Formulas · Tonify Qi & Blood 氣血雙補 · Gogeum Uigam (古今醫鑑)

Nourish the Heart Decoction

Yangsim-tang

한글 양심탕 · Pinyin Yang Xin Tang

養心湯

Cut and made into one packet with 3 slices of ginger, decocted in water and taken.

Composition 構成

Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

4 g
Chief 君
Boksin Fu Shen
茯神 복신 · Poria with hostwood

4 g
Chief 君
Danggui Dang Gui
當歸 당귀 · Korean Angelica

4 g
Deputy 臣
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

4 g
Deputy 臣
Hwanggi Huang Qi
黃芪 황기 · Astragalus

3.2 g
Deputy 臣 honey-roasted
Wonji Yuan Zhi
遠志 원지 · Polygala

3.2 g
Assistant 佐 ginger-juice-fried
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

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

2.8 g
Assistant 佐
Sanjoin Suan Zao Ren
酸棗仁 산조인 · Sour Jujube Seed

2.8 g
Assistant 佐 dry-fried
Banha Ban Xia
半夏 반하 · Pinellia

2.4 g
Assistant 佐 leaven (麴)
Insam Ren Shen
人蔘 인삼 · Ginseng

2 g
Assistant 佐
Omija Wu Wei Zi
五味子 오미자 · Schisandra

1 g
Assistant 佐 14 pieces
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

6 g
Envoy 使 3 slices
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使 roasted
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

1.2 g
Envoy 使

Total 44.6 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

Rebuilds a Heart spirit worn thin by worry and office
Settles the palpitations and restores the sleep that went with it

Indications 主治

Pattern-based

Worry and brooding damaging the Heart (憂愁思慮傷心)
Diligent office and taxing the mind until the Heart spirit is insufficient (勤政勞心心神不足)
Fright palpitations with scant sleep (驚悸少睡)

Biomedical correlates

Anxiety with insomnia in the overworked
Palpitations with fatigue
Stress-related sleep disturbance

Source text 原文

Donguibogam 東醫寶鑑

治憂愁思慮傷心, 或勤政勞心, 以致心神不足, 驚悸少睡. 白茯苓ㆍ茯神ㆍ當歸ㆍ生地黃各一錢, 黃芪(蜜灸)ㆍ遠志(薑汁炒) 各八分, 川芎ㆍ柏子仁ㆍ酸棗仁(炒) 各七分, 半夏麴六分, 人參五分, 甘草(灸)ㆍ辢桂各三分, 五味子十四箇. 右剉, 作一貼, 薑三片, 水煎服. 《醫鑑》

Translation

Treats worry, sorrow, and brooding damaging the Heart — or diligent office taxing the mind — until the Heart spirit is insufficient, with fright palpitations and scant sleep. White poria, hostwood poria, Korean angelica, and raw rehmannia, 1 don each; honey-roasted astragalus and ginger-juice-fried polygala, 8 fun each; cnidium, arborvitae seed, and dry-fried sour jujube seed, 7 fun each; pinellia leaven 6 fun; ginseng 5 fun; roasted licorice and cinnamon bark, 3 fun each; schisandra 14 pieces. Cut the above, make one packet, add 3 slices of ginger, decoct in water and take. — Uigam 醫鑑 (Donguibogam · Sin)

Clinical commentary 臨床

The indication names two roads to the same place — private worry, and *diligent office taxing the mind*. That second clause is unusual: a formula written with the conscientious official in view, the person whose work is mental and whose diligence is the problem. A whisper of cinnamon at the bottom keeps the whole from being merely cold and heavy, which is the difference between a formula that settles and one that flattens. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.