Zi Su Geng (紫苏梗; Zǐ Sū Gěng; Latin: Perillae Caulis; English: perilla stem) in the current pharmacopoeia is the dried stem of Perilla frutescens, a mint-family plant, usually harvested in autumn after the fruit ripens, and used raw or lightly stir-fried. It is neutral and acrid, enters the Lung, Spleen, and Stomach channels, and its core actions are to move qi and widen the middle, and to relieve pain and calm the fetus. It usually goes into decoctions. The usual amount is 5–10 g. It is added in the last 10 minutes of decocting, so its light aromatic oil is not boiled away. In gentle home tea use it is taken in smaller amounts, around 3–5 g, and not for more than about a week at a stretch.
It is not Sha Ren. Cardamon is warm, acrid, and drying, and it transforms dampness, warms the middle, and stops diarrhea, aimed at cold-damp stomach pain. Zi Su Geng is neutral and much gentler, aimed at mild qi stagnation without cold signs. Yin deficiency with internal heat, dry mouth, and dry stools is a poor match. Severe abdominal pain that keeps worsening, or pregnancy bleeding and strong abdominal pain, need a clinic first. Do not self-dose it through a whole pregnancy.
It is used most often for three patterns:
- Chest and epigastric stuffiness, belching, and bloating after meals
- Throat foreign-body sensation with chest tightness from phlegm-qi block
- Mild pregnancy chest fullness and nausea from qi stagnation
Neutral and acrid, it is not a daily “qi regulator” to keep brewing. Moving qi when there is no stagnation consumes fluid and worsens internal heat.
When spleen-stomach qi stalls, dampness and food sit in the middle and the chest feels blocked; in pregnancy, reversed qi can disturb the fetus. Zi Su Geng is neutral and acrid. It moves the qi and widens the middle without being harshly drying, which is why it appears in Ban Xia Hou Po Tang (Pinellia-Magnolia Decoction)–type formulas. It moves more gently than Qing Pi or Zhi Shi. A yin-deficient, heat-dry body, with no cold-damp stagnation, gets worse if more is added.
Zi Su Geng is not a catch-all stomach or pregnancy tea. In yin deficiency with internal heat, or with severe pain and bleeding, using it alone is a poor match. Raw or stir-fried, and whether it belongs in a formula, should be decided by a licensed Chinese medicine practitioner after pattern diagnosis.