Angong Niuhuang Wan: Classic TCM Formula

Name

Angong Niuhuang Wan (Bezoar Bolus for Resurrection)

Source

The book Wen Bing Tiao Bian

Ingredients

• Niu Huang (Calculus Bovis) 30 g
• Yu Jin (Radix Curcumae) 30 g
• Xi Jiao (Cornu Rhinocerotis) 30 g
• Huang Qin (Radix Scutellariae) 30 g
• Huang Lian (Rhizoma Coptidis) 30 g
• Xiong Huang (Realgar) 30 g
• Shan Zhi (Fructus Gardeniae) 30 g
• Zhu Sha (Cinnabaris) 30 g
• Feng Mi (Honey) an appropriate amount
• Bing Pian (Bornelum Syntheticum) 7.5 g
• She Xiang (Moschus) 7.5 g
• Zhen Zhu (Margarita) 15 g
• Jin Bo (Gold foil) an appropriate amount

Explanation

• Niu Huang is one of the two principal drugs. Bitter and sweet in taste and cool in nature, it removes heat pathogens from the heart, eliminates toxic material and clears away phlegm for resuscitation.
• She Xiang is the other principal drug. Pungent in flavor and warm in nature, it restores consciousness.
• Xi Jiao clears away heat from the heart and blood and dispels toxic material.
• Huang Lian, Huang Qin and Shan Zhi remove heat, purge fire and clear away toxic material, assisting Niu Huang to expel fire from the pericardium.
• Bing Pian and Yu Jin are aromatic in nature; they clear away epidemic pathogenic factors, cause resuscitation and strengthen She Xiang's ability to restore consciousness.
• Zhu Sha and Zhen Zhu calm the mind through their heavy nature and drive away dysphoria.
• Xiong Huang aids Niu Huang in eliminating phlegm and toxic material for resuscitation.
• Feng Mi normalizes the function of the stomach and spleen.
• Jin Bo calms the mind through its heavy nature.

Nature and action

It removes heat for resuscitation, and eliminates phlegm and toxic material.

Indications

Excess syndromes of stroke due to warm and heat pathogens, such as lingering of heat pathogen in the pericardium, phlegm and heat pathogens confusing the heart, coma caused by apoplexy, and infantile convulsion, marked by high fever, dysphoria, coma and delirium. It is also applied in diseases carrying these signs and symptoms, such as encephalitis B, hepatic coma, coma due to acute cerebral hemorrhage, epidemic cerebrospinal meningitis, toxic dysentery, uremia and toxic hepatitis.

Dosage and administration

All the ingredients except Jin Bo are ground into a very fine powder. The powder is made with honey into boluses, each weighing 3 g. The boluses are coated with Jin Bo and then enclosed with wax.

One bolus is taken each time, two to three times daily for an adult with a severe disorder and a constitution of excess type. An infant takes half a bolus each time; if it does not work, half of the other bolus may be taken.