Formulas · Tonify Yin 補陰 · Gogeum Uigam (古今醫鑑)

Immortals' Already-Crossed Elixir

Sinseongije-dan

한글 신선기제단  ·  Pinyin Shen Xian Ji Ji Dan

神仙旣濟丹

Pill formula, bulk amounts: powdered and bound with honey and steamed jujube flesh into pills the size of parasol-tree seeds; 70–90 pills with salted water or warm wine on an empty stomach. The Uigam records a variant with asparagus root and wine-washed angelica 2 nyang each, omitting chrysanthemum, gardenia, and tangerine peel. The formula's self-description: 'warm without heat, clear without cold; taken long, Water and Fire stand Already-Crossed, Yin and Yang in concord — the fire does not flare and the spirit clears of itself, the water does not seep and the essence secures itself: the sagely medicine of even supplementation.'

Composition 構成

Total 1880 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

  • All vacuities and hundred detriments — the five taxations and seven damages
  • Water and Fire not yet crossed — restored to the Already-Crossed configuration (坎离旣濟)
  • Long-course even supplementation (平補之聖藥)

Biomedical correlates

  • Chronic fatigue with mixed heat and depletion
  • Age-related multi-system decline
  • Long-course balanced tonification

Source text 原文

Donguibogam 東醫寶鑑

專補諸虛百損, 五勞七傷, 滋腎水, 降心火, 補脾土, 添精補髓, 益氣和血, 壯筋骨, 潤肌膚, 聰耳明目, 開心定智, 强陰健陽, 延年益壽. 性味溫而不熱, 淸而不寒, 久服則坎离旣濟, 陰陽悏和, 火不炎而神自淸, 水不滲而精自固, 乃平補之聖藥也. 黃柏(酒炒) 四兩, 山藥(酒蒸)ㆍ牛膝(酒洗) 各三兩, 人參ㆍ杜沖(薑汁炒)ㆍ巴戟ㆍ五味子ㆍ白茯苓ㆍ枸杞子(酒洗)ㆍ茴香(鹽水炒)ㆍ肉蓯蓉(酒洗)ㆍ山茱萸(酒蒸)ㆍ遠志(甘草水浸)ㆍ石菖蒲ㆍ知母(酒炒)ㆍ生乾地黃(酒炒)ㆍ熟地黃ㆍ麥門冬ㆍ兎絲子(酒製)ㆍ甘菊(酒洗)ㆍ梔子(炒) 各二兩, 陳皮(去白) 一兩. 右爲末, 蜜和蒸棗肉和丸梧子大. 空心, 鹽湯, 溫酒下七九十丸. ○一方, 有天門冬ㆍ當歸(酒洗) 各二兩, 無甘菊ㆍ梔子ㆍ陳皮三味. 《醫鑑》

Translation

Wholly supplements all vacuities and hundred detriments, the five taxations and seven damages — enriching Kidney Water, downbearing Heart Fire, supplementing Spleen Earth, adding essence and supplementing marrow, boosting Qi and harmonizing Blood, strengthening sinew and bone, moistening the skin, sharpening ears and brightening eyes, opening the heart and settling the wits, strengthening Yin and fortifying Yang, extending the years. Its nature and flavor are warm without being hot and clear without being cold; taken long, Water and Fire stand Already-Crossed and Yin and Yang in concord — the fire does not flare and the spirit clears of itself; the water does not seep and the essence secures itself: the sagely medicine of even supplementation. Wine-fried phellodendron 4 nyang; wine-steamed dioscorea and wine-washed achyranthes, 3 nyang each; ginseng, ginger-juice-fried eucommia, morinda, schisandra, white poria, wine-washed lycium fruit, salt-water-fried fennel, wine-washed cistanche, wine-steamed cornus, licorice-water-soaked polygala, acorus, wine-fried anemarrhena, wine-fried dried raw rehmannia, prepared rehmannia, ophiopogon, wine-prepared cuscuta, wine-washed chrysanthemum, and dry-fried gardenia, 2 nyang each; tangerine peel (white removed) 1 nyang. Powder the above and bind with honey and steamed jujube flesh into pills the size of parasol-tree seeds; take 70–90 pills with salted water or warm wine on an empty stomach. — One version has asparagus root and wine-washed angelica, 2 nyang each, and lacks the chrysanthemum, gardenia, and tangerine peel. — Uigam 醫鑑 (Donguibogam · Heoro)

Clinical commentary 臨床

The hexagram in the name is the therapeutic endpoint — Water above Fire, everything in its completed place. Phellodendron leads a twenty-two-herb cabinet whose real signature is temperance: every faction dosed to two nyang, gardenia and chrysanthemum keeping the fire honest, the whole engineered to be taken for years without tipping the board it balances. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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