How effective is Alisma (Zexie) in removing dampness?

Aug 15, 2025 Source: Cainiu Health
Dr. Sun Lianqing
Introduction
Alisma (泽泻) has a relatively significant effect in removing dampness, particularly in improving discomfort caused by internal retention of water-dampness. When dampness is primarily characterized as water-dampness, manifesting as symptoms such as limb edema and impaired urination, Alisma can promote the elimination of water-dampness through its diuretic and dampness-resolving actions. When used in combination with herbs like Poria (茯苓) and Atractylodes macrocephala (白术), its dampness-resolving effect is enhanced, leading to quicker relief from discomfort such as edema and abdominal distention.

Generally, Alisma (Zexie) has a relatively significant effect in removing dampness, especially in improving discomfort caused by internal accumulation of water-dampness. However, its effect is limited when used alone and should be combined according to specific conditions. Detailed analysis is as follows:

When dampness is primarily due to water retention, manifesting as limb edema, difficulty in urination, and other symptoms, Alisma can promote the elimination of dampness through its diuretic and dampness-resolving effects. When combined with herbs like Poria (Fuling) and Atractylodes (Baizhu), its dampness-removing action can be enhanced, thereby more effectively relieving discomfort such as edema and abdominal distension.

If dampness is combined with factors such as damp-heat or spleen deficiency, using Alisma alone may have a weak effect in resolving dampness and may not adequately address dampness accumulation caused by dysfunction of the spleen's transformation and transportation functions. Long-term use alone may also impair the body's normal defenses. In such cases, it should be combined with herbs that clear heat and strengthen the spleen to comprehensively regulate dampness-related issues.

Alisma should be used under professional guidance, with proper dosage and treatment duration to avoid prolonged self-administration. If symptoms such as fatigue or dry mouth occur after taking the herb, usage should be stopped immediately and professional advice sought, with adjustments made to the treatment plan according to individual constitution.

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