The performance of the drug comes from the clinical summary, and the basis of the summary is actually from the effect after the drug. The nature of aconite, how can it be an exception?According to the "Chinese Materia Medica", aconite can return to the heart, kidney, and spleen meridians, and is suitable for those with weak yang qi in the kidney, spleen, and heart organs. However, I have some doubts about the power of aconite to warm and replenish the spleen and yang. The effect of aconite can dispel cold in the cold and death of yang to help the recovery of yang qi, and in the cold and dampness and paralysis pain, it has the effect of dispelling cold and dampness, warming menstruation and relieving pain. There is no need to say more about this theory. However, I disagree with the effect of aconite on warming and replenishing the spleen and yang. The theory of warming and replenishing the spleen and yang may stem from the misunderstanding of the medicinal properties of aconite by the ancients. In clinical practice, aconite is used to warm and replenish the symptoms of spleen yang, and its effect is not significant. If used incorrectly, it may even worsen the condition. Therefore, the function of aconite to warm and replenish the spleen and yang needs to be re-examined. In TCM theory, spleen-yang deficiency syndrome is mainly manifested as loss of appetite, abdominal distention, diarrhea, weight loss, limb weakness and other symptoms. **Spleen-yang deficiency syndrome needs to be warm and spleen-invigorating, and warm drugs such as dried ginger and evodia are mostly used. Although aconite has the effect of warming yang and dissipating cold, its medicinal properties are fierce and should not be used to warm and replenish spleen yang. 
The list of high-quality authors is to check the warm spleen of aconite, which was seen in the predecessors as early as possible, and it began today.
The first word of the "Don't Record":"Strong Yin in Warmth";
Pearl Sac:"Warm the spleen and stomach";
The Compendium also cites Wang's "Investigation of the Original Formula":"Warm the spleen and chase away the cold".
Opinions of all families,The reason for this is actually derived from the addition and subtraction of the pill in "Typhoid Fever": to treat "those who are self-interested and not thirsty......It is advisable to serve the four rebels"., as well as "Jinkui" aconite japonica rice soup, etc., the "Bureau" aconite Li Zhongtang came out to benefit the world. The number of salty classics, or the famous materia medica, has a huge influence, and it should be respected, so it is the many people who worship it, and there are few dissenting words.
For example, "Selected Readings of Typhoid Fever" (National Trial Textbook of Higher Medical Colleges, edited by Hubei College of Traditional Chinese Medicine, July 1979, Shanghai Science and Technology Press) notes after Article 277: "The so-called 'suitable for the four adversaries' is to show the opportunity for people to change flexibly, and to measure their severity to advance and retreat." If it is only in the middle of the anxiety and cold, it can be used with Lizhong pills (soup) to warm and strengthen the spleen. If the cold and dampness are worse and the spleen is damaged and the kidneys are damaged, it is advisable to use four reverse soups and the like to replenish the fire and generate soil. ”
Same bookLizhong Pill "If the belly is full, go to the operation and add an aconite".After that, it is clearly indicated:
"The abdomen is full of yang deficiency and cold condensation, so go to the atractylodes to make up for it, and add aconite to help the yang dissipate the cold. ”
Another example is "Jin Kui Yao Brief Interpretation" (edited by Hubei University of Traditional Chinese Medicine, September 1963, Shanghai Science and Technology Press)."Thunder in the abdomen, chest and flank are full, vomiting, aconite japonica rice soup is the master".Under the article, the note says:
"The thunder and pain in the abdomen are caused by yang deficiency and coldness......This recipe uses aconite to warm the yang to cure the cold. ”
As forAconite soup"Formulary" (trial textbook of the College of Traditional Chinese Medicine, editor-in-chief of Guangzhou College of Traditional Chinese Medicine, October 1974, Shanghai People's Publishing House) said: "If the deficiency and cold are worse, the face is pale, and the hands and feet are not warm……It can be added (in the soup in Lizhong) cooked aconite to strengthen the power of warming the yang and dispelling the cold.
As can be seen from the above, the application of aconite as a Chinese medicine should be determined on a case-by-case basis. If it is only a deficiency of the spleen and stomach, there is no need to use aconite. Aconite is only necessary when the disease involves the kidneys. This argument is not only reasonable, but also to the point. Some people believe that there is a complementary relationship between traditional Chinese medicines, aconite with ginseng and atractylodes can warm and invigorate qi, and when combined with ginger and cinnamon branches, it can dispel cold and relieve the surface. Therefore, aconite is used with ephedra and asaroxin, which can warm the lungs and relieve cough;Paired with Yin Chen, it can warm the liver and gallbladder relieve. However, if aconite is regarded as a warm medicine, it will inevitably lead to its mixing with dried ginger, evodia and other medicines, which is unconvincing. In TCM theory, the nature and efficacy of the drug are extremely important. Therefore, when determining the medicinal properties of aconite, it is necessary to have an objective and fair attitude without any bias. Drug interactions and efficacy also need to be studied in depth. Only in this way can drugs be reasonably selected and used according to the specific condition of the patient, so as to achieve the purpose of the first disease.