Can Shi Tang

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蚕矢汤 (Silkworm Droppings Decoction)

Source: Huo Luan Lun — Wan Shi-Xiong (Qing, 1862)

Last updated October 1, 2026

Not yet clinically reviewed

acute gastroenteritisdiarrheadysenteryrheumatoid arthritis

Description

Can Shi Tang (Silkworm Droppings Decoction), from the Huo Luan Lun (Discussion of Sudden Turmoil Disorders) by Wan Shi-Xiong.

Actions: Clears heat and resolves dampness; Separates the clear (pure nutrients) from the turbid.

Presentation: Spasms and cramps in sudden turmoil disorder from damp-heat: abdominal pain, vomiting and diarrhea, thirst, irritability, restlessness, yellow thick dry tongue coating, soggy rapid pulse.

Cautions:

  • Not for cold-type sudden turmoil disorder.
  • Replace fluids and electrolytes with severe vomiting/diarrhea.
  • With nausea and vomiting, give at room temperature.

Source: Chen JK, Chen TT. Chinese Herbal Formulas and Applications: Pharmacological Effects & Clinical Research. Art of Medicine Press, 2009, p. 1101.

Composition

Herb Amount % Role Function
Can Sha
as printed: Can Sha (Faeces Bombycis) 15g
15g 20.86% Jun (Chief) leads turbidity down and raises pure nutrients; with Mu Gua relieves spasms and cramps
Mu Gua
as printed: Mu Gua (Fructus Chaenomelis) 9g
9g 12.52% Chen (Deputy) dissolves dampness, harmonizes middle jiao, relieves cramps
Huang Qin
as printed: Huang Qin (Radix Scutellariae, chao (dry-fried) with liquor) 3g
3g 4.17% Zuo (Assistant) clears heat and dries dampness
Huang Lian
as printed: Huang Lian (Rhizoma Coptidis, chao (dry-fried) with ginger juice) 9g
9g 12.52% Zuo (Assistant) clears heat and dries dampness
Ban Xia
as printed: Ban Xia (Rhizoma Pinelliae, zhi (prepared)) 3g
3g 4.17% Zuo (Assistant) dries dampness, corrects reversed Stomach qi to stop vomiting
Wu Zhu Yu
as printed: Wu Zhu Yu (Fructus Evodiae, pao (blast-fried)) 0.9g
0.9g 1.25% Zuo (Assistant) guides downward; assists Ban Xia and Huang Lian to stop vomiting
Da Dou (Huang) Juan
as printed: Da Dou Huang Juan (Semen Glycines Germinatum) 12g
12g 16.69% dissolves dampness and raises pure nutrients
Yi Yi Ren
as printed: Yi Yi Ren (Semen Coicis) 12g
12g 16.69% dispels dampness and expels turbidity via urination
Zhi Zi
as printed: Zhi Zi (Fructus Gardeniae, chao jiao (dry-fried till burnt)) 5g
5g 6.95% clears heat and dries dampness
Tong Cao
as printed: Tong Cao (Medulla Tetrapanacis) 3g
3g 4.17% dispels turbidity via urination

Dui Yao — Core Herb Pairs

The classical two-herb combinations at the heart of this formula, as recorded on the herbs' own pages — each pair has an action neither herb has alone.

Can Sha蚕沙 + Mu Gua木瓜

Together they transform dampness, harmonize the stomach and relax the sinews, treating vomiting and diarrhea with cramping of the calves.

Damp-heat sudden turmoil disorder with muscle cramps.

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net slightly cool (-0.28)

From 100% of the weighed grams.

cold cool neutral warm hot

Grams by band: cold 24%, cool 21%, neutral 17%, warm 38%, hot 1%.

Pairs warm and cool. 39% of the weighed grams are warm or hot and 45% cool or cold — the net is their average, not the whole story.

Small but decisive: Huang Qin 3g (cold, 4% of the grams), Zhi Zi 5g (cold, 7% of the grams), Wu Zhu Yu 0.9g (hot, 1% of the grams). Dose weighting nearly cancels a herb this small, but it may be what the formula is for.

Taste

pungent sweet sour bitter bland
  • pungent 15%
  • sweet 38%
  • sour 13%
  • bitter 24%
  • bland 10%

From 100% of the weighed grams.

Channels reached

  • Spleen 89%
  • Stomach 81%
  • Liver 47%
  • Lung 36%
  • Large intestine 33%
  • Heart 24%

Share of the grams entering each channel, from 100% of the weighed grams.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

Compare side by side with Liu Shen San →

Preparation

Cook with 'muddy water' (well water with a little soil) or 'yin yang water' (cold well water mixed with boiled water); sip after it cools slightly. Today normally decocted.

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Formula family

Contains Zuo Jin Wan + Can Sha, Mu Gua, Ban Xia and 5 more
Full herb lists
  • This formula = Zuo Jin Wan + Can Sha, Mu Gua, Ban Xia, Huang Qin, Da Dou (Huang) Juan, Tong Cao, Yi Yi Ren and Zhi Zi

Each entry reads as the larger formula written out: “+” adds its other catalogue cores, then the herbs none of them hold. A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

Formula Network

Formulas that share herbs with this one — the closer to the centre, the stronger the match. Click a node to explore.

Similar Formulas by composition

Match score combines dosage-weighted composition (cosine, 70%) with shared-herb overlap (Jaccard, 30%).

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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