HERB FORMULAS

AN GONG NIU HUANG WAN - 安宫牛黃丸 - CALM THE PALACE PILL WITH CATTLE GALLSTONE

English: Calm the Palace Pill with Cattle Gallstone
Also Known As: Bos and Curcuma Formula
Bezoar Resurrection Pills
Bolus of Calculus Bovis for Resurrection

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Calculus Bovis Niu Huang .5-30g Clears Heat from the Heart and Liver channels, relieves toxicity, extinguishes Wind, dislodges Phlegm to open Orifices and stops tremors, spasms and convulsions.
With She Xiang and Xi Jiao, for convulsions and coma due to severe Heat and blocked Orifices.
Cornu Rhinoceri Xi Jiao .5-30g Enters the Ying and Xue levels to clear Heat from the Heart, Pericardium, Liver and Stomach channels, cools Blood, relieves toxicity and calms Shen.
(Cornu Bubali ) (Shui Niu Jiao) (30-120g) (Substitute for Xi Jiao)
Moschus She Xiang .25-7.5g Aromatically opens Orifices and enters all twelve channels to revive Shen.
Rz. Coptidis Huang Lian 1-30g Relieves toxicity and clears Heart Fire.
With Huang Qin and Zhi Zi, clears Heat and assists Niu Huang and Xi Jiao to clear Pericardium Heat.
Rx. Scutellariae Huang Qin 1-30g Drains Fire and relieves toxicity.
With Huang Lian, for high fever and irritability.
Fr. Gardeniae Zhi Zi 1-30g Clears Heat and eliminates irritability.
Realgar Xiong Huang 1-30g Dislodges Phlegm, relieves toxicity and Helps open Orifices and drain turbid Phlegm.
With Yu Jin, for excessive Phlegm obstruction accompanying childhood convulsions.
Borneolum Bing Pian .25-7.5g Aromatically opens Orifices, revives Shen and clears Heat.
With Yu Jin, aromatically unblocks Orifices and disperses stagnant Heat, helping to remove Heat from Pericardium.
With She Xiang, for convulsions and coma due to extreme Heat or Phlegm Blocking the Orifices
Rx. Curcumae Yu Jin 3-30g Clears the Heart and Pericardium.
Margarita Zhen Zhu .5-15g Sedates the Heart, clears Heart Fire, clears Liver Fire and eliminates toxins.
Cinnabaris Zhu Sha .5-30g Sedates the Heart, calms the Shen, clears Heat, relieves toxicity, expels Phlegm and stops convulsions.
With Xi Jiao and Niu Huang, for high fever, coma and convulsions associated with Internal Wind.
With Zhen Zhu and Jin Bo, sedates the Heart, calms the Shen and clears Heat from the Heart and Liver channels.
Gold Foil Jin Bo .5g Calms the Shen, sedates the Heart, clears Heat and removes toxins.
With Feng Mi, for patients who are easily frightened.
Apis Mel Feng Mi   Harmonizes the Stomach and regulates the Middle Jiao.

FORMULA ACTIONS

  • Clears Heat
  • Relieves toxicity
  • Dislodges Phlegm
  • Opens the Orifices
  • Calms the Shen
  • Resuscitates

SYNDROMES

  • Phlegm Obstructs the Heart Orifice-Tense Type (Yang Obstruction)
  • Wen Bing-Ying Stage Heat Attacks the Pericardium
  • Coma due to Wind-Stroke

CLINICAL MANIFESTATIONS

  • High fever
  • Restlessness
  • Dizziness
  • Delirious speech
  • Impaired consciousness
  • Coma
  • Childhood convulsions
  • Stiffness of the tongue
  • Dysphoria
  • Irritability
  • Vertigo
  • Frigid extremities
  • Faint erythema
  • T: Red or Deep red
  • C: Yellow
  • P: Rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated during pregnancy.
  • Do not take Cinnabaris (Zhu Sha) in large doses or heated.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For patients with a weak pulse: For patients with an Excess pulse:
+ Rx. Ginseng Ren Shen + Flos Lonicerae Jin Yin Hua
For nasal furuncles:
+ Hb. Menthae
+ Clear Epidemics and Overcome Toxin Decoction
Qing Wen Bai Du Yin
For Summerheat entering the Blood with convulsions in the extremities:
For Phlegm Stagnation:
+ Cornu Saigae Tatarici Ling Yang Jiao
+ Concretio Bambusae Silicea Tian Zhu Huang + Ram. cum Uncis Uncariae Gou Teng
+ Arisaemae cum Bile Dan Nan Xing
or
+ Succus Bambusae Zhu Li
+ Stop Spasms Powder
Zhi Jing San
or
+ Monkey Beozar Powder
Hou Zao San
For loss of consciousness and/or convulsions:
+ Cornu Saigae Tatarici Ling Yang Jiao
For extreme thirst:
+ Ram. cum Uncis Uncariae Gou Teng
+ Hb. Lophatheri Dan Zhu Ye
+ Concha Ostreae Mu Li + Scorpio Quan Xie
+ Gypsum Fibrosum Shi Gao + Scolopendra Wu Gong
For Liver cancer with acute jaundice:
   
+ 4.5 Rz. Acori Tatarinowii Shi Chang Pu    
   
+ 9g Rx. Curcumae Yu Jin