Educational reference on TCM culture & literature — not medical advice.
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Incompatibility

Check the classical “eighteen antagonisms” and “nineteen mutual restraints” between herbs.

The classical “eighteen antagonisms” (十八反) and “nineteen mutual restraints” (十九畏) are traditional contraindications between herbs. Educational reference only — for any prescription, follow a qualified practitioner.

Eighteen antagonisms (十八反)

“Antagonism” (反): traditionally, these herbs should not be used together in one formula.

LicoriceantagonisesKansui root、Euphorbia / knoxia、Sargassum seaweed、Daphne flower;Aconite rootantagonisesTrichosanthes fruit、Pinellia、Ampelopsis root、Bletilla rhizome、Fritillaria;VeratrumantagonisesGinseng、Glehnia root、Salvia (red sage)、Scrophularia root、Asarum、Peony root。

Licoriceantagonises
Kansui rootEuphorbia / knoxiaSargassum seaweedDaphne flower
Aconite rootantagonises
Trichosanthes fruitPinelliaAmpelopsis rootBletilla rhizomeFritillaria
Includes Sichuan aconite / wild aconite / prepared aconite
Veratrumantagonises
GinsengGlehnia rootSalvia (red sage)Scrophularia rootAsarumPeony root

Nineteen restraints (十九畏)

“Restraint” (畏): traditionally, one herb reduces or changes the effect of the other.

SulfurrestrainsMirabilite (Glauber salt)
MercuryrestrainsArsenic trioxide
Langdu (Euphorbia)restrainsLitharge
Croton seedrestrainsPharbitis seed
CloverestrainsCurcuma tuber
Sichuan aconiterestrainsRhinoceros horn
Wild aconiterestrainsRhinoceros horn
Niter (saltpeter)restrainsSparganium
Cassia cinnamonrestrainsHalloysite
GinsengrestrainsTrogopterus feces