Long-Nosed Pit Viper

Chinese
蕲蛇
Pinyin
Qi She
Latin
Agkistrodon acutus
Scientific specimen plate of Long-Noded Pit Viper, Deinagkistrodon acutus, showing whole snake, scale details, dried medicinal body, and diagnostic Qi She specimen features.
Botanical plate by Kodi .

Known in TCM as Qi She (蕲蛇), this sweet and salty, warm herb enters the Liver. Traditionally, it dispels Wind-Damp and stops pain; a principal herb for Bi syndrome (painful obstruction), including chronic wind-damp arthralgia and numbness, most often applied for rheumatism, joint pain, and facial paralysis. Modern research has identified Venom among its active constituents.

Also Known As

Deinagkistrodon acutus Five-Pace Pit Viper Hundred Pace Pit Viper Sharp-Nosed Viper

Latin: Agkistrodon acutus | Pinyin: Qi She | Chinese: 蕲蛇

TCM Properties

Taste
sweet, salty
Temperature
warm
Channels
Liver

Traditional Use

Primary Actions

  • Dispels Wind-Damp and stops pain; a principal herb for Bi syndrome (painful obstruction), including chronic wind-damp arthralgia and numbness
  • Extinguishes internal Wind and stops spasm; used for tetany, convulsions, and facial or hemiplegic paralysis following Wind-stroke
  • Resolves toxicity for skin lesions; used for scabies, sores, and toxic swellings

Secondary Actions

  • Traditionally combined with other Wind-dispelling materials for stubborn skin disease such as leprosy and severe tinea

Classic Formulas

  • Qi She Jiu (Long-Nosed Pit Viper medicinal wine)

Classical References

  • First recorded in the Kai Bao Ben Cao (973 CE)
  • Ben Cao Gang Mu (Li Shizhen, 1578) describes Qi She as penetrating to the bone to expel Wind and stop convulsions, naming it the premier herb for Wind-Damp Bi and tetany

Modern Research

Active Compounds

  • Venom proteins (phospholipase A2, snaclec, thrombin-like enzymes, metalloproteinases)
  • Antithrombotic peptides

Studied Effects

  • Venom-derived antithrombin and antithrombotic components studied for anticoagulant potential
  • Hematotoxic and neurotoxic effects documented in envenomation research, informing processing and dosage safety limits for medicinal preparations

PubMed References

Safety & Interactions

Contraindications

  • Pregnancy, due to strong Wind-dispelling and Blood-moving action
  • Blood disorders or bleeding tendency

Cautions

  • Traditionally used only as a processed, detoxified preparation (wine-steeped or decocted); never raw venom or fresh tissue
  • Sourced from a conservation-threatened species; verify legal, regulated sourcing
  • Not for long-term or high-dose use owing to inherent toxicity

Drug Interactions

  • Theoretical potentiation of anticoagulant or antiplatelet medications given venom-derived antithrombotic compounds; avoid combining without practitioner supervision

Conditions

Frequently Asked Questions

What is Long-Nosed Pit Viper used for?

Long-Nosed Pit Viper is traditionally used to Dispels Wind-Damp and stops pain; a principal herb for Bi syndrome (painful obstruction), including chronic wind-damp arthralgia and numbness, Extinguishes internal Wind and stops spasm; used for tetany, convulsions, and facial or hemiplegic paralysis following Wind-stroke, Resolves toxicity for skin lesions; used for scabies, sores, and toxic swellings. Research has investigated its effects on: Venom-derived antithrombin and antithrombotic components studied for anticoagulant potential; Hematotoxic and neurotoxic effects documented in envenomation research, informing processing and dosage safety limits for medicinal preparations.

What are other names for Long-Nosed Pit Viper?

Long-Nosed Pit Viper is also known as Deinagkistrodon acutus, Five-Pace Pit Viper, Hundred Pace Pit Viper, Sharp-Nosed Viper. In TCM: 蕲蛇 (Qi She); Agkistrodon acutus.

Is Long-Nosed Pit Viper safe during pregnancy?

Long-Nosed Pit Viper is not recommended during pregnancy.

What are the contraindications for Long-Nosed Pit Viper?

Long-Nosed Pit Viper should not be used in: Pregnancy, due to strong Wind-dispelling and Blood-moving action; Blood disorders or bleeding tendency. Consult a qualified practitioner before use.

Does Long-Nosed Pit Viper interact with any medications?

Long-Nosed Pit Viper may interact with: Theoretical potentiation of anticoagulant or antiplatelet medications given venom-derived antithrombotic compounds; avoid combining without practitioner supervision. Always inform your healthcare provider of any herbal supplements you are taking.