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Millwoods Acupuncture Center
102, 2603 Hewes Way
Edmonton AB,   Canada

Phone: (780) 466-8683




Chapter 14. Zhishi series

Zhishi is the young fruits of plant Citrus aurantium L.  

In TCM, it works to break the accumulated mass in the body, which in nature belongs to air, gas, or phlegm. It mostly works to remove the fullness due to the accumulation of such air- and phlegm-type stuff. This is different to the Dahuang, that works to remove the block or accumulation of solid stuff, such as hosting stool.

Zhishi is similar to the function of Hopou. Both works to remove fullness and bloating feeling of the body.  However, Zhishi belongs to Cold herb and Houpo, a warm herb. In clinic, they are usually used together, so that either the Cold accumulation or a Hot accumulation can be released. In << Shang Han Lun >>, there are eight formula that used these two herbs together and only one formula used only Houpo along.


枳实-药材   Zhishi

(1). 枳实白术汤方

Zhishi Baishu Tang


Zhishi 7 badges, Baishu 30 gram


Add the herbs and 1250 ml water into a herbal pot. Bring to boil and keep in mild boiling until there is 750 ml herbal tea left. Drink one third of the tea each time, three times a day.


If the upper abdomen is hard when touched, and it is big as a big plate, it is due to the Water disease. Use Zhishi Baishu Tang. This condition also belongs to the Lishui condition, but the abdomen is hard and big in the upper abdomen, suggesting a hollow stick condition,  not a fullness and pain condition, e.g. not a solid fullness condition, so the bowel-cleansing therapy should not be used, but the Zhishi Baishu Tang here to break down the hollow mass. 


With the Qi harshness disease, the person feels hard and solid in the upper abdomen, the stomach enlarged as a big plate there. This is due to Water Xieqi accumulation there. Use Guizhi qui Shaoyao, jia Mahuang Fuzi Xixin Tang


(2). 枳实芍药散

Zhishi Shaoyao San

(烧令黑,勿太过),  芍药等分

Zhishi (burn to black in color), Shaoyao, equal amount.


Prepare the herbs into powder. Drink 1 gram each time, three times a day. This herbal formula can also be used for the treatment of abscess, drinking barley soup to help swallow.


If the woman has pain in abdomen after delivery, feels annoyed and fullness in abdomen, and feels hard to fall into sleep, use Zhishi Shaoyao San.


Master: for woman after delivery has pain in stomach, Zhishi Shaoyao San should be used. If it does not work, it suggests the presence of dry blood mass adhering under the naval. In this case, change to Xia Yuxue Tang.


(3). 排脓散

Painong San

(十六枚) 芍药(六分) 桔梗(二分)

Zhishi 16 badges, Shaoyao 48 gram, Jiegen 16 gram.

Prepare the herbs into powder. Mix it with same amount of chicken yolk. Eat the mixture once a day.


(4).  枳实薤白桂枝汤方

Zhishi Xiebai Guizhi Tang

四枚,厚朴  四两,薤白  半斤,桂枝  一两,栝蒌实(捣)一枚

Zhishi 4 badges, Houpo 60 gram, Xiebai 125 gram, Guizhi 15 gram, Guolushi 1 badge.


Add the Zhishi and Houpo and 1250 ml water into a herbal pot. Bring to boil and keep in mild boiling until there is 750 ml left. Remove the reside, add the remaining herbs in, continue to boiling for 10 min. Drink one third of the tea each time, three times a day.


For person with the Xiongbi disease, if he feels fullness in the upper abdomen and in the chest, feels as there is air pushing to the heart, use Zhishi Xiebai Guizhi Tang, or use Renshen Tang.