寶鑑Bogam

Formulas · Calm the Spirit 安神 · Jikso (直小)

Children's Clear the Heart Pill

Soacheongsim-hwan

한글 소아청심환  ·  Pinyin Xiao Er Qing Xin Wan

小兒淸心丸

The source label 直小 is the Jikji Soabang abbreviated, and is romanised Jikso, as the corpus does in four other places. The honey is a binder and the bamboo sap a vehicle, and following corpus practice for 蜜丸 neither is entered as an ingredient. 金箔 三十片 is counted by sheet and takes no weight.

Composition 構成

Total 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

Indications 主治

Pattern-based

  • 諸熱 — heat of every kind in a child
  • 驚熱煩躁 — the heat of fright with agitation and restlessness

Biomedical correlates

  • Agitation and fever in a child — historical sedative pill
  • Post-convulsive restlessness

Source text 原文

Donguibogam 東醫寶鑑

治諸熱及驚熱煩躁. 人參ㆍ茯神ㆍ防風ㆍ朱砂ㆍ柴胡 各二錢, 金箔 三十片. 右爲末, 蜜丸梧子大, 每一丸, 竹瀝調下. 《直小》

Translation

Treats heat of every kind, and the heat of fright with agitation and restlessness. Ginseng, poria with wood, saposhnikovia, cinnabar and bupleurum, 2 don each; gold leaf thirty sheets. Powder the above and form with honey into pills the size of a paulownia seed; for each dose one pill, let down in bamboo sap. — Jikso 直小 (Donguibogam · Soa)

Clinical commentary 臨床

Two don of cinnabar in a batch of pills the size of a paulownia seed, with thirty sheets of gold leaf, 人參 and 茯神 to settle the spirit, and 柴胡 and 防風 for the heat. The gold is inert and does nothing; the cinnabar is the whole problem. 驚熱煩躁 — fever with fright and agitation — describes a child who is febrile and cannot be settled, and that is one of the presentations that should move a clinician fastest rather than toward a sedative. Irritability that does not settle, in a febrile child who cannot be consoled, is a sign of meningitis or encephalitis. The height of the temperature says little; how the child looks says most of it. See the chapter prose at 1.41 for the frame. **Contains cinnabar. The full statement on mercury in this chapter is written on `jinsa-go-soa`; read it there. In short, there is no safe dose at any age, the developing nervous system is the organ at risk, and the injury does not reverse. Here it is a fifth of the batch by weight, in a pill given to an infant, and the text gives no dose by weight anywhere. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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