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Processed aconite root powder is a traditional herbal medicine (Kampo) ingredient manufactured by Sanwa Shoyaku, derived from the roots of *Aconitum carmichaelii* Debx. or related species. Raw aconite contains highly toxic diterpene alkaloids such as aconitine; however, Sanwa Shoyaku utilizes a specific processing method (typically involving high-pressure steam or autoclaving) to decompose these into less toxic but therapeutically active derivatives like benzoylaconine and aconine. This processing significantly reduces toxicity while retaining analgesic, anti-inflammatory, and cardiotonic properties. In clinical practice, it is used as a standalone product (e.g., Aconin-san tablets) or as a critical component in various Kampo formulations to treat conditions characterized by 'cold' and 'yang deficiency,' including neuralgia, rheumatism, and chronic joint pain.
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