Zhu Sha An Shen Wan - 朱砂安神丸 - Cinnabar Pill To Calm The Spirit

English:	Cinnabar Pill to Calm the Spirit
Also Known As:	Spirit-Quieting Pill Cinnabar Pill to Tranquilize the Spirit Cinnabar Sedative Pills Cinnabar Formula Sedative Bolus of Cinnabar Pills to Soothe the Mind with Cinnabar

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Aqueous Trituration of Cinnabaris	Shui Fei Zhu Sha	3-15g	Sedates the Heart, calms the Spirit, expels Phlegm, sedates jitteriness and clears Heat. With Huang Lian and Zhi Gan Cao, for disturbances of the Spirit as a result of Heart Fire. With Huang Lian, Dang Gui, Sheng Di Huang and Zhi Gan Cao, for disturbances of the Spirit as a result of Heart Fire with concurrent Blood Deficiency. With Sheng Di Huang, Dang Gui and Zhi Gan Cao, for Heart Blood Deficiency with irritability, palpitations, fright, dizziness and vertigo.
Rz. Coptidis	Huang Lian	4.5-18g	Drains Fire, resolves Fire toxicity and clears Heart Fire. With Sheng Di Huang, for insomnia and delirium due to unremitting Heat injuring the Ying level. With Zhu Sha and Sheng Di Huang, for insomnia and irritability due to Heart Fire.
Rx. Angelicae Sinensis	Dang Gui	3-9g	Tonifies, invigorates and harmonizes the Blood.
Rx. Rehmanniae	Sheng Di Huang	3-9g	Clears Heat, Cools Heart Fire, Cools the Blood, Generates fluids, Nourishes Yin.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	1.5-16.5g	Clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Sedates the Heart
• Calms the Shen
• Drains Fire
• Nourishes Yin
• Relieves palpitations

Syndromes

• Heart Fire with Blood and Yin Deficiency
• Vigorous Heart Fire injuring the Blood and Yin (Secondary source)

Clinical Manifestations

Insomnia Continuous palpitations A sensation of Heat and irritability in the chest A desire to vomit without result Dream-disturbed sleep Anxiety Tongue ulcers Fidgeting

Maybe a rancorous disposition Irritability Fear and fright Night sweats Shortness of breath Nausea T: Red or Red tip C: Normal P: Thin and rapid

Treats

Neurasthenia Depression Anxiety neurosis Arrhythmia Forgetfulness Tourette syndrome Bi-Polar disorder Mania Post-traumatic stress disorder (PTSD) Involutional psychosis Palpitations Hyperthyroidism Schizophrenia

Panic attacks Mitral valve prolapse Viral carditis Sleep walking Neurosis Insomnia Mania-depression Anxiety Menopausal syndrome Hysteria Low-grade fever Coronary Heart disease Night sweats

Contraindications And Herb/Drug Interactions

Notes

Modifications

For severe insomnia:		For controlling up-flaring of Heart Yang:
+ Plumula Nelumbinis	Lian Zi Xin	+ Magnetitum	Ci Shi
+ Rx. Polygalae	Yuan Zhi	+ Fossilia Dentis Mastodi	Long Chi
+ Poria Pararadicis	Fu Shen	Or
For severe irritability with sensations of Heat in the chest:		+ Magnetitum	Ci Shi
+ Fr. Gardeniae	Zhi Zi	+ Concha Ostreae	Mu Li
+ Sm. Sojae Preparatum	Dan Dou Chi	For a sensation of Heat and pressure in the chest with nausea and possibly some difficulty swallowing or neurasthenia with insomnia, excessive dreams:
For a redder tongue tip and dark, scanty urine:		+ Fr. Trichosanthis	Gua Lou
+ Hb. Lophatheri	Dan Zhu Ye	+ Caul. Bambusae in Taeniam	Zhu Ru
+ Medulla Junci	Deng Xin Cao	For palpitations and severe insomnia:
For irritability and severe insomnia:		+ Fossilia Ossis Mastodi	Long Gu
+ Fr. Gardeniae	Zhi Zi	+ Concha Ostreae	Mu Li
+ Plumula Nelumbinis	Lian Zi Xin	+ Magnetitum	Ci Shi
+ Sm. Zizyphi Spinosae	Suan Zao Ren	For oppression over the chest and a small and smooth pulse with Phlegm-Heat:
For a tender, red tongue with a thready, rapid and weak pulse:		+ Sm. Trichosanthis	Gua Lou Ren
- Cinnabar Pill to Calm the Spirit Zhu Sha An Shen Wan		For Heart Fire with Phlegm-Heat with irritability, a reddish tongue and a smooth pulse:
+ Emperor of Heaven's Special Pill to Tonify the Heart Tian Wang Bu Xin Dan		+ Calculus Bovis	Niu Huang
For Tourette syndrome:		+ Rz. Acori Tatarinowii	Shi Chang Pu
+ Wind-Drawing Decoction Feng Yin Tang		For immediate effect in bi-polar disorder:
+ Rx. et Rz. Rhei (remove once the patient calms down)	Da Huang
For palpitations, anxiety neurosis, low-grade fever, menopause syndrome, neurasthenia, panic disorder, hyperthyroidism and coronary Heart disease:
For insomnia with a reddish complexion, vertigo and tinnitus:
+ 30g Sm. Zizyphi Spinosae	Suan Zao Ren
+ Concha Ostreae	Mu Li
+ 15g Rx. Polygalae	Yuan Zhi	+ Plastrum Testudinis	Gui Ban
+ 15g Rx. Glycyrrhizae Preparata	Zhi Gan Cao	+ Magnetitum	Ci Shi