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What are the applications of Heishunpian in combination therapy?

Apr 18, 2025 Source: Cainiu Health
Dr. Zhang Xiuhong
Introduction
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.

Black Prepared Aconite Root (Hei Shun Pian) is generally used in combinations for the following purposes: reducing toxicity while enhancing therapeutic effects, warming yang to dispel cold, promoting blood circulation to remove blood stasis, expelling wind to relieve pain, and reinforcing qi to support yang. Detailed explanations are as follows:

1. Reducing Toxicity and Enhancing Efficacy: Combined with ginger, licorice, and white honey, ginger detoxifies, licorice moderates the herb's potency, and honey moistens dryness, thereby reducing the toxicity of aconitine while preserving its function of warming meridians and relieving pain. It is used for severe cases of bi syndrome caused by cold-dampness.

2. Warming Yang and Dispersing Cold: Combined with dried ginger, cinnamon bark, and asarum, this enhances the effect of restoring yang to rescue from collapse. It is indicated for yang collapse syndrome presenting with cold extremities and a barely perceptible pulse, or abdominal pain and diarrhea caused by spleen-kidney yang deficiency (abdominal pain).

3. Activating Blood and Unblocking Meridians: Combined with chuanxiong, angelica root, and safflower, this synergistically promotes blood circulation and resolves blood stasis, improving dysmenorrhea, joint swelling and pain, or traumatic injuries caused by cold-induced blood stasis, and facilitating qi and blood circulation.

4. Expelling Wind and Relieving Pain: Combined with notopterygium, dehuo, and gentiana, this enhances the effects of dispelling wind-damp, and is used for shoulder and back pain, joint stiffness, or limb numbness caused by wind-cold-damp bi syndrome.

5. Reinforcing Qi and Supporting Yang: Combined with astragalus, codonopsis, and atractylodes, this integrates qi reinforcement with warming yang, improving symptoms such as cold intolerance and fatigue caused by yang deficiency with qi deficiency, postpartum cold syndrome, or chronic diarrhea.

It is recommended to strictly follow medical guidance and syndrome differentiation when using Black Prepared Aconite Root. The herb must be decocted together with other herbs for more than two hours to ensure degradation of toxic components. It must not be used alone or in excessive doses. It is contraindicated for pregnant women, patients with heart disease, and those with impaired liver or kidney function.

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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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Dr. Zhang Xiuhong
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