Formulas · Tonify Yin 補陰 · Hwaje Gukbang (和劑局方)

Bring Down the Heart Elixir

Gangsim-dan

한글 강심단 · Pinyin Jiang Xin Dan

降心丹

Composition 構成

Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

120 g
Chief 君
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

120 g
Chief 君
Cheonmundong Tian Men Dong
天門冬 천문동 · Asparagus Root

120 g
Deputy 臣
Maengmundong Mai Men Dong
麥門冬 맥문동 · Liriope

120 g
Deputy 臣
Baekbongnyeong Fu Ling
白茯苓 백복령 · Poria (white)

80 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

80 g
Deputy 臣
Sanyak Shan Yao
山藥 산약 · Chinese Yam

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

80 g
Assistant 佐
Wonji Yuan Zhi
遠志 원지 · Polygala

80 g
Assistant 佐

processed with ginger
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

20 g
Assistant 佐
Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

20 g
Assistant 佐

Total 920 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

Supplements heart and kidney together
Enriches yin and moistens dryness
Brings the heart fire down to the kidney

Indications 主治

Pattern-based

Heart and kidney insufficiency with forgetfulness
Poor recall with lumbar weakness
Night sweats with palpitation and poor memory

Biomedical correlates

Cognitive complaints with fatigue
Memory impairment in the elderly
Neurasthenia

Source text 原文

Donguibogam 東醫寶鑑

治心腎不足健忘. 熟地黃ㆍ當歸ㆍ天門冬ㆍ麥門冬各三兩, 白茯苓ㆍ人參ㆍ山藥ㆍ茯神ㆍ遠志(薑製) 各二兩, 肉桂ㆍ朱砂各五錢. 右爲末, 蜜丸梧子大, 人參湯下三十丸. 《局方》

Translation

Treats heart and kidney insufficiency with forgetfulness. Prepared rehmannia, angelica, asparagus and ophiopogon, 3 nyang each; white poria, ginseng, dioscorea, poria spirit and polygala (processed with ginger), 2 nyang each; cinnamon bark and cinnabar, 5 don each. Powder them, make honey pills the size of a firmiana seed, and take thirty with ginseng decoction. — Gukbang 局方 (Donguibogam · Sin)

Clinical commentary 臨床

The name states the mechanism: 降心, bringing the heart down, so that fire above and water below meet. The construction is a yin supplement in bulk — four medicinals at 3 nyang — with a small dose of 肉桂 to lead the fire back to its source, which is the same device as in 八味丸. **Leave the cinnabar out.** What remains is a sound formula for the forgetfulness of exhaustion. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.