An Gong Niu Huang Wan, Calm the Palace Pill with Cattle Gallstone, is Niu Huang, Xi Jiao, She Xiang, Huang Lian, Huang Qin, Zhi Zi, Xiong Huang, Bing Pian, Yu Jin, Zhu Sha and Zhen Zhu. The catalogue classes it among the formulas that clear Heat and open the orifices.

Herb

Amount

30 g

30 g

7.5 g

30 g

30 g

30 g

30 g

7.5 g

30 g

30 g

15 g

Actions and indications

Clears Heat and resolves toxicity

The most severe stage of a warm-febrile disease, with Heat at the Ying level attacking the Pericardium
High fever with restlessness, irritability and delirious speech
Tongue red or deep red, sometimes stiff, with a yellow coat; pulse rapid

Transforms Phlegm and opens the orifices

Heat-toxin and Phlegm blocking the Pericardium, with clouded consciousness or coma
Phlegm obstructing the Heart orifices, tense (Yang) closed type
Sudden collapse into coma from Wind-stroke
Stiffness of the tongue

Calms the Shen and revives consciousness

Convulsions in children with high fever from Phlegm-Heat
Dizziness and vertigo
Icy extremities with faint erythema of the skin

Modern uses

Encephalitis, acute
Meningitis, acute
Hepatitis, acute or infectious
Hepatic coma
Pneumonia
Dysentery
Uremia, including toxic uremia and uremic coma
Kidney failure
Stroke (cerebrovascular accident)
Hemiplegia
Aphasia
Facial paralysis
Coma after brain injury
Delirium
Schizophrenia
Convulsions, including infantile convulsions
Epilepsy
Trismus
Insomnia
Forgetfulness
Optic atrophy
Dizziness and vertigo
Jaundice
AIDS/HIV
Acute pancreatitis
Upper respiratory tract infection
Acute tonsillitis
Tracheitis
Acute bronchitis
Pertussis
Pleurisy
Bronchiectasis
Hemoptysis
Epistaxis
Lung cancer
Liver cancer
Bad breath
Nasal furuncles
Ascites
Erythema
Summer heatstroke
Septicemia
High fever
Puerperal fever
Chronic diarrhea
Constipation
Hypertension

Modifications

Weak pulse: + ren shen

Excess pulse: + jin yin hua, + bo he

Nasal furuncles (combined with Qing Wen Bai Du Yin)

Summerheat in the Blood causing limb convulsions: + ling yang jiao, + gou teng

Phlegm stagnation: + tian zhu huang, + dan nan xing, + zhu li

Phlegm stagnation, alternatively combined with Zhi Jing San or Hou Zao San

Unconsciousness or convulsions: + ling yang jiao, + gou teng, + quan xie, + wu gong

Extreme thirst: + dan zhu ye, + mu li, + shi gao

Acute jaundice in liver cancer: + shi chang pu, + yu jin

Cautions

pregnancy Not to be used during pregnancy

contraindication Collapse from devastated Yang, with cold limbs, heavy sweating and a faint pulse; this differs from the closed Heat pattern the formula is meant for

caution Reserved for the deep, orifice-blocking stage of a febrile illness; not for milder Heat patterns

caution Not meant for repeated or long-term use

caution Never heat Zhu Sha (cinnabar) or give it in large amounts

caution Contains Zhu Sha (mercury sulfide) and Xiong Huang (arsenic sulfide); both have been studied for liver and kidney toxicity in this formula, and products containing them are restricted in several countries

caution The classical Xi Jiao is rhinoceros horn, whose international trade is banned; lawful products replace it with water buffalo horn (Shui Niu Jiao)

Pinyin

an gong niu huang wan

English Name

Calm the Palace Pill with Cattle Gallstone

an gong niu huang wan

About an gong niu huang wan

Ingredients

Actions and indications

Clears Heat and resolves toxicity

Transforms Phlegm and opens the orifices

Calms the Shen and revives consciousness

Modern uses

Symptoms

Modifications

Cautions

Preparation

Names

Classification