Formulas · Calm the Spirit 安神 · Seui Deukhyobang (世醫得效方)

Celestial Pillar Pill

Cheonju-won

한글 천주원 · Pinyin Tian Zhu Yuan

天柱元

Composition 構成

Sahamseok She Han Shi
蛇含石 사함석 · Limonite

30 g
Chief 君 one large lump, calcined and quenched in vinegar seven times
Ulgeum Yu Jin
鬱金 울금 · Curcuma Tuber

2 g
Deputy 臣 powdered, a small amount
Sahyang She Xiang
麝香 사향 · Musk (prohibited)

0.3 g
Assistant 佐 PROHIBITED — a small amount; see note
Hyeonggae Jing Jie
荊芥 형개 · Schizonepeta

8 g
Envoy 使 as a decoction, for taking the pill down
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

1 g
Envoy 使 juice, two or three drops

Total 41.3 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

Settles and weights with heavy minerals
Frees the orifices and moves stagnation
Supports a head that cannot be held upright

Indications 主治

Pattern-based

Soft nape with the celestial pillar bone fallen
Child unable to hold the head straight
Head lolling forward or back

Biomedical correlates

Head lag in infants
Poor head control following chronic malnutrition or illness

Source text 原文

Donguibogam 東醫寶鑑

治項軟. 蛇含石一大塊(火煆醋淬七次), 鬱金(末) 少許. 右硏細, 入麝香少許, 飯丸芡實大, 每一丸, 荊芥湯, 入薑汁二三點化下. 《得效》

Translation

Treats soft nape. One large lump of limonite (calcined in fire and quenched in vinegar seven times) and a small amount of powdered curcuma tuber. Grind fine, add a small amount of musk, and form into rice-paste pills the size of euryale seeds. Take one pill each time, dissolved down in a schizonepeta decoction with two or three drops of ginger juice. — Deukhyo 得效 (Donguibogam · Gyeonghang)

Clinical commentary 臨床

Named for the celestial pillar bone (天柱骨), the classical name for the cervical spine, whose "falling" is what this formula addresses. The sevenfold calcine-and-quench of limonite is a genuine processing sequence, converting the ore and rendering it friable enough to grind — the vinegar quench is what makes the mineral usable. Musk (麝香) is prohibited under CITES and cannot be dispensed; seokchangpo (石菖蒲) is the usual contemporary substitute for its orifice-opening action, though it does not reproduce the classical effect. Note that this is a pediatric formula for a developmental sign, and that the underlying causes named in the chapter text — chronic gan disorder, weakness with refusal of food, the aftermath of illness — point to nutrition and recovery as the real treatment. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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