主血风病，益妇人。一名马鸣退。近世医家多用蚕退纸，而东方∶诸医用蚕欲老眠起
所蜕皮，虽二者之用各殊，然东人所用者为正。用之当微炒，和诸药可作丸、散服。（新定）
集验方∶治缠喉风及喉痹，牙宣，牙痈，口疮并小走马疳。蚕退纸不计多少，烧成灰存
性
疳，入
麝香少许，贴患处佳。百一方∶凡狂发欲走，或自高贵称神，皆应备。诸火灸，乃得永瘥
耳。若或悲泣呻吟者，此为邪祟。以蚕纸作灰，酒水任下，瘥。疗风癫也。
衍义曰∶蚕退，治妇人血风，此则眠起时所蜕皮是也。其蚕退纸，谓之蚕连，亦烧灰用
之，
治妇人血露。
主人患脱肛。烧末，和猪膏敷之，脱肛立缩。此螺全似蜗牛黄，小雨后好缘桑叶。
范汪脱肛。绿桑树螺烧之，以猪脂和，敷之立缩，亦可末敷之。
\r白僵蚕\pd439.bmp\r
味咸、辛，平，无毒。主小儿惊痫夜啼，去三虫，灭黑 ，令人面色好，男子阴疡
（音亦）病，女子崩中赤白，产后余痛，灭诸疮瘢痕。生颖川平泽。四月取自死者，勿令中
湿
陶隐居云∶人家养蚕时，有合箔皆僵者，即暴燥都不坏。今见小白色，似有盐度者为好。
末
以涂马齿，即不能食草，以桑叶拭去乃还食，此明蚕即马类也。唐本注云∶《别录》云，末
之，封疔肿，根当自出，极效。此白僵死蚕，皆白色，陶云似有盐度，此误矣。臣禹锡等谨
按蜀本图经云∶用僵死白色者，再生一生俱用，今所在有之。药性论云∶白僵蚕，恶桑螵
蛸、桔梗、茯苓、茯神、萆 ，有小毒。治口噤发汗，主妇人崩中，下血不止。与衣中白鱼、
鹰屎白等分，治疮灭瘢。日华子云∶僵蚕，治中风失音，并一切风疾，小儿客忤，男子阴痒
痛，女子带下。入药除绵丝并子尽，匀炒用。又云∶蚕蛹子，食，治风及劳瘦。又研，敷蚕
，恶疮等。
图经曰∶白僵蚕，生颖川平泽，今所在养蚕处皆有之。用自僵死白色而条直者为佳。四
月取
，勿令中湿，湿则有毒，不可用。用时仍去绵丝及子，炒过。今医家用治中风急喉痹欲死者，
捣筛细末，生姜自然汁调灌之，下喉立愈。又合衣鱼、鹰屎白等分为末，面膏和涂疮瘢疵，
便灭。
雷公云∶凡使，先须以糯米泔浸一日，待蚕桑涎出如蜗牛涎浮于水面上，然后漉出，微
火焙
干，
水服
五分匕。日三，十日瘥。千金方∶治大风半身不遂。蚕沙两硕，熟蒸，作直袋三只，各受七
斗
，热盛一袋着患处，如冷即取余袋一根据前法数数换，一日不禁，瘥。又，须羊肚酿粳米、葱
白
、姜、豉、椒等烂煮热吃，日食一枚，十日即止。肘后方∶治背疮弥验。以针挑四畔，白僵
蚕为散，水和敷之，即拔出根。经验后方∶下奶药∶白僵蚕末两钱，酒调下，少顷，以脂麻
茶
一钱热投之，梳头数十遍，奶汁如泉。斗门方治卒头痛。白僵蚕碾为末去丝。以熟水下二
钱匕，立瘥。博济方∶治喉闭。如圣散子∶白僵蚕、天南星刮皮等分，并生为末。每服一字，
以生
姜
小可，只敷唇上，立瘥。胜金方∶治风痰。白僵蚕七个，直者细研。以姜汁一茶脚，温水调
灌之。又方∶治风痔忽生，痔头肿痛，又忽自消，发歇不定者是也。白僵蚕二两，洗锉，令
微黄为末，乌梅肉为丸如梧桐子大。每服姜蜜汤下五丸，空心服之。杨氏产乳∶疗野火丹，
从背
上
焙令黄色，细研为末。用酒服之，立瘥。又方∶主偏、正头疼并夹脑风，连两太阳穴疼痛。
以
白僵蚕细研为末，用葱茶调服方寸匕。小儿宫气方∶主小儿口疮通白者，及风疳疮蚀透者。
以
白
者。以白僵蚕二枚为末，用蜜和敷于小儿唇口内，即瘥。斗门方∶主黑 ，令人面色好。用
白僵
一
切金疮。以白僵蚕不以多少，炒令黄色，细研为末，敷之立愈。又方∶治中风急喉痹欲死者。
用
白僵
血不
止。以衣中白鱼、僵蚕等分，为末。以井花水服之，日三服，瘥。又方∶主中风失音并一切
风疾，及小儿客忤，男子阴痒痛，女子带下。以白僵蚕七枚为末，用酒调方寸匕，立效。
衍义曰∶白僵蚕，然蚕有两、三番，唯头番僵蚕最佳，大而无蛆。治小儿惊风，白僵蚕、
蝎
梢
其蚕蛾，则第二番者，以其敏于生育。
主治血风病，对妇女有益。又名马鸣退。近代医家多使用蚕退纸，而东方医家则使用蚕欲老眠起时所蜕下的皮，虽然两者的用途各不相同，但东方人所用的才是正宗的。使用时应当微炒，配合其他药物可以制成丸剂或散剂服用。（新定）
集验方：治疗缠喉风及喉痹、牙宣、牙痈、口疮以及小走马疳。取适量蚕退纸，烧成灰保留药性，加入少许麝香，贴于患处效果佳。百一方：凡是狂躁发作想要奔跑，或者自视高贵自称神明的人，都应当准备此药。用火灸法治疗，才能彻底痊愈。如果是悲伤哭泣呻吟的人，这是邪祟作怪。用蚕纸烧成灰，用水或酒送服，即可痊愈。用于治疗风癫。
衍义曰：蚕退，治疗妇人血风，这指的是蚕眠起时所蜕下的皮。那蚕退纸，称为蚕连，也是烧成灰使用，治疗妇人血露。
主人患有脱肛。将蚕退烧成末，与猪脂混合敷之，脱肛立即缩回。这种螺全身像蜗牛黄色，小雨后喜欢攀附在桑叶上。范汪患脱肛。用绿桑树上的螺烧制，用猪脂调和，敷之立即缩回，也可以研成末敷用。
白僵蚕
味咸、辛，性平，无毒。主治小儿惊痫夜啼，驱除三虫，消除黑斑，使人的面色红润，治疗男子阴疡病，女子崩中赤白带下，产后余痛，消除各种疮疡瘢痕。产于颍川平原沼泽地带。四月采集自然死亡的，不要让它们受潮。陶隐居说：人家养蚕时，有一整箔蚕都僵死的，就暴晒干燥都不会腐烂。现在见到的小白色，好像有盐霜的是好的。研末涂在马齿苋上，马就不能吃草了，用桑叶擦去后又能吃，这说明蚕就是马的一类。唐本注说：《别录》记载，研末封贴疔肿，毒根自然会出来，非常有效。这些白僵死的蚕都是白色的，陶弘景说好像有盐霜，这是错误的。臣禹锡等谨按蜀本图经说：使用僵死白色的，无论是再生还是第一代都使用，现在各地都有。药性论说：白僵蚕，畏桑螵蛸、桔梗、茯苓、茯神、萆薢，有小毒。治疗口噤发汗，主治妇人崩中，下血不止。与衣中白鱼、鹰屎白等分，治疗疮疡消除瘢痕。日华子说：僵蚕，治疗中风失音，以及一切风疾，小儿客忤，男子阴痒痛，女子带下。入药除去绵丝和子全部，均匀炒制使用。又说：蚕蛹子，食用，治疗风疾及劳瘦。又研磨，外敷治疗蚕瘘、恶疮等。
图经说：白僵蚕，产于颍川平原沼泽地带，现在养蚕的地方都有。以自然僵死、白色且条直的为佳。四月采集，不要让它们受潮，受潮则有毒，不可使用。使用时仍要除去绵丝及子，炒过后使用。现在的医生用它治疗中风急喉痹快要死亡的人，捣筛成细末，用生姜自然汁调匀灌服，咽下后立即痊愈。又与衣鱼、鹰屎白等分为末，用面膏调和涂抹疮瘢疵，就能消除。
雷公说：凡是用它，先须用糯米泔水浸泡一天，等到蚕桑涎流出像蜗牛涎浮在水面上，然后捞出，用微火焙干，开水送服五分匕。每天三次，十天痊愈。千金方：治疗大风半身不遂。蚕沙两硕，熟蒸，做成三个直袋，每个装七斗，热的时候将一个袋子放在患处，如果冷了就拿掉其余的袋子根据前法多次更换，一天不停止，直到痊愈。另外，还需要用羊肚酿入粳米、葱白、姜、豉、椒等烂煮热吃，每天吃一个，十天就停止。肘后方：治疗背疮非常灵验。用针挑开四周，用白僵蚕研成散，用水调和敷之，就能拔出毒根。经验后方：下奶药：白僵蚕末两钱，酒调下，一会儿，用脂芝麻茶一钱热服，梳头几十遍，奶汁如泉涌。斗门方治疗突然头痛。白僵蚕碾为末去掉丝。用熟水送服二钱匕，立即痊愈。博济方：治疗喉闭。如圣散子：白僵蚕、天南星刮皮等分，都生用研成末。每次服一字，用生姜少许，只敷在唇上，立即痊愈。胜金方：治疗风痰。白僵蚕七个，直的细研。用姜汁一杯，温水调匀灌服。又一方：治疗风痔忽然生出，痔头肿痛，又忽然自行消退，发作间歇不定的是这种情况。白僵蚕二两，洗锉，令微黄为末，乌梅肉为丸如梧桐子大。每次用姜蜜汤送服五丸，空腹服用。杨氏产乳：治疗野火丹，从背上焙令黄色，细研为末。用酒送服，立即痊愈。又一方：主治偏头痛、正头疼并夹脑风，连两侧太阳穴疼痛。用白僵蚕细研为末，用葱茶调服方寸匕。小儿宫气方：主治小儿口疮通白的，以及风疳疮蚀透的。用白僵蚕二枚为末，用蜜调和敷于小儿唇口内，即痊愈。斗门方：主治黑斑，使人面色好。用白僵蚕不论多少，炒令黄色，细研为末，敷之立即愈合。又一方：治疗中风急喉痹快要死亡的人。用白僵蚕……（原文此处有缺漏/乱码，推测为“治中风急喉痹”相关用法）。血不止。用衣中白鱼、僵蚕等分，为末。用井花水送服，每天三次，痊愈。又一方：主治中风失音以及一切风疾，以及小儿客忤，男子阴痒痛，女子带下。用白僵蚕七枚为末，用酒调服方寸匕，立即见效。
衍义曰：白僵蚕，然而蚕有两、三番，只有头番僵蚕最佳，个大而无蛆。那些蚕蛾，则是第二番的，因为它们善于生育。
Mainly treats blood wind disease (Blood Wind Disorder) and benefits women. Also known as Ma Ming Tui (Horse Cry Molt). In recent times, physicians mostly use mulberry paper (Can Ret Paper), whereas Eastern physicians use the skin shed by silkworms when they are about to sleep for their final molt. Although the uses of these two differ, the material used by Eastern people is considered authentic. It should be slightly stir-fried before use and can be made into pills or powders mixed with other herbs for oral administration. (Newly Determined)
Ji Yan Fang (Collection of Proven Prescriptions): Treats Chan Hou Feng (Entangling Throat Wind) and Hou Bi (Throat Obstruction), Ya Xuan (Gum Recession), Ya Yong (Tooth Abscess), Kou Chuang (Oral Ulcers), and Xiao Zou Ma Gan (Small Running Horse Gangrene). Take an appropriate amount of mulberry paper, burn it to ash while preserving its medicinal nature, add a small amount of Moschus (She Xiang), and apply it to the affected area for optimal results. Bai Yi Fang: For those suffering from manic episodes where they wish to run away, or who arrogantly claim to be gods due to high status, this medicine should always be prepared. Fire moxibustion treatment is required for permanent cure. If the patient is weeping and groaning in sorrow, this indicates possession by evil spirits. Burn mulberry paper to ash and administer with water or wine; the patient will recover. Used to treat Feng Dian (Wind Epilepsy).
Yan Yi Yue (Discourse on Meaning): Can Tui (Silkworm Molt) treats women's blood wind disorder; this refers to the skin shed during the silkworm's molting period. The mulberry paper is called Can Lian (Silkworm Connection) and is also burned to ash for use, specifically to treat women's blood discharge (Xue Lu).
A master suffered from rectal proluo (Tuo Gang). Burning the mulberry paper to powder, mixing it with pig fat, and applying it externally caused the prolapsed rectum to retract immediately. This snail (Luo) resembles a yellow land snail and prefers to climb mulberry leaves after light rain. Fan Wang suffered from rectal prolapse. Burning the snails found on green mulberry trees, mixing them with pig fat, and applying them externally caused immediate retraction; they could also be ground into powder for application.
Bai Jiang Can (White Stiff Silkworm)
Taste: Salty, Pungent. Nature: Neutral. Toxicity: Non-toxic. Main indications: Pediatric convulsions and night crying; expels three parasites; removes dark spots; improves complexion; treats Yin Yang (Genital Ulceration) in men; treats Beng Zhong (Metrorrhagia and Leukorrhea) with red and white discharge in women; treats residual pain postpartum; eliminates scars from various sores. Habitat: Plains and marshes in Yingchuan. Harvest in April from naturally dead silkworms; avoid moisture. Tao Hongjing stated: When people raise silkworms, if an entire frame dies stiffly, drying them in the sun prevents decay. Currently, small white ones that appear to have a saline coating are considered good. Grinding them into powder and applying them to Purslane (Ma Chi Xian) prevents horses from eating grass; wiping them off with mulberry leaves restores their appetite, indicating that silkworms belong to the horse category. Tang Ben Zhu noted: "Bie Lu" records that grinding them into powder and sealing boils helps expel the root toxin effectively. These white stiff dead silkworms are all white; Tao's description of a saline appearance is erroneous. Chen Yuxi et al. according to Shu Ben Tu Jing state: Use white stiff dead ones; both regenerated and first-generation varieties are used and are available everywhere. Yao Xing Lun states: Bai Jiang Can is incompatible with Sang Piao Xiao (Mantis Egg Case), Jie Geng (Platycodon Root), Fu Ling (Poria), Fu Shen (Poria with Hostwood), and Bi Xie (Dioscorea Hypoglauca); it has slight toxicity. Treats trismus inducing sweating; main indication for women's Beng Zhong with continuous bleeding. Mixed in equal parts with Yi Zhong Bai Yu (Bookworm) and Ying Shi Bai (Eagle Droppings White), it treats sores and eliminates scars. Ri Hua Zi stated: Jiang Can treats stroke-induced aphonia and all wind diseases; pediatric Ke Wu (Sudden Infant Death Syndrome/Fright); male genital itching and pain; female leukorrhea. Remove silk threads and eggs completely before uniform stir-frying for medicinal use. Additionally: Can Yong Zi (Silkworm Pupae) eaten treats wind diseases and emaciation due to consumption. Ground and applied externally treats Can Lou (Silkworm Fistula) and malignant sores.
Tu Jing stated: Bai Jiang Can grows in plains and marshes of Yingchuan and is now found wherever silkworms are raised. Naturally stiff-dead, white, and straight ones are best. Harvest in April; avoid moisture, as dampness causes toxicity making them unusable. Remove silk threads and eggs before stir-frying. Current physicians use it to treat acute throat obstruction in stroke patients near death. Grind into fine powder, mix with fresh ginger juice, and administer orally; relief is immediate. Mixed in equal parts with bookworms and eagle droppings white, combined with flour paste for topical application on scars, it eliminates them.
Lei Gong stated: Before use, soak in rice washing water for one day until silkworm mucus floats on the surface like snail slime. Then drain and dry over low fire. Administer 5 fen bi with boiled water. Three times daily for ten days leads to recovery. Qian Jin Fang: Treats severe wind causing hemiplegia. Two shuo of Can Sha (Silkworm Frass), steamed thoroughly, placed in three straight bags holding seven dou each. Apply the hot bag to the affected area; replace with remaining bags as they cool, continuously throughout the day until cured. Additionally, stuff sheep stomach with glutinous rice, scallion whites, ginger, fermented soybeans, pepper, etc., stew until soft, eat hot. One per day for ten days then stop. Zhou Hou Fang: Highly effective for back sores. Prick the four sides with a needle, apply Bai Jiang Can powder mixed with water to draw out the toxin root. Jing Yan Hou Fang: Galactagogue: 2 qian of Bai Jiang Can powder taken with wine. Shortly after, take 1 qian of sesame tea hot. Comb hair dozens of times; milk flows like a spring. Dou Men Fang: Treats sudden headache. Grind Bai Jiang Can into powder, remove silk. Take 2 qian bi with warm water for immediate cure. Bo Ji Fang: Treats throat closure. Ru Sheng San Zi: Equal parts Bai Jiang Can and peeled Tian Nan Xing (Arisaema Rhizome), raw ground into powder. Take 1 zi per dose. Apply a small amount of fresh ginger only to the lips for immediate cure. Sheng Jin Fang: Treats wind phlegm. Seven straight Bai Jiang Can, finely ground. Mix with one cup of ginger juice and warm water for oral administration. Another prescription: Treats sudden onset of wind hemorrhoids characterized by swelling and pain that subsides spontaneously with irregular intervals. 2 liang of Bai Jiang Can, washed, cut, slightly yellowed, and powdered. Form pills the size of paulownia seeds using U Mei Rou (Dark Plum Flesh). Take 5 pills with ginger-honey soup on an empty stomach. Yang Shi Chan Ru: Treats Ye Huo Dan (Wild Fire Erysipelas). Bake from the back until yellow, grind finely. Take with wine for immediate cure. Another prescription: Mainly treats migraines, regular headaches, and brain-invading wind causing pain in both temples. Grind Bai Jiang Can finely, take 1 cun bi mixed with scallion tea. Xiao Er Gong Qi Fang: Treats generalized white oral ulcers in children and wind gangrene sores penetrating through. Grind 2 Bai Jiang Can into powder, mix with honey, and apply inside the child's lips and mouth for cure. Dou Men Fang: Treats melasma, improving complexion. Use any amount of Bai Jiang Can, stir-fry until yellow, grind finely, and apply externally for immediate healing. Another prescription: Treats acute throat obstruction in stroke patients near death. [Text missing/corrupted]. For uncontrollable bleeding: Equal parts Yi Zhong Bai Yu and Jiang Can, ground into powder. Take well-water morning dew, three times daily until cured. Another prescription: Treats stroke-induced aphonia, all wind diseases, pediatric fright, male genital itching/pain, and female leukorrhea. Grind 7 Bai Jiang Can into powder, take 1 cun bi mixed with wine for immediate effect.
Yan Yi Yue: Regarding Bai Jiang Can, silkworms molt two or three times; only the first molt (head fan) is best, being large without maggots. The silkworm moths come from the second molt, as they are more fertile.