Zhi Shi Dao Zhi Wan (Immature Bitter Orange Pill to Guide Out Stagnation)

Immature Bitter Orange Pill to Guide Out Stagnation

Nei Wai Shang Bian Huo Lun, 1247

• Da Huang – chief; Zhi Shi, Shen Qu (reduce stagnation)
• Huang Qin, Huang Lian, Fu Ling, Ze Xie, Bai Zhu (clear/drain damp-heat, support Spleen)

• Reduces food stagnation and unblocks the bowels
• Drains damp-heat

Food stagnation with damp-heat: epigastric and abdominal fullness and pain, diarrhoea or constipation with foul stool, and reduced appetite.

Tongue: greasy yellow coat. Pulse: deep and forceful (or slippery).

For simpler food stagnation, use Bao He Wan.

For excess food stagnation with damp-heat; not for deficiency. Caution in pregnancy.