Synopsis

Source of validity: Traditional
Rating (out of 5): 1

Aconite (Aconitum species), also known as monkshood or wolf’s bane, has been used in traditional medicine systems, particularly in Chinese and Ayurvedic medicine, for various cardiovascular complaints including palpitations and arrhythmias. Historical texts and traditional practitioners have employed processed aconite preparations (often as Fu Zi in Chinese medicine) to "invigorate yang" and "dispel cold," which sometimes included symptoms interpreted as abnormal heart rhythms or palpitations. However, these uses are based on empirical tradition and theoretical frameworks unique to those systems, not on contemporary biomedical evidence.

Modern scientific validation for aconite’s effectiveness in treating heart fibrillation or palpitations is lacking. In fact, aconitine—the primary active alkaloid in aconite—is a potent neurotoxin and cardiotoxin. It can induce serious arrhythmias, including ventricular fibrillation, and is considered highly dangerous. Most modern clinical and toxicological literature warns against its use due to its narrow therapeutic window and high risk of fatal toxicity, especially when not properly processed. There are no robust clinical trials or pharmacological studies supporting the safe or effective use of aconite for heart rhythm disturbances in evidence-based medicine.

In summary, while aconite has a history of traditional use for palpitations and related symptoms, there is minimal scientific evidence to support its safety or efficacy for heart fibrillation or palpitations, and its use carries significant risks.

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