（本经中品）
【气味】咸平，无毒。
【主治】主心腹症瘕坚积，寒热，去痞疾，息肉，阴蚀，痔核，恶肉。
【核】曰∶鳖，介虫也。水居陆生，穹脊连胁，与龟同类。四缘有肉如裙，故曰龟甲裹
肉，鳖甲裹骨，无耳，以目为听，与蛇鼋为匹。夏月孕乳，其抱以影。陆佃云∶鱼满三千六
百，则蛟龙引之而飞，纳鳖守之则免，故一名守神，亦名河伯从事。修治，取绿色九肋，重
七两者为上，用六一泥，固瓶子底，待干，置甲于中，欲治症块，及寒心，用头醋三升，入
瓶内，大火煎尽，去裙留骨，炙干用。欲治劳热，以童便一斗二升，煎尽，去裙留骨，焙干，
石臼中捣成粉，以鸡 皮裹之，取东流水三斗，以盆盛水，阁于盆上，一宿取用，力有万倍
也。恶矾石、理石。
【 】曰∶鳖无耳，以眼听，故其目不可瞥，识精于明，复识精于听也。不唯精专肝窍，
胆亦异众而味大辛，穹脊连胁，胁亦少阳胆府所属，此木金交互，故得声色叠用，而肝为胆
藏，取决更相亲耳。以余 之，若以胆开聋瞽，必色斯明，声斯聪，彼施诸房术者，风斯下
矣。味咸走血软坚，为厥阴肝，少阳胆、血分之气药也。盖肝藏血，设所藏非精，所守非神，
致
（本经中品）
【气味】咸辛平，无毒。
【主治】主小儿惊痫，夜啼，去三虫，灭黑黯，令人面好，男子阴痒病。
【核】曰∶白僵蚕，蚕病风死，其色自白，死且不朽也。今市肆多用中温死蚕，以锻石
淹拌令白，服之为害最深。若痘疹必燥裂黑陷，若疮毒必黑烂内攻，不可不慎也。修治，用
糯米泔浸一日，俟桑涎吐出，浮水上者，即掠去之，洗净漉起，微火焙干，净布拭去黄肉、
毛，并黑口甲，捣筛如粉。
【 】曰∶蚕，昆虫也。见明则食，食而不饮，三十日乃化。有引日多与少者，此寒温
饥饱之为修短耳。三眠三起，起如卫气之出行阳道，眠如卫气之入行阴道，三十日大眠，则
卫道已周，周则变而化，吐丝为经矣。不化者，风白为僵，故象形从治，内逆而为惊痫夜啼，
伏匿而为三虫鬼疰，外显黑黯而不明，囊壳欲蜕而作痒者，此皆不能从蒸及变，顺之使出以
从化也。淮南子云∶蝉饮不食，蚕食不饮，饮滋经气，食益经隧，咸从任督，四布经络，变
化相同，功能亦一也。
【《神农本草经》中品】
【气味】味咸，性平，无毒。
【主治】主要治疗心腹部的症瘕（腹部结块）、坚硬积聚、寒热往来，去除痞疾（胸腹间气机阻滞之病）、息肉、阴蚀（外阴溃烂）、痔核以及恶肉（坏死的腐肉）。
【考证】卢之颐曰：鳖属于介虫类。生活在水中，也能在陆地生存，背部隆起，肋骨相连，与龟同类。四肢边缘有肉裙状结构，所以说“龟甲裹肉，鳖甲裹骨”。鳖没有耳朵，用眼睛来听声音，与蛇和鼋（大鳖）为同类。夏季孕育后代，通过影子进行抱卵孵化。陆佃说：“鱼满三千六百之数，蛟龙会引导它们飞翔，让鳖守护它们就能避免灾祸，所以鳖又名‘守神’，也叫‘河伯从事’。”炮制方法：选取绿色、九根肋骨、重量七两的为上品。使用六一泥加固瓶底，待干燥后，将鳖甲放入瓶中。若要治疗症块及寒凝心脉，用三升头醋（第一次酿制的醋）倒入瓶内，用大火煎煮至醋尽，去掉裙边保留骨骼，炙烤干燥后使用。若要治疗劳热（阴虚发热），用一斗二升童便（儿童尿液）煎煮至尽，去掉裙边保留骨骼，焙干后在石臼中捣成粉末，用鸡皮包裹，取东流水三斗，盛于盆中，将包裹好的药粉置于盆上，静置一夜后取用，药效可增加万倍。忌与矾石、理石同用。
【《神农本草经》中品】
【气味】味咸、辛，性平，无毒。
【主治】主要治疗小儿惊痫（惊风抽搐）、夜间啼哭，驱除三种寄生虫，消除面部黑斑暗沉，使面色红润，治疗男子阴部瘙痒病症。
【考证】卢之颐曰：白僵蚕是蚕因患风病而死，其色自然变白，死后也不腐烂。现在市场上多用经过中温处理的死蚕，用锻石（煅烧过的赤铁矿或铁屑）浸泡拌和使其变白，服用这种假僵蚕危害最深。若用于痘疹，必然导致燥裂、颜色发黑且下陷；若用于疮毒，必然导致黑烂并内攻脏腑，不可不谨慎。炮制方法：用糯米泔水（淘米水）浸泡一天，等待吐出桑叶残留的涎液，浮在水面上的即撇去洗净捞出，用微火焙干，用干净的布擦去黄色的肉体、绒毛以及黑色的口器和爪甲，捣碎筛成粉末。
【考证】卢之颐曰：蚕是昆虫。见到光亮就进食，只吃食物不喝水，三十天后化茧成蛾。有的引日长短不同，这是由寒温、饥饱等因素决定的。蚕经历三次睡眠、三次起身，起身时如同卫气运行于阳经，睡眠时如同卫气运行于阴经。三十天的大眠之后，卫气运行已周遍全身，周遍则变化而化生，吐丝成为经络。未能正常化生的，因受风邪而色白僵硬，故取其象形以治其病。对于内在逆乱导致的惊痫夜啼，潜伏隐匿导致的三虫鬼疰（寄生虫病及传染性疾病），外在显现的黑斑暗沉不明，以及欲蜕壳而作痒的情况，这些都是不能顺应蒸腾变化所致，顺从其势将其排出以助其化生。《淮南子》说：“蝉饮水不吃食，蚕吃食不饮水”，饮水滋养经脉之气，进食增益经络隧道，都从任督二脉出发，散布于四经，变化相同，功能也是一致的。
(Ben Cao Jing, Middle Category)
[Flavor and Nature] Salty, neutral in nature, non-toxic.
[Indications] Primarily treats zheng jia (abdominal masses), hard accumulations in the heart and abdomen, alternating cold and heat, removes pi ji (obstruction diseases of the chest and abdomen), polyps, yin shi (ulceration of the external genitalia), hemorrhoidal nodules, and e rou (necrotic flesh).
[Citation] Lu Zhiyi states: The softshell turtle is a shellfish-type creature. It lives in water but can also survive on land, with a convex spine connected to its ribs, similar to the tortoise. Its four limbs have fleshy edges like a skirt; hence it is said that "the tortoise shell wraps meat, while the softshell turtle shell wraps bone." It has no ears and hears through its eyes, belonging to the same category as snakes and yuan (large turtles). In summer, it conceives and incubates eggs through shadowing. Lu Tan says: "When there are three thousand six hundred fish, dragons will guide them to fly, and if the turtle guards them, they will be spared from disaster. Therefore, the turtle is also named 'Shou Shen' (Guardian Spirit) or 'He Bo Cong Shi' (Assistant to the River Deity)." Processing method: Select green-shelled ones with nine ribs weighing seven liang as the best quality. Use Liu Yi Ni (a mixture of kaolin and cinnabar) to reinforce the bottom of a bottle. Once dry, place the turtle shell inside. To treat abdominal masses and cold stagnation in the heart, add three sheng of Tou Cu (first-press vinegar) into the bottle, boil over high fire until the vinegar is exhausted, remove the skirt (fleshy edges), keep the bone, roast until dry, and use. To treat lao re (deficiency heat), boil one dou two sheng of Tong Bian (child's urine) until exhausted, remove the skirt, keep the bone, bake until dry, pound into powder in a stone mortar, wrap in chicken skin, take three dou of running water from the east, place the wrapped medicine over a basin of water, leave overnight, then use. The efficacy increases ten thousandfold. Avoid using with Fan Shi (alum) and Li Shi (magnetite/iron ore).
(Ben Cao Jing, Middle Category)
[Flavor and Nature] Salty and pungent, neutral in nature, non-toxic.
[Indications] Primarily treats xiao er jing xian (pediatric convulsions and epilepsy), night crying, eliminates three types of parasites, removes dark spots and dullness from the face, improves complexion, and treats male genital itching.
[Citation] Lu Zhiyi states: Bai Jiang Can (White Stiff Silkworm) is a silkworm that dies from wind-pathogen disease, turning naturally white and remaining un-decayed after death. Currently, markets often use silkworms killed at medium temperatures, soaked and mixed with Duan Shi (calcined iron oxide) to make them white. Consuming these fake stiff silkworms causes severe harm. If used for smallpox/rash, it inevitably leads to dry cracking, blackening, and sinking; if used for sores and toxins, it inevitably leads to black rot and internal attack on organs. One must be extremely cautious. Processing method: Soak in Mi Nong Tan (rice washing water) for one day. Wait for the silkworm to spit out mulberry residue saliva. Those floating on the water surface should be skimmed off, washed clean, drained, and baked over low fire. Wipe off yellow flesh, hairs, and black mouthparts/claws with a clean cloth. Pound and sieve into powder.
[Citation] Lu Zhiyi states: The silkworm is an insect. It eats when it sees light, consumes food without drinking water, and transforms after thirty days. The duration varies due to differences in cold/warmth and hunger/fullness. It sleeps and wakes three times; waking resembles Wei Qi (Defensive Qi) moving through the Yang meridians, while sleeping resembles Wei Qi moving through the Yin meridians. After thirty days of deep sleep, the Wei Dao (path of Wei Qi) has circulated completely. Circulation complete leads to transformation and hatching, spinning silk to form meridians. Those that do not transform become stiff and white due to wind, thus using its morphology to treat pathology. For internal rebellion causing jing xian and night crying, latent hiding causing san chong (three parasites) and gui zhu (ghostly infections), external manifestation of dark spots and dullness, and itching during molting, these are all failures to follow evaporation and transformation. One should follow their tendency to expel them and assist transformation. Huai Nan Zi states: "Cicadas drink but do not eat; silkworms eat but do not drink." Drinking nourishes Jing Qi (Essence Qi); eating benefits Jing Sui (Meridian Channels). Both originate from Ren and Du meridians, spread to the four limbs, undergo similar changes, and share the same function.