It seems that nothing is known for certain about this order.
Even its official name.
In the center of the medallion two hieroglyphs
赤胆 - lit. Red Belly/Guts (idiom) [赤 - sincere and loyal 胆 - bold and courageous]
赤胆忠心 /chìdǎnzhōngxīn/ lit. red-bellied devotion (idiom); whole-hearted...
china warlords awards and decorations
chinese medal with goldenlionchineseorderof extreme bravery
chineseorderofgoldenlionorderof extreme bravery
orderofgoldenlion
北洋政府赤胆勳章
忠勇勳章
民国九年赤胆奖章
民国九年赤胆银质镶珐琅勋章
民国北洋时期(段祺瑞)赤胆奖章
民国北洋时期赤胆勋章
赤胆勳章
金狮勋章