Snow Mountain Aconite Poisoning: Symptoms and Emergency Treatment Methods

January 12, 2024

Snow Mountain Aconite is a commonly used traditional Chinese medicine for treating injuries, especially effective for treating bruises. However, due to the high toxicity of Aconitine in Snow Mountain Aconite, it can easily cause symptoms of poisoning when used improperly. Let's learn about the symptoms of Snow Mountain Aconite poisoning and its emergency treatment methods.


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Causes of Snow Mountain Aconite Poisoning

Snow Mountain Aconite is highly toxic and can be fatal if used incorrectly. There have been incidents of poisoning and death due to accidental ingestion or overdose of Snow Mountain Aconite in folk medicine.

Among the incidents of poisoning from medicinal liquor, Aconitine drugs have the highest incidence, making them the "culprits" in recent news about medicinal liquor poisoning.

The main component of Snow Mountain Aconite is Aconitine, which has analgesic effects on various neuralgia and gout. However, due to its high toxicity, it is no longer used clinically. Traditional Chinese medicine uses mung beans and honeysuckle to detoxify.

Chinese medicine and folk medicine widely use various types of Aconitum plants to relieve heat and pain and treat rheumatism. Due to the high content of Aconitine in Aconitum plants, caution must be exercised when using them. The toxic dose of Aconitine (oral) is 0.2 mg, and the lethal dose is 2.5 mg.

Therefore, I would like to remind everyone that Aconitine in Snow Mountain Aconite is highly toxic, so it must be used under the guidance of a professional doctor!


Snow Mountain Aconite Image

Symptoms of Snow Mountain Aconite Poisoning

Snow Mountain Aconite is highly toxic, and toxic reactions occur within 0.5 to 3 hours after medication.

Main symptoms: mild sleepiness, burning sensation in the mouth, increased secretion; severe numbness, weakness, coldness, bloating, discomfort in the throat, nausea, vomiting, salivation, dizziness, palpitations, restlessness, abdominal pain, and urge to defecate.

Severe cases may experience fainting, cold limbs, irregular heartbeat, low blood pressure, difficulty breathing, seizures, and coma. Electrocardiograms may show frequent premature contractions. Severe cases can lead to death due to circulatory and respiratory failure.

There have been cases of death from poisoning within 2 hours after taking the medicine, so caution should be exercised when using it.

Rescue methods: According to general clinical experience, atropine, procainamide, and quinidine are considered effective antagonists. If used in a timely manner, they can be effective.

In addition, bamboo shoots, bamboo roots, bamboo, coriander, windproof, tea leaves, licorice, etc., are also used by the public as antidotes. You can choose 2-3 kinds, each weighing 5 qian (15 grams), decoct them in water and take orally. Alternatively, you can cook a thin porridge with lard, brown sugar, or honey and try it as needed.


Snow Mountain Aconite Image

Emergency Treatment Methods for Snow Mountain Aconite Poisoning

Common emergency treatment methods for Snow Mountain Aconite include the following:

(1) Induce vomiting.

(2) Wash the stomach with a 1:5000 potassium permanganate solution.

(3) Oral administration of 50 ml of 50% sodium sulfate as a laxative.

(4) For severe vomiting and diarrhea, after gastric lavage, there is no need to use laxatives. Magnesium oxide 10g, tannic acid 10g, and medicinal charcoal 20g can be mixed with warm water and taken orally. If there is no bowel movement, a 2% saline enema can be used for high-level irrigation and defecation.

(5) Use high doses of atropine to counteract the excitability of the vagus nerve. The specific dosage can be determined based on the degree of poisoning. For mild cases, administer subcutaneously or intramuscularly. For severe cases, administer intravenously. The dosage is generally 0.5-1 mg every 2-4 hours. For severe poisoning, the dosage can be increased and the repeat administration time can be shortened as needed.

(6) Administer 5% or 10% glucose infusion to promote the excretion of toxins.

(7) If there is shock, arrhythmia, convulsions, metabolic acidosis, etc., symptomatic treatment can be carried out.

(8) For some severe cases, blood purification treatment can be performed to thoroughly remove toxins from the body.

(9) Hyperbaric oxygen therapy can be used for patients in the recovery phase.

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