Formulas · Regulate Qi 理氣 · Seui Deukhyobang (世醫得效方)

Spirit Repose Pill

Sinchim-won

한글 신침원 · Pinyin Shen Qin Yuan

神寢元

The alternate name is printed 窹生丸. This transcription uses 窹 for 寤 throughout, so the name is 寤生丸, the pill for the birth where the child comes awake — that is, feet first; 寤生 is the old phrase from the Zuo Zhuan.

Composition 構成

Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

80 g
Chief 君
Yuhyang Ru Xiang
乳香 유향 · Frankincense

40 g
Deputy 臣
Bongmil Feng Mi
蜂蜜 봉밀 · Honey

—
Envoy 使

boiled honey, as the binder

Total 120 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

Thins the fetus and makes the birth easy

Indications 主治

Pattern-based

Late pregnancy, the fetus grown heavy and the birth expected to be hard

Biomedical correlates

Birth preparation

Source text 原文

Donguibogam 東醫寶鑑

能瘦胎易産. 枳殼二兩, 乳香一兩. 右爲末, 以煉蜜丸梧子大, 酒下三十丸. ○一名窹生丸. 《得效》

Translation

It can thin the fetus and make the birth easy. Bitter orange peel, 2 nyang; frankincense, 1 nyang. Powder the above, bind with boiled honey into pills the size of parasol-tree seeds, and take thirty pills down with wine. Another name is Osaeng-hwan. — Deukhyo 得效 (Donguibogam · Buin)

Clinical commentary 臨床

Two drugs. Bitter orange peel in bulk is the standard thinning drug of the chapter, held to press the qi down and keep the fetus from growing overfull, and frankincense is added because it moves blood and was thought to ease the passage. Thirty honey pills with wine, taken through the last weeks. The alternate name is the more revealing one: a pill for a breech birth. What the tradition hoped was that a drug which descends would turn or settle a child presenting the wrong way. Nothing taken by mouth does that; a breech is turned by hand or delivered by section, and the bitter orange in quantity is a drug the modern pharmacopoeia keeps away from pregnancy because its synephrine raises blood pressure. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.