Evidence supporting the use of: Prepared Aconite Tuber
For the health condition: Cough (spastic)

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Synopsis

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

Prepared Aconite Tuber (commonly known as processed "Fu Zi" in Traditional Chinese Medicine) is primarily justified for use in treating spastic cough based on traditional evidence rather than modern scientific validation. In classical Chinese medical texts, aconite preparations have long been used to "warm the yang," dispel cold, and alleviate various conditions associated with cold and deficiency, which may include certain coughs described as spastic or due to "cold-phlegm." The processing of raw aconite is crucial, as it detoxifies the highly toxic alkaloids present in the unprocessed root, making it safer for medicinal use. Various traditional formulas—such as those found in the "Shang Han Lun" (Treatise on Cold Damage)—include prepared aconite as a component for treating respiratory symptoms, especially where cough is accompanied by cold extremities, weakness, or signs of yang deficiency.

However, modern scientific studies specifically examining prepared aconite for spastic cough are scarce, and there is little to no clinical evidence validating this use by contemporary standards. Toxicity remains a significant concern, and its use is strictly regulated or discouraged in many countries. Most references to its use for cough are rooted in traditional practice and historical texts, rather than controlled trials or pharmacological studies. Therefore, while its application for spastic cough is supported by tradition (meriting a rating of 2 out of 5 for evidence), there is insufficient scientific evidence to substantiate its effectiveness or safety for this particular indication.

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