Pharmaceutical Latin: Radix Aconiti Preparata
Common English: Prepared Aconite
Processed Sichuan Aconite Main Root   
Aconite Wutou
Mother Root of the Common Monks' Hood
Herbs that Warm the Interior and Expel Cold
Taste Temperature Entering Meridians Dosage
Very Toxic
1.5-9g Boil for 30-60 min. before adding to the decoction
Tincture: 0.5-2ml
Actions Indications/Syndromes

Expels Wind-Dampness, disperses Cold, warms and activates the channels and stops pain

Wind-Damp Painful Obstruction (Bi) with

Severe sub-cardiac and abdominal pain from Wind-Cold-Dampness




(Can be applied topically)

Reduces swellings, induces ulceration and dispels putrefication

Topically for Yin flat abscesses

Used when hard abscesses do not soften and ulcerate or do not heal

Treats unconsciousness caused by Phlegm Stagnation

Unprocessed can treat unconsciousness, deviation of the mouth and eyes and a roaring sound of Phlegm in the throat (very rare usage)
  • Contraindicated during pregnancy.
  • Contraindicated for those with Yin Deficiency.
  • Contraindicated for those with Yang Excess.
  • Contraindicated for those with pain caused by Heat.
  • Do not take this herb unprepared
  • Those who have a history of cardiovascular disorders or are taking antiarrhythmic medicines such as quinidine, procainamide (Pronestyl), disopyramide (Norpace), flecainide (Tambocor), propefanone (Rythmol) and amiodarone (Cordarone) should take this herb with extreme caution.

Hb. Ephedrae
Ma Huang
Rx. Paeoniae Alba
Bai Shao
(Rx. Astragali)
(Huang Qi)

Di Long
Ru Xiang
Mo Yao

Quan Xie

Generalized joint pain with restrictions in range of motion.

Wind-Cold-Dampness or Phlegm- Dampness and Blood Stasis lingering and stagnating in the channels and collaterals.

Warms the channels and collaterals, disperses Cold, expels Wind and Dampness, unblocks the collaterals and stops pain to treat stubborn painful obstruction with severe symptoms due to Wind, Dampness and/or Cold.

Unprepared Rz. Arisaematis
Sheng Nan Xing
Scallion Juice

Rx. Lateralis Aconiti Preparata
Zhi Fu Zi
Per. Zanthoxyli
Chuan Jiao
Halloysitum Rubrum
Chi Shi Zhi
(Rz. Zingiberis)
(Gan Jiang)

Unprepared Rz. Arisaematis
Sheng Nan Xing

Rz. Pinelliae Preparata
Zhi Ban Xia

Powder and apply to Tai Yang for severe headaches.

Severe Cold leading to pain that goes right through the chest from front to back or vice versa.


Topically, as a powder for Yin flat abscesses.

Unprepared Rz. Arisaematis
Sheng Nan Xing

Rz. Pinelliae Preparata
Zhi Ban Xia
Bul Fritillariae Thunbergii
Zhe Bei Mu
Rx. Trichosanthis
Tian Hua Fen

Concentrated Vinegar

Rx. Aconiti Kusnezoffi
Zhi Cao Wu
Sm. Strychni
Ma Qian Zi

Topically, for any type of toxic sore.

As a wash for ulcerations that do not heal.

Ingested or used topically for Coldness and pain in the low back and legs.

Topically for aching and pain in the joints and muscles.

Rx. Aconiti Kusnezoffi
Zhi Cao Wu
Di Long
Ru Xiang
Mo Yao

Arisaema cum Bile
Dan Nan Xing
Rz. Zingiberis Recens
Sheng Jiang

Arisaema cum Bile
Dan Nan Xing
Bul. Allii Fistulosi
Cong Bai

Muscle spasms and pain with difficulty in movement due to Cold-Dampness or Blood Stagnation.


Crush, mix and apply topically to Taiyang for headaches.

Fr. Foeniculi
Xiao Hui Xiang
Feng Mi

Bul. Fritillariae Cirrhosae
Chuan Bei Mu
Rx. Trichosanthis
Tian Hua Fen
Rx. Hibisci
Fu Rong


Hernia due to Cold.

Abscess and ulceration.


  1. Overdose will cause numbness of the lips, tongue, and extremities, vomiting, facial pallor, irritability, decrease in the pulse rate and blood pressure, difficulty in breathing, and coma.
  2. Some sources classify this as an "Expel Wind and Dampness" herb.
  3. This herb also enters and tonifies the Ming Men.
  4. The tincture of this herb is used as a surgical anesthetic.
  5. This herb expels Cold, eliminates firm but painless lumps in the epigastrium, warms and nourishes the Zang Fu, treats all types of Wind, breaks up stagnant Qi and treat abdominal pain due to externally-contracted Wind-Cold.
  6. This herb inhibits the growth of live and proliferative Stomach cancer cells.
  7. It has been shown to be effective in treating Stomach, esophageal, Liver, Colon and rectal cancers.
  8. One major source says that this herb has six functions: 1: remove Cold; 2: relieve epigastric mass; 3: warm and nourish the viscera; 4: heal diverse Wind conditions; 5: alleviate Qi Stagnation; 6: stop abdominal pain due to Cold.
  9. To treat polyps, soak 5 pieces in wine for three days and use the liquid to wash the polyp three to four times a day.
  10. Zhi Chuan Wu, Rx. Aconiti Kusnezoffi Preparata Zhi Cao Wu and Sm. Strychni Ma Qian Zi are often the foundation for many plasters used to treat musculoskeletal pain due to either rheumatism or trauma.
  11. Processed Sichuan Aconite Main Root Zhi Chuan Wu is the form this herb should be used as internally.
  12. Dry-fried Sichuan Aconite Main Root Chao Chuan Wu is less toxic, but rarely used today.
  13. Unprepared Sichuan Aconite Main Root Sheng Chuan Wu Should only be applied externally.