Formulas · Calm the Spirit 安神 · Danggye Simbeop (丹溪心法)

Ox Gallstone Settle the Will Pill

Uhwang-jeongji-hwan

한글 우황정지환 · Pinyin Niu Huang Ding Zhi Wan

牛黃定志丸

水飛 — levigation by grinding under water and decanting — is the standard preparation for both cinnabar and realgar and is given in the formula itself.

Composition 構成

Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

80 g
Chief 君

water-ground · toxic
Banha Ban Xia
半夏 반하 · Pinellia

80 g
Chief 君

ginger-prepared
Uhwang Niu Huang
牛黃 우황 · Cattle Gallstone

20 g
Chief 君
Unghwang Xiong Huang
雄黃 웅황 · Realgar

40 g
Deputy 臣

water-ground · toxic
Cheonma Tian Ma
天麻 천마 · Gastrodia

40 g
Deputy 臣
Osa Wu She
烏蛇 오사 · Black-Striped Snake

40 g
Deputy 臣
Hobak Hu Po
琥珀 호박 · Amber

30 g
Assistant 佐
Jeongal Quan Xie
全蠍 전갈 · Scorpion (toxic)

20 g
Assistant 佐

toxic
Baekgangjam Bai Jiang Can
白殭蠶 백강잠 · Silkworm

20 g
Assistant 佐

stir-fried
Baekbuja Bai Fu Zi
白附子 백부자 · Typhonium Rhizome

20 g
Assistant 佐

blast-fried
Namseong Tian Nan Xing
天南星 천남성 · Arisaema

20 g
Assistant 佐

prepared with ox bile · toxic
Gamcho Gan Cao
甘草 감초 · Licorice

40 g
Envoy 使
Yongnoe Long Nao
龍腦 용뇌 · Borneol

20 g
Envoy 使
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

10 g
Envoy 使

CITES

Total 480 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

Treats wind striking the heart viscus with clouding and the spirit unguarded
Suppresses fright
settles the heart
transforms drool and quiets the spirit

Indications 主治

Pattern-based

Wind striking the heart with the spirit unguarded
Phlegm drool with fright and restlessness

Biomedical correlates

Post-stroke agitation
Delirium

Source text 原文

Donguibogam 東醫寶鑑

治心藏中風, 昏冒ㆍ精神不守. 此藥壓驚ㆍ鎭心ㆍ化涎ㆍ安神. 朱砂(水飛)ㆍ半夏(薑製) 各二兩, 雄黃(水飛)ㆍ天麻ㆍ烏蛇肉ㆍ甘草各一兩, 琥珀七錢半, 牛黃ㆍ龍腦ㆍ全蝎ㆍ白殭蚕(炒)ㆍ白附子(炮)ㆍ南星(牛膽製) 各五錢, 麝香二錢半. 右爲末, 蜜丸芡仁大, 每一丸, 以人參薄荷湯嚼下. 《丹心》

Translation

Treats wind striking the heart viscus with clouding and stupor and the spirit unguarded. This medicine suppresses fright, settles the heart, transforms drool and quiets the spirit. Water-ground cinnabar and ginger-prepared pinellia, 2 nyang each; water-ground realgar, gastrodia, black-striped snake and licorice, 1 nyang each; amber, 7 don 5 fun; ox gallstone, borneol, whole scorpion, stir-fried silkworm, blast-fried typhonium and ox-bile-prepared arisaema, 5 don each; musk, 2 don 5 fun. Powder, make honey pills the size of a euryale seed, and chew one down with a ginseng and mint decoction. — Danggye Simbeop 丹心 (Donguibogam · Pung)

Clinical commentary 臨床

**This must not be prepared.** Cinnabar at two nyang and realgar at one nyang put mercury and arsenic at the top of the weight list; levigation makes the powder fine but does not make either metal safe. The rest is the complete internal-wind set — gastrodia, scorpion, silkworm, typhonium, arisaema, snake — with amber and ox gallstone for the spirit, and musk from a CITES-listed species. The indication is the one place the formula earns attention: clouding with the spirit unguarded, which is to say the agitated, plucking, half-aware state that follows some strokes, and which the tradition treated by weighting rather than by sedating. The herbal core without the metals is a recognizable formula; the formula as written is poisoning. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.