Formulas · Warm the Interior 溫裏 · Gukbang (局方)

Numinous Cinnabar

Yeongsa

한글 영사  ·  Pinyin Ling Sha

靈砂

Quicksilver is elemental mercury. The sealing kaolin and salt clay are luting materials for the crucible and are not listed as ingredients.

Composition 構成

Total 200 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

Indications 主治

Pattern-based

  • Entrenched cold of all depletion patterns with reversal cold
  • Collapse of the yang with cold limbs

Biomedical correlates

  • Circulatory collapse with hypothermia

Source text 原文

Donguibogam 東醫寶鑑

治諸虛痼冷ㆍ厥逆如神. 水銀 四兩, 硫黃 一兩. 右同入鐵銚內, 炒成砂子. 有烟熖起, 以醋灑之. 硏細, 入水火鼎, 赤石脂封口, 鹽泥固濟, 炭二十斤煆, 經宿取出, 細硏, 糯米糊和丸麻子大. 每五七丸, 以至十五丸, 空心, 以人參大棗湯下. 忌食猪羊血ㆍ菉豆粉ㆍ冷滑之物. 《局方》

Translation

Treats the entrenched cold of all depletion patterns and reversal cold, with marvellous effect. Quicksilver, 4 nyang; sulphur, 1 nyang. Put the two together into an iron pan and roast until they form into grains; when smoke and flame rise, sprinkle with vinegar. Grind fine, place in a water-and-fire crucible, seal the mouth with kaolin, lute it tight with salt clay, calcine over twenty geun of charcoal, leave overnight, take out, grind fine and make pills the size of hemp seeds with glutinous rice paste. Take five to seven pills per dose, up to fifteen, on an empty stomach, washed down with a decoction of ginseng and jujube. Avoid pig's and sheep's blood, mung bean flour and cold slippery foods. — Gukbang 局方 (Donguibogam · Han, lower)

Clinical commentary 臨床

**This must not be prepared.** The procedure makes mercuric sulphide by direct synthesis — quicksilver and sulphur roasted together, then calcined in a sealed crucible — and the product is cinnabar, which is why the alchemical literature prized it. Mercury is a cumulative neurotoxin and there is no safe dose. The entry is worth reading as chemistry: the Bogam records a genuine synthesis with a correct procedure, including the vinegar quench when the mixture flames, and the dietary prohibitions at the end are the sort of detail that accumulates around a drug people were frightened of. For the pattern it claims to treat, the aconite formulas in this same section are what a practitioner should use. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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