寶鑑Bogam

Formulas · Calm the Spirit 安神 · Jeoneul (錢乙)

Settle the Heart Pill

Jinsim-hwan

한글 진심환  ·  Pinyin Zhen Xin Wan

鎭心丸

甜硝, the white sweet mirabilite, is not carried in the herb list under 甜硝 or 甛硝 and is not the same name as the 芒硝, 朴硝, 玄明粉 or 風化硝 that are, so it is named here and left out of the ingredient list rather than resolved to a neighbour. The transcription's ≪ opens before 薄荷湯下一丸, putting the dosing instruction inside the brackets with the source label; it is marked as the 細註 the transcription makes it. The leaf writes 涼膈 and 甜硝 and 灸 where the sense is 炙; the transcription's forms are kept. The section text above prescribes it by name, 次與驅風膏鎭心丸鎭肝丸, and also names a 金箔鎭心丸, which is a separate leaf.

Composition 構成

Total 194 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

Indications 主治

Pattern-based

  • 急驚風 — acute fright wind
  • 驚 with heat in the diaphragm and an unsettled spirit

Biomedical correlates

  • Febrile convulsion in a child
  • Agitation and sleeplessness after a convulsion

Source text 原文

Donguibogam 東醫寶鑑

治急驚風, 安心止驚, 散邪涼膈. 山藥ㆍ白茯苓 各一兩, 寒水石ㆍ甘草(灸) 各七錢半, 甜硝(白者)ㆍ朱砂 各五錢, 人參 二錢半, 龍腦ㆍ麝香 各五分. 右爲末, 蜜和, 每一兩作五十丸, 金箔爲衣, <span class='sochu'>薄荷湯下一丸</span>. 《錢乙》

Translation

Treats acute fright wind; settles the heart and stops the fright, scatters the evil and cools the diaphragm. Chinese yam and white poria, 1 nyang each; glauberite and roasted licorice, 7 don 5 fun each; sweet mirabilite, the white kind, and cinnabar, 5 don each; ginseng, 2 don 5 fun; borneol and musk, 5 fun each. Powder the above and mix with honey; from each nyang make fifty pills, coated with gold leaf — one pill down in mint decoction. — Jeoneul 錢乙 (Donguibogam · Soa)

Clinical commentary 臨床

The gentlest formula in the batch and the one with the best-specified dose. Yam, poria, ginseng and roasted licorice are a plain supplementing base; glauberite and sweet mirabilite cool; cinnabar, borneol and musk do the settling. Fifty pills from each nyang of powder, gold-leafed, one at a time in mint water — the chapter almost never counts this carefully. Which means the one arithmetic in the section can actually be done. The powder comes to about 194 g, of which 20 g is cinnabar, so a pill of roughly 0.8 g carries something like 80 mg of mercuric sulfide. **Contains cinnabar — 朱砂, mercuric sulfide — about 80 mg in each pill written for a child, and the chapter gives no dose by weight anywhere else. This must not be prepared.** The mercury paragraph under Jinsa-go-soa applies here in full, and this leaf is the one that lets you see the quantity. The gold leaf, by contrast, is inert and harmless — metallic gold is not absorbed from the gut and the coating does nothing at all except look like what it cost. It is worth saying, because a reader who finds a warning attached to every ingredient stops reading the warnings. The gold is fine. The cinnabar under it is not. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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