Can Hei Shun Pian and Qing Ban Xia be taken together?

Apr 07, 2025 Source: Cainiu Health

Dr. Zhang Xiuhong

Introduction

Under normal circumstances, Black顺Pian (Black Prepared Slices of Aconite Root) and Qing Ban Xia (Pinellia Tuber) should not be taken together. According to the conventional principles of Chinese herbal compatibility, Qing Ban Xia and Hei Shun Pian are considered incompatible medicines. This means that their properties, tastes, and therapeutic effects may counteract each other, and concurrent use could potentially cause adverse reactions, such as worsening the condition, generating toxicity, or affecting treatment efficacy. It is recommended to consult an experienced traditional Chinese medicine practitioner or pharmacist before taking any Chinese herbal medicine.

Generally speaking, Heishunpian (Radix Aconiti Preparata) and Qingbanxia (Pinelliae Rhizoma Preparatum) should not be taken together. The detailed explanation is as follows:

Heishunpian has a pungent and sweet taste and is strongly hot in nature. Its primary functions are to enhance yang energy, dispel cold, and promote blood circulation to remove blood stasis. Qingbanxia is warm and strongly drying, possessing effects of drying dampness, resolving phlegm, clearing heat and detoxifying, reducing adverse qi flow, and relieving vomiting. According to the conventional principles of Chinese herbal compatibility, Qingbanxia and Heishunpian are considered antagonistic herbs. Their properties and effects conflict with each other, and simultaneous use may lead to adverse reactions such as worsening of the condition, generation of toxicity, or reduced therapeutic effectiveness.

It is recommended that before taking any Chinese herbal medicine—especially when combining multiple herbs—you should consult an experienced TCM practitioner or pharmacist to obtain personalized medication guidance, ensuring safety and effectiveness. During the course of treatment, pay attention to physical responses, and if any discomfort occurs, discontinue use immediately and seek timely medical attention.

In daily life, it is advisable to maintain healthy lifestyle habits and avoid consuming foods that may interact with the medications being used, in order to enhance the effectiveness of the treatment.

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Black顺pian (Black顺pian) may cause a cooling effect when taken.

Some individuals have a naturally cold constitution and absorb the warming properties of Heishunpian (Radix Aconiti Praeparata) more slowly. After administration, the internal cold may not be effectively dispelled in a timely manner, and feelings of coldness may persist. It is recommended to consume warming foods such as ginger and longan together with Heishunpian, keep warm, add more clothing, and avoid staying in cold environments. Insufficient dosage of Heishunpian may fail to exert adequate warming and cold-dispersing effects, thus failing to improve the internal deficiency-cold condition.

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What conditions are treated with Rhubarb and Black Prepared Slices?

It is caused by heat accumulation in the intestines leading to obstruction of bowel qi, manifesting as dry and hard stools, abdominal distension and pain, bad breath, dry mouth, and short, dark urine. Rhubarb (Dahuang) purges the bowels and eliminates accumulations. Black Shunpian (processed Aconite root), although warm in nature, can counteract the cold properties of rhubarb in combination therapy, making it suitable for patients with heat-accumulation constipation accompanied by mild yang deficiency, thus relieving obstruction caused by stagnation of dry feces. Accumulation of damp-heat in the intestines leads to abdominal pain and diarrhea.

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Black顺Pian's Side Effects and Contraindications

Black Shunpian is processed from Aconiti Lateralis Radix and still contains residual toxic components such as aconitine. Even at normal doses, some individuals may experience numbness of the mouth, tongue, or limbs. In severe cases, symptoms may include nausea, vomiting, palpitations, cardiac arrhythmia, and even respiratory depression, endangering life safety. Black Shunpian is strongly warming in nature and has certain irritant properties; it may easily irritate the gastrointestinal mucosa after administration.

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The efficacy of Fu Pian and Hei Shun Pian

Fu pian and Hei Shun pian are extremely hot in nature and can rapidly invigorate depleted yang qi. For conditions such as cold limbs, continuous cold sweats, and a faint, nearly imperceptible pulse caused by sudden collapse of yang qi, they can be combined with dried ginger and licorice to quickly restore yang qi, alleviate critical symptoms, and stabilize the foundation of life. For kidney-yang deficiency syndromes such as soreness and cold pain in the lower back and knees, impotence, premature ejaculation, and infertility due to cold uterus, Fu pian and Hei Shun pian can penetrate deeply into the kidney meridian.

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Difference in therapeutic effects between Heishunpian and Baisunpian

Black Shunpian is processed by washing Aconiti Lateralis Radix Praeparata, soaking it in an aqueous solution of edible bile salt for several days, boiling until it is thoroughly cooked, removing and rinsing it with water, slicing it, then dyeing it into a dark tea color with a coloring solution, steaming until an oily surface and luster appear, and finally drying it. During its processing, some original components of Aconiti Lateralis Radix Praeparata are preserved, resulting in relatively stronger medicinal properties and a more pronounced effect in restoring Yang and rescuing from collapse.

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What should I do if I took Heishunpian during early pregnancy?

Black顺片 (Black Shunpian) has certain toxicity and may affect fetal development. If accidental ingestion is discovered, administration should be stopped immediately to prevent further intake of harmful substances and to avoid additional harm to the pregnant woman and fetus. Contact an obstetrician-gynecologist as soon as possible and provide detailed information regarding the dosage and timing of ingestion. The physician can assess the risks based on this information, along with the pregnant woman's medical condition and gestational age.

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What are the applications of Heishunpian in combination therapy?

Black Shunpian (processed Aconite root) is generally used in combination with other herbs for the purposes of reducing toxicity while enhancing therapeutic effects, warming yang and dispersing cold, promoting blood circulation to remove obstruction, expelling wind and relieving pain, and supplementing qi to support yang. When Black Shunpian is combined with fresh ginger, licorice, and white honey, the detoxifying effect of ginger, the moderating effect of licorice on the herb's potency, and the moistening effect of honey help reduce the toxicity of aconitine while preserving its function of warming the meridians and relieving pain. This combination is used for severe cases of bi syndrome caused by cold and dampness.

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The difference between White Fuzi slices and Black Fuzi slices

Black Shunpian is made by soaking Aconiti Lateralis Radix Praeparata in brine for several days, then undergoing multiple processes including slicing, steaming, and boiling, followed by dyeing with a coloring solution to become a dark tea color. White Shunpian, on the other hand, is produced by removing the skin of Aconiti Lateralis Radix Praeparata, longitudinally slicing it into thin pieces, washing thoroughly in clear water without dyeing, and then steaming. Black Shunpian is sliced longitudinally, mostly in irregularly round or oval shapes, with a thickness of about 2-3 mm.

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