Centella asiatica

Known Contraindications

• • Deficiency cold constitutions without heat signs
• • Spleen-Stomach deficiency cold with loose stools
• • Contact dermatitis in sensitive individuals (patch test recommended)
• • Hepatotoxicity reported with high-dose prolonged oral use — monitor liver function
• • Allergy to Apiaceae family (Centella)
• • Deep puncture wounds (requires surgical drainage first)
• • Concurrent anticoagulants (Centella may potentiate)
• • Ama-predominant conditions (Snigdha preparations may increase Ama)
• • Kapha-dominant wounds with excessive discharge
• • Hepatotoxicity with prolonged high-dose oral use
• • Concurrent sedatives (mild CNS depressant effect)
• • Scheduled surgery (potential interaction with anesthesia)
• • Not used on deep puncture wounds (may trap infection)
• • Pregnancy in high oral doses
• • Allergy to Apiaceae family
• • Concurrent anticoagulant therapy (potential interaction)
• • Deep puncture wounds requiring surgical drainage
• • Bad-kan excess wounds with heavy, cold discharge (cooling nature may worsen)
• • rLung-dominant wounds without mKhris-pa heat
• • Pregnancy (traditional restriction in some cultures)
• • Hepatotoxicity with prolonged high-dose use (rare)
• • Concurrent sedatives (mild sedative effect)
• • Scheduled surgery — discontinue 2 weeks prior
• • Excessive internal use may cause stomach upset
• • Kabam excess with cold, oozing wounds (Katrazhai's cooling nature may aggravate)
• • Known allergy to Aloe latex
• • Deep puncture wounds (gel may seal surface trapping infection)
• • Minimal — considered very safe in Korean practice
• • Contact dermatitis in sensitive individuals (patch test first)
• • Concurrent hepatotoxic medications (rare hepatotoxicity at high oral doses)