Ingredient Mineral (矿物 kuàng wù)

Bai Shi Zhi

White Kaolinite · 白石脂

Kaolinite (Al₂Si₂O₅(OH)₄) · Kaolinitum

Images shown are for educational purposes only

Bai Shi Zhi is a naturally occurring white mineral clay (kaolinite) used in Chinese medicine primarily for its strong binding and absorbing properties. It is most commonly used for chronic diarrhea, prolonged bleeding, and non-healing skin sores. It works by tightening tissues and absorbing excess moisture, making it especially helpful when the body can no longer hold things in properly due to long-term weakness.

TCM Properties

Temperature

Neutral

Taste

Sweet (甘 gān), Sour (酸 suān), Astringent (涩 sè)

Channels entered

Lungs, Stomach, Large Intestine

Parts used

Mineral (矿物 kuàng wù)

Educational content Consult qualified TCM practitioners for diagnosis and treatment

What This Ingredient Does

Every ingredient has a specific set of actions — here's what Bai Shi Zhi does in the body, explained in both everyday and TCM terms

Therapeutic focus

In practical terms, Bai Shi Zhi is primarily used to support these areas of health:

TCM Actions

In TCM terminology, these are the specific therapeutic actions that Bai Shi Zhi performs to restore balance in the body:

How these actions work

'Astringes the intestines and stops diarrhea' (涩肠止泻) means Bái Shí Zhī uses its heavy, astringent mineral nature to tighten and consolidate the intestinal lining, reducing excessive discharge. It is used for chronic diarrhea and dysentery that has persisted for a long time, especially when stool is loose and slippery because the body's holding function has become weakened. This is its primary and most important action.

'Stops bleeding by astringing' (收敛止血) refers to the herb's ability to constrict tissues and seal leaking blood vessels through its astringent and binding quality. It is applied to prolonged uterine bleeding, bloody stool, and other chronic bleeding conditions where the body can no longer contain the blood within its vessels. Unlike Chì Shí Zhī (the red form), which enters the Blood level more deeply, Bái Shí Zhī primarily works through the Qi level to consolidate and hold.

'Absorbs dampness and promotes wound healing' (收湿敛疮生肌) describes the herb's external use. When applied as a powder to chronic non-healing ulcers or weeping skin lesions, it physically absorbs excess fluid and creates a protective layer that allows new tissue to grow. Modern understanding attributes this to kaolinite's strong adsorption properties.

'Nourishes Lung Qi' (养肺气) reflects the classical teaching that among the five coloured stone-fat minerals, white corresponds to Metal and the Lungs. Bái Shí Zhī supports the Lung's descending and consolidating function, which helps secure the body's surface and stabilize the lower orifices.

Patterns Addressed

In TCM, symptoms cluster into recognizable patterns of disharmony. Bai Shi Zhi is used to help correct these specific patterns.

Why Bai Shi Zhi addresses this pattern

When the Large Intestine loses its ability to hold and consolidate, chronic diarrhea or dysentery continues without stopping, sometimes with mucus or blood in the stool. The body's downward 'slipping' cannot be contained. Bái Shí Zhī's astringent (涩) taste and heavy mineral nature go directly to the Large Intestine channel, where they physically bind and consolidate the intestinal wall. Its sweet taste gently supports the Qi of the digestive organs, while its neutral temperature makes it safe for prolonged use without adding Heat or Cold. This addresses the root mechanism of intestinal collapse: the tissues are too lax and can no longer hold their contents.

A practitioner would look for one or more of these signs

Chronic Diarrhea

Watery or mucus-containing stool that persists for weeks or months

Rectal Prolapse

Prolapse from prolonged straining and weakened holding function

Urinary Or Fecal Incontinence

Inability to control bowel movements, stool slipping out involuntarily

Commonly Used For

These are conditions where Bai Shi Zhi is frequently used — but only when they arise from the specific patterns it addresses, not in all cases

TCM Interpretation

In TCM, chronic diarrhea lasting weeks or months is understood as a failure of the Spleen and Large Intestine to properly contain and consolidate their contents. The Spleen's role is to 'raise the clear' and transform fluids, while the Large Intestine's role is to reabsorb fluids and form stool. When both are weak, fluids rush through uncontrolled. If warming and tonifying herbs alone cannot stop the diarrhea, the problem has moved beyond simple deficiency into a state of 'slippery collapse' (滑脱), where the holding mechanism itself is broken and needs to be physically tightened.

Why Bai Shi Zhi Helps

Bái Shí Zhī is a dense mineral clay with powerful astringent properties. When taken internally, it coats and binds the intestinal lining, physically reducing the excessive discharge. Its sweet taste gently nourishes the Spleen and Stomach, while its astringent and sour qualities tighten the tissues of the Large Intestine. Because it is neutral in temperature, it does not add Heat or Cold, making it suitable whether the underlying cause is Cold-type or simply one of prolonged weakness. Modern research confirms that kaolinite forms a protective coating on inflamed intestinal mucosa, reduces irritation, and adsorbs toxins and excess fluids.

Also commonly used for

Chronic Dysentery

Long-standing dysentery with mucus in stool

Rectal Prolapse

From prolonged diarrhea or dysentery

Thin Vaginal Discharge

Persistent white vaginal discharge (带下)

Bloody Stool

Chronic blood in stool from intestinal weakness

Chronic Ulcers

Non-healing skin ulcers, applied topically

Eczema

Weeping eczema, applied topically as a drying agent

Nocturnal Emission

Spermatorrhea from inability to contain essence

Ingredient Properties

Every ingredient has an inherent temperature, taste, and affinity for specific channels — these properties determine how it interacts with the body

Temperature

Neutral

Taste

Sweet (甘 gān), Sour (酸 suān), Astringent (涩 sè)

Channels Entered

Lungs Stomach Large Intestine

Parts Used

Mineral (矿物 kuàng wù)

Dosage & Preparation

These are general dosage guidelines for Bai Shi Zhi — always follow your practitioner's recommendation, as dosages vary based on the formula and your individual condition

Standard dosage

9–12g

Maximum dosage

Up to 20g in severe chronic diarrhea or bleeding conditions, under practitioner supervision. Do not exceed this range or use long-term.

Dosage notes

Use the lower end of the dosage range (9g) for mild chronic loose stools or vaginal discharge. Use higher doses (12–20g) for more severe chronic diarrhea with blood or mucus, or uterine bleeding. For external application, an appropriate amount of the powdered mineral is applied directly to wounds, ulcers, or eczematous skin. Bai Shi Zhi is best suited for deficiency-cold patterns with slippery loss and should never be used when pathogenic factors remain unresolved. Treatment courses should be kept as short as clinically necessary.

Preparation

Should be crushed and decocted first (打碎先煎, da sui xian jian) for at least 20–30 minutes before adding other herbs, as it is a mineral that requires longer decoction to release its active components. For internal use, it is often processed by calcination (煅) and then levigated with water (水飞) to produce a fine, pure powder. When taken as powder stirred into the strained decoction, a typical dose is approximately 1–2g per serving.

Processing Methods

In TCM, the same ingredient can be prepared in different ways to change its effects — here's how processing alters what Bai Shi Zhi does

Processing method

The raw mineral is ground to fine powder, mixed with vinegar, shaped into strips, cut into segments, dried, then placed in a crucible and calcined at high temperature in a smokeless furnace until thoroughly red-hot. After cooling, it is ground again for use.

How it changes properties

Calcination significantly increases the astringent potency of Bai Shi Zhi. The high heat drives off water content and makes the mineral more porous and adsorptive, enhancing its ability to absorb dampness and bind tissues. The vinegar processing further strengthens its astringent and converging nature. Temperature remains Neutral but the binding action becomes markedly stronger.

When to use this form

Use the calcined form when stronger astringency is needed, such as severe chronic diarrhea with complete loss of bowel control, or for topical application on weeping sores and chronic non-healing ulcers where maximum moisture absorption is required. The calcined form is the standard form used in most clinical applications.

Common Ingredient Pairs

These ingredients are traditionally combined with Bai Shi Zhi for enhanced therapeutic effect

Long Gu
Long Gu 1:1 (Bái Shí Zhī 9g : Long Gu 9g)

Bái Shí Zhī and Long Gu (Dragon Bone) are both heavy, mineral-based astringents. Together they create a powerful dual binding effect: Bái Shí Zhī coats and consolidates the intestinal lining while Long Gu calms the spirit and anchors leaking substances. The pair addresses both the physical slipperiness of the intestines and the underlying instability of Qi that allows discharge to escape.

When to use: Chronic childhood diarrhea with clear watery stool that will not stop, especially in cases of Spleen deficiency with fright or restlessness.

Gan Jiang
Gan Jiang 1:1 (Bái Shí Zhī 9g : Gān Jiāng 9g)

Bái Shí Zhī provides astringent binding to consolidate the intestines, while Gan Jiang (Dried Ginger) warms the Middle Burner and dispels Cold. Together they address cold-type chronic diarrhea from two angles: Gan Jiang treats the root cause (internal Cold weakening the Spleen) while Bái Shí Zhī addresses the branch symptom (slippery, uncontrollable stool).

When to use: Cold-type dysentery with undigested food, white mucus in stool, and abdominal pain that improves with warmth.

Hou Po
Hou Po 1:1

Bái Shí Zhī astringes and binds the intestines, while Hou Po (Magnolia Bark) moves Qi, dries dampness, and eliminates distension. The combination prevents the purely astringent Bái Shí Zhī from trapping stagnation inside while still providing its consolidating benefit. Hou Po keeps Qi moving so the closure is functional, not obstructive.

When to use: Chronic diarrhea with pus or mucus in the stool, accompanied by abdominal bloating.

Key Formulas

These well-known formulas feature Bai Shi Zhi in a prominent role

Feng Yin Tang 风引汤 Assistant

Feng Yin Tang (Wind-Calming Decoction) from the Jin Gui Yao Lue uses both Bai Shi Zhi and Chi Shi Zhi alongside heavy minerals and sedatives to treat wind-related convulsions and epilepsy. Bai Shi Zhi serves as Assistant here, using its Lung-consolidating and dampness-absorbing qualities to 'close the door against wind returning' (杜虚风复入之路), as described by the Ben Jing Feng Yuan. This formula showcases Bai Shi Zhi's less commonly seen role in stabilizing the body against wind invasion.

Comparable Ingredients

These ingredients have overlapping uses — here's how to tell them apart

Chi Shi Zhi
Bai Shi Zhi vs Chi Shi Zhi

Chi Shi Zhi (red halloysite) and Bai Shi Zhi are the same mineral in different colour forms, but classical theory distinguishes them clearly: Chi Shi Zhi enters the Blood level (血分) and is Warm, making it stronger for bloody dysentery and uterine bleeding with blood. Bai Shi Zhi enters the Qi level (气分) and is Neutral, making it better suited for chronic watery diarrhea, white mucus discharge, and conditions without prominent bleeding. As the Ben Cao Gang Mu states: 'The red enters Blood, the white enters Qi.'

Yu Yu Liang
Bai Shi Zhi vs Yu Yu Liang

Both Yu Yu Liang (Limonitum) and Bai Shi Zhi are heavy mineral astringents that bind the intestines and stop diarrhea. However, Yu Yu Liang is heavier and has stronger anchoring and settling power (镇坠), making it more appropriate for severe intestinal slippage. Bai Shi Zhi is lighter by comparison, with additional Lung-nourishing action. Yu Yu Liang is also sweet and neutral but tends slightly cool, while Bai Shi Zhi is neutral.

Rou Dou Kou
Bai Shi Zhi vs Rou Dou Kou

Both are used for chronic diarrhea, but Rou Dou Kou (Nutmeg) is acrid and warm, working by warming the Spleen and binding the intestines through its aromatic, drying nature. Bai Shi Zhi is a neutral mineral that works purely through physical astringency and coating. Rou Dou Kou is better when Cold is the dominant factor, while Bai Shi Zhi is better when the intestines simply need physical consolidation regardless of temperature.

Common Substitutes & Adulterants

Related species and common adulterations to be aware of when sourcing Bai Shi Zhi

Bai Shi Zhi is sometimes confused with or substituted by Chi Shi Zhi (赤石脂, Halloysitum Rubrum), which is the red-colored variety of the same mineral family. While they share similar astringent properties, they are not interchangeable: Bai Shi Zhi enters the Qi division and corresponds to the Lung, while Chi Shi Zhi enters the Blood division. Other potential adulterants include ordinary kaolin clay or low-quality white clay that lacks the characteristic smooth, fat-like texture and strong water absorption. Talc (Hua Shi) may also be mistaken for Bai Shi Zhi, but talc has a distinctly slippery rather than sticky feel and does not adhere to the tongue. Authentic Bai Shi Zhi should stick firmly to the tongue and feel smooth without grittiness when chewed.

Educational content — always consult a qualified healthcare provider or TCM practitioner before using any ingredient.

Toxicity Classification

Classical Chinese pharmacopoeia toxicity rating for Bai Shi Zhi

Non-toxic

Bai Shi Zhi is classified as non-toxic in classical texts and was placed in the upper grade of the Shen Nong Ben Cao Jing. However, as a hydrated aluminum silicate mineral, it contains aluminum. While short-term therapeutic use at standard doses is considered safe, prolonged or excessive consumption raises theoretical concerns about aluminum accumulation, which has been associated with neurotoxicity in modern biomedical research. It should be used for defined courses of treatment rather than taken indefinitely. Proper processing (calcination and water-levigation) removes impurities and ensures safety for clinical use.

Contraindications

Situations where Bai Shi Zhi should not be used or requires extra caution

Avoid

Damp-Heat diarrhea or dysentery: Bai Shi Zhi is strongly astringent and warm, making it inappropriate for diarrhea caused by Damp-Heat accumulation. Using it in this context would trap pathogenic factors inside the body and worsen the condition.

Avoid

Early-stage dysentery or diarrhea with active pathogenic factors: should not be used when the condition is acute and the pathogen has not yet been resolved. Astringent herbs used too early can lock pathogens inside.

Caution

Pregnancy: use with caution. As a heavy mineral substance with strong astringent and binding properties, it may affect normal fetal development. Classical sources advise caution for pregnant women.

Caution

Yin deficiency with Heat signs: the warm, astringent nature of Bai Shi Zhi is unsuitable for patients with underlying Yin deficiency generating internal Heat, as it may aggravate dryness.

Caution

Should not be used together with Rou Gui (Cinnamomum cassia bark) according to the classical Nineteen Mutual Fears (十九畏) list. The traditional teaching states that Guan Gui (official cinnamon) fears Shi Zhi.

Classical Incompatibilities

Traditional Chinese pharmacological incompatibilities — herbs or substances to avoid combining with Bai Shi Zhi

Guan Gui (官桂, Rou Gui / Cinnamomum cassia bark) fears Shi Zhi (石脂), according to the Nineteen Mutual Fears (十九畏) list. The classical verse states: 「官桂善能调冷气,若逢石脂便相欺」. This applies to both Bai Shi Zhi and Chi Shi Zhi. In practice, most authorities treat this as a caution rather than an absolute prohibition, but the two substances should not be combined without clear clinical justification.

Special Populations

Important considerations for pregnancy, breastfeeding, and pediatric use

Pregnancy

Use with caution during pregnancy. Bai Shi Zhi is a heavy mineral substance with strong astringent and binding properties. While it is not classified among the strongly prohibited pregnancy herbs, classical sources advise caution. Its strong astringent nature could potentially interfere with the normal physiological processes of pregnancy. It should only be used during pregnancy under the guidance of an experienced practitioner when clearly indicated.

Breastfeeding

No specific classical prohibitions exist for breastfeeding. However, given its aluminum content as a mineral medicine, prolonged use should be avoided during breastfeeding due to the theoretical possibility of mineral transfer through breast milk. Short-term use at standard doses under practitioner guidance is generally considered acceptable.

Children

Bai Shi Zhi may be used in children at reduced dosages proportional to age and weight, under practitioner supervision. It is primarily used in pediatric practice for chronic diarrhea due to Spleen-Kidney deficiency cold. Dosage for young children is typically one-third to one-half of the adult dose. As with adult use, it should not be used for acute diarrhea caused by Damp-Heat or food stagnation. Avoid prolonged use in children due to aluminum content concerns.

Drug Interactions

If you are taking pharmaceutical medications, be aware of these potential interactions with Bai Shi Zhi

No well-documented pharmaceutical drug interactions have been established through clinical studies. However, based on its pharmacological properties, the following theoretical interactions should be considered:

  • Oral medications generally: As a clay mineral with strong adsorptive properties, Bai Shi Zhi may bind to and reduce the absorption of concurrently administered oral medications, similar to how kaolin-based products interact with other drugs. It is advisable to separate administration by at least 2 hours.
  • Aluminum-containing antacids: Since Bai Shi Zhi is a hydrated aluminum silicate, concurrent use with aluminum-containing antacids or other aluminum-containing products could increase total aluminum intake.
  • Iron supplements and tetracycline antibiotics: Clay minerals are known to adsorb metal ions and certain antibiotics, potentially reducing their bioavailability.

Dietary Advice

Foods and dietary considerations when taking Bai Shi Zhi

While taking Bai Shi Zhi, avoid cold, raw, and greasy foods, which may worsen the diarrhea or digestive weakness that this herb is intended to treat. Warm, easily digestible foods such as congee (rice porridge) are recommended to support the astringent and Spleen-supporting action of the herb. Avoid spicy or irritating foods that could aggravate intestinal inflammation.

Botanical Description

Physical characteristics and morphology of the Bai Shi Zhi source mineral

Bai Shi Zhi (白石脂, Halloysitum Album) is not a plant but a mineral substance. It is a naturally occurring hydrated aluminum silicate clay mineral belonging to the kaolinite-halloysite group, with the approximate chemical formula Al4(Si4O10)(OH)8·4H2O. It is the white-colored variety of the five-colored Shi Zhi minerals described in classical Chinese medicine.

The mineral occurs in irregular block-like masses. It is typically powdery white or off-white in color, sometimes with faint pink or pale yellow streaks or patches. The texture is soft enough to be scratched with a fingernail, and fresh cross-sections display an earthy or waxy luster. It has strong water-absorbing properties and sticks to the tongue when licked. When chewed, it feels smooth with no gritty or sandy sensation. It has a faint earthy smell and a mild taste.

Bai Shi Zhi forms primarily in the weathering crust of rocks and in clay layers. It belongs to the monoclinic crystal system but rarely forms visible crystals, typically occurring in a gel-like or massive habit. Its hardness is 1 to 2 on the Mohs scale, and its specific gravity is approximately 2.0 to 2.2, varying with water content.

Sourcing & Harvesting

Where Bai Shi Zhi is sourced, when it's harvested or collected, and how to assess quality

Harvesting season

Mined year-round. As a mineral, there is no seasonal restriction on collection.

Primary growing regions

Historically, Bai Shi Zhi was recorded as coming from Cizhou (慈州, in modern Shanxi province) and Luzhou (潞州, also in Shanxi). The Tang Ben Cao noted that Cizhou production was considered superior. Modern sources indicate that the mineral is distributed across many provinces in China, including Shanxi, Henan, Shandong, Fujian, and Hubei. Shanxi province has been historically regarded as producing the best quality specimens.

Quality indicators

Good quality Bai Shi Zhi should be powdery white or off-white in color, smooth and fine-textured, and soft enough to be scratched with a fingernail. The surface should have an earthy or slightly waxy luster. It should have strong water-absorbing ability and stick firmly to the tongue when licked. When chewed, it should feel smooth and greasy with absolutely no gritty or sandy sensation. A faint earthy smell is normal. Avoid specimens that are grayish, coarse, sandy, or contain visible impurities or foreign rock fragments. The best quality is described classically as "white in color, fine and smooth, with strong water absorption" (色白、细腻、吸水力强).

Classical Texts

Key passages from the classical Chinese medical texts that describe Bai Shi Zhi and its therapeutic uses

《神农本草经》(Shen Nong Ben Cao Jing)

Bai Shi Zhi is listed as part of the 五色石脂 (Five-Colored Shi Zhi) entry in the upper-grade (上品) section. The Shen Nong Ben Cao Jing classified upper-grade herbs as those that "nourish life in accordance with Heaven, are non-toxic, and can be taken long-term without harming the person."

《本草择要纲目》(Ben Cao Ze Yao Gang Mu)

Original: 「养肺气,浓肠,补骨髓,疗五脏惊悸不足,心下烦,止腹痛,下水,小肠热溏便脓血,女子崩中漏下赤白沃,排痈疽疮痔。久服安心不饥,轻身延年,涩大肠。」

Translation: "Nourishes Lung Qi, thickens the intestines, supplements bone marrow, treats deficiency with palpitations of the five organs, vexation below the heart, stops abdominal pain, promotes water drainage, treats loose stools with pus and blood from Small Intestine Heat, treats women's uterine bleeding and vaginal discharge of red and white. Long-term use calms the spirit, prevents hunger, lightens the body and extends life. It astringes the Large Intestine."

《本草纲目》(Ben Cao Gang Mu) — Li Shizhen

Original: 「石脂为收敛之剂,赤入丙,白入庚。二石脂皆手阳明药也。其味甘,其气温,其体重,其性涩。涩而重,故能收湿止血而固下。甘而温,故能益气生肌而调中。」

Translation: "Shi Zhi is an astringent formula. The red enters Bing [Fire/Heart-Small Intestine], the white enters Geng [Metal/Lung-Large Intestine]. Both Shi Zhi types are Hand Yangming [Large Intestine channel] medicines. Their taste is sweet, their nature is warm, their substance is heavy, and their property is astringent. Being astringent and heavy, they can collect dampness, stop bleeding, and secure the lower body. Being sweet and warm, they can supplement Qi, generate flesh, and regulate the middle."

《本草纲目》— On the distinction between red and white

Original: 「赤白二种,一入气分,一入血分,故时用尚之。」

Translation: "The red and white varieties each enter a different division: one enters the Qi aspect, one enters the Blood aspect. This is why practitioners of the time valued them." (Note: The white variety, Bai Shi Zhi, enters the Qi division, while Chi Shi Zhi enters the Blood division.)

Historical Context

The history and evolution of Bai Shi Zhi's use in Chinese medicine over the centuries

Bai Shi Zhi belongs to the group of Five-Colored Shi Zhi (五色石脂) minerals first recorded in the Shen Nong Ben Cao Jing as an upper-grade substance. The classical text did not separate the five colors into individual entries but stated that each color supplements its corresponding organ according to Five Phase theory. The Ming Yi Bie Lu (Supplementary Records of Famous Physicians) later described each color separately, though noting their properties were not greatly different.

The name 石脂 (Shi Zhi, literally "stone fat" or "stone resin") refers to the mineral's smooth, greasy, fat-like texture when handled. "Bai" (白) means white, distinguishing it from the red (赤石脂, Chi Shi Zhi), yellow (黄石脂), blue/green (青石脂), and black (黑石脂) varieties. Li Shizhen in the Ben Cao Gang Mu clarified the theoretical distinction: the white variety corresponds to Metal (庚, Geng) and enters the Qi division, while the red corresponds to Fire (丙, Bing) and enters the Blood division. In clinical practice over the centuries, only the red and white varieties have remained in common use, primarily for treating chronic diarrhea and dysentery.

It is worth noting that kaolin clay, the mineral family to which Shi Zhi belongs, also has a history in Western medicine. The name "Kaopectate," a well-known Western anti-diarrheal product, originally derived its name from kaolin and pectin, reflecting a parallel recognition of the clay's intestinal-binding properties across different medical traditions.