Zhi Zhu Wan

Star

枳术丸 (Immature Bitter Orange and Atractylodes Macrocephala Pill)

Source: Nei Wai Shang Bian Huo Lun (1247)

Last updated October 1, 2026

Not yet clinically reviewed

poor appetitefullness in the stomachmuscle weakness from malnutritionespecially children with impaired digestion

Description

Zhi Zhu Wan (Immature Bitter Orange and Atractylodes Macrocephala Pill), from the Nei Wai Shang Bian Huo Lun, is used to strengthen the Spleen and dissolve food accumulation.

Presentation: poor appetite; fullness in the stomach; muscle weakness from malnutrition; especially children with impaired digestion.

Syndrome: Syndrome of food accumulation.

Composition strategy:

  • Tonifying and reducing herbs together; tonifying dose much larger, showing the emphasis for chronic accumulation with weak Spleen-Qi
  • Pill form suits chronic conditions and a sensitive stomach
  • Taken with fragrant He Ye tea, which lifts Spleen clear-Qi and is easily accepted by children

Source: Yang Y. Chinese Herbal Formulas: Treatment Principles and Composition Strategies. Churchill Livingstone Elsevier, 2010, p. 231.

Composition

Herb Amount % Role Function
Bai Zhu
as printed: Bai Zhu (Atractylodis macrocephalae rhizoma)
60g 66.67% Jun (Chief) tonify Spleen-Qi and promote digestion (large dose)
Zhi Shi
as printed: Zhi Shi (Aurantii fructus immaturus)
30g 33.33% Chen (Deputy) descend Qi, remove accumulation, reduce distension

Dui Yao — Core Herb Pairs

The classical two-herb combinations at the heart of this formula, as recorded on the herbs' own pages — each pair has an action neither herb has alone.

Bai Zhu白术 + Zhi Shi枳实

The spleen is strengthened while qi stagnation is broken up, so tonification and dispersal proceed together without cloying or depletion.

Epigastric focal distension and poor digestion from spleen deficiency with stagnation.

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net slightly warm (+0.33)

From 100% of the weighed grams.

cool warm

Grams by band: cool 33%, warm 67%.

Pairs warm and cool. 67% of the weighed grams are warm or hot and 33% cool or cold — the net is their average, not the whole story.

Taste

pungent sweet sour bitter
  • pungent 11%
  • sweet 33%
  • sour 11%
  • bitter 44%

From 100% of the weighed grams.

Channels reached

  • Stomach 100%
  • Spleen 100%
  • Large intestine 33%

Share of the grams entering each channel, from 100% of the weighed grams.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

Compare side by side with Zhi Zhu Tang →

Preparation

Pills taken with He Ye (Nelumbinis folium) tea, 2 g dissolved in 50 ml hot water, up to a total He Ye dose of 6–9 g.

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Formula family

Each entry reads as the larger formula written out: “+” adds its other catalogue cores, then the herbs none of them hold. A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

Formula Network

Formulas that share herbs with this one — the closer to the centre, the stronger the match. Click a node to explore.

Similar Formulas by composition

Match score combines dosage-weighted composition (cosine, 70%) with shared-herb overlap (Jaccard, 30%).

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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