Formulas · Tonify Yin 補陰 · Dangye Simbeop (丹溪心法)

Guam's Heart-Kidney Pill

Goamsimsin-hwan

한글 고암심신환  ·  Pinyin Gu An Xin Shen Wan

古庵心腎丸

Pill formula, bulk amounts: powdered, bound with honey into pills the size of parasol-tree seeds, and coated with the cinnabar; 100 pills with salted water or warm wine on an empty stomach. Taken long, it blackens beard and hair and grants children. The appended discourse says — the heart abhors heat, the kidney abhors dryness; this formula clears heat and moistens dryness, supplements essence and boosts blood: the sagely medicine for treating heart and kidney (Dansim). Note on modern practice: cinnabar (朱砂) is restricted in contemporary U.S. practice; the coating is omitted in modern preparation.

Composition 構成

Total 1000 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

Indications 主治

Pattern-based

  • Taxation detriment with Heart and Kidney vacuous and hot (心腎虛而有熱)
  • Fright palpitations and fearful throbbing with seminal loss and night sweats
  • Dim eyes tinnitus lumbar pain and wilting legs — the full Heart-Kidney depletion picture

Biomedical correlates

  • Chronic fatigue with palpitations anxiety and poor sleep
  • Age-related decline in vision hearing and vitality
  • Burnout with sexual-function decline and premature graying

Source text 原文

Donguibogam 東醫寶鑑

治勞損, 心腎虛而有熱, 驚悸, 怔忡, 遺精, 盜汗, 目暗, 耳鳴, 腰痛, 脚痿, 久服黑鬚髮, 令人有子. 熟地黃ㆍ生乾地黃ㆍ山藥ㆍ茯神 各三兩, 當歸ㆍ澤瀉ㆍ黃柏(鹽酒炒) 各一兩半, 山茱萸ㆍ枸杞子ㆍ龜板(酥灸)ㆍ牛膝ㆍ黃連ㆍ牡丹皮ㆍ鹿茸(酥灸) 各一兩, (生)甘草 五錢, 朱砂 一兩(爲衣). 右爲末, 蜜丸梧子大. 朱砂爲衣, 空心, 鹽湯, 或溫酒呑下百丸. ○法曰, 心惡熱, 腎惡燥, 此方淸熱潤燥, 補精益血, 治心腎之聖藥也. 《丹心》

Translation

Treats taxation detriment with heart and kidney vacuous and hot: fright palpitations, fearful throbbing, seminal loss, night sweats, dim eyes, tinnitus, lumbar pain, and wilting legs; taken long it blackens beard and hair and grants children. Prepared rehmannia, dried raw rehmannia, dioscorea, and hostwood poria, 3 nyang each; Korean angelica, alisma, and salt-wine-fried phellodendron, 1.5 nyang each; cornus, lycium fruit, butter-roasted tortoise plastron, achyranthes, coptis, moutan bark, and butter-roasted deer antler, 1 nyang each; raw licorice 5 don; cinnabar 1 nyang, for the coating. Powder the above, bind with honey into pills the size of parasol-tree seeds, coat with the cinnabar, and swallow 100 pills with salted water or warm wine on an empty stomach. — The method says: the heart abhors heat and the kidney abhors dryness; this formula clears heat and moistens dryness, supplements essence and boosts blood — the sagely medicine for treating the heart and kidney. — Dansim 丹心 (Donguibogam · Heoro)

Clinical commentary 臨床

Fang Guang's appended essay makes this pill a treatise: white hair is blamed on the heart, childlessness on the kidney — yet sovereign and minister fire move together, so neither is ever guilty alone. One formula, then, to supplement blood and engender essence, quiet the spirit and downbear the fire: the Heart-Kidney axis treated as a single circuit, which is precisely how the exhausted patient experiences it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

Related formulas 關聯

Look up another