Formulas · Tonify Qi & Blood 氣血雙補 · Bukchang (北窓)

Modified Settle the Heart Elixir

Gagamjinsim-dan

한글 가감진심단 · Pinyin Jia Jian Zhen Xin Dan

加減鎭心丹

Pill formula, bulk amounts: powdered and bound with honey into pills the size of mung beans, coated with cinnabar; 50–70 pills with warm wine or thin rice water. Note on modern practice: the cinnabar coating is omitted in contemporary preparation.

Composition 構成

Cheonmundong Tian Men Dong
天門冬 천문동 · Asparagus Root

60 g
Chief 君
Hwanggi Huang Qi
黃芪 황기 · Astragalus

60 g
Chief 君 honey-roasted
Danggui Dang Gui
當歸 당귀 · Korean Angelica

60 g
Deputy 臣 body, wine-baked
Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

60 g
Deputy 臣
Maekmundong Mai Men Dong
麥門冬 맥문동 · Liriope

40 g
Deputy 臣
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

40 g
Deputy 臣 dried
Sanyak Shan Yao
山藥 산약 · Chinese Yam

40 g
Assistant 佐
Boksin Fu Shen
茯神 복신 · Poria with hostwood

40 g
Assistant 佐
Omija Wu Wei Zi
五味子 오미자 · Schisandra

20 g
Assistant 佐
Wonji Yuan Zhi
遠志 원지 · Polygala

20 g
Assistant 佐 ginger-juice-processed
Insam Ren Shen
人蔘 인삼 · Ginseng

20 g
Assistant 佐

Total 460 g per packet (첩) · representative dosage — verify against source texts.

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

Rebuilds Qi and Blood where both have run short
Settles a Heart spirit vacuously damaged by loss

Indications 主治

Pattern-based

Qi and Blood insufficient (氣血不足)
Heart spirit vacuously damaged (心神虛損)
The formula named for wasted construction and lost essence

Biomedical correlates

Chronic depletion after major life stress
Fatigue with anxiety and poor sleep
Long-course restorative therapy

Source text 原文

Donguibogam 東醫寶鑑

治氣血不足, 心神虛損. 天門冬ㆍ黃芪(蜜灸)ㆍ當歸身(酒焙)ㆍ熟地黃各一兩半, 麥門冬ㆍ生乾地黃ㆍ山藥ㆍ白茯神各一兩, 五味子ㆍ遠志(薑汁製)ㆍ人參各五錢. 右爲末, 蜜丸菉豆大, 朱砂爲衣, 溫酒或米飮下五七十丸. 《北窓》

Translation

Treats Qi and Blood insufficient, with the Heart spirit vacuously damaged. Asparagus root, honey-roasted astragalus, wine-baked angelica body, and prepared rehmannia, 1 nyang 5 don each; ophiopogon, dried raw rehmannia, dioscorea, and hostwood poria, 1 nyang each; schisandra, ginger-juice-processed polygala, and ginseng, 5 don each. Powder the above and bind with honey into pills the size of mung beans, coated with cinnabar; take 50–70 pills with warm wine or thin rice water. — Bukchang 北窓 (Donguibogam · Sin)

Clinical commentary 臨床

The formula the chapter offers for its section on wasted construction and lost essence — the patient whose circumstances have collapsed and whose body has followed. Its composition says what the tradition thought that required: not sedation, but rebuilding. Asparagus and astragalus lead at an ounce and a half each, the Blood builders follow, and only polygala and hostwood poria address the spirit directly. For someone who has stopped tasting food and is visibly thinning, this is what was given. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.