What is Jiang Can? Are Chan Tui, Quan Xie and Di Long the same?
Official Jiang Can (僵蚕) is the dried body of a 4th- to 5th-instar larva of Bombyx mori killed by infection or inoculation with Beauveria bassiana. The pharmacopoeial name is Bombyx Batryticatus. Chan Tui is sweet-cold: disperses wind-heat, benefits the throat, vents rash, brightens the eyes, abates nebula and extinguishes wind to stop spasm. Quan Xie is acrid-neutral and toxic: extinguishes wind, settles spasm, attacks toxin, dissipates nodes and frees the network vessels to stop pain. Di Long is salty-cold: clears heat, settles fright, frees the network vessels, calms wheezing and promotes urination. Write Jiang Can. Use caution in yin-vacuity fire.
What are the TCM properties and traditional uses of Jiang Can?
According to the Chinese Pharmacopoeia, Jiang Can is salty, acrid and neutral, enters the Liver, Lung and Stomach channels, and acts to extinguish wind, stop spasm, dispel wind, stop pain, transform phlegm and dissipate nodes. It is used for Liver wind with phlegm, fright epilepsy and convulsions, acute infantile fright, tetanus, deviated mouth in wind-stroke, wind-heat headache, red eyes and sore throat, wind rash with itching, and mumps. Salty-acrid and wind-extinguishing, it suits wind-phlegm convulsions and sore throat with scrofula—not yin-vacuity fire without wind-phlegm.
How do you choose raw versus bran-fried Jiang Can? Can Chan Tui replace it?
Raw material disperses more strongly—fright epilepsy, convulsions and itching wind rash. Bran-frying until the surface is yellow is better at transforming phlegm and dissipating nodes, and reduces the fishy odor—swollen sore throat and phlegm nodes. Cicada slough vents rash and benefits the throat; it cannot replace transforming phlegm and dissipating nodes by equal weight. Market silkworm pupae are not stiff silkworm.
What is the usual dosage? Can it be drunk daily as a wind-extinguishing tea?
The pharmacopoeial decoction dose is 5–10 g. It is not a four-season “stiff-silkworm wind tea.” Without wind-phlegm it only injures yin. Convulsions and deviated mouth need a practitioner to name a short course; it does not replace neurologic and tetanus assessment.
What are the contraindications? Can it be used in pregnancy?
Use caution in yin-vacuity fire and when there is no wind-phlegm. Do not self-medicate in pregnancy. A few people develop rash, dry mouth or nausea, which often settle after stopping. Persistent convulsions, locked jaw and difficulty breathing are emergencies.
Can Jiang Can extinguish wind, stop spasm, dispel wind, stop pain, transform phlegm and dissipate nodes?
It can help Liver wind with phlegm and wind-phlegm deviation of the mouth. Wind-stroke with deviated mouth and eyes joins typhonium and scorpion in Qian Zheng San. Wind-heat headache and mumps may join cicada slough and burdock fruit after pattern differentiation. It extinguishes wind, stops spasm, dispels wind, stops pain, transforms phlegm and dissipates nodes—not a specific for every facial palsy or every epilepsy.
Can Jiang Can be drunk daily as a spasm, pain or node tea?
Wind-phlegm convulsions, sore throat and scrofula may enter a short formula; yin vacuity only dries further as it disperses. “Stiff silkworm must treat facial palsy” does not replace neurologic assessment. Extinguishing wind, stopping spasm, transforming phlegm and dissipating nodes should name 5–10 g, raw or bran-fried.
How do you choose among Jiang Can, Chan Tui, Quan Xie, Di Long and Tian Ma?
Stiff silkworm is salty-acrid and neutral: extinguishes wind, stops spasm, dispels wind, stops pain, transforms phlegm and dissipates nodes—wind-phlegm convulsions and sore throat with scrofula. Cicada slough is sweet-cold: disperses wind-heat, vents rash, brightens the eyes, abates nebula and extinguishes wind. Scorpion is acrid-neutral and toxic: extinguishes wind, settles spasm and frees the network vessels to stop pain—heavier convulsions, stricter dose. Earthworm is salty-cold: clears heat, settles fright, frees the network vessels and calms wheezing. Gastrodia is sweet-neutral: extinguishes wind, stops spasm, calms Liver yang and dispels wind to free the network vessels—headache and dizziness. Deviated mouth favors Jiang Can with Quan Xie (Qian Zheng San); wind-heat rash favors Chan Tui; severe convulsions favor Quan Xie with dose control; heat fright with wheezing favors Di Long; Liver-yang headache favors Tian Ma. They may be paired; yin-vacuity fire forbids large Jiang Can and Quan Xie.
Which herbs is Jiang Can combined with? What are the representative formulas?
Wind-stroke with deviated mouth and eyes joins typhonium and scorpion in Qian Zheng San. Acute infantile fright may join scorpion and uncaria after pattern differentiation. Write Jiang Can 5–10 g, raw or bran-fried.
How do you choose and store Jiang Can?
Choose cylindrical, often curved bodies, gray-white and powdery, a brown-black lustrous cut face and a faint fishy odor. Moldy, moth-eaten, powderless or hollow lots are discarded. Store dry against moths. Buy pharmacopoeial Jiang Can; do not replace extinguishing wind, stopping spasm, dispelling wind, stopping pain, transforming phlegm and dissipating nodes with cicada slough or silkworm pupae by equal weight.