Can I take Heishunpian if I have hemorrhoids?
Generally, patients with hemorrhoids can follow medical advice to consume an appropriate amount of Heishunpian (a processed form of Aconitum carmichaelii) when their condition is stable and they require treatment to warm the body and dispel cold. However, it is not recommended during acute flare-ups or if there is excessive internal damp-heat. If in doubt, it is advisable to seek medical consultation in advance. Detailed explanation is as follows:

When hemorrhoids patients have a cold constitution and need to manage symptoms of yang deficiency, moderate consumption of Heishunpian may be beneficial. Heishunpian has the effect of warming yang and dispelling cold, which may help alleviate discomfort caused by cold-damp blockage, such as cold pain in the lower back and knees or sensitivity to cold. However, caution should be taken to control the dosage, as its warming and drying properties may aggravate internal heat or cause other discomforts.
If hemorrhoids are in an acute phase or if there are symptoms of internal damp-heat, Heishunpian should not be used. Due to its warming and drying nature, Heishunpian may exacerbate damp-heat symptoms such as anal burning, bright red rectal bleeding, or constipation. Patients undergoing medication treatment or those with complex conditions should not use it without professional guidance.
Hemorrhoid patients should also maintain healthy lifestyle habits during treatment, such as regular bowel movements and a light diet. Avoid spicy or irritating foods, greasy foods, alcohol consumption, overeating, and other unhealthy habits.