寶鑑Bogam

Formulas · Calm the Spirit 安神 · Deukhyo (得效)

Major Fright Formula

Daegyeong-won

한글 대경원  ·  Pinyin Da Jing Yuan

大驚元

桔梗尾, the tail of the platycodon root, has no separate entry in the materia medica and is registered against `gilgyeong` with the part named in the preparation. The alternative name 大安神元 is given at the foot of the leaf.

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 4 ingredients measured by count or used as a vehicle, shown as —.

Received this formula from your practitioner? Amounts shown here are classical reference values — granule and prepared products differ. Always follow your prescribed dosage and directions.

Actions 效能

Indications 主治

Pattern-based

  • Fright wind (驚風)
  • Heart heat with crying through the night (心熱夜啼)

Biomedical correlates

  • Convulsion and inconsolable night crying in a child — historical management
  • Recorded for historical reference only

Source text 原文

Donguibogam 東醫寶鑑

治驚風, 安神定驚, 又治心熱夜啼. 酸棗仁(去皮)ㆍ蚌粉(炒)ㆍ甘草(灸) 各五錢, 人參ㆍ赤茯苓ㆍ白朮ㆍ朱砂ㆍ麥門冬ㆍ木香ㆍ代赭石(醋煮) 各二錢半, 白殭蚕ㆍ桔梗尾 各一錢二分半, 全蝎 三箇, 金銀箔 各三片. 右爲末, 蜜丸梧子大, 金銀箔爲衣, 薄荷湯化下一二丸. ○一名大安神元. 《得效》

Translation

Treats fright wind; quiets the spirit and settles fright, and also treats Heart heat with crying through the night. Husked sour jujube seed, dry-fried clam shell powder and roasted licorice, 5 don each; ginseng, red poria, atractylodes, cinnabar, ophiopogon, costus root and vinegar-boiled haematite, 2 don 5 fun each; silkworm and the tail of platycodon root, 1 don 2 fun 5 ri each; three scorpions; gold leaf and silver leaf, three sheets each. Powder them, bind with honey into pills the size of a paulownia seed, coat them with gold and silver leaf, and give one or two dissolved in mint decoction. ○ It is also called Daeansin-won. — Deukhyo 得效 (Donguibogam · Soa)

Clinical commentary 臨床

The largest formula in the section and the one built mostly of food and plants: sour jujube seed, clam shell powder and roasted licorice at 5 don lead it, with 四君子 (ginseng, red poria, atractylodes, licorice) inside it and ophiopogon, costus and silkworm filling it out. Gold and silver leaf go in at three sheets each and on the outside as the coating. Also called 大安神元. **Gold and silver leaf are inert metals and are harmless** — the same point as in 金箔鎭心丸. Three things in the list are not. **It contains cinnabar, which is mercuric sulfide, at 2 don 5 fun, and three whole scorpions, whose venom content cannot be standardised; the patient is a child and the text gives no dose by weight anywhere. This must not be prepared.** The third is easy to miss. **代赭石 is haematite, an iron ore, and boiling it in vinegar is a step that makes iron soluble. Iron is one of the classic lethal paediatric ingestions** — a small child can be killed by a quantity of iron an adult would absorb without noticing, through corrosive injury to the gut followed by shock and liver failure. A sweetened, gilded pill, given at a dose of one or two with nothing said about size or age, is exactly the presentation that makes that happen. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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