Formulas · Transform Phlegm 化痰 · Uihak Immun (醫學入門)

Quiet the Spirit and Guide Out Phlegm Decoction

Yeongsin-dodam-tang

한글 영신도담탕 · Pinyin Ning Shen Dao Tan Tang

寧神導痰湯

Given in the Wind chapter as one of four inline modifications of 導痰湯, whose own composition the Bogam gives in the Phlegm chapter; 芩ㆍ連 is the abbreviated form for 黃芩 and 黃連. The base weights are carried over from the parent formula.

Composition 構成

Banha Ban Xia
半夏 반하 · Pinellia

8 g
Chief 君

ginger-prepared
Wonji Yuan Zhi
遠志 원지 · Polygala

4 g
Chief 君
Seokchangpo Shi Chang Pu
石菖蒲 석창포 · Acorus

4 g
Chief 君
Cheonnamseong Tian Nan Xing
天南星 천남성 · Arisaema

4 g
Deputy 臣

blast-fried · toxic
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Deputy 臣
Hwangnyeon Huang Lian
黃連 황련 · Coptis

4 g
Deputy 臣
Gyulhong Ju Hong
橘紅 귤홍 · Red Tangerine Peel

4 g
Assistant 佐
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

4 g
Assistant 佐
Jeokbongnyeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

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

2 g
Assistant 佐

toxic
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

five slices

Total 46 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

Quiets the spirit and guides out phlegm
Treats wind stroke with phlegm clouding the spirit

Indications 主治

Pattern-based

Phlegm heat clouding the orifice of the heart
Wind phlegm with the spirit unsettled

Biomedical correlates

Post-stroke agitation
Delirium with phlegm

Source text 原文

Donguibogam 東醫寶鑑

治中風痰迷心竅. 卽<a href='/formulas/dodam-tang'>導痰湯</a>《方見痰飮》加遠志ㆍ菖蒲ㆍ芩ㆍ連ㆍ朱砂, 名曰寧神導痰湯. 《入門》

Translation

Treats wind stroke with phlegm confusing the orifice of the heart. That is, Dodam-tang with polygala, acorus, scutellaria, coptis and cinnabar added, which is called Nyeongsin-dodam-tang. — Uihak Immun 入門 (Donguibogam · Pung)

Clinical commentary 臨床

The spirit-directed modification of Dodam-tang, and the one whose five additions divide neatly: polygala and acorus to open the heart orifice, scutellaria and coptis to take the heat out of the phlegm, and cinnabar to weigh the spirit down. It covers the same indication as Cheongsin-haeeo-tang and Uhwang-jeongji-hwan elsewhere in the chapter and does so with far fewer drugs. The cinnabar is mercuric sulphide and is the reason the formula as written cannot be prepared; without it the remaining eleven drugs are a usable prescription. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.