Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Aconite (Aconitum species), also known as monkshood or wolfsbane, has a long history of use in traditional medicine systems, particularly in Traditional Chinese Medicine (TCM) and homeopathy. In these systems, aconite has been employed for its purported ability to treat various respiratory ailments, including coughs that are spasmodic or accompanied by chills and fever. In TCM, prepared forms of aconite root (processed to reduce toxicity) are sometimes included in herbal formulas for acute respiratory symptoms, particularly those characterized by a sudden onset and intense symptoms, which are thought to align with aconite's rapid, intense action. However, robust scientific evidence supporting the efficacy of aconite for spastic cough is lacking. Modern clinical trials are minimal or nonexistent due to the plant’s high toxicity; aconitine alkaloids present in the plant can cause severe, potentially fatal poisoning. Most references to its use for cough rely on historical texts, anecdotal reports, or homeopathic literature, the latter of which is not recognized as scientific evidence by the broader medical community. As a result, while aconite's use for spastic cough is grounded in tradition, especially in homeopathy and TCM, there is little to no scientific validation, and its safety profile is a significant concern. Current medical guidelines do not recommend aconite for cough due to the risk of toxicity and insufficient evidence of benefit.

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