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An Gong Niu Huang Wan 安宫牛黄丸
Calm the Palace Pill with Bezoar

Picture

Tradition:
TCM

Source / Author:
Systemic Differentiation of Warm Pathogenic Disease, 1798

Herb Name
Niu Huang (Bezoar) *
Xi Jiao
(Rhinoceros horn) **
She Xiang
(Musk) ***
Bing Pian
(Borneol)
Huang Lian
(Coptis)
Huang Qin
(Baical Skullcap)
Zhi Zi
(Gardenia fruit)
Yu Jin
(Curcuma root)
Xiong Huang
(Realgar)
Zhen Zhu
(Pearl)
Zhu Sha
(Cinnabar)

Latin
Bezoar
Cornu Rhinoceri
Moschus moschiferus
Dryobalanops aromatica
Coptis chinensis
Scutellaria baicalensis
Gardenia jasminoides
Curcuma aromatica
Arsenic sulphide
Margarita
Cinnabaris

Amount

30 grams ea.

7
1⁄2 grams
ea.




30 grams ea.
15 grams
30 grams


* Artificial (‘ren-gong’, man-made) Bezoar is often used in patent medicines
** Water Bu
ffalo horn concentrate now replaces Rhinoceros horn in a dose of 60 grams
*** Synthetic
Musk is typically used in place of genuine Musk in modern times.

Preparation:
Powder and form Honey pills each weighing 3 grams. Traditionally wrapped in Gold leaf.

Function:
Clears Heat and Toxin, clears Phlegm, open the Orifices of the Mind, calms the Mind and Spirit

Use:
The following conditions will manifest with High Fever, restlessness, irritability, a deep red tongue and a rapid pulse.
1. High Fever with Delirium, Irritability, Coma
2. Convulsions associated with High Fever

3. Acute Encephalitis
4. Acute Meningitis
5. Acute Hepatitis
6. Acute Pneumonia
7. CVA

8. Hepatic Coma

Dose:
One pill (3 grams) twice daily

Cautions:
1. Not used during Pregnancy.
2. Avoid in conditions without marked Heat.
3. Not used long-term due to Arsenic and Cinnabar content.

Modifications:
1. As noted above, sucbtiutes for Musk and Rhinoceros horn are used in modern times.
2. Cinnabar can be removed.

Similar Formulas:
Zhi Bao Dan

  • Comment
  • History
  • Research
<
>
This formula focuses on clearing Heat and Toxin. Its ability to opening the orifices (sense organs) and clearing Phlegm is secondary. Zhi Bao Dan has similar functions and uses, but is more focused on clearing Phlegm-Heat and opening the Orifices of the Brain.

These types of formulas have been very important in the treatment of severe Infection with High Fever. They are credited with saving many lives in the past.

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