Formulas · Calm the Spirit 安神 · Hwaje Gukbang (和劑局方)

Fourteen Friends Pill

Sipsau-won

한글 십사우원 · Pinyin Shi Si You Yuan

十四友元

Pill formula, bulk amounts: powdered and bound with honey into pills the size of parasol-tree seeds; 30–40 pills with a jujube decoction. **Note on modern practice: cinnabar is a mercury sulfide and is omitted from contemporary preparations; the remaining thirteen carry the indication.**

Composition 構成

Yongchi Long Chi
龍齒 용치 · Fossilized Tooth

80 g
Chief 君 separately ground
Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

40 g
Deputy 臣
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

40 g
Deputy 臣
Boksin Fu Shen
茯神 복신 · Poria with hostwood

40 g
Deputy 臣
Sanjoin Suan Zao Ren
酸棗仁 산조인 · Sour Jujube Seed

40 g
Deputy 臣 dry-fried
Insam Ren Shen
人蔘 인삼 · Ginseng

40 g
Deputy 臣
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

40 g
Assistant 佐
Agyo E Jiao
阿膠 아교 · Donkey-hide Gelatin

40 g
Assistant 佐 pearled
Wonji Yuan Zhi
遠志 원지 · Polygala

40 g
Assistant 佐 wine-sprinkled and steamed
Danggui Dang Gui
當歸 당귀 · Korean Angelica

40 g
Assistant 佐
Hwanggi Huang Qi
黃芪 황기 · Astragalus

40 g
Assistant 佐
Baekjain Bai Zi Ren
柏子仁 백자인 · Arborvitae Seed

40 g
Assistant 佐
Jaseokyeong Zi Shi Ying
紫石英 자석영 · Fluorite

40 g
Assistant 佐 calcined, separately ground
Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

20 g
Assistant 佐

Total 580 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

Supplements a vacuous Heart and Liver so the will can settle
Quiets a sleep made restless by what the patient cannot name

Indications 主治

Pattern-based

Heart and Liver vacuous with spirit and will unquiet (補心肝虛神志不寧)
Sleep unquiet on lying down (睡臥不安)
Unease with no findable object

Biomedical correlates

Insomnia with anxiety and no identifiable trigger
Restless sleep with depletion
Long-course settling therapy

Source text 原文

Donguibogam 東醫寶鑑

補心肝虛, 神志不寧, 睡臥不安. 內經曰, 藏有所傷, 情有所倚, 人不能知其病, 則臥不安. 龍齒(另硏) 二兩, 熟地黃ㆍ白茯苓ㆍ白茯神ㆍ酸棗仁(炒)ㆍ人參ㆍ肉桂ㆍ阿膠珠ㆍ遠志(酒洒蒸)ㆍ當歸ㆍ黃芪ㆍ柏子仁ㆍ紫石英(煆另硏) 各一兩, 辰砂五錢. 右末, 蜜丸梧子大, 棗湯呑下三四十丸. 《局方》

Translation

Supplements Heart and Liver vacuity, with spirit and will unquiet and sleep unquiet on lying down. The Inner Classic says: some viscus has been damaged and the affects lean toward something; the person cannot know what their illness is, and so lying down brings no ease. Fossilized tooth, separately ground, 2 nyang; prepared rehmannia, white poria, hostwood poria, dry-fried sour jujube seed, ginseng, cinnamon bark, pearled ass-hide glue, polygala sprinkled with wine and steamed, Korean angelica, astragalus, arborvitae seed, and calcined fluorite separately ground, 1 nyang each; cinnabar 5 don. Powder the above and bind with honey into pills the size of parasol-tree seeds; take 30–40 pills with a jujube decoction. — Gukbang 局方 (Donguibogam · Sin)

Clinical commentary 臨床

Fourteen ingredients called friends, and the source states its rationale by quoting the Inner Classic — a viscus damaged, the affects leaning toward something, and **the person cannot know what their illness is; then lying down brings no ease.** That is the same passage the Dreams chapter builds its section on unquiet lying around, and finding it here as a formula's preamble shows how closely the two chapters were meant to be read together. Fossilized tooth and fluorite anchor; the rest supplies what the Heart and Liver have spent. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.