【Chinese Name】 |
安宮牛黃丸
|
【Phonetic】 |
An Gong Niu Huang Wan
|
【English Name】 |
Peaceful Palace Bovine Bezoar Pill |
【Classification】 |
Resuscitative formulas |
【Source】 |
《Systematic Differentiation of Warm Diseases》Wen Bing Tiao Bian《溫病條辨》 |
【Combination】 |
Bovis Calculus (Niu Huang) 1 liang (30g), Curcumae Radix (Yu Jin) 1 liang (30g), Coptidis Rhizoma (Huang Lian) 1 liang (30g), Cinnabaris (Zhu Sha) 1 liang (30g), Gardeniae Fructus (Shan Zhi) 1 liang (30g), Realgar (Xiong Huang) 1 liang (30g), Scutellariae Radix (Huang Qin) 1 liang (30g), Bubali Cornu (Xi Jiao) 1 liang (30g) (Note: in place of xi jiao; use (60g) concentrated shui niu jiao powder), Borneolum Syntheticum (Bing Pian) 2.5 qian (7.5g), Moschus (She Xiang) 2.5 qian (7.5g), Margarita (Zhen Zhu) 5 qian (15g) |
【Method】 |
Grind zhen zhu, zhu sha, and xiong huang with water or into an extremely fine powder. Grind huang lian, huang qin, shan zhi and yu jin into a fine powder. Grind niu huang, shui niu jiao, she xiang and bing pian into powder. Then mix them all together, grind, and sift. Form the powder into honey pills (originally they were wrapped with gold foil), each pill weighs 3g . Take 1 pill once daily. Children under three years old take 1/4 pill once daily, 4-6 years old take 1/2 pill once daily, or as advised by the prescribing physician. Patents including An Gong Niu Huang San, An Gong Niu Huang capsule and An Gong Niu Huang suppository should only be used when following the specified instructions. |
【Action】 |
Clears heat and resolves toxins, opens the orifices and induces resuscitation. |
【Indication】 |
An Gong Niu Huang Wan is indicated for a pattern of pathogenic heat invading the pericardium. The symptoms are high fever, vexation, unconsciousness, delirium, stiffness of the tongue and cold limbs. The tongue is red or crimson, and the pulse is rapid and forceful. It is also indicated for pathogenic heat causing internal block, wind strike, unconsciousness, and infantile convulsion. |
【Pathogenesis】 |
This pattern is caused by pathogenic heat invading the pericardium. When intense heat invades the pericardium in a warm disease pattern, the mind becomes disturbed and there is associated high fever, vexation, unconsciousness, and delirium. When the internal heat is intense, the fluids are scorched into phlegm. The orifices become blocked by the phlegm which worsens the unconscious condition. The heart opens into the tongue. When heat obstructs the heart’s orifice, the tongue becomes stiff and the patient is unable to speak. Furthermore, the deeper the heat is, the more cold the hands and feet become due to reverse flow of qi. Reverse flow of qi manifests with cold limbs, pathogenic heat causing internal block (including wind strike), unconsciousness, infantile high fever, and convulsion caused by pathogenic invading the pericardium and phlegm-heat clouding the clear orifices. |
【Application】 |
1. Essential pattern differentiation An Gong Niu Huang Wan is a common formula to treat heat block in the pericardium, also a typical cool formula that open the orifice. This clinical pattern is marked by unconsciousness and delirium, high fever, vexation and agitation, red or crimson. tongue, and rapid pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of heat block in the pericardium: epidemic encephalitis type B, epidemic cerebrospinal meningitis, toxic dysentery, uremia, cerebrovascular accident, hepatic coma, pulmonary encephalopathy, injury to the skull and brain, high fever and coma caused by infection or toxicity. 3. Cautions and contraindications This formula should not be taken in doses that are either too large or given for too long because it contains aromatic, cold and toxic medicinals. It should not be prescribed for patients with a greasy and white tongue coating due to cold blocking the orifices. It is prohibited during pregnancy. |
【Additonal formulae】 |
Niu Huang Qing Xin Wan (Bovine Bezoar Heart-Clearing Pill 牛黃清心丸) [Source]《Teachings on the Treatment of Pox from a Family Lineage of Doctors》Dou Zhen Shi Yi Xin Fa《痘疹世醫心法》 [Ingredients] Huang lian 5 qian (15g), huang qin 3 qian (9g), zhi zi 3 qian (9g), yu jin 2 qian (6g), zhu sha 1.5 qian (4.5g), niu huang 2.5 fen (0.65g) [Preparation and Administration] Grind niu huang into a fine powder, grind zhu sha with water into an extra fine power, and grind the other medicinals into power. Then mix all powders and sift. Make pills with honey. Each pill weights 1.5g or 3g. Take orally, one or two pills once, two or three times daily. Give an appropriate dose to children. [Actions] Clears heat and resolves toxins, opens the orifices and induces resuscitation. [Applicable Patterns] Heat block within the pericardium in warm disease. Symptoms include: Fever, vexation and agitation, unconsciousness and delirium, infantile high fever and convulsion, and coma and wind-strike. |
【Remark】 |
1. 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. 2. Forest Musk Deer (Moschus berezovsk |
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