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Chinese Medicinal Material
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【Chinese Name】 |
朱砂安神丸
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【Phonetic】 |
Zhu Sha an Shen Wan
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【English Name】 |
Cinnabar Mind-Calming Pill |
【Classification】 |
Sedative and tranquilizing formulas |
【Source】 |
《Clarifying Doubts about Damage from Internal and External Causes》Nei Wai Shang Bian Huo Lun《內外傷辨惑論》 |
【Combination】 |
Cinnabaris (Zhu Sha) 5 qian (15g), Coptidis Rhizoma (Huang Lian) 6 qian (18g), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 5.5 qian (16.5g), Rehmanniae Radix (Sheng Di) 1.5 qian (4.5g), Angelicae Sinensis Radix (Dang Gui) 2.5 qian (7.5g) |
【Method】 |
Grind the ingredients into powder and shape into pills with honey. One dose is approximately 6-9g taken with warm water before sleep. It can also be prepared as a decoction. |
【Action】 |
Tranquilizes the heart and calms the mind, clears heat and nourishes the blood. |
【Indication】 |
Zhu Sha an Shen Wan is indicated for insufficient yin-blood caused by the hyperactivity of heart fire. The symptoms are insomnia, profuse dreaming, (severe) palpitations, restlessness, and vexation. The tongue tip is red, and the pulse is thin and rapid. |
【Pathogenesis】 |
This formula is applied to patterns of hyperactive heart fire consuming yin-blood. The mind is disturbed by hyperactivity of the heart fire; while, the heart spirit is not nourished because of deficiency of yin-blood. So the symptoms of insomnia, profuse dreaming, palpitations, and vexation occur. The red tongue and thin, rapid pulse are signs of hyperactivity of heart fire and deficiency of yin-blood. The therapeutic method is to reduce excessive heat and enrich yin-blood to calm the mind. |
【Application】 |
1. Essential pattern differentiation Zhu Sha an Shen Wan is a common formula used to treat mind disturbance due to hyperactivity of the heart fire consuming yin-blood. This clinical pattern is marked by insomnia, palpitations, 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 hyperactivity of heart fire consuming yin-blood: insomnia, palpitations, forgetfulness, unclear mind due to melancholia, and palpitations caused by premature heart beating. 3. Cautions and contraindications This formula should not be taken either too much or too long because zhu sha contains mercuric sulfide that can lead to mercury poisoning. It should be used with caution in those with yin deficiency and spleen weakness. |
【Additonal formulae】 |
Ci Zhu Wan (Loadstones and Cinnabar Pill 磁朱丸), original name: Shen Qu Wan (Medicated Leaven Pill 神曲丸) [Source]《Important Formulas Worth a Thousand Gold Pieces for Emergency》Bei Ji Qian Jin Yao Fang《備急千金要方》 [Ingredients] Shen qu 4 liang (120g), ci shi 2 liang (60g), guang ming sha 1 liang (30g) [Preparation and Administration] Grind the ingredients into powder and form into pills with the size of a phoenix tree seed using honey. 3 pills (2g) are taken as one dose. [Actions] Boosts yin and improves vision, calms the mind with heavy sedatives. [Applicable Patterns] Non-interaction between the heart and the kidney. Symptoms include: tinnitus and deafness, palpitations, insomnia, blurred vision, and epilepsy. |
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