮。入药需烧炭用。又说：蚕沙，治疗风痹顽疾导致的不仁感、肠鸣。
《图经本草》说：原蚕蛾，《本经》未记载其出产州郡，现在东南各州郡多饲养这种蚕，各地都有。这是第二次饲养的蚕，俗称晚蚕。北方人不怎么再养，厌恶它损害桑树。而《周礼》禁止养原蚕，郑康成注释说：因为它伤害马匹，伤害马匹也是其中的一个原因罢了。《淮南子》说：原蚕一年收获两次，并非没有好处。然而王法禁止它，是因为它残害桑树啊。人们既然很少饲养，市场上售卖的多为早蛾，不可使用。至于使用蚕沙、蚕退（蚕蜕皮），也必须使用晚出的，只有白僵蚕不分早晚，只要选用白色且条直的即可。凡是使用蚕类，都必须是用桑叶喂养的蚕，不用柘树叶喂养的。蚕蛾，在补阳方剂中多用。
现今方剂：治疗小儿撮口及发噤症，取两枚炙黄，研成粉末，用蜂蜜调和，涂抹于嘴唇内侧，病即愈。蚕沙、蚕退，都进入治疗风邪及妇人病的方剂中使用。蚕退，医家多用初出蚕壳留在纸上的那层皮。另一种说法是蚕眠时所蜕的皮，使用更有效。
《圣惠方》：治疗风瘙瘾疹遍身痒成疮。用蚕沙一升，水二斗，煮取一斗二升，去渣滓，温热适宜用来清洗患处。宜避风。
《千金方》：治疗妇人刚觉妊娠，转女为男的方法：取原蚕屎一枚，井花水送服，每日三次。
（此处原文可能有脱漏或排版错误，“血生肌”似为前文残留或独立短句，结合上下文语境，暂译为促进血液生成和肌肉生长，或指某种功效，但原文孤立，故直译）促进血液生成和肌肉生长。
天蛾散：晚蚕蛾研末，均匀撒在绢布上包裹，随手疮口愈合，止血。一切金疮也治疗。
《简要济众方》：小儿撮口及发噤方：晚蚕蛾两枚，炙令黄色，研成粉末，用蜂蜜调和，敷于婴儿嘴唇内侧。
《子母秘录》说：倒产难生。原蚕子烧成粉末，饮水送服三钱。
《小儿宫气方》：治疗小儿口疮及风疳疮等，晚蚕蛾细研，贴于疮上，效果奇妙。
《衍义》说：原蚕蛾，有原复敏速的含义，这是第二番蛾。在白僵蚕条目中已具备说明。蚕沙，可以喂牛代替谷物。另外，用三升醇酒，拌蚕屎五斗，用甑蒸热，在暖室中铺在油单上，让患有风冷气闭及近感瘫风的人，躺在患病的一侧，看温度适宜，厚盖覆盖，以出汗为度。如果是虚弱之人，须常在左右看护，防止因大热而昏冒。仍要让头脸在外面，不得壅塞覆盖。未完全痊愈，间隔一段时间，再做一次。
Bombyx Batryticatus (Yuan Can E)
The male has slight toxicity. It primarily tonifies essence and qi, strengthens the sexual function, prevents fatigue during intercourse, and also stops seminal emission.
Minister Yuxi et al., according to *General Medicines for Impotence*, state: Yuan Can E is hot in nature. The Shu edition states: Yuan Can E is salty in flavor and warm in nature.
Can Sha (Silkworm Excrement): Warm in nature, non-toxic. It treats intestinal borborygmus, thirst due to heat in the middle jiao, wind-bi, and urticaria.
Tao Hongjing says: Yuan Can refers to silkworms raised for a second time, commonly called Wei Can in folklore. Daoists use its moth to stop seminal emission, and its male cocoon is used mixed with Atractylodis Rhizoma (Baizhu). Can Sha, named Can Sha, is widely used in various prescriptions; it is not only used for moxibustion-like warming therapy against wind. Current research indicates: Chen Cangqi's *Bencao* states: Yuan Can Shi, also known as Can Sha, should be collected cleanly, dried in the sun, stir-fried until yellow, placed in a bag, and soaked in wine to dispel wind, relieve joint stiffness, skin numbness and bi-syndrome, internal cold accumulation, cold blood stasis, and cold pain in the lower back and legs. Stir-fried until hot and placed in a bag for hot compress, it treats hemiplegia, flaccidity of sinews and bones, inability to move hands and feet, weakness of lower back and legs, and stubborn skin bi-syndrome. Minister Yuxi et al., according to *Rihua Zi Bencao*, state: Wan Can E (Late Silkworm Moth) enhances yang function, stops seminal leakage, treats hematuria, and warms the Kidney (Shui Zang). Furthermore, Can E is neutral in nature. It treats sudden wind invasion, metal wounds, frostbite, scalds, burns, and eliminates scar tissue; it should be stir-fried before medicinal use. It also states: Can Bu Zhi (Paper made from silkworm cast skins) is neutral. It treats hematemesis, epistaxis, intestinal wind with bloody diarrhea, metrorrhagia and leukorrhea, dysentery with red and white discharge, and external application for carbuncles and sores; it should be charred before medicinal use. It further states: Can Sha treats wind-bi stubborn diseases causing anesthesia/numbness and intestinal borborygmus.
*Tujing Bencao* states: Yuan Can E is not recorded in the *Shennong Bencao Jing* regarding its origin. Currently, many prefectures in the southeast raise this type of silkworm, and it is found everywhere. This is the second-generation silkworm, commonly called Wan Can. People in the north rarely raise them anymore because they dislike that it damages mulberry trees. The *Rites of Zhou* prohibits raising Yuan Can; Zheng Kangcheng's annotation states: Because it harms horses; harming horses is just one aspect. *Huainanzi* states: Yuan Can yields twice a year, which is not without benefit. However, royal laws prohibit it because it destroys mulberry trees. Since people rarely raise them now, those sold in markets are often early moths, which cannot be used. As for using Can Sha and Can Tui (silkworm cast skins), one must use those from late-raised silkworms. Only Bai Jiang Can (White Stiff Silkworm) does not distinguish between early and late; one simply uses those that are white and straight. Whenever using silkworms, one must use those fed on mulberry leaves, not those fed on Broussonetia papyrifera (Zhe) leaves. Can E is frequently used in formulas for tonifying Yang.
Current Prescriptions: To treat neonatal lockjaw (Cuo Kou) and trismus (Fa Jin), take two moths, stir-fry until yellow, grind into powder, mix with honey, and apply to the inner lips; the condition will resolve. Can Sha and Can Tui are both included in prescriptions treating wind syndromes and women's diseases. Can Tui, physicians mostly use the membrane left on paper when the silkworm first emerges from its shell. Another theory suggests the skin shed during the silkworm's sleep is more effective.
*Shenghui Fang*: To treat generalized pruritus and eczema caused by wind-itch. Use one sheng of Can Sha, boil in two dou of water until reduced to one dou two sheng, remove dregs, and wash with the liquid at a comfortable warm temperature. Avoid wind.
*Qianjin Fang*: Method for pregnant women who wish to change the sex of the fetus upon feeling pregnancy: Take one unit of Yuan Can Shi, swallow with well-water (Jing Hua Shui), three times daily.
(Blood generates flesh.) Tian E San: Grind Wan Can E into powder, sprinkle evenly onto silk gauze, wrap, and apply; wounds close instantly and bleeding stops. It also treats all types of metal wounds.
*Jianyao Jizhong Fang*: Prescription for neonatal lockjaw and trismus: Two Wan Can E moths, stir-fry until yellow, grind into powder, mix with honey, and apply to the infant's inner lips.
*Zimu Milu* states: For difficult labor due to breech presentation. Char Yuan Can Zi (silkworm eggs) into powder, take three qian with water.
*Xiao'er Gongqi Fang*: To treat neonatal mouth sores and wind-gan sores, etc., finely grind Wan Can E and apply to the sore; it is excellent.
*Yanyi* states: Yuan Can E implies the meaning of rapid recovery/renewal; this is the second generation of moths. Details are provided in the entry for Bai Jiang Can. Can Sha can be used to feed cattle instead of grain. Additionally, mix five dou of Can Sha with three sheng of strong wine, steam in a steamer until hot, spread on an oil cloth in a warm room, and have patients suffering from wind-cold obstruction or recent onset of paralysis lie on the affected side. Cover thickly until sweating occurs. For deficient patients, attendants must stay nearby to prevent fainting from excessive heat. Ensure the head and face remain uncovered. If not fully recovered, repeat after an interval.