Shi Di

A long-standing staple of Chinese medicine for hiccups, but human trial evidence on its own is missing.

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What is Shi Di? Shi Di is the dried calyx of the persimmon fruit — the small, woody, star-shaped cap that sits on top of the fruit where it joined the stem. In Chinese medicine it is used as a single drug, most often as a tea, for one narrow job: stopping hiccups. It is also given for belching and for the feeling of gas or wind rising up from the stomach. Practitioners describe it as an herb that helps stomach energy move down rather than up. Here is the honest verdict on the evidence. Shi Di has a long and steady record in Chinese medicine for hiccups, but we could not find published human trials that test it on its own. Long traditional use tells you people have relied on something for centuries; it does not prove the thing works, and that difference applies to everything on this page. How does Shi Di work? Nobody has shown clearly how Shi Di works in people, and you should treat any explanation as a theory rather than a fact. In Chinese medicine terms, hiccups are seen as stomach qi (the body's working energy) pushing upward instead of downward. Shi Di is classed as a herb that redirects that movement back down, which is why it sits in the small group used for hiccups and belching. In the laboratory, persimmon calyx contains tannins and flavonoids, which are plant compounds that can affect nerve signalling and muscle activity in animal tissue. Some animal work suggests an effect on the nerves that drive the diaphragm, the breathing muscle that spasms during a hiccup. That work has not been repeated in people, so it stays a hint and not an answer. What forms does Shi Di come in? The usual form is the whole dried calyx, sold loose by weight in Chinese herb shops. The pieces are brown, hard and flat, roughly the size of a coin. You may also find: Cut or crushed calyx for making tea. Granules or powdered extract, which dissolve in hot water. Patent formulas that combine Shi Di with cloves and ginger for hiccups, such as Shi Di Tang. This page covers Shi Di used on its own, as a single drug. Where it comes from: Shi Di has been used in Chinese medicine for roughly a thousand years. It appears in Song dynasty writings and became the main herb in Shi Di Tang, a hiccup formula that pairs it with cloves and fresh ginger. It kept that same narrow role through later Chinese pharmacopoeias and is still listed for hiccups and belching today. It is also used in Korean and Japanese herbal practice for the same complaint.

Helps

What does Shi Di help with? Hiccups: This is the main traditional use and it is well established in Chinese medicine texts, usually for hiccups that keep coming back after eating or during illness. The supporting evidence is traditional, not clinical. We could not find a published human trial of Shi Di on its own for hiccups. Hiccups that last more than 48 hours need a doctor, because a long run of them can point to a nerve, gut or chest problem that herbs will not fix. Belching: Chinese medicine uses Shi Di for repeated belching that comes with a full, tight feeling under the ribs, often alongside ginger or cloves. There is no human trial evidence for this use. Frequent belching with heartburn, weight loss or trouble swallowing should be checked by a doctor rather than self-treated. A feeling of gas or fullness rising from the stomach: Traditional texts describe Shi Di as settling stomach energy that is pushing upward, which practitioners apply to this sensation. This is a traditional description of a symptom, not a diagnosis, and no clinical study has tested Shi Di for it.

Shi Di

Shi Di

Quick Facts

  • What it is: The dried cap of the persimmon fruit, used in Chinese medicine as a single herb for hiccups.
  • Main uses: Hiccups, Belching, Rising gas or fullness in the stomach
  • Best for: Short-lived hiccups after eating
  • Active ingredients: Tannins, Ursolic acid, Oleanolic acid, Flavonoids
  • Forms: Whole dried calyx, Cut or crushed for tea, Granules or powdered extract
  • Time to effect: Traditionally within hours; not measured in trials.
  • Side effects: Uncommon and mild; stomach upset and a dry mouth are the usual reports.

What is Shi Di?

Shi Di is the dried calyx of the persimmon fruit — the small, woody, star-shaped cap that sits on top of the fruit where it joined the stem. In Chinese medicine it is used as a single drug, most often as a tea, for one narrow job: stopping hiccups.

It is also given for belching and for the feeling of gas or wind rising up from the stomach. Practitioners describe it as an herb that helps stomach energy move down rather than up.

Here is the honest verdict on the evidence. Shi Di has a long and steady record in Chinese medicine for hiccups, but we could not find published human trials that test it on its own. Long traditional use tells you people have relied on something for centuries; it does not prove the thing works, and that difference applies to everything on this page.

How does Shi Di work?

Nobody has shown clearly how Shi Di works in people, and you should treat any explanation as a theory rather than a fact.

In Chinese medicine terms, hiccups are seen as stomach qi (the body's working energy) pushing upward instead of downward. Shi Di is classed as a herb that redirects that movement back down, which is why it sits in the small group used for hiccups and belching.

In the laboratory, persimmon calyx contains tannins and flavonoids, which are plant compounds that can affect nerve signalling and muscle activity in animal tissue. Some animal work suggests an effect on the nerves that drive the diaphragm, the breathing muscle that spasms during a hiccup. That work has not been repeated in people, so it stays a hint and not an answer.

What forms does Shi Di come in?

The usual form is the whole dried calyx, sold loose by weight in Chinese herb shops. The pieces are brown, hard and flat, roughly the size of a coin.

You may also find:

Cut or crushed calyx for making tea.

Granules or powdered extract, which dissolve in hot water.

Patent formulas that combine Shi Di with cloves and ginger for hiccups, such as Shi Di Tang.

This page covers Shi Di used on its own, as a single drug.

Where it comes from:

Shi Di has been used in Chinese medicine for roughly a thousand years. It appears in Song dynasty writings and became the main herb in Shi Di Tang, a hiccup formula that pairs it with cloves and fresh ginger.

It kept that same narrow role through later Chinese pharmacopoeias and is still listed for hiccups and belching today. It is also used in Korean and Japanese herbal practice for the same complaint.

Who should avoid Shi Di?

  • Do not use if you are pregnant or breastfeeding, because its safety in pregnancy has not been studied
  • Do not use if you have had hiccups for more than 48 hours without seeing a doctor first, as long hiccups can signal a nerve, gut or chest problem
  • Do not use if you are allergic to persimmon
  • Do not use if you are giving it to a child or an infant without advice from a qualified practitioner
  • Do not use if you take iron tablets at the same time of day, as the herb can block iron absorption
  • Do not use if you are already on a prescription hiccup medicine such as chlorpromazine or baclofen, unless your prescriber says it is fine
  • Do not use if you have severe constipation or a known blockage in your gut

When should you see a doctor?

See a doctor if your hiccups last longer than 48 hours, keep coming back, wake you at night, or stop you eating and drinking.

Go sooner if hiccups come with chest pain, trouble swallowing, vomiting, weight loss, weakness on one side of the body, or a recent head or neck injury.

Stop the herb and seek urgent care if you get a rash, swelling of the face or mouth, or trouble breathing.

Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.

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What it is typically used for, usual dose, cautions, and the study behind it where real trial data exists.

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