Alisma

Alisma Orientalis (Ze Xie) – TCM Herb for Urinary Health, Dampness & Kidney Support

Alisma Orientalis (Ze Xie) supports urinary health, reduces dampness, and promotes water metabolism in Traditional Chinese Medicine. Learn benefits and uses.

Alisma Orientalis (Ze Xie) – Drain Dampness and Support Urinary Health

Alisma Orientalis, commonly known as Ze Xie, is a foundational herb in Traditional Chinese Medicine used to promote healthy water metabolism, support kidney and bladder function, and reduce internal dampness. Often recommended in formulas that address urinary discomfort, water retention, and heat in the lower burner, this herb is trusted for its gentle yet effective action on the body’s fluid pathways. Whether used alone or as part of a balanced herbal blend, Alisma offers a time-tested approach to internal balance and healthy elimination.

Category Details
Primary Health Benefits - Promotes healthy urination and water metabolism
- Reduces water retention and bloating
- Clears damp-heat from the lower body
- Supports kidney and bladder health
- Helps manage urinary discomfort and inflammation
Why It Works (Western View) Alisma Orientalis contains triterpenes and polysaccharides that support kidney function and diuresis. Its natural compounds help flush excess fluid and support detoxification, making it useful in managing mild edema, urinary tract health, and inflammation.
Traditional Chinese Medicine Perspective In TCM, Ze Xie is classified as a water-draining herb that enters the Kidney and Bladder channels. It is used to:
- Drain excess dampness
- Clear damp-heat from the lower jiao (lower burner)
- Promote urine flow and resolve stagnation caused by fluid accumulation. Ze Xie is often used in formulas for urinary tract infections, heat in the bladder, dizziness due to damp accumulation, or kidney yin deficiency with empty heat.
Who Should Use It Individuals with water retention, lower body swelling, sluggish urination, or symptoms of damp-heat (e.g., cloudy urine, burning urination, bloating). It is also used in formulas for weight management and detox support.
Common Formula Pairings - With Fu Ling (Poria): to enhance damp-draining effects
- With Huang Bai (Phellodendron): for damp-heat in the lower burner
- With Shu Di Huang (Rehmannia): in Liu Wei Di Huang Wan for kidney yin deficiency
Form Available Dried herb (cut or powdered), granules, capsules, and traditional decoction formulas. Often included in blended herbal teas or tinctures.

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Common Names:
  Water Plantain, Alisma Plantain, American Water Plantain, Mad Dog Weed, Alismatis Rhizoma, Alisma Rhizome
Botanical Name:  Alisma orientalis rhizome

Chinese / Pin Yin Name:  Ze Xie
Alisma Dosage: Consult your healthcare professional for correct dosage.
Alisma Cautions:  Do not if pregnant or nursing.  Do not use if dehydrated.  Do not use in case of damp cold. Avoid in cases of excessive urination, dehydration, or yang deficiency unless guided by a practitioner. Always consult a licensed herbalist or healthcare provider for proper use.

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Summary of Alisma  Health Benefits & Information

Traditionally Alisma was used to promote diuresis, drain dampness and purge heat. Alisma is collected in the winter, once the stems have withered.  Alisma contains antibacterial, astringent and anti-inflammatory properties.

  • Benefits Urinary Health
  • Promotes the Body's Normal Fluid Levels
  • Supports Kidney Health
  • Benefits Bone Health
  • Supports Digestive Health

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How to Use Alisma Orientalis (Ze Xie)

Method Instructions Best For  
Herbal Decoction (Tea) Boil 1–2 tsp dried Alisma root in 2 cups water for 15–20 minutes. Strain and drink warm, 1–2 times daily. Promoting urination, clearing dampness How to make Alisma tea, Ze Xie decoction for water retention
Powdered Extract Take 1–3 grams with warm water, or as advised by your practitioner. Convenient daily kidney/bladder support Alisma powder dosage, Ze Xie powder for kidney health
Encapsulated Supplement Take 1–2 capsules (500 mg each) 1–3x/day with meals, or as advised by your practitioner. Travel, long-term urinary system support Alisma capsules, Ze Xie supplement for bladder function
Tincture (Liquid Extract) Use 1–2 dropperfuls in water or tea, 1–3 times per day, or as advised by your practitioner. Fast absorption, UTI support Alisma tincture dosage, Ze Xie extract for urination
Herbal Formula / Blend Combine with Fu Ling, Huang Bai, or Shu Di Huang in TCM formulas. Kidney yin deficiency, complex urinary issues Ze Xie herbal formula, Alisma combination uses
Topical Compress (Rare) Steep herb, soak cloth in warm infusion, apply to swollen area. Localized swelling or fluid retention Alisma topical use, Ze Xie compress for edema
In Soups or Broths Add dried Ze Xie to soups for long-term water metabolism support. Gentle fluid regulation through food Alisma in soup, cook with Ze Xie for kidney support

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Alisma Properties: Sweet, Bland, Cold
Alisma Channels / Meridians: Kidney, Bladder
Ze Xie Herb Category:  Drains Dampness

Naturally Occurring Compounds in Alisma: Alisol A monoacetate, Alisol A monoacetate,Alisol B monoacetate, Alisol C acetate, Epi-alisol A, 24-Acetyl alisol A, 23-Acetylalisol B, 23-Acetyl alisol C.  Contains alisol A and B, triterpenoids, and polysaccharides known for diuretic, anti-inflammatory, and liver-supportive activity.

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Herbs That Combine With Alisma

Coix Seed     Huai Niu Xi     Shi Chang Pu     Dong Quai 

Shop Available Alisma Forms & Sizes Below

 References:  
https://herbpathy.com/Uses-and-Benefits-of-Ze-Xie-Cid1345 
https://www.americandragon.com/Individualherbsupdate/ZeXie.html
https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/alisma
https://pmc.ncbi.nlm.nih.gov/articles/PMC6582889/
http://alternativehealing.org/alisma_orientale.htm
https://www.healthbenefitstimes.com/water-plantain/

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