寶鑑Bogam

Formulas · Calm the Spirit 安神 · Gogeum Uigam (古今醫鑑)

Ox Gallstone Clear the Heart Pill

Uhwang-cheongsim-won

한글 우황청심원  ·  Pinyin Niu Huang Qing Xin Yuan

牛黃淸心元

Rhinoceros horn and saiga antelope horn are CITES-listed and cannot lawfully be used; cinnabar is mercuric sulphide and realgar arsenic sulphide, both toxic. Modern Korean preparations sold under this name omit all four and substitute water buffalo horn.

Composition 構成

Total 200 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 ingredients 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

  • Phlegm heat clouding the heart orifices after wind stroke
  • Wind stroke with loss of consciousness

Biomedical correlates

  • Stroke
  • Hypertensive crisis
  • Acute confusional state

Source text 原文

Donguibogam 東醫寶鑑

治卒中風不省人事, 痰涎壅塞, 精神昏憒, 言語蹇澁, 口眼喎斜, 手足不遂等證. 山藥 七錢, 甘草(炒) 五錢, 人參ㆍ蒲黃(炒)ㆍ神麴(炒) 各二錢半, 犀角 二錢, 大豆黃卷(炒)ㆍ肉桂ㆍ阿膠(炒) 各一錢七分半, 白芍藥ㆍ麥門冬ㆍ黃芩ㆍ當歸ㆍ防風ㆍ朱砂(水飛)ㆍ白朮 各一錢半, 柴胡ㆍ桔梗ㆍ杏仁ㆍ白茯苓ㆍ川芎 各一錢二分半, 牛黃 一錢二分, 羚羊角ㆍ麝香ㆍ龍腦 各一錢, 雄黃 八分, 白歛ㆍ乾薑(炮) 七分半, 金箔 一百二十箔(內四十箔爲衣), 大棗 二十枚(蒸取肉, 硏爲膏). 右爲末, 棗膏入煉蜜和勻, 每一兩作十丸, 金箔爲衣, 每取一丸, 溫水化下. 《醫鑑》

Translation

Treats sudden wind stroke with loss of consciousness, phlegm drool congesting and blocking, a clouded spirit, halting speech, deviation of the mouth and eye, hands and feet that will not follow, and the like. Dioscorea, 7 don; stir-fried licorice, 5 don; ginseng, stir-fried typha pollen and stir-fried medicated leaven, 2.5 don each; rhinoceros horn, 2 don; stir-fried soybean sprout, cassia bark and stir-fried ass-hide glue, 1 don 7 fun 5 ri each; white peony, ophiopogon, scutellaria, tangkuei, saposhnikovia, water-ground cinnabar and white atractylodes, 1.5 don each; bupleurum, platycodon, apricot kernel, white poria and chuanxiong, 1 don 2 fun 5 ri each; ox gallstone, 1 don 2 fun; antelope horn, musk and borneol, 1 don each; realgar, 8 fun; ampelopsis root and blast-fried dried ginger, 7 fun 5 ri each; gold leaf, a hundred and twenty leaves, forty of them for coating; jujube, twenty fruits, steamed and the flesh taken and ground to a paste. Powder the rest, mix the jujube paste with refined honey evenly, make ten pills from each nyang, coat them with gold leaf, and take one dissolved in warm water. — Gogeum Uigam 醫鑑 (Donguibogam · Pung)

Clinical commentary 臨床

The most famous formula in Korean medicine, and still sold in every pharmacy in the country as an emergency pill for stroke and collapse. Thirty ingredients, and they divide into three groups that do not obviously belong together: a large spleen-and-qi core led by seven don of dioscorea; the aromatic orifice-openers musk, borneol and ox gallstone; and the cooling animal horns with cinnabar and realgar. The logic is that a stroke is phlegm heat shutting the heart's orifices in a patient whose root qi is already weak, so the orifices are opened, the heat cleared and the root supported at once. The modern commercial product keeps the aromatics and the tonic core and drops the horns and the minerals — which is the right revision, since the cinnabar and realgar are the two ingredients that could kill the patient. **This must not be prepared as written.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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