English: Water buffalo horns

Chinese: 水牛角

Parts used: The horn, as a powder or as thin scrapes

TCM category: Herbs that cool the Blood

TCM nature: Cold

TCM taste(s): BitterSalty

Organ affinity: Stomach Heart Liver

Scientific name: Cornu Bubali

Other names: Xi Jiao

Use of Shui Niu Jiao (water buffalo horns) in TCM

Please note that you should never self-prescribe TCM ingredients. A TCM ingredient is almost never eaten on its own but as part of a formula containing several ingredients that act together. Please consult a professional TCM practitioner, they will be best able to guide you.

Preparation: Scrape the horn or reduce it into a powder

Dosage: 5g - 18g

Main actions according to TCM*: Cools the Blood, drains Fire and stops reckless movement of Blood. Clears Heat and Fire and stops tremors and convulsions. Cools Fire and expels toxins.

Primary conditions or symptoms for which Shui Niu Jiao may be prescribed by TCM doctors*: Fever Excessive thirst Delirium Bloody sputum Nosebleed Convulsions

Contraindications*: This substance should not be used by pregnant women or those with Cold conditions or when the Heat is not caused by a "Pernicious Influence". Caution: This substance should not be used in conjunction with Aconite (Fu Zi or Zhi Fu Zi).

Common TCM formulas in which Shui Niu Jiao is used*

Xi Jiao Di Huang Tang

Source date: 650 AD

Number of ingredients: 4 herbs

Formula key actions: Treats severe fevers and Heat in the Blood system. Removes Blood Stagnation.

Conditions targeted*: Acute leukemiaUremia and others

Shui Niu Jiao is a king ingredient in Xi Jiao Di Huang Tang. Like the name indicates, it means it has more power than other ingredients in the formula.

In Xi Jiao Di Huang Tang, Shui Niu Jiao clears Heart Fire and resolves Heat/Fire toxicity. It is Cold but does not hinder the movement of Blood (Cold can often "congeal" Blood). This makes it a particularly suitable ingredient to treat Heat at the Blood level.

Read more about Xi Jiao Di Huang Tang

Qing Ying Tang

Source date: 1798 AD

Number of ingredients: 9 herbs

Formula key actions: Clears the Nutritive level Heat. Relieves Fire Toxin. Removes Heat. Nourishes Yin.

Conditions targeted*: Encephalitis BMeningitis and others

Shui Niu Jiao is a king ingredient in Qing Ying Tang. Like the name indicates, it means it has more power than other ingredients in the formula.

In Qing Ying Tang, Shui Niu Jiao is bitter, salty, and cold. It drains Heat from the Nutritive (Ying) level and the Heart so as to relieve Fire Toxin and calms the Mind.

It is cold in nature but it does not lead to obstruction, which makes it helpful in treating Exterior Heat invading Interior. It can also cool the Blood and remove Stagnation. 

Read more about Qing Ying Tang

Qing Gong Tang

Source date: 1798 AD

Number of ingredients: 6 herbs

Formula key actions: Clears Heat in the Heart. Nourishes the Yin Fluids .

Conditions targeted*: MeningitisEncephalitis B and others

Shui Niu Jiao is a king ingredient in Qing Gong Tang. Like the name indicates, it means it has more power than other ingredients in the formula.

In Qing Gong Tang, Shui Niu Jiao is able to control and calm the Heart, which is associated with Yang, Fire, and activity.

It is salty, resolves toxicity, and focuses on clearing exuberant Fire from the Heart. 

Read more about Qing Gong Tang

Zi Xue Dan

Source date: 752 AD

Number of ingredients: 17 herbs

Formula key actions: Clears Heat. Opens the sensory orifices. Controls spasms and convulsions. Extinguishes Wind.

Conditions targeted*: Acute encephalitisAcute meningitis and others

Shui Niu Jiao is a king ingredient in Zi Xue Dan. Like the name indicates, it means it has more power than other ingredients in the formula.

In Zi Xue Dan, Shui Niu Jiao is cool and aromatic. It is ascending and dispersing in nature. 

It enters the Nutritive and Blood Levels, and clearing Fire and Heat from the Heart and Liver Channels.

It clears Heat from the Nutritive Level, cools the Blood, and resolves Toxicity. Because of its active nature, it can be cold without retarding movement, making it useful
for venting Heat through the collaterals of the Pericardium

The combination of Saiga antelope's horns and Water buffalo horn treats the Heat in the Heart and Liver Channels and effectively resolve the spasms, convulsions, and impaired consciousness. 

Rhinoceros horn is used in the formula in the past, which is forbitten nowadays. Thus it is replaced by Water buffalo horn. 

Read more about Zi Xue Dan

Zhi Bao Dan

Source date: 1075

Number of ingredients: 9 herbs

Formula key actions: Clears Heat. Opens the sensory orifices. Resolves toxicity. Transforms Phlegm .

Conditions targeted*: Acute encephalitisAcute meningitis and others

Shui Niu Jiao is a king ingredient in Zhi Bao Dan. Like the name indicates, it means it has more power than other ingredients in the formula.

In Zhi Bao Dan, Shui Niu Jiao clears Heat from the Nutritive Level and cools the Blood. Its cool, aromatic properties make it useful for treating
Heat that affects the Pericardium Stagnation. 

Musk and Water buffalo horn works well together to clear Heat and open the sensory orifices. 

Read more about Zhi Bao Dan

Qing Wen Bai Du Yin

Source date: 1794 AD

Number of ingredients: 14 herbs

Formula key actions: Drains Fire. Resolves Toxicity. Dries Dampness.

Conditions targeted*: MeningitisEncephalitis B and others

Shui Niu Jiao is a deputy ingredient in Qing Wen Bai Du Yin. This means it helps the king ingredient(s) treat the main pattern or it serves to treat a coexisting pattern.

In Qing Wen Bai Du Yin, Shui Niu Jiao clears Heat from the blood level according to the Four Levels Theory

Read more about Qing Wen Bai Du Yin

Hua Ban Tang

Source date: 1798 AD

Number of ingredients: 6 herbs

Formula key actions: Clears Qi-level Heat. Cools the Blood.

Conditions targeted*: Macular rash and others

Shui Niu Jiao is a deputy ingredient in Hua Ban Tang. This means it helps the king ingredient(s) treat the main pattern or it serves to treat a coexisting pattern.

In Hua Ban Tang, Shui Niu Jiao resolves Toxic-Heat in the Blood Level and nourish the Yin Fluids, thereby helping to push the pathogen back to the Qi level.

Read more about Hua Ban Tang

Zhen Zhu Mu Wan

Source date: 1132 AD

Number of ingredients: 11 herbs

Formula key actions: Nourishes the Yin and Blood . Sedates the Heart and calms the Mind . Calms the Liver. Anchors the yang.

Conditions targeted*: EpilepsyCataract and others

Shui Niu Jiao is an assistant ingredient in Zhen Zhu Mu Wan. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.

In Zhen Zhu Mu Wan, Shui Niu Jiao is bitter, salty, and cooling. It invigorates Qi, clears Heat from the Nutritive Qi and settles fright. 

Read more about Zhen Zhu Mu Wan

Su He Xiang Wan

Source date: 752 AD

Number of ingredients: 15 herbs

Formula key actions: Warms and aromatically opens the sensory orifices. Promotes the movement of Qi. Transforms turbidity.

Conditions targeted*: Cerebrovascular accidentEncephalitis and others

Shui Niu Jiao is an assistant ingredient in Su He Xiang Wan. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.

In Su He Xiang Wan, Shui Niu Jiao resolves toxicity.

Although cold in nature, its clear, aromatic properties enable it to penetrate the turbidity without causing
stagnation. 

Read more about Su He Xiang Wan

Key TCM concepts behind Shui Niu Jiao's properties

In Traditional Chinese Medicine (TCM), Shui Niu Jiao belongs to the 'Herbs that cool the Blood' category. Herbs in this category are used to clear inflammatory and infectious conditions, referred to as 'Internal Heat' in TCM. This is why most of the herbs in this category will have both antibacterial and antiviral properties. In TCM one has too much 'Internal Heat' in their body as a result of a deficiency of 'Yin' (which is Cold in nature, see our explanation on Yin and Yang) or, more commonly, an Excess of Yang (Hot in nature). Herbs that cool the Blood treat the latter and as such tend to be Cold or Neutral in nature.

As suggested by its category Shui Niu Jiao is Cold in nature. This means that Shui Niu Jiao typically helps people who have too much 'Heat' in their body. Balance between Yin and Yang is a key health concept in TCM. Those who have too much Heat in their body are said to either have a Yang Excess (because Yang is Hot in nature) or a Yin deficiency (Yin is Cold in Nature). Depending on your condition Shui Niu Jiao can help restore a harmonious balance between Yin and Yang.

Shui Niu Jiao also tastes Bitter and Salty. The so-called 'Five Phases' theory in Chinese Medicine states that the taste of TCM ingredients is a key determinant of their action in the body. Bitter ingredients like Shui Niu Jiao tends to have a cleansing action on the body by clearing Heat, drying Dampness and promoting elimination via urination or bowel movements. On the other hand Salty ingredients tend to have a draining effect in the body because they clear accumulations, remove Phlegm and soften hard lumps.

The tastes of ingredients in TCM also determine what Organs and Meridians they target. As such Shui Niu Jiao is thought to target the Stomach, the Heart and the Liver. In TCM the Stomach is responsible for receiving and ripening ingested food and fluids. It is also tasked with descending the digested elements downwards to the Small Intestine. In addition to regulating Blood flow, the Heart is believed to be the store of the 'Mind' which basically refers to someone's vitality. The Liver is often referred as the body's "general" because it is in charge of regulating the movements of Qi and the Body Fluids. It also takes a leading role in balancing our emotions.