Can black processed aconite root (Hei Shun Pian) not be combined with Pinellia (Ban Xia)?
Apr 15, 2025
Source: Cainiu Health
Dr. Zhang Xiuhong
Introduction
Black Prepared Aconite Root (Hei Shun Pian) is a processed product of Aconiti Lateralis Radix Preparata, which warms yang and disperses cold, while Pinellia (Ban Xia) mainly functions to dry dampness, resolve phlegm, reverse counterflow, and stop vomiting. These two herbs have opposing properties and are classified under the "Eighteen Incompatibilities" (Shi Ba Fan) in traditional Chinese medicine theory, representing a contraindicated combination that may cause toxic reactions or increase the burden on the body. Blindly using Black Prepared Aconite Root together with Pinellia may lead to adverse effects such as nausea, vomiting, or other discomforts.
Generally, Heishunpian (Black Prepared Aconite Root) is not recommended to be used together with Banxia (Pinellia Tuber). If there are any concerns, it is advisable to consult a healthcare professional in advance. Detailed analysis is as follows:
Heishunpian is a processed form of Fuzi (Aconite Root) and has the effect of warming yang and dispersing cold, whereas Banxia mainly functions to dry dampness, resolve phlegm, reverse counterflow, and relieve nausea. These two herbs have opposing properties and are classified under the "Eighteen Incompatible Medicaments" (Shibapan Fan) in traditional Chinese medicine theory. Their combined use may trigger toxic reactions or increase the burden on the body. Blindly taking Heishunpian and Banxia together may lead to nausea, vomiting, or other adverse symptoms, affecting recovery.
If a patient has a weak constitution or is currently taking other medications, extra caution should be taken regarding the contraindicated combination of Heishunpian and Banxia. Heishunpian itself has certain toxicity and must be professionally processed before use; combining it with Banxia may further increase the risk of toxicity. Additionally, patients with chronic conditions, such as impaired liver or kidney function, should avoid this combination to prevent additional harm.
Furthermore, patients should maintain healthy lifestyle habits during herbal treatment, including regular作息 (作息 means作息 in Chinese, which refers to rest and work schedules), avoiding excessive fatigue, and paying attention to changes in their physical condition.
