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Which Chinese herb is contraindicated with Hei Shun Pian?

Apr 08, 2025 Source: Cainiu Health
Dr. Zhang Xiuhong
Introduction
Under normal circumstances, Heishunpian (Black顺片) is contraindicated with Chinese herbs such as Veratrum (Lilu), Wu Lingzhi, Banxia, Guallu, and Beimu. In addition, Heishunpian contains a certain amount of aconitine. During the period of taking Chinese medicine, one should strictly follow the guidance of traditional Chinese medicine theory and the instructions of a physician, avoiding blind self-combination of herbs to ensure safe and effective medication. At the same time, monitor your physical condition carefully, and seek medical attention promptly if any discomfort occurs.

Generally, Heishunpian (Aconiti Lateralis Radix Praeparata) is contraindicated with traditional Chinese medicines such as Veratrum (Lilu), Wu Ling Zhi, Ban Xia, Gua Lou, and Bei Mu. Detailed analysis is as follows:

1. Veratrum (Lilu)

Veratrum is cold in nature, while Heishunpian is strongly hot in nature. These two herbs possess opposing properties—one cold and the other hot—and their effects are entirely different. Concurrent use may result in antagonistic effects, thus affecting therapeutic outcomes.

2. Wu Ling Zhi

Heishunpian mainly functions to warm yang and dispel cold, whereas Wu Ling Zhi is a blood-moving herb that promotes blood circulation, alleviates blood stasis, and relieves pain. Combining Wu Ling Zhi with Heishunpian may reduce the efficacy of Heishunpian due to drug interactions.

3. Ban Xia

Ban Xia contains various alkaloids and irritating components. When taken together with Heishunpian, it may reduce the effectiveness of Aconiti Lateralis Radix Praeparata, thus failing to achieve the desired therapeutic effect.

4. Gua Lou

Gua Lou functions to clear heat, resolve phlegm, widen the chest, dissipate nodules, and relieve constipation. Concurrent administration with Heishunpian may weaken the therapeutic effect and could even lead to drug toxicity.

5. Bei Mu

Bei Mu functions to clear heat, resolve phlegm, disperse nodules, and reduce swelling. Its effects differ from those of Heishunpian, and combining the two may result in interactions that compromise therapeutic efficacy.

During the course of taking herbal medicines, it is essential to strictly follow TCM theory and the guidance of a licensed physician. Blindly combining herbs on one's own should be avoided to ensure safe and effective medication use. Additionally, pay attention to bodily reactions, and seek medical advice promptly if any discomfort occurs.

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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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Dr. Yang Ziqi
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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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Dr. Yang Ziqi
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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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Dr. Zhang Xiuhong
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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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Dr. Zhang Xiuhong
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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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Dr. Zhang Xiuhong
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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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Dr. Sun Lianqing
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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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