Some things never get old. Costly Chinese Traditional Medicine like ‘Angong Niuhuang’ are a much discussed and sold item on Chinese websites such as Sina Weibo or Taobao. The much-beloved Chinese medicine, that is also called one of China’s medicinal “treasures”, is quite unique: it is made of the ‘hairballs’ or ‘bezoars‘ that occur in the gall bladder of a cow or ox.
For many Chinese families, the ‘Angong Niuhuang Pill’ (安宫牛黄丸) is a household item. The ‘Niuhuang pill’ is known as a “divine medicine” ( Sohu 2012); an effective first-aid medicine against fever or other more serious health problems. Except for treating high fever, the Niuhuang pill is also used for strokes, headaches, dizziness, epilepsy and nausea. In ancient times, it was known as “the pill that could rescue the patient immediately and help revive those who were on the brink of death” (Guo et al 2014, 1). The medicine is believed to have magical healing powers, removing toxins from the human body. The pill, that is known as very rare valuable, comes from an unlikely place.
According to the Chinese Herbs Healing blog, ‘Niuhuang’ (literally: ‘cow gold’) can be found in the gall bladder bile of a cattle or ox. It is usually harvested when the animals are slaughtered, and if some mass is found inside the gallbladder. If so, these ‘hairballs’, or ‘bezoar’, need to be filtered out, dried in the shade, and then grinded into fine powder – eventually processed as the famous ‘hairball’ pill.

The medicine has a long history, as it was already mentioned in China’s oldests texts on medical herbs. In China, the Niuhuang pill is mainly and most famously produced in Beijing. The most well-known version is that of Beijing’s Tongrentang pharmacy (同仁堂安宫牛黄丸).
The Niuhuang pill is not just special because of its origins, but also because of its price. It can become extremely expensive, depending on when it was produced. It is generally believed that the older the medicine is, the more effective it is. This makes the pill an interesting market for frauds, who sell fake ones for enormous amounts of money as if they were authentic. Niuhuang pills from 1993 will be sold for an approximate 1300 yuan (212 US dollars) per pill (Xinhua 2013). Because the price of the natural bezoar is so high, there are somewhat less expensive substitutes that are used more often and widely, such as Tongrentang’s Angong Niuhuang Pill, that is a concentrated powder of the bezoar, mixed with, amongst others, musk, cinnabaris, and gardenia. A box of six pills costs around 130 US dollars.

Although the Angong Niuhuang Pill is said to be an effective formula for its fever-reducing and detoxificating use (Guo et al 2014), many of China’s hospitals are not happy with people using it at home. Because it is known as a ‘life saver’, people often take a pill at times when they actually should be calling an ambulance. On
Weibo, the Jinan University Hospital recently warned people not to trust on Niuhuang in emergency situations. They write: “We often see patients who suffered a stroke and think they can solve it by taking Angong Niuhuang Pills.” The hospital warns people that it can be life-threatening when people trust on pills rather than getting immediate professional help: “The only correct way to handle an emergency situation, is to immediately call an ambulance and get medical assistance in a nearby hospital,” Jinan University Hospital says.

Another reason to be careful with China’s ‘hairball’ pills, is because of the enormous amount of fake pills circulating in shops and on the internet. On July 30, China’s Shantou Prefecture announced through its official Weibo account that a Guangdong lab where fake Niuhuang pills were being produced was busted by the local police. Four suspects have been arrested. Taking fake pills can potentially be harmful for one’s health.
These online warnings do not withhold Weibo users from buying Niuhuang. One Weibo user called Silver Wind has posted a picture of three boxes containing three ‘hairball’ pills, saying: “These things are so expensive, but much needed!” She later writes that she paid 1600 RMB (260 US dollars) for three pills. Weibo user ‘Wendy‘ writes she is using the expensive medicine not for herself, but to save the little puppies of her dog, who are experiencing some health problems.

Although many netizens trust the efficiency of Niuhuang pills, there are also those who express their doubts with Chinese Traditional Medicine: “Acupuncture, bloodletting, clinics that are like religious services, taking Angong Niuhuang Pills,..what is it all good for? Don’t ask me, because I really don’t know,” one user says.
By Manya Koetse
References
– Guo, Yu, Shaohua Yan, Lipeng Xu, Gexin Zhu, Xiaotong Yu and Xiaolin Tong. 2014. “Use of Angong Niuhuang in Treating Central Nervous System Diseases and Related Research.” Evidence-Based Complementary and Alternative Medicine (2014): 1-9.
– Sohu. 2012. “安宫牛黄丸:错吃就是毒” Sohu News, May 29. http://health.sohu.com/20120529/n344268979.shtml.
– Xinhua. 2013. “十粒“老安宫”一万三 牛黄丸放得越久越值钱?” Xinhua News, July 17. http://news.xinhuanet.com/fortune/2013-07/17/c_125024102.htm [30.07.15].
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Aiden
May 15, 2018 at 5:31 am
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