Synopsis

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

Aconite (also known as monkshood or wolfsbane) has a long history of use in traditional medicine systems, especially in China and Europe. In traditional Chinese medicine (TCM), Aconite (specifically processed roots of Aconitum carmichaelii or related species) is used to "restore yang," "warm the meridians," and "support heart yang deficiency," which roughly corresponds to symptoms such as cold extremities, fatigue, and weak pulse—features interpreted as "heart weakness" or insufficient cardiac function. Similarly, in homeopathy and some older Western herbal traditions, diluted preparations of Aconite were sometimes recommended for palpitations or feelings of heart weakness, although such uses were not universally accepted in Western herbalism. However, these uses are based on historical and cultural belief systems rather than robust scientific evidence. There are very few modern clinical studies investigating aconite's effects on the heart, and its known pharmacology indicates it is highly toxic, especially to cardiac tissue. Alkaloids in aconite (such as aconitine) can cause severe arrhythmias, hypotension, and even death if not properly processed and dosed, which is why its use is highly restricted or banned in many countries. In summary, while there is a strong tradition of using aconite for "heart weakness" in TCM, there is little to no scientific validation, and its toxicity presents significant risks.

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