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Aconite

Other common name(s): monkshood, wolfsbane, fu-tzu

Scientific/medical name(s): Aconitum napellus

Description

Aconite is an herb related to the buttercup family (Ranunculaceae), native to Asia and common to the Alps and other areas of Europe. Some varieties grow in the United States, although they are rare.

Overview

Available scientific evidence does not support the use of aconite to prevent or treat cancer or other health problems. It is extremely toxic and can cause irregular heartbeat, heart failure, and death. For this reason, few sources promote the use of this herb for medicinal purposes.

How is it promoted for use?

When used in traditional Chinese and Ayurvedic (Indian) medicine, aconite is first processed to reduce its toxicity, and small doses are used to treat pain related to arthritis, cancer, gout, inflammation, migraine headaches, neuralgia, rheumatism, and sciatica.

What does it involve?

Certain ingredients are extracted from the leaves, flowers, and roots of the plant. It is available as a tincture, tea, ointment, or highly diluted into a homeopathic remedy (see "Homeopathy"). Although it can be purchased online, it is not commercially prepared in the United States.

What is the history behind it?

Aconite has been used since ancient times in traditional Asian (Chinese, Japanese, and Indian/Ayurvedic) medicine, as well as in ancient Greek and Roman medicine. Aconite was also used in Western medicine until it was replaced by safer and more effective treatments in the mid-1900s. In addition to its medical uses, aconite has been used as an arrow poisoning in hunting. Also known as wolfsbane, aconite has been considered variably in folklore as a causative agent in transforming a person into a werewolf or as a treatment for werewolves. References in mythology and literature extend from the ancient Greeks (in an attempt to poison Theseus) to modern literature (as treatment for a werewolf in J.K. Rowling's Harry Potter series).

What is the evidence?

Although there have been some modern laboratory and animal studies, as well as a few clinical trials of various chemical compounds from aconite for use as anesthetics and as treatments for circulatory and neurological conditions, none of these uses are recommended in conventional medical practice. A few preclinical studies have tested chemicals from aconite as anticancer drugs, but none of the chemicals have been evaluated in clinical trials.

Are there any possible problems or complications?

Because it is extremely toxic and can cause irregular heartbeat, heart failure, and death, few sources promote the use of this herb for medicinal purposes. It is dangerous even when used as an ointment because it can be absorbed through the skin. Handling the plant can cause allergic reactions and rashes.

Aconite is on the German Commission E's list of unapproved herbs. This means that it is not recommended for use because it has not been proven to be safe or effective. This herb should be avoided, especially by women who are pregnant or breast-feeding.

Additional Resources

More information from your American Cancer Society

The following information on complementary and alternative therapies may also be helpful to you. These materials may be found on our Web site (www.cancer.org) or ordered from our toll-free number (1-800-ACS-2345).

References

Aconitum. Wikipedia Web site. http://en.wikipedia.org/wiki/Aconitum. Accessed June 6, 2008.

Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Austin, TX: American Botanical Council; 1998.

Cantrell FL. Look what I found! Poison hunting on eBay. Clin Toxicol (Phila). 2005;43:375-379.

Dasyukevich OI, Solyanik GI. Comparative study of anticancer efficacy of aonitine-containing agent BC1 against ascite and solid forms of Ehrlich's carcinoma. Exp Oncol. 2007;29:317-319.

Gruenwald J. PDR for Herbal Medicines. 3rd ed. Montvale, NJ: Thomson PDR; 2004.

Kadyrova MM, Sobol' IuS, Sokolov SF, Ageev FT, Smetnev AS. [Effect of a new anti-arrhythmia drug allapinin on hemodynamics in patients with a persistent form of atrial fibrillation before and after restoration of sinus rhythm]. [Russian]. Kardiologiia. 1990;30:87-91.

Lowe L, Matteucci MJ, Schneir AB. Herbal aconite tea and refractory ventricular tachycardia. N Engl J Med. 2005;353:1532.

Poon WT, Lai CK, Ching CK, Tse KY, et al. Aconite poisoning in camouflage. Hong Kong Med J. 2006;12:456-459.

Sun K, Yang J, Shen DK. [Clinical observation on treatment of primary knee osteoarthritis of liver and kidney deficiency type with Aconite cake-separated moxibustion]. [Chinese]. Zhongguo Zhen Jiu. 2008;28:87-90.

Wang CF, Gerner P, Wang SY, Wang GK. Bulleyaconitine A isolated from aconitum plant displays long-acting local anesthetic properties in vitro and in vivo. Anesthesiology. 2007;107:82-90.

Note: This information may not cover all possible claims, uses, actions, precautions, side effects or interactions. It is not intended as medical advice, and should not be relied upon as a substitute for consultation with your doctor, who is familiar with your medical situation.

Last Medical Review: 11/01/2008
Last Revised: 11/01/2008

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