Formulas · Clear Heat 淸熱 · Danggye Simbeop (丹溪心法)

Dragon and Arisaema Elixir

Yongseong-dan

한글 용성단  ·  Pinyin Long Xing Dan

龍星丹

三字 is three quarters of a 錢, about 1.2 g. The appended commentary on the damp-phlegm-heat-wind sequence is Danggye's and is one of the chapter's clearest statements of his position.

Composition 構成

Total 59.6 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

Indications 主治

Pattern-based

  • Wind heat with phlegm clouding the spirit
  • Damp earth generating phlegm
  • phlegm generating heat and heat generating wind

Biomedical correlates

  • Stroke with phlegm and vertigo
  • Hypertensive encephalopathy

Source text 原文

Donguibogam 東醫寶鑑

治風熱壅ㆍ痰涎盛ㆍ昏冒ㆍ眩暈. 牛膽南星ㆍ朱砂 各三錢, 黃芩ㆍ黃連 各二錢, 全蝎ㆍ防風ㆍ薄荷 各一錢, 片腦ㆍ牛黃ㆍ麝香 各三字, 加靑黛 一錢. 右爲末, 蜜丸櫻桃大, 別以朱砂爲衣, 每一丸噙化嚥下, 不拘時. ○凡風病多是濕土生痰, 痰生熱, 熱生風. 此方旣治風熱, 又兼理痰, 凡風熱痰無不治也. 《丹心》

Translation

Treats wind heat congestion with exuberant phlegm drool, clouding and dizziness. Ox-bile-prepared arisaema and cinnabar, 3 don each; scutellaria and coptis, 2 don each; whole scorpion, saposhnikovia and mint, 1 don each; borneol, ox gallstone and musk, three ja each; with indigo added, 1 don. Powder, make honey pills the size of a cherry, coat separately with cinnabar, and hold one in the mouth to dissolve and swallow, at any time. In general wind diseases are mostly a matter of damp earth generating phlegm, phlegm generating heat, and heat generating wind. This prescription treats wind heat and also regulates phlegm, so that of wind, heat and phlegm there is none it does not treat. — Danggye Simbeop 丹心 (Donguibogam · Pung)

Clinical commentary 臨床

**This must not be prepared.** Cinnabar appears twice, as three don in the pill and again as the outer coating, and it is mercuric sulphide; musk is CITES-listed. What is worth keeping is the commentary, which is Danggye's four-step aetiology in one line: damp earth generates phlegm, phlegm generates heat, heat generates wind. That sequence is the reason this chapter is so full of phlegm drugs, and it is the Jin-Yuan correction of the earlier view that wind came from outside. The formula itself follows the logic exactly — arisaema for the phlegm, coptis and scutellaria for the heat, scorpion and saposhnikovia for the wind — and is a lozenge rather than a draught because it was meant to be held in the mouth of a patient who could not swallow well. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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