Scutellaria Heart Pill

Geumsim-hwan

한글 금심환 · Pinyin Qin Xin Wan

芩心丸

Single-herb pill: the scutellaria is soaked and roasted through seven cycles, powdered, and bound with a vinegar paste into pills the size of parasol-tree seeds; 70 pills on an empty stomach with warm wine, twice daily. Note on modern practice: bleeding after menopause requires prompt gynecological evaluation to exclude endometrial disease; this entry is recorded for textual and historical interest.

Composition 構成

Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

80 g
Chief 君 strip form; rice-water- or vinegar-soaked a day and roasted dry, soaked and roasted seven times

Total 80 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

Stops the bleeding that returns after the Heavenly Water should have ceased
Cools the Blood with a single herb processed seven times

Indications 主治

Pattern-based

Menses returning after the Heavenly Water has passed (天癸過後復行)
Spotting that will not stop
Heat in the Blood at the close of the reproductive years

Biomedical correlates

Postmenopausal bleeding — historical management
Perimenopausal heavy or irregular bleeding
Heat-pattern uterine bleeding

Source text 原文

Donguibogam 東醫寶鑑

治婦人天癸過後復行, 或漏下不止. 條黃芩二兩(泔浸 <span class='sochu'>一作醋浸</span> 一日, 灸乾, 又浸又灸, 如此七次). 右爲末, 醋糊和丸梧子大, 每七十丸, 空心, 溫酒送下, 日二服. 《瑞竹》

Translation

Treats a woman whose menses return after the Heavenly Water has passed, or spotting that will not stop. Strip scutellaria 2 nyang, soaked a day in rice water <span class='sochu'>— one version says vinegar —</span> and roasted dry, then soaked and roasted again, seven times over. Powder it and bind with a vinegar paste into pills the size of parasol-tree seeds; take 70 pills on an empty stomach with warm wine, twice daily. — Seojuk 瑞竹 (Donguibogam · Po)

Clinical commentary 臨床

One herb, seven soakings — the tradition's method for taming a cold bitter drug into something that can be taken daily by a woman past fifty. The name points at the part used: the solid heart of the root rather than the hollowed old stem. For bleeding the chapter reads as heat rather than as depletion, which is the distinction the whole section turns on. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.