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Dietary supplement

Chuan Wu (Zhi) Ingredients & Drug Interactions

by Herbal Terra

Liquid Category: Botanical
Most serious interaction: Moderate
The interaction bottom line Most serious interaction: Moderate

Chuan Wu (Zhi) is a dietary supplement by Herbal Terra with 1 active ingredient. Its ingredients are commonly taken for pain and nerve pain, fever and cold or flu symptoms, anxiety and restlessness (homeopathic use).Based on those ingredients, 278 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Chuan Wu (Zhi) (Aconitum carmichaelii) dried prepared root liquid extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of Chuan Wu (Zhi) by Herbal Terra

Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.

From our pharmacy team — supplement deep dive

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

Why this rating?
  • The label discloses an exact amount for 1 of its 1 active ingredient.
  • No proprietary blends here — you can verify the dose of every single component.

This product contains one active ingredient: a liquid extract of prepared aconite root (Aconitum carmichaelii). Aconite is a traditional plant used in herbal medicine, though it is extremely potent and carries serious safety concerns.

The product also contains menstruum, an inactive ingredient used as a solvent to create the liquid extract.

Does it work?

Couldn't assess
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Not assessable

This is a single-ingredient Aconite product and its label doesn't state a use — see Aconite's own graded uses on its monograph.

Why this rating?
  • We looked at the product name, claims, and label statements and couldn't find a stated purpose to grade.

The evidence for aconite in treating pneumonia, Raynaud syndrome (poor circulation in the fingers and toes), alopecia areata (patchy hair loss), and COVID-19 is insufficient in the data we hold. We cannot tell you whether this product works for any of these conditions based on reliable study data.

The evidence, ingredient by ingredient Aconite

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 1 of the 1 matched ingredient.
  • Pregnancy & breastfeeding safety ratings cover 1 of 1.
  • General safety write-ups exist for 1 of 1.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Aconite is extremely toxic—it can cause serious and potentially fatal poisoning even in very small amounts. The documented adverse effects include dangerous changes in heart rhythm (palpitations, arrhythmias, ventricular fibrillation), low blood pressure, chest tightness, nausea, vomiting, diarrhea, weakness, numbness, tingling, dizziness, seizures, and reduced consciousness.

Some heart rhythm problems from aconite have not responded to standard treatments. This product should not be used during pregnancy or while breastfeeding due to severe toxicity risk.

If you are pregnant, planning to become pregnant, or breastfeeding, do not take this product—talk with your doctor or pharmacist about safer options.

Side effects, ingredient by ingredient Aconite

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 1 of the 1 matched ingredient can interact with medications — Aconite.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs.
  • For scale: 278 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Before taking this product, check with your doctor or pharmacist if you take blood thinners or antiplatelet drugs (warfarin, aspirin, clopidogrel, and others) or stimulant medications (decongestants, ADHD drugs, diet pills). Aconite has anticoagulant and stimulant effects that could dangerously amplify these drugs' effects or create cardiovascular toxicity.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

We cannot recommend this product. Aconite carries an extreme toxicity risk and can be fatal even in small doses.

It also interacts with a large number of medications, particularly blood thinners and stimulants. If you are considering this product for any condition, talk with your doctor or pharmacist first—they can discuss whether the potential benefits outweigh the serious safety risks and whether safer alternatives exist.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Sep 25, 2020.

This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed

At a glance

General information

Key facts about Chuan Wu (Zhi), straight from the product label.

Brand Herbal Terra
Barcode (UPC) 617503354709
Net contents 4 Fluid Ounce(s); 120 mL
Market status On market
Date entered into DSLD Sep 25, 2020
DSLD ID 234339
Product type Botanical
Supplement form Liquid
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years), Gluten Free, Sugar Free
From the label
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.

Supplement Facts

The label details for Chuan Wu (Zhi) by Herbal Terra, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
1 mL
Maximum serving Sizes:
1 mL
Servings per container
120
UPC/BARCODE
617503354709
IngredientAmount% DV
Chuan Wu (Zhi) (Aconitum carmichaelii) dried prepared root liquid extract970 mg--

Other ingredients: Menstruum

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions

Direction Shake well before use. Adults take up to 30 drops (1 mL, one full squeeze of the dropper bulb) in 3-4 fl. oz of juice or water up to 4 times a day. We recommend to seek expert medical advice before taking this or any other herbal supplements.

FDA Disclaimer Statement

Notice This product has not been evaluated by the FDA and is not intended to diagnose, treat, cure, or prevent any disease.

Formulation

Manufactured in the USA in an FDA registered facility

Sugar free

Dried herb/menstruum ratio: 1:3 Expertly extracted Laboratory tested 330 mg/1 mL Premium product Super concentrated liquid herbal extract

Non GMO

No artificial ingredients, GMO, gluten, color additives, fillers, preservatives or binders. Natural Gluten Free

Precautions

Caution May have contraindications.

Do not use if you are allergic to any ingredients.

Consult a physician before using during pregnancy, if nursing, or if you are on any medications.

Keep out of the reach of children.

Storage

Store in a cool, dry, dark place.

Formula

Aconitum carmichaelii

FDA Statement of Identity

Herbal Supplement

Seals/Symbols

Made in USA Made in an FDA registered facility Natural Gluten Free

See for yourself

Chuan Wu (Zhi) by Herbal Terra label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

What’s inside

The Ingredients in Chuan Wu (Zhi) by Herbal Terra

This is the 1 active ingredient this product is made of. Select it to open its full monograph.

Serving size1 mL Dosage formLiquid Servings per container120 Amounts shown are per serving.

970 mg per serving

Aconite is a highly poisonous plant, and even small amounts of the raw or improperly processed root can cause severe, life-threatening reactions. Ther...

Chuan Wu (Zhi) (Aconitum carmichaelii) dried prepared root liquid extract monograph & interactions

Other (inactive) ingredients: Menstruum. These complete the product’s ingredient list but are not active constituents.

Interaction report

Chuan Wu (Zhi) by Herbal Terra Drug Interactions

Want to check YOUR meds against Chuan Wu (Zhi)?

Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.

Go to the checker
278Drugs
278 Moderate

Each ingredient & the kinds of drugs it affects

For each ingredient in Chuan Wu (Zhi) with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.

Chuan Wu (Zhi) (Aconitum carmichaelii) dried prepared root liquid extract2 drug types · 278 drugs

Anticoagulant/Antiplatelet Drugs

Theoretically, combining aconite with other antiplatelet or anticoagulant drugs might increase the risk of bruising and bleeding.
Higenamine, a constituent of aconite, is thought to have antiplatelet and antithrombotic effects. In an animal model of thrombosis, higenamine inhibited platelet aggregation and reduced the size of thrombus formation.

Likelihood Possible Evidence D
Stimulant Drugs

Theoretically, combining aconite with other stimulant drugs might alter the effects of the stimulant drug or increase the risk of cardiovascular toxicity.
Aconite and its constituents have stimulant effects due to agonist activity at beta-2-adrenoreceptors. In cardiac muscle, aconite appears to have a positive inotropic effect and increases heart rate and blood pressure. However, some constituents of aconite can reduce heart rate and blood pressure.

Likelihood Possible Evidence D
The maker

Brand information

Manufacturer and brand details for Chuan Wu (Zhi), from the product label.

Herbal Terra

See all Herbal Terra products
Name
Herbal Terra
Pharmacist Counseling Corner

Chuan Wu (Zhi) by Herbal Terra: Common Questions

Does Chuan Wu (Zhi) by Herbal Terra interact with any medications?
Yes. Based on its ingredients, Chuan Wu (Zhi) has a known interaction with 278 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Chuan Wu (Zhi) contains a single active ingredient, and that one ingredient can interact with many different medications on its own. We check it against each medication and show the mechanism responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Is aconite safe to use?
No. Aconite is extremely toxic and can be fatal even in small amounts. Our data advises against using it. Talk with your doctor or pharmacist before considering any product containing aconite.
Can I take this while pregnant or breastfeeding?
No. The safety data advises against using aconite during pregnancy or while breastfeeding due to severe toxicity risk. If you are pregnant, planning to conceive, or breastfeeding, do not use this product and discuss safer options with your doctor or pharmacist.
What are the side effects of aconite?
Aconite can cause serious heart problems (abnormal rhythms, palpitations, low blood pressure, chest tightness, fluid in the lungs), as well as nausea, vomiting, diarrhea, weakness, numbness, tingling, dizziness, seizures, and reduced consciousness. Some of these effects can be life-threatening.
Does aconite really work for pneumonia or hair loss?
The evidence in our data is insufficient to say. We cannot tell you whether aconite is effective for pneumonia, Raynaud syndrome, alopecia areata, or COVID-19 based on reliable studies.
Why does the label say 'prepared' aconite?
Traditional herbal practice uses preparation methods intended to reduce toxicity, but aconite remains extremely dangerous even when prepared. Preparation does not make it safe for routine use.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.

Chuan Wu (Zhi) label
Sources

Sources & How We Checked

Chuan Wu (Zhi)'s label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

The 33 references behind this product’s interaction data

Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.

Aconite 33 references
  1. Tai YT. Adverse effects from traditional Chinese medicine. Lancet 1993;341:892.
  2. Tai YT, But PP, Young K, et al. Cardiotoxicity after accidental herb-induced aconite poisoning. Lancet 1992;340:1254-6. PubMed
  3. Fatovich DM. Aconite: a lethal Chinese herb. Ann Emerg Med 1992;21:309-11. PubMed
  4. Tomlinson B, Chan TY, Chan JC, Critchley JA. Herb-induced aconite poisoning. Lancet 1993;341:370-1. .
  5. Chan TY, Tomlinson B, Critchley JA. Aconitine poisoning following the ingestion of Chinese herbal medicines: a report of eight cases. Aust N Z J Med 1993;23:268-71. PubMed
  6. Yeih DF, Chiang FT, Huang SKS. Successful treatment of aconitine induced life threatening ventricular tachyarrhythmia with amiodarone. Heart 2000;84:E8. PubMed
  7. But PP, Tai YT, Young K. Three fatal cases of herbal aconite poisoning. Vet Hum Toxicol 1994;36:212-5.
  8. Feldkamp A, Koster B, Weber HP. [Fatal poisoning caused by aconite monk's hood]. Monatsschr Kinderheilkd 1991;139:366-7.
  9. Lin CC, Chan TY, Deng JF. Clinical features and management of herb-induced aconitine poisoning. Ann Emerg Med 2004;43:574-9. PubMed
  10. Poon WT, Lai CK, Ching CK, et al. Aconite poisoning in camouflage. Hong Kong Med J 2006;12:456-9.
  11. Guha, S., Dawn, B., Dutta, G., Chakraborty, T., and Pain, S. Bradycardia, reversible panconduction defect and syncope following self-medication with a homeopathic medicine. Cardiology 1999;91(4):268-271. PubMed
  12. Imazio, M., Belli, R., Pomari, F., Cecchi, E., Chinaglia, A., Gaschino, G., Ghisio, A., Trinchero, R., and Brusca, A. Malignant ventricular arrhythmias due to Aconitum napellus seeds. Circulation 12-5-2000;102(23):2907-2908.
  13. Telang, B. V. and Ng'ang'a, J. N. Involvement of Central adrenergic mechanisms in the induction of cardiac arrhythmias by aconitine nitrate administered intraventricularly. Indian J Physiol Pharmacol. 1975;19(1):1-10.
  14. Lin, C. C., Chou, H. L., and Lin, J. L. Acute aconitine poisoned patients with ventricular arrhythmias successfully reversed by charcoal hemoperfusion. Am J Emerg.Med 2002;20(1):66-67. PubMed
  15. Gaibazzi, N., Gelmini, G. P., Montresor, G., Canel, D., Comini, T., Fracalossi, C., Martinetti, C., Poeta, M. L., and Ziacchi, V. [Long QRS tachycardia secondary to Aconitum napellus alkaloid ingestion]. Ital.Heart J.Suppl 2002;3(8):874-877.
  16. Sorensen, B. [Poisoning with Aconitum napellus (monkshood)]. Ugeskr.Laeger 5-12-2003;165(20):2109-2110.
  17. Tai, Y. T., Lau, C. P., But, P. P., Fong, P. C., and Li, J. P. Bidirectional tachycardia induced by herbal aconite poisoning. Pacing Clin.Electrophysiol. 1992;15(5):831-839. PubMed
  18. Agarwal, B. L., Agarwal, R. K., and Misra, D. N. Malignant Arrhythmias Induced by Accidental Aconite Poisoning. Indian Heart J 1977;29(5):246-248.
  19. Dickens, P., Tai, Y. T., But, P. P., Tomlinson, B., Ng, H. K., and Yan, K. W. Fatal accidental aconitine poisoning following ingestion of Chinese herbal medicine: a report of two cases. Forensic Sci Int 6-28-1994;67(1):55-58. PubMed
  20. Chan, T. Y., Tomlinson, B., Critchley, J. A., and Cockram, C. S. Herb-induced aconitine poisoning presenting as tetraplegia. Vet.Hum.Toxicol. 1994;36(2):133-134. PubMed
  21. Chan, T. Y., Tomlinson, B., Chan, W. W., Yeung, V. T., and Tse, L. K. A case of acute aconitine poisoning caused by chuanwu and caowu. J Trop.Med Hyg. 1993;96(1):62-63.
  22. Yoshioka, N., Gonmori, K., Tagashira, A., Boonhooi, O., Hayashi, M., Saito, Y., and Mizugaki, M. A case of aconitine poisoning with analysis of aconitine alkaloids by GC/SIM. Forensic Sci.Int. 8-15-1996;81(2-3):117-123. PubMed
  23. Kimura, I., Takada, M., and Nojima, H. Aconitine induces bradycardia through a transmission pathway including the anterior hypothalamus in conscious mice. Biol.Pharm Bull. 1997;20(8):856-860. PubMed
  24. Chan TY. Aconite poisoning following the percutaneous absorption of Aconitum alkaloids. Forensic Sci Int. 2012 Nov 30;223(1-3):25-7. PubMed
  25. Chan TY. Aconitum Alkaloid Poisoning Because of Contamination of Herbs by Aconite Roots. Phytother Res. 2016 Jan;30(1):3-8.
  26. Li H, Liu L, Zhu S, Liu Q. Case reports of aconite poisoning in mainland China from 2004 to 2015: A retrospective analysis. J Forensic Leg Med. 2016 May 25;42:68-73. PubMed
  27. Zhao D, Wang J, Cui Y, Wu X. Pharmacological effects of Chinese herb aconite (fuzi) on cardiovascular system. J Tradit Chin Med. 2012 Sep;32(3):308-13. PubMed
  28. Wood C, Coulson J, Thompson J, Bonner S. An intentional aconite overdose: a case report. J Crit Care Med (Targu Mures) 2020;6(2):124-9. PubMed
  29. Bonanno G, Ippolito M, Moscarelli A, et al. Accidental poisoning with aconitum: case report and review of the literature. Clin Case Rep 2020;8(4):696-8. PubMed
  30. Blasco Mariño R, Pacheco Reyes A, Canel Micheloud C, Soteras Martínez I. Cardiac Arrest by Aconite Poisoning. Wilderness Environ Med 2021;32(3):415-417. PubMed
  31. Zhou C, Luo S, Tang J, Quick L, Liu H, Zhao Y. Poisoning Associated with Consumption of a Homemade Medicinal Liquor - Chongqing, China, 2018. MMWR Morb Mortal Wkly Rep 2022;71(16):569-573. PubMed
  32. Loo G, Yong TH, Yeo C. A case report of bidirectional ventricular tachycardia secondary to aconitum toxicity. J Arrhythm 2022;38(3):451-453. PubMed
  33. Majumder MI, Mahadi AR, Rahman OU, Roy BK, Shihab HM. Accidental poisoning with aconite overdose: A case report and resuscitative emergency management in a tertiary level hospital of Bangladesh. Clin Case Rep 2023;11(9):e7845. PubMed

See these in context on the Aconite monograph →

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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