Zhi Shi (Aurantii Fructus Immaturus)

Zhi Shi (枳實), the immature fruit of bitter orange, strongly breaks up qi stagnation and reduces accumulation and fullness of the middle and lower burners, and transforms phlegm to unblock the chest.

Zhǐ Shí  ·  枳實

Latin / Pharmaceutical Name

Citrus aurantium (Fructus Aurantii Immaturus)

Common English Name

Immature bitter orange

Taste

Bitter, acrid

Temperature

Slightly cold

Channels Entered

Spleen, Stomach, Large Intestine

Actions & Functions

  • Breaks up qi stagnation and reduces accumulation and fullness
  • Transforms phlegm and unblocks the chest and diaphragm
  • Directs qi downward (constipation, prolapse with stagnation)

Indications

Food or qi stagnation with epigastric and abdominal fullness, distension and constipation; and phlegm with a stifling, painful chest.

Dosage

3-9 g in decoction.

Common Combinations

With Da Huang and Hou Po (Cheng Qi Tang) for constipation with fullness; with Bai Zhu (Zhi Zhu Wan) for food stagnation with Spleen deficiency.

Cautions & Contraindications

Strongly moving; contraindicated or used with care in pregnancy and in qi deficiency.

About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

Check Also

PubMed research

Tai Chi Improves Motor Symptoms in Parkinson’s Disease, Though Underlying Mechanisms Remain Preliminary

Research summary (Tai Chi): Tai Chi for improving motor symptoms in Parkinson's disease patients: a systematic review of mechanisms. - Frontiers in aging neuroscience, 2026.