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<record type="formula" updated="2026-09-18T16:35:03.494288+00:00">
  <source>Bencao Index</source>
  <source-url>https://bencaoindex.com/</source-url>
  <canonical>https://bencaoindex.com/formulas/zhi-shi-xiao-pi-wan/</canonical>
  <licence>Free to use and republish with visible attribution and a link back to the source page. The catalogue is a reference work and is knowingly incomplete; nothing in it is medical advice.</licence>
  <attribution-html>&lt;a href=&quot;https://bencaoindex.com/formulas/zhi-shi-xiao-pi-wan/&quot;&gt;Bencao Index&lt;/a&gt;</attribution-html>
  <names>
    <name type="pinyin">zhi shi xiao pi wan</name>
    <name type="english">Immature Bitter Orange Pill to Reduce Focal Distention</name>
  </names>
  <category>Formulas that Reduce Food Stagnation</category>
  <actions>
    <action>
      <summary>Moves Qi, reduces focal distension and eliminates fullness</summary>
      <indication>Spleen deficiency with Qi stagnation and both Cold and Heat, producing focal distension (pi)</indication>
      <indication>Fullness and distension in the upper epigastrium, sometimes also a focal distension of the chest and abdomen, possibly with distending pain</indication>
      <indication>The fullness is uncomfortable but not painful on firm pressure, which sets it apart from a solid Excess accumulation</indication>
    </action>
    <action>
      <summary>Strengthens the Spleen and harmonises the Stomach</summary>
      <indication>Poor appetite and weak digestion, often with undigested food, and no thirst</indication>
      <indication>Fatigue, lethargy and weakness with a wan complexion</indication>
      <indication>Bowels that alternate between loose and hard</indication>
      <indication>Tongue normal with a greasy coat that may be yellow; pulse wiry, especially at the right middle position</indication>
    </action>
    <action>
      <summary>Modern uses</summary>
      <indication>Indigestion</indication>
      <indication>Functional dyspepsia</indication>
      <indication>Functional gastrointestinal disorders</indication>
      <indication>Diabetic gastroparesis</indication>
      <indication>Chronic gastritis</indication>
      <indication>Chronic atrophic gastritis</indication>
      <indication>Intestinal obstruction</indication>
      <indication>Cholecystitis</indication>
      <indication>Cholelithiasis</indication>
      <indication>Cushing&apos;s syndrome</indication>
      <indication>Anorexia</indication>
      <indication>Fatigue</indication>
      <indication>Weakness</indication>
    </action>
  </actions>
  <constituents>
    <herb>zhi shi</herb>
    <herb>hou po</herb>
    <herb>huang lian</herb>
    <herb>ban xia</herb>
    <herb>ren shen</herb>
    <herb>bai zhu</herb>
    <herb>fu ling</herb>
    <herb>mai ya</herb>
    <herb>gan jiang</herb>
    <herb>zhi gan cao</herb>
  </constituents>
</record>
