Prepared Cao Wu Root … Classic Formulas

Zhi Cao Wu · Radix Aconiti Kusnezoffii Praeparata

Primary Actions

  • Dispels wind-damp and strongly stops pain ... Zhi Cao Wu is used for severe cold-damp painful obstruction with fixed, penetrating, deep pain in the joints, tendons, and bones.
  • Warms the channels and scatters cold ... traditional indications include cold abdominal pain, cold hernia pain, and deeply lodged painful conditions that improve with heat.
  • Retains the strong analgesic identity of Cao Wu while making internal use somewhat more clinically workable through processing.

Classic Formulas

  • Chuan Wu and Cao Wu severe-cold-pain pairings ... classical strategy for stubborn wind-cold-damp painful obstruction.
  • Processed aconite pain pills and powders ... later traditions use Zhi Cao Wu when strong cold-pain relief is required but raw root harshness is excessive.
  • External trauma and arthralgia applications ... processed Cao Wu also appears in plasters, wines, and wash formulas for severe cold pain.

Classical Text References

  • Traditional references describe Cao Wu as acrid, bitter, hot, and toxic, with processing used to reduce but not erase that toxicity.
  • Classical incompatibility cautions remain with Ban Xia, Gua Lou, Tian Hua Fen, Bai Ji, Bai Lian, and the Bei Mu species.
  • PREPARATION NOTE: Zhi Cao Wu is still a safety-critical aconite root and should never be mistaken for a routine warming herb.