An Gong Niu Huang Wan

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

安宮牛黃丸 · Ān Gōng Niú Huáng Wán

A classical emergency formula from Wen Bing Tiao Bian for blazing heat sinking into the Pericardium, with high fever, clouded spirit and phlegm-heat blocking the orifices.

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Quick Facts

Formula Category
Orifice-Opening Formulas
Primary Pattern
Heart Fire
Primary Function
Clear heat, open the orifices, cool blood, resolve phlegm
Primary Therapeutic Principle
Clear Heat from the Pericardium, resolve phlegm and open the orifices
Classical Source
Wen Bing Tiao Bian (Wu Jutong, 1798)
Available as Granules

Formula Overview

A classical emergency formula from Wen Bing Tiao Bian for blazing heat sinking into the Pericardium, with high fever, clouded spirit and phlegm-heat blocking the orifices.

Therapeutic Principle

Traditionally selected when warm-pathogen heat has sunk into the Pericardium with phlegm blocking the orifices — high fever and clouded spirit — rather than residual chest heat, Heart fire with Yin deficiency, or Liver Yang rising with internal Wind.

Composition

(Sovereign / Minister / Assistant / Envoy)

Related Conditions

Related Health Topics

How does this formula compare?

Compare An Gong Niu Huang WanTian Ma Gou Teng YinHuang Lian E Jiao TangZhi Zi Chi Tang
Primary Function Clear heat, open the orifices, cool blood, resolve phlegmCalm Liver Yang, extinguish internal wind, clear heatClear Heart fire, nourish Yin and blood, calm spiritClear heat, relieve restlessness and irritability
Formula Category Orifice-Opening FormulasLiver-Wind Extinguishing FormulasHeat-Clearing FormulasHeat-Clearing Formulas
Typical TCM Pattern Heart FireLiver FireHeart FireHeart Fire
Main Conditions Fever ·Headache ·Anxiety Restlessness ·Poor Sleep Quality Headache ·Dizziness & Vertigo ·Tinnitus ·Anxiety Restlessness Insomnia ·Anxiety Restlessness Insomnia ·Anxiety Restlessness
Main Herbs Cattle Gallstone ·Water Buffalo Horn ·Musk ·Coptis Rhizome ·Scutellaria / Baikal Skullcap Gastrodia Rhizome ·Uncaria Stem with Hooks ·Abalone Shell ·Gardenia Fruit ·Scutellaria / Baikal Skullcap Coptis Rhizome ·Scutellaria / Baikal Skullcap ·White Peony Root ·Donkey-hide Gelatin ·Egg Yolk Gardenia Fruit ·Prepared Soybean
Classical Source Wen Bing Tiao Bian (Wu Jutong, 1798)Zhong Yi Nei Ke Za Bing Zheng Zhi Xin Yi (Hu Guangci, 1958)Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)

Clinical Perspective

An Gong Niu Huang Wan, Tian Ma Gou Teng Yin, Huang Lian E Jiao Tang and Zhi Zi Chi Tang all involve heat disturbing the Heart-spirit, but at very different depths. Zhi Zi Chi Tang vents residual chest heat after the exterior has resolved. Huang Lian E Jiao Tang clears Heart fire while nourishing Yin-blood for deficiency-type insomnia. Tian Ma Gou Teng Yin calms rising Liver Yang and internal Wind without opening the orifices. An Gong Niu Huang Wan is reserved for blazing heat sinking into the Pericardium with phlegm blocking the orifices — high fever and clouded spirit — rather than milder vexation, Yin-deficiency insomnia, or Yang-rising dizziness.

For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.

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Medical Disclaimer

For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.

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