Shi Di (柿蒂; Shì Dì; Latin: Diospyros kaki; English: persimmon calyx) in the current pharmacopoeia is the dried persistent calyx of the persimmon tree, gathered in winter after the fruit is picked and sun-dried, usually used raw. It is bitter and astringent, and neutral, enters the Stomach channel and also the Lung, and its core actions are to descend the upward-reversed stomach qi and stop hiccups, and to assist in calming reversed lung qi in cough. It usually goes into decoctions. The usual amount is 3–10 g. It needs no special handling in a decoction; a simple short simmer of ten to fifteen minutes is enough.
It is not Ding Xiang. Clove is acrid and warm; it warms the middle and disperses cold to treat the root of cold-type hiccups, while Shi Di is neutral and mainly settles the rising qi. Loud hiccups with a bitter mouth, bad breath, and dry stools, from stomach fire rising upward, are a poor match. Yin-deficiency heat with a dry mouth and hot palms should not use it on its own. Pregnancy and nursing call for caution.
It is used most often for three patterns:
- Intermittent hiccups after cold food, cold exposure, or mild stomach disharmony
- Hiccups with stomach fullness and poor appetite after diet injury
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Mild cough with rising stomach qi — slight chest tightness, little white sputum
Bitter, astringent, and neutral, it is not a daily “hiccup water” to keep brewing. When the hiccups come from stomach fire or yin deficiency with heat, using it on its own does not match the pattern and leaves the fire untouched.
When cold food, cold exposure, or mild stomach disharmony sends stomach qi upward, repeated belching and hiccups, with a little stomach fullness, are common. Shi Di is bitter, astringent, and neutral. It gently pulls the reversed qi back down, which is why it appears in Ding Xiang Shi Di Tang (Clove-Persimmon-Calyx Decoction)–type formulas. It settles more than it warms. Loud fire-type hiccups, with a bitter mouth and bad breath, are a poor match on their own.
Shi Di is not a catch-all hiccup fix. In stomach fire rising upward, or in yin deficiency with heat, using it alone leaves the wrong root untouched. Simple decoction or tea, and whether it belongs in a formula, should be decided by a licensed Chinese medicine practitioner after pattern diagnosis.