Zhi Shi - Immature Bitter Orange

TCM Materia Medica

Zhi Shi TCM Herb Classifications and Usages

The TCM herb "zhi shi" which in english is "immature bitter orange", is categorized within the "herbs that regulate the qi" functional grouping. It is thought to enter the large intestine, spleen and stomach channels and exhibits acrid, bitter (ku) and cold (han) taste/temperature properties.

Dosages and preparations will vary according to each individual and the overall approach of a formula, but generally this herb has the following dosage and/or preparation guidelines:

  • Dosage: 3-9g

Of many possible clinical applications, it may be considered to influence the following issues/symptoms:

  • Breaks up Qi stagnation, reduces accumulations, transforms phlegm - epigastric or abdominal pain and distention or indigestion w/focal distention or gas.
  • Directs qi downward and unblocks bowels - frequently used for abdominal pain and constipation by accumulation and stagnant Qi.
  • Transforms phlegm and expels focal.
  • Used with Qi tonifying herbs for the prolapse of organs.
  • Raises blood pressure.

Zhi Shi has some precautions to be considered (see our precautions list).

  • Avoid during Pregnancy.

Zhi Shi may potentially be used, in coordination with a well tailored formula (in most cases), to influence the following conditions: abdominal pain, constipation and/or epigastric pain

While it may not always be included depending on the manufacturer or herbalist making the formula, zhi shi is generally included in the following 9 formulas:

  • Chu Kou Wei Wan (Chu Kou Wei Wan) - Acid reflux and/or burning sensation in the epigastrium, th…
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  • Huai Hua Wan (Sophora Flower Formula) - Hemorrhoids and/or anal fissures, bleeding from the anus (f…
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  • Jian Pi Wan (Strengthen Spleen Pills) - For stomach and spleen qi deficiency with dampness that has…
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  • Jin Gu Die Da Wan (Tendon and Bone Injury Healing) - Bruising, sprains, swelling from soft tissue injuries. Bro…
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  • Ma Zi Ren Wan (Hemp Seed Formula) - Constipation with dry/difficult to expel stools along wit…
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  • Qing Qi Hua Tan Wan (Clear the Qi and Transform Phlegm Pill) - Cough with thick yellow or green phlegm, difficulty breathi…
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  • Si Ni San Wan (Frigid Extremities Powder Pills) - Important formula for liver qi stagnation - manifesting as …
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  • Wen Dan Wan (Warm the Gallbladder Formula) - Anxiety, depression, insomnia, and other shen disturbances …
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  • Xiang Sha Yang Wei Wan (Aucklandia Amomi Nurture Stomach Pills) - Low appetite, apathy towards eating due to spleen qi defici…
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    As noted above, zhi shi is within the herbs that regulate the qi functional group. All the herbs in this category are listed below.

    (truncated intro "... used with qi disorders involving deficiency and stagnation. these herbs are primarily used for stagnation involving the spleen and stomach…)".

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