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Can I take Xiao Chai Hu while taking Hei Shun Pian?

Apr 08, 2025 Source: Cainiu Health
Dr. Zhang Xiuhong
Introduction
Under normal circumstances, it is acceptable to take Heishunpian together with Xiaochaihu. The main ingredient of Heishunpian is processed Aconite Root (Fuzi), which functions to warm yang, dispel cold, and relieve pain. Xiaochaihu mainly contains Bupleurum (Chaihu), Scutellaria (Huangqin), Pinellia (Banxia), and other ingredients, and has effects of soothing the liver, relieving depression, harmonizing the stomach, and reducing upward stomach qi. From the perspective of pharmacological effects and mechanisms of action, there are no obvious contraindications between these two medicines when used together; however, they should still be taken under the guidance of a physician.

Generally speaking, it is acceptable to take Heishunpian (Black Prepared Aconite Root) along with Xiao Chai Hu (Minor Bupleurum), but this should be done under the guidance of a physician. Detailed explanation is as follows:

Heishunpian's main component is processed aconite root, which functions to warm yang, dispel cold, and relieve pain. It is commonly used for treating conditions such as kidney yang deficiency and spleen and stomach cold deficiency. On the other hand, Xiao Chai Hu mainly contains bupleurum, scutellaria, pinellia, and other ingredients, which have functions of soothing the liver, relieving depression, harmonizing the stomach, and lowering adverse counterflow. It is suitable for conditions such as liver depression with spleen deficiency and shaoyang disease. From the perspective of drug effects and mechanisms, there are no obvious contraindications between the two.

However, Heishunpian has certain toxicity, while Xiao Chai Hu may exert certain effects on the gastrointestinal tract. Taking them together might increase the burden on the gastrointestinal system or potentially affect drug absorption and metabolism. If simultaneous use is required due to medical conditions, one should consult a physician. The physician will make a comprehensive evaluation based on specific conditions and the patient's physical status to ensure safe and effective medication use.

During the medication period, it is advisable to avoid consuming spicy and irritating foods, such as pepper and chili, to prevent interference with the drug's effectiveness. Additionally, closely monitor any bodily reactions; if discomfort or abnormal symptoms occur, discontinue the medication immediately and seek medical attention.

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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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Dr. Sun Lianqing
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Why does the tongue become numb after taking Heishunpian, and what should be done?
Although processed black顺片 (Aconiti Lateralis Radix Praeparata) has reduced toxicity through processing, if the processing time is insufficient or the method is improper, toxic components such as residual aconitine may remain in higher amounts. This can easily stimulate the nerves after ingestion, causing symptoms such as numbness of the tongue. Discontinue use immediately, switch to black顺片 that has been properly processed and obtained through正规 channels, and monitor whether symptoms improve. Black顺片 has strict dosage requirements; overdosage can lead to excessively high drug concentrations in the body.
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Why does my tongue go numb after taking Heishunpian? What should I do?
Black顺片 contains aconitine. Although its toxicity is reduced after processing, it may still directly irritate the oral cavity, causing symptoms such as numbness of the tongue and a mild burning sensation, which are usually transient. It is recommended to take the medication after meals to reduce irritation, and to rinse the mouth after administration. If the numbness persists or worsens, discontinue the medication and seek medical attention. 2. Insufficient decoction time of the herb: Aconiti Lateralis Radix (Fuzi) needs to be boiled first for 30-60 minutes to destroy the aconitine. If the boiling time is too short,
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What are the functions, effects, and contraindications of Hei Shun Pian?
Under normal circumstances, the effects and functions of Heishunpian generally include warming yang to dispel cold, replenishing fire to assist yang, relieving pain, eliminating cold and dampness, and improving a cold-deficient constitution. Contraindications generally include caution for individuals with yin deficiency and excessive internal heat, pregnant women, individuals with a hot constitution, avoiding excessive use due to potential for overheating, and caution for individuals with allergic constitutions. If any abnormalities occur, prompt medical attention is recommended.
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What should I do if I experience excessive internal heat after taking Heishunpian (Black顺片)?
In general, symptoms of excessive internal heat (referred to as "fire" in traditional Chinese medicine) caused by taking Heishunpian (Black顺片) can be improved by adjusting the diet, reducing the dosage or temporarily discontinuing the medication, drinking heat-clearing beverages, engaging in appropriate exercise, and regulating the body with traditional Chinese medicine. It is recommended to do so under the guidance of a physician. At the same time, maintaining good lifestyle habits, engaging in moderate exercise, and ensuring adequate sleep can help improve overall immunity and reduce the likelihood of excessive internal heat.
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What is the 5g Heishunpian used for?
Under normal circumstances, 5g of processed Aconiti Lateralis Radix (Hei Shun Pian) can be used to treat conditions such as kidney yang deficiency syndrome, spleen-kidney yang deficiency syndrome, heart-kidney yang deficiency syndrome, wind-cold-damp bi syndrome, and yang deficiency edema. It is recommended to use any medicinal materials under the guidance of a qualified traditional Chinese medicine practitioner. In daily life, it is also advised to maintain good作息 habits, follow a balanced diet, and avoid excessive fatigue, which can help improve body constitution.
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How long does it take for Heishunpian to replenish Yang energy?
Black Shun Pian is a warming Yang herb that has the functions of replenishing Yang to dispel cold, warming the meridians, and relieving pain. For individuals with insufficient Yang energy, cold hands and feet, or sensitivity to cold, taking it continuously for 1–2 weeks will gradually create a warming sensation in the body and improve energy levels. Its medicinal property is mild, making it suitable for long-term regulation; however, dosage should be adjusted according to individual constitution and symptoms.
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What can Heishunpian be replaced with?
The alternative medicinal materials for Heishunpian generally include Aconiti Lateralis Radix Praeparata, Aconiti Radix, Zingiberis Rhizoma, Alpiniae Officinarum Rhizoma, and Zanthoxyli Fructus. However, the specific choice mainly depends on the patient's condition and therapeutic requirements, and should be carried out under the guidance of a physician. Substitution must be selected according to the specific disease condition, and Aconitum-type medicinal materials must be strictly processed to reduce toxicity. It is contraindicated for pregnant women and those with excessive internal heat due to yin deficiency. Consultation with a physician is required prior to use to clarify any incompatibility precautions.
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