Can Heishunpian treat damp-heat?

Apr 07, 2025 Source: Cainiu Health
Dr. Zhang Xiuhong
Introduction
Under normal circumstances, Heishunpian (Black Prepared Slices of Aconite Root) is not indicated for the treatment of damp-heat. The primary functions of Heishunpian are to warm yang, dispel cold, and relieve pain. It is suitable for conditions caused by cold-dampness, such as joint pain and cold pain in the lower back and knees. Damp-heat, however, represents another pattern in traditional Chinese medicine characterized by the combination of dampness and heat pathogens within the body. Direct use of Heishunpian may intensify internal heat symptoms and worsen the condition.

Generally speaking, Hei Shun Pian (Black顺Pian) is not used to treat damp-heat. The detailed analysis is as follows:

Hei Shun Pian primarily warms yang, dispels cold, and relieves pain. It is suitable for conditions caused by cold-dampness, such as joint pain and cold pain in the waist and knees. Damp-heat, however, represents another type of pathological mechanism in Traditional Chinese Medicine (TCM), characterized by the combination of dampness and heat pathogens. Common symptoms include bitter taste in the mouth, yellow and greasy tongue coating, dark yellow urine, and other related manifestations. Hei Shun Pian has a pungent and hot nature and flavor, and its direct use in individuals with a damp-heat constitution or conditions caused by damp-heat may intensify internal heat symptoms, thereby worsening the condition.

If suffering from diseases related to damp-heat, appropriate heat-clearing and dampness-resolving medications should be selected under the guidance of a physician based on the specific condition. When using Hei Shun Pian, the patient's individual condition and physical constitution should be considered, and medical advice should be followed to ensure safe and effective medication use.

Patients with damp-heat are advised to maintain a light diet, primarily consuming rice, millet, coix seed, and similar foods, which can help improve spleen and stomach function and promote the transformation and transportation of dampness.