Formulas · Calm the Spirit 安神 · Taepyeong Hyeminhwajebang (太平惠民和劑局方)

Utmost Treasure Elixir

Jibo-dan

한글 지보단 · Pinyin Zhi Bao Dan

至寶丹

Rhinoceros horn and hawksbill shell are CITES Appendix I materials and cannot lawfully be obtained or used; water buffalo horn is the usual substitution for the first and the second is simply omitted. Cinnabar is mercuric sulphide and realgar arsenic sulphide; both are toxic. The Sokbang's practical note on the benzoin is the Bogam's own addition.

Composition 構成

Seogak Xi Jiao
犀角 서각 · Rhinoceros Horn (prohibited)

40 g
Chief 君

· CITES
Daemo Dai Mao
玳瑁 대모 · Hawksbill Shell (CITES-listed)

40 g
Chief 君

· CITES
Uhwang Niu Huang
牛黃 우황 · Cattle Gallstone

20 g
Chief 君
Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

40 g
Deputy 臣

· toxic
Unghwang Xiong Huang
雄黃 웅황 · Realgar

40 g
Deputy 臣

· toxic
Hobak Hu Po
琥珀 호박 · Amber

40 g
Deputy 臣
Ansikhyang An Xi Xiang
安息香 안식향 · Benzoin Resin

40 g
Assistant 佐

strained in wine free of sand and grit, then boiled to a paste; the Bogam notes that it is hard and slow to dissolve, so half may be replaced with refined honey
Eunbak Yin Bo
銀箔 은박 · Silver Leaf

—
Assistant 佐

fifty leaves
Geumbak Jin Bo
金箔 금박 · Gold Leaf

—
Assistant 佐

fifty leaves
Yongnoe Long Nao
龍腦 용뇌 · Borneol

10 g
Envoy 使
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

10 g
Envoy 使

Total 280 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

Treats sudden stroke by urgent wind with loss of speech and loss of consciousness
Treats wind striking the viscera with the spirit clouded and darkened

Indications 主治

Pattern-based

Phlegm heat blocking the orifices with loss of consciousness
Wind stroke with clouded spirit

Biomedical correlates

Stroke with coma
Febrile encephalopathy

Source text 原文

Donguibogam 東醫寶鑑

治卒中急風不語ㆍ不省人事, 及風中藏精神昏冒. 犀角ㆍ朱砂ㆍ雄黃ㆍ琥珀ㆍ玳瑁各一兩, 牛黃五錢, 龍腦ㆍ麝香各二錢半, 銀箔五十片, 金箔五十片(內半爲衣), 安息香以酒濾去沙土, 淨一兩, 熬膏. 右爲末, 入安息香膏, 搜和勻, 一兩分作四十丸, 人參湯化下一丸, 一日二三服. 《局方》 ○安息香性硬難化, 倉卒難用, 宜減半代煉蜜爲佳. 《俗方》

Translation

Treats sudden stroke by urgent wind with loss of speech and loss of consciousness, and wind striking the viscera with the spirit clouded and darkened. Rhinoceros horn, cinnabar, realgar, amber and hawksbill shell, 1 nyang each; ox gallstone, 5 don; borneol and musk, 2.5 don each; silver leaf, fifty leaves; gold leaf, fifty leaves, half used as a coating; benzoin, 1 nyang, strained in wine free of sand and grit and boiled to a paste. Powder the rest, put in the benzoin paste, mix evenly, and divide each nyang into forty pills; dissolve one pill in a ginseng decoction and take two or three times a day. Benzoin is hard by nature and slow to dissolve and is awkward in an emergency, so it is best to halve it and replace the rest with refined honey. — Gukbang 局方 · Sokbang 俗方 (Donguibogam · Pung)

Clinical commentary 臨床

One of the three great orifice-opening elixirs of the tradition, and the only one of them the chapter gives for stroke. The aromatics — musk, borneol, benzoin — are the active principle in its own terms: they are held to penetrate where nothing else reaches, and they are given with cooling minerals to answer the heat. The Korean note at the end is characteristic of this book and worth more than the formula: benzoin is hard and slow to dissolve, which is awkward in an emergency, so halve it and use honey. That is a pharmacist's remark about a real problem. **This must not be prepared** — it carries mercury and arsenic, and two of its materials are from protected species. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.