Formulas · Calm the Spirit 安神 · Jibyeom (集驗)

Numinous Spirit Paste

Yeongsin-go

한글 영신고 · Pinyin Ling Shen Gao

靈神膏

The id takes the chapter tail because 寧神膏, the postpartum formula from 入門 registered in 婦人門, romanises onto the same reading and already holds the bare `yeongsin-go`. The two are unrelated formulas with different names. — A collation note, `䧺 : 雄 (First Edition)`, falls inside this leaf at the page boundary, but 䧺 does not occur anywhere in this leaf; it annotates 䧺黃 in the preceding 保幼化風丹 leaf. 䧺 and 雄 are in any case the same glyph and nothing in the reading changes.

Composition 構成

Boksin Fu Shen
茯神 복신 · Poria with hostwood

40 g
Chief 君

as 赤茯神, the red kind
Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

40 g
Chief 君

cinnabar — mercuric sulfide, toxic
Maengmundong Mai Men Dong
麥門冬 맥문동 · Liriope

20 g
Deputy 臣
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

10 g
Envoy 使

musk — a protected material
Bongmil Feng Mi
蜂蜜 봉밀 · Honey

—
Envoy 使

for binding

Total 110 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

Settles the Heart spirit in a child who startles and convulses
Given at bedtime as a small sweet cake dissolved in mint decoction

Indications 主治

Pattern-based

Fright convulsion in a child following Heart-channel heat

Biomedical correlates

Convulsion and night-time startling in a child — historical management
Recorded for historical reference only

Source text 原文

Donguibogam 東醫寶鑑

赤茯神ㆍ朱砂各一兩, 麥門冬五錢, 麝香二錢半. 右爲末, 蜜和作小餠子, 每一餠, 臨睡以薄荷湯化下, 神效. ○一老醫乃三世小兒科, 家傳只有四五藥, 愈病無數. 如小兒驚搐, 多是熱證, 不宜便用驚風藥, 只以<a href='/formulas/dojeok-san'>導赤散</a><span class='sochu'>方見五藏</span>加防風ㆍ竹葉同煎, 用二三貼, 導去心經邪熱, 其搐便止, 次服<span class='sochu'>靈神膏</span>. 《集驗》

Translation

Red poria-spirit and cinnabar, 1 nyang each; ophiopogon 5 don; musk 2 don 5 fun. Powder them, bind with honey and make small cakes; take one cake at bedtime, dissolved down in mint decoction — the effect is remarkable. ○ There was an old physician of a paediatric house in its third generation; the family tradition held only four or five drugs, and he cured disease without number. He held that when a child convulses it is mostly a heat pattern, and that one should not reach straight for the fright-wind drugs — only give Dojeok-san 導赤散 — the formula is given in the Five Viscera chapter — with siler and bamboo leaf decocted together, two or three packets, to draw the evil heat out of the Heart channel; the convulsion then stops at once, and Yeongsin-go is given next. — Jibyeom 集驗 (Donguibogam · Soa)

Clinical commentary 臨床

Four drugs, two of them in nyang quantities, made into small sweet cakes and given at bedtime. The composition is almost nothing but cinnabar: 1 nyang of it against 1 nyang of poria-spirit, with ophiopogon to moisten and 2 don 5 fun of musk. **Contains cinnabar, which is mercuric sulfide, at the highest proportion of any leaf in this section, and the patient is a child for whom the text gives no dose by weight. This must not be prepared or given.** The musk is from a CITES Appendix I animal. The interesting part of the leaf is not the formula but the paragraph after it. An old paediatrician in the third generation of his house, working from four or five drugs, held that a convulsing child is usually simply hot — that one should not reach for the fright-wind drugs at all, but cool the Heart channel with 導赤散 plus siler and bamboo leaf, after which the convulsion stops on its own. That is very close to being right, and it is the best clinical sentence in 急驚風: a febrile seizure stops by itself, and bringing the fever down is the whole of what can usefully be done. The irony is that the paste he recommends giving next is half cinnabar. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.