Aconitum carmichaelii Debeaux (Ranunculaceae), commonly used as Aconiti Lateralis Radix Praeparata (Fuzi), is a clinically important but highly toxic herb in traditional Chinese medicine. Despite long-standing use for cardiovascular, rheumatologic, gastrointestinal, and pain-related conditions, its application is constrained by a narrow therapeutic index, variable processing practices, and recurrent reports of poisoning. Given the substantial number of existing reviews on aconite, this article i