【Chinese Name】 |
天王補心丹
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【Phonetic】 |
Tian Wang Bu Xin Dan
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【English Name】 |
Celestial Emperor Heart-Supplementing Elixir |
【Classification】 |
Sedative and tranquilizing formulas |
【Source】 |
《Corrections and Annotations to Fine Formulas for Women》Jiao Zhu Fu Ren Liang Fang《校注婦人良方》 |
【Combination】 |
Ginseng Radix et Rhizoma (Ren Shen) 5 qian (15g), Poria (Fu Ling) 5 qian (15g), Scrophulariae Radix (Xuan Shen) 5 qian (15g), Salviae Miltiorrhizae Radix et Rhizoma (Dan Shen) 5 qian (15g), Platycodonis Radix (Jie Geng) 5 qian (15g), Polygalae Radix (Yuan Zhi) 5 qian (15g), Angelicae Sinensis Radix (Dang Gui) 1 liang (30g), Schisandrae Chinensis Fructus (Wu Wei Zi) 1 liang (30g), Ophiopogonis Radix (Mai Men Dong) 1 liang (30g), Asparagi Radix (Tian Men Dong) 1 liang (30g), Platycladi Semen (Bai Zi Ren) 1 liang (30g), Ziziphi Spinosae Semen (Suan Zao Ren dry-fried) 1 liang (30g), Rehmanniae Radix (Sheng Di) 4 liang (120g) |
【Method】 |
Grind the ingredients into a fine powder and shape into pills using honey and coat the pills with 5-15g of zhu sha that has been ground with water. One dose is approximately 6-10g taken with warm water or with a longan decoction. It can also be prepared as a decoction. |
【Action】 |
Enriches yin and clears heat, nourishes blood and calms the mind. |
【Indication】 |
Deficiency of yin and insufficiency of blood have lead to the disturbance of the mind. Symptoms include palpitations, vexation, insomnia, mental fatigue, forgetfulness, nocturnal emission, feverish feeling in palms and soles, aphtha, a sore mouth and tongue, and dry stool. The tongue is red with scanty coating, and the pulse is thin and rapid. |
【Pathogenesis】 |
This pattern is caused by excessive heart fire consuming yin-blood. Excessive heart fire disturbs the heart spirit, while insufficiency of yin-blood leads to a lack of nourishment of the heart spirit. The pattern is manifest by insomnia, profuse dreaming, palpitations, and vexation. The red tongue and thin and rapid pulse also indicates that the pathomechanism is excessive heart fire and deficiency of yin-blood. The therapeutic method is to drain excessive fire and supplement yin-blood to calm the mind. |
【Application】 |
1. Essential pattern differentiation Tian Wang Bu Xin Dan is applicable to patterns of heart and kidney deficiency, deficiency of yin, shortage of blood, and deficiency-fire disturbing the interior mainly caused by excessive grief and thinking that consumes yin-blood. Deficiency of yin and shortage of blood fail to nourish the heart. This clinical pattern is marked by palpitations, insomnia, mental fatigue and forgetfulness, feverish feeling in the palms and soles, vexation, nocturnal emissions, aphtha and tongue sores, red tongue, thin, rapid pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of deficiency of yin and blood of the heart and kidney: insomnia, palpitations, recurrent oral ulcer due to neurasthenia, coronary heart disease, schizophrenia, and hyperthyroidism. 3. Cautions and contraindications This formula should be cautiously applied to patients who have spleen and stomach deficiency marked by long-term poor appetite and loose stool because it contains many medicinals that enrich yin. |
【Additonal formulae】 |
1. Bai Zi Yang Xin Wan (Platycladi Heart-Nourishing Pill 柏子養心丸) [Source]《A Compilation of Benevolent Formulas》Ti Ren Hui Bian《體仁彙編》 [Ingredients] Bai zi ren 4 liang (120g), gou qi zi 3 liang (90g), mai men dong 1 liang (30g), dang gui 1 liang (30g), shi chang pu 1 liang (30g), fu shen 1 liang (30g), xuan shen 2 liang (60g), shu di huáng 2 liang (60g), gan cao 5 qian (15g) [Preparation and Administration] Grind the ingredients into powder and form into pills with the size of a phoenix tree seed using honey. 40-50 pills (9g) are taken as one dose. [Actions] Nourishes the heart, calms the mind, enriches yin, and supplements the kidney. [Applicable Patterns] Deficiency of yin-blood and disharmony of the heart and kidney. Symptoms include: unclear mind, palpitations, profuse dreaming, forgetfulness, night sweat, a red tongue and scanty coating, and a thin, rapid pulse. 2. Kong Sheng Zhen Zhong Dan (Confucius Pillow Elixir 孔聖枕中丹) [Source]《Important Formulas Worth a Thousand Gold Pieces for Emergency》Bei Ji Qian Jin Yao Fang《備急千金要方》 [Ingredients] Gui jia, long gu, shi chang pu, yuan zhi all in equal dosage rations [Preparation and Administration] Grind them into powder, taken 3g by warm yellow rice wine at once. [Actions] Supplements the kidney, calms the heart, improves intelligence, and calms the mind. [Applicable Patterns] Yin deficiency of the heart and kidney. Symptoms include: insomnia, forgetfulness, unstable mood, dizziness, a red tongue, a thin, white coating, and a thin, wiry pulse. |
【Remark】 |
Ginseng (Panax ginseng) is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls. |
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