Will 60 grams of Black Prepared Slices (Hei Shun Pian) cause poisoning?
Apr 18, 2025
Source: Cainiu Health
Dr. Zhang Xiuhong
Introduction
Where applicable, if Black Prepared Aconite Root has been properly processed according to standards—for example, soaked for an extended period and thoroughly decocted for more than 2 hours—and if the total dose of 60 grams is divided into multiple small doses under a physician's guidance with continuous monitoring of electrocardiogram and blood pressure, the risk of toxicity may be reduced. However, this dosage still far exceeds the conventional range and should be used only in extremely special clinical situations. If any abnormalities occur, prompt medical attention is recommended.
Black processed aconite root (Hei Shun Pian) at a dose of 60 grams may be relatively safe under strict processing conditions and with small, divided doses under physician supervision. However, exceeding the conventional dosage, improper decoction, or self-administration will inevitably lead to poisoning. If any abnormalities occur, prompt medical attention is advised. Detailed analysis is as follows:
Under appropriate conditions, if black processed aconite root has been properly processed—for example, soaked for a prolonged period and adequately decocted for more than two hours—and if the 60-gram dose is divided into multiple small doses under a physician's guidance with continuous monitoring of electrocardiogram and blood pressure, the risk of toxicity might be reduced. However, this dosage still far exceeds the usual amount and is applicable only for extremely specific medical conditions.
However, if the processing is inadequate or the decoction time insufficient, the aconitine in 60 grams of black processed aconite root will not be fully decomposed, leading to severe poisoning. Taking a single dose by oneself or exceeding the total dosage will certainly cause life-threatening reactions such as arrhythmia and respiratory depression, which must be strictly prohibited.
The use of black processed aconite root without medical authorization is strictly forbidden. Any dosage must be prescribed by a licensed traditional Chinese medicine physician based on syndrome differentiation and administered under medical supervision. If symptoms of poisoning such as numbness of the mouth, dizziness, or palpitations occur, the medication must be stopped immediately and emergency treatment sought.
