Shi Di Tang柿蒂汤
Persimmon Calyx Decoction
Ingredients3 herbs
Indications
Hiccup and counterflow from cold in the stomachwithout marked qi deficiency. Cold blocks the descent of stomach qi and it rebels upward; because the patient's qi is intact, warming and descending are enough.
Clinical Manifestations
- Hiccup with fullness in the chest
- Hiccup brought on by cold food or cold air
- Belching and retching with a cold stomach
- Short-lived hiccup in an otherwise well patient
Health Categories
Modern Applications
Common adjustments
- Fatigue and a weak pulse showing qi deficiency — add Ren Shen 人参, which gives Ding Xiang Shi Di Tang
- Cold severe — add Gan Jiang 干姜 or Wu Zhu Yu 吴茱萸
- Phlegm with a greasy coating — add Zhi Ban Xia 制半夏 and Chen Pi 陈皮
- Hiccup obstinate — add Dai Zhe Shi 代赭石
Contraindications
Not for hiccup from stomach heat with a bitter taste, thirst and a red tongue. Hiccup that lasts more than about two days, or that comes with vomiting, weight loss, difficulty swallowing or neurological symptoms, needs conventional assessment rather than continued home treatment. Ding Xiang is traditionally regarded as antagonistic to Yu Jin and the two are not combined.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Use with caution in pregnancy and only under supervision. Ding Xiang is hot and acrid and directs qi downward. Persistent hiccup or nausea in pregnancy should be assessed by a clinician.
References
Source Ji Sheng Fang 《济生方》 · Southern Song
「治胸满咳逆不止。」
- Classical source (public domain), cited in the source-quote section.
2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition cross-checked.
3. 《方剂学》（全国中医药行业高等教育规划教材）— listed as an appended formula to Ding Xiang Shi Di Tang; pattern analysis cross-checked.
Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.