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Zhǐ Shí 枳實

Pharmaceutical name Aurantii Fructus immaturus unripe bitter orange, chih-shih
Category Regulate Qi
Key Properties Promotes the flow of Qi
Unblocks plugs
Properties Bitter, Acrid
Sl. Cold
Tropism LI, SP, ST
Actions & Indications 1) Breaks up Stagnant Qi and Reduces Accumulation
2) Transforms Phlegm and Expels Focal Distention
Dosages 3-9g
Contraindications (TCM) Caution during Pregnancy; should not be used as a single herb remedy with SP & ST Def
Contraindications (Western) Caution with gastric or duodenal ulcers, acidity may irritate gastrointestinal tract
Chemical Composition Synephrine, N-methyltyramine, hesperidin, neohesperidin, nobiletin, desmethyl nobiletin, quinoline, narcotine, noradrenaline, quinoline, tryptamine, tyramine, naringin, rhoifolin, tengeretin, and lonicerin
Pharmacological Effects • Cardiovascular: oral administration of decoction in dogs and rabbits stimulates heart to increase contractility, blood pressure, and cardiac output; intravenous injection of solution 1.5 g/kg is similar to 0.1 mg/kg of epinephrine in its effect to raise blood pressure; however, has a prolonged influence on raising blood pressure and does not affect heart rate or respiration
• Circulatory: intravenous injection decreases peripheral vascular resistance and enhances microcirculation to heart, brain and kidneys; studies in dogs have demonstrated increase of 82.6 +I- 20.56 ml/100g of blood to brain, and 64.5 +I- 9.4 ml/100g of blood to kidneys
• Diuretic: intravenous injection demonstrated marked diuretic effect in dogs
• Gastrointestinal: oral administration of decoction in dogs stimulates smooth muscle and increases intestinal peristalsis
• Effects on the uterus: oral administration of decoction has marked stimulating effect on uterus of rabbits, but has inhibitory effect in rats
Herb-Drug Interactions • Diuretics: concurrent use with diuretic drugs may lead to increased elimination of water and/or electrolytes
Classical Formula(s)


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This information is a reference tool for Chinese herbal studies. It is not intended to replace professional medical advice. Please consult a primary health professional if you require health advisory.