How long does it take for aconite poisoning to disappear?

The Chinese medicine aconite not only has many functions, but also has a high toxicity. Many patients have been poisoned after blindly using the Chinese medicine aconite. In order to avoid poisoning, many people often look for some real ways to deal with the Chinese medicine aconite. This can not only ensure that the Chinese medicine aconite can treat our diseases, but also prevent the problem of toxins.

Aconite is poisonous and poisoning is common. However, it is poisonous and poisoning is common. It has remarkable therapeutic effects and is widely used. Many people use it in large doses. How to avoid poisoning? I often emphasize the following aspects in teaching.

1. Accurate diagnosis

The medicine will only be effective if it corresponds to the symptoms. If the medicine is not suitable for the condition, it can only have adverse effects on the body and even cause side effects. There is no point in talking about medicine without the patient. Aconite is a very hot product and can only be used for internal cold syndrome or yang deficiency syndrome. If the syndrome differentiation is unclear and the medicine is used for heat syndrome or deficiency-heat syndrome, it will produce hidden side effects to the body even if there is no poisoning. Our ancestors clearly stated: "If you are sick, you should treat the disease; if you are healthy, you should treat the disease." Compared with Western medicine, the side effects of Chinese medicine are more terrible. Many of them are hidden rather than obvious, which can easily lead to misunderstanding. This may be a misunderstanding among the general public about "Chinese medicine has no side effects."

2. Limited Application

The dosage should be as consistent as possible with the provisions of the pharmacopoeia to avoid unnecessary medical disputes. If you want to use a large dose, you should start with a small dose. Based on the accumulation of certain experience, gradually increase the dosage. If you do not have rich clinical experience, whether in terms of medical disputes or responsibility to patients, you should still follow the principle of "not seeking to be successful, but seeking to avoid mistakes." It sounds selfish. But what if you get poisoned? Besides, an old Chinese doctor once told me: It doesn’t matter if you can’t cure the disease, but you must not make the patient worse. - That is, do not cause drug-induced diseases. It sounds quite reasonable.

3. Detoxification

The textbooks clearly point out that reasonable drug combinations can reduce the toxicity or side effects of drugs. I believe that the toxicity of aconite will be greatly reduced if it is combined with ginger, dried ginger, licorice, etc. There are several references:

Licorice and ginger are often used in the processing of aconite, which is discussed in detail in the Chinese medicine processing theory.

Looking through the works of Zhang Zhongjing, we see the following medicines used in the Si Ni recipe: Si Ni Tang (2 liang of roasted licorice, 1.5 liang of dried ginger, and one raw aconite). This recipe contains both licorice and dried ginger. Analyzing the dosage (1 liang = 15g, one aconite = 15g), it is not difficult to see that the amounts of licorice and dried ginger are not less than that of aconite. Moreover, aconite is mostly used raw in the Si Ni recipe. Zhenwu Decoction uses one roasted aconite and three liang of fresh ginger, which far exceeds the amount of aconite used.

When Zhongjing used Daqinglong Decoction, he was afraid of excessive sweating, so he made clear instructions after the prescription. However, the prescription containing aconite does not clearly point out the remedy for aconite poisoning. This is not difficult to understand. There has never been any poisoning caused by Zhongjing using aconite, and he has not seen any case of poisoning because the combination was well made. The note after the recipe of Xiang Sini Tang says: For a strong person, one large aconite (about 20g) can be used, and the amount of dried ginger should be increased to three liang. The aconite does not need to be decocted first, and it is used raw. It seems that there is no prescription in which Zhang Zhongjing uses aconite without using dried ginger, fresh ginger and licorice (I haven't checked it carefully). It is a bold guess that most of the current causes of aconite poisoning are due to the failure to properly control the compatibility of the medicines.