What is Shan Zha? Are Shen Qu, Mai Ya and Lai Fu Zi the same?
Official Shan Zha (山楂) is the dried mature fruit of Crataegus pinnatifida or C. pinnatifida var. major. The pharmacopoeial name is Crataegi Fructus. It is especially good at reducing meat and greasy accumulation. Shen Qu is sweet-acrid-warm: reduces food and harmonizes the Stomach—grain, flour and alcohol. Mai Ya is sweet-neutral: moves qi, reduces food and withdraws milk—grain accumulation and milk accumulation. Lai Fu Zi is acrid-sweet-neutral: reduces food, eliminates distention, downbears qi and transforms phlegm. Write Shan Zha, fried Shan Zha or scorch-fried Shan Zha. Snack hawthorn slices are not the medicinal dose. Use caution when the Spleen and Stomach have no accumulation.
What are the TCM properties and traditional uses of Shan Zha?
According to the Chinese Pharmacopoeia, Shan Zha is sour, sweet and slightly warm, enters the Spleen, Stomach and Liver channels, and acts to reduce food stagnation and fortify the Stomach, move qi and dissipate stasis, resolve turbidity and lower lipids. It is used for meat-food stagnation, epigastric fullness, dysentery-diarrhea with abdominal pain, blood-stasis amenorrhea, postpartum stasis, stabbing pain in the chest and abdomen, chest impediment and heart pain, hernia pain and hyperlipidemia. Jiao Shan Zha more strongly reduces food and conducts stagnation, for meat accumulation and ungratifying dysentery. Sour-sweet and slightly warm, it suits meat accumulation and stasis—not Spleen-Stomach vacuity without accumulation, or excessive Stomach acid.
How do you choose raw, fried and scorch-fried Shan Zha?
Moving qi, dissipating stasis, chest impediment and heart pain more often use raw Shan Zha. Reducing food and fortifying the Stomach more often use fried Shan Zha. Jiao Shan Zha is less sour and better at conducting stagnation and stopping dysentery. Large amounts of fresh snack hawthorn can cause excess acid or even gastric bezoar—not a substitute for the decoction dose. The pit is not used as equal-weight digestant.
What is the usual dosage? Can it be drunk daily as a digesting lipid-lowering tea?
The pharmacopoeial decoction dose is 9–12 g. It is not a four-season “Shan Zha slimming lipid tea.” Without accumulation, sourness only injures the Stomach. Meat accumulation and chest impediment need a practitioner to name a short course; it does not replace lipid and gastrointestinal assessment. Excess snacking can form a bezoar.
What are the contraindications? Can it be used in pregnancy?
Use caution in Spleen-Stomach vacuity without accumulation. Use caution in excess Stomach acid and peptic ulcer. It enters the blood and dissipates stasis; use caution or avoid in pregnancy—it is not a calm-fetus herb. Stop if acid reflux, Stomach pain and loose stool appear. Severe abdominal pain and stopped vomiting are emergencies.
Can Shan Zha reduce food, dissipate stasis and lower lipids?
It can help meat-food stagnation and blood stasis with qi stagnation. Food accumulation with epigastric fullness joins medicated leaven, radish seed, tangerine peel and Pinellia in Bao He Wan. Postpartum stasis and amenorrhea may join Angelica and Chuanxiong. It reduces food, fortifies the Stomach, moves qi, dissipates stasis, resolves turbidity and lowers lipids—not a specific for every bloating, every dysmenorrhea or every high cholesterol. Chest pain must exclude emergency causes.
Can Shan Zha be drunk daily as a slimming, lipid-lowering or digestive tea?
Meat-food stagnation and epigastric fullness may enter a short formula; Spleen vacuity without accumulation only grows more depleted as it sours. “Shan Zha slims and lowers lipids” does not replace diet and cardiovascular assessment. Reducing food, fortifying the Stomach, moving qi and dissipating stasis should name Shan Zha 9–12 g.
How do you choose among Shan Zha, Shen Qu, Mai Ya, Lai Fu Zi and Ji Nei Jin?
Hawthorn is sour-sweet and slightly warm: reduces food, fortifies the Stomach, moves qi, dissipates stasis, resolves turbidity and lowers lipids—meat, grease and blood stasis. Medicated leaven is sweet-acrid-warm: reduces food and harmonizes the Stomach—grain, flour and alcohol. Malt is sweet-neutral: moves qi, reduces food, fortifies Spleen, opens the appetite and withdraws milk—grain accumulation. Radish seed is acrid-sweet-neutral: reduces food, eliminates distention, downbears qi and transforms phlegm. Chicken gizzard lining is sweet-neutral: fortifies the Stomach, reduces food, astringes essence and checks emission. Meat accumulation favors Shan Zha; grain-alcohol accumulation favors Shen Qu or Mai Ya; fullness with much phlegm favors Lai Fu Zi; firm accumulation may join Ji Nei Jin. They may be paired (Bao He Wan); excess Stomach acid cautions Shan Zha; qi vacuity cautions Lai Fu Zi.
Which herbs is Shan Zha combined with? What are the representative formulas?
Food accumulation joins medicated leaven, radish seed, tangerine peel, Pinellia and Poria in Bao He Wan. Write Shan Zha or Jiao Shan Zha 9–12 g; dissipating stasis more often uses the raw fruit.
How do you choose and store Shan Zha?
Choose thick-fleshed slices that are red or deep yellow, with a faint clear aroma and a sour slightly sweet taste. Moldy, moth-eaten lots with too many pits or hollow slices are used with caution. Store airy and dry against moths. Buy pharmacopoeial Shan Zha; do not replace reducing food, fortifying the Stomach, moving qi and dissipating stasis with hawthorn candy, fruit leather or an unidentified fruit by equal weight.